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Personality Disorders, Risky Behaviors, and Adversity: The Moderating Role of Resilience
Psychological Reports ( IF 1.789 ) Pub Date : 2021-07-22 , DOI: 10.1177/00332941211028998
Talon P Flynn 1 , Jamie E Parnes 1 , Bradley T Conner 1
Affiliation  

Individuals with personality disorders (PDs) comprise 30% to 40% of individuals receiving mental health treatment. Treatment of PDs is exceedingly difficult; therefore, research has focused on PD etiology and preventative factors. One known influence on PD etiology is adverse childhood experiences (ACEs). ACEs are associated with increased prevalence of several health risk behaviors (HRBs), including engagement in substance use, criminal, and risky sexual behavior. One protective factor, childhood resiliency, predicts lower prevalence of PDs and engagement in HRBs. We hypothesized that increased prevalence of ACEs would predict higher levels of PD symptoms and HRBs engagement. Furthermore, we predicted that childhood resiliency would moderate the relation between ACEs, PD symptoms, and HRBs. In the present study, students (N = 531) completed the Adverse Childhood Experiences survey, the Self-Administered – Standardized Assessment of Personality Abbreviated Scale, and the Childhood Youth and Resiliency Measure-28. They also responded to questions about substance use, criminal, and sexual behavior which were used to define a latent HRB variable. Structural equation modeling was conducted to examine study hypotheses. As hypothesized, we found positive relations between ACEs, PD symptoms, and our HRB latent variable. Childhood resiliency moderated both ACE and PD symptom paths. At lower levels of reported ACEs, individuals high in childhood resiliency reported fewer PD symptoms and HRBs than individuals low in childhood resiliency. At high levels of ACEs, childhood resiliency did not serve as a protective factor. Additionally, study findings suggest that childhood resiliency factors are integral for protecting against the development of these disorders.



中文翻译:

人格障碍、危险行为和逆境:复原力的调节作用

患有人格障碍 (PD) 的个体占接受心理健康治疗的个体的 30% 至 40%。PD 的治疗极其困难;因此,研究集中在 PD 病因和预防因素上。对 PD 病因的一种已知影响是不良童年经历 (ACE)。ACE 与几种健康风险行为 (HRB) 的流行率增加有关,包括参与物质使用、犯罪和危险的性行为。一个保护因素,即儿童期的复原力,预示着 PD 的患病率和参与 HRB 的几率较低。我们假设 ACE 患病率的增加将预测更高水平的 PD 症状和 HRB 参与。此外,我们预测儿童期的复原力会调节 ACE、PD 症状和 HRB 之间的关系。在目前的研究中,学生 (N = 531) 完成了不良童年经历调查、自我管理 - 人格缩写量表的标准化评估以及童年青年和复原力测量 28。他们还回答了有关物质使用、犯罪和性行为的问题,这些问题用于定义潜在的 HRB 变量。进行结构方程模型以检验研究假设。正如假设的那样,我们发现 ACE、PD 症状和我们的 HRB 潜变量之间存在正相关关系。童年弹性缓和了 ACE 和 PD 症状路径。在报告的 ACE 水平较低的情况下,儿童期复原力高的个体报告的 PD 症状和 HRB 少于儿童期复原力低的个体。在高水平的 ACE 中,儿童期的复原力并不能作为保护因素。此外,

更新日期:2021-07-22
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