경계선 성격장애의 하위유형에 따른 아동기 성 피해 경험과 충동성
Childhood Sexual Abuse and Impulsivity among Subtypes of Borderline Personality
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초록
본 연구의 목적은 경계선 성격장애의 특징, 특히 자해나 자살 시도, 성적 난잡성을 포함한 성 이탈 행동을 이해하기 위한 것이다. 이러한 목적을 위해 경계선 성격장애로 진단된 31명의 연구 참여자들에게 면담을 실시하여 아동기 성 피해 경험의 유무와 심각도를 평가하였고, Barratt 충동성 검사를 시행하였다. 연구 참여자들은 자기 파괴적 증상의 특성에 기초하여 세 집단, 즉 자해나 자살시도를 경험한 집단, 성 이탈 행동을 보이는 집단, 그리고 두 가지를 모두 보이는 복합 증상 집단으로 분류되었다. 자해/자살시도 집단(N=11)의 27.3%, 성 이탈 집단(N=8)의 50.0%, 그리고 복합 증상 집단(N=12)의 83.3%가 아동기 성 피해 경험을 보고하였다. 성별과 연령을 공변인으로 통제하여 공분산분석을 시행한 후 집단간 비교를 실시한 결과, 복합 증상 집단은 자해/자살시도 집단에 비해 아동기 성 피해가 더 심각하였고, 성 이탈을 경험한 피험자들은 자해/자살시도 집단에 비해 스스로를 더 충동적인 것으로 지각하였다. 이러한 결과는 성적 재희생화와 외상적 성애화(Finkelhor & Browne, 1985)의 측면에서 논의되었다.
Abstract
The purpose of the present study was to achieve a better understanding of the features of borderline personality disorder, especially those involving self-destructive behavior, such as self-injury, suicide attempts, and sexual deviance including promiscuity. The subjects were 31 patients with a diagnosis of borderline personality disorder. All were interviewed to assess the incidence and severity of childhood sexual abuse (CSA), and they also completed a self-report measure of impulsivity (Barratt Impulsiveness Scale). The subjects were then categorized into three groups based on the nature of their self-destructive symptoms: self-injurious or suicidal behavior (N=11), sexual deviance (N=8), and both type of symptoms (N=12). CSA was assessed to have occurred in 27.3% of the self-injury group, in 50.0% in the sexual deviance group, and in 83.3% of the mixed-symptom group. A between group comparisons was subsequently conducted using ANCOVA with gender and age as covariates. The results showed that, compared with the self-injury group, the mixed-symptom group reported more severe CSA, and the sexual deviance group perceived themselves as being more impulsive. The findings were discussed in terms of sexual revictimization and traumatic sexualization (Finkelhor & Browne, 1985).
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