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Childhood Sexual Abuse and Impulsivity among Subtypes of Borderline Personality

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).

keywords
borderline personality disorder, childhood sexual abuse, impulsive behaviors, sexual revictimization, borderline personality disorder, childhood sexual abuse, impulsive behaviors, sexual revictimization, 경계선 성격장애, 아동기 성 피해, 충동적 행동, 성적 재희생화

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