新兵成人依恋在童年期创伤经历与边缘型人格倾向间的并行多重中介作用  

The multiple mediation effect of adult attachment on the relationship between borderline personality disorder and childhood trauma in recruits

作　　者：赵晓瑾[1,2] 李红政[1] 陈海燕[1] 王周然 王创[1] 王彦海[2] 

机构地区：[1]中国人民解放军第303医院全军心理卫生指导中心,南宁530021 [2]桂林医学院,桂林541000

出　　处：《中华行为医学与脑科学杂志》2016年第6期547-551,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：全军“十二五”医药卫生科研项目（AWS13J003）;军队心理卫生应用性科研课题计划（12XLZ204）;全军医学科学技术”十二五”计划课题（CWS11J278）

摘　　要：目的 探讨成人依恋在童年期创伤经历与新兵边缘型人格倾向中的多重中介作用.方法 采用童年期创伤经历问卷（CTQ）、修订版成人依恋量表（AAS）和人格诊断问卷（PDQ-4＋）对2013年秋季某部1 750名入伍新兵施测.结果 童年期创伤经历问卷的躯体忽视得分（11.05±3.04）分、情感忽视得分（10.00±3.54）分、情感虐待得分（6.73±2.32）分、性虐待得分（5.92±2.06）分、躯体虐待得分（5.83±1.97）分,成人依恋问卷中依恋焦虑得分（3.02±0.53）分、依恋亲近依赖得分（3.19±0.44）分,边缘型分量表得分（2.45±2.04）分.新兵边缘型分量表得分与童年期创伤经历总分以及依恋焦虑均呈显著正相关（r=0.353,0.284,P＜0.01）,与依恋亲近依赖均分呈显著负相关（r=-0.198,P＜0.01）.童年期创伤经历、依恋亲近依赖以及依恋焦虑对边缘型人格倾向具有显著预测作用,可共同解释其总变异的19.6％ （F=142.172,P＜0.01）.结构方程模型分析和Bootstrap检验显示,童年期创伤经历不仅直接作用于新兵边缘型人格倾向,还通过依恋亲近依赖和依恋焦虑的中介作用间接作用于新兵边缘型人格倾向（x2/ df-11.472,RMSEA=0.077,NH=0.943,RFI=0.901,IFI=0.948,TLI=0.902,CFI=0.948）,依恋亲近依赖、依恋焦虑和成人依恋的中介效果量分别为8.1％、10.8％、18.9％.结论 成人依恋在童年期创伤经历与新兵边缘型人格倾向中起着并行多重中介作用.Objective To explore the mediation effect of adult attachment on the relationship between childhood trauma and borderline personality disorder（BPD） in recruits.Methods Childhood trauma questionnaire-28 short form （CTQ-SF）,adult attachment scale （AAS） and personality diagnostic questionnaire-4＋ （PDQ-4＋） were administered to 1 750 recruits in the autumn of 2013.Results The scores of physical neglect,emotional neglect,emotional abuse,sexual abuse,physical abuse,attachment anxiety,attachment close and dependence and BPD were 11.05±3.04,10.00±3.54,6.73±2.32,5.92±2.06,5.83± 1.97,3.02 ± ±0.53,3.19±0.44,2.45± 2.04,respectively.BPD had significantly positive correlation with childhood trauma and attachment anxiety （r=0.353,0.284,P〈 0.01）,and significantly negative correlation with attachment close and dependence（r=-0.198,P〈0.01）.Childhood trauma,attachment close and dependence and attachment anxiety could positively predict BPD（F=142.172,P〈0.01）,which could explain 19.6% of the total variation.Structure equation model and Bootstrap test showed that childhood trauma not only directly predict BPD in recruits,but also indirectly predict BPD in recruit through attachment close and dependence and attachment anxiety （x2/df=11.472,RMSEA =0.077,NFI =0.943,RFI =0.901,IFI =0.948,TLI =0.902,CFI =0.948）,and the mediational path through attachment close and dependence and attachment anxiety with the effect size were 10.8% and 8.1%,and the total mediational effect size was 18.9%.Conclusion Adult attachment exerts a multiple mediation effect on the relationship between childhood abuse and BPD in recruits.

关 键 词：新兵 边缘型人格倾向 儿童期虐待 成人依恋 

分 类 号：E0-051[军事—军事理论]