Newman Louise K, Stevenson Caroline S, Bergman Lindy R, Boyce Philip
NSW Institute of Psychiatry, Parramatta, BC, Australia.
Aust N Z J Psychiatry. 2007 Jul;41(7):598-605. doi: 10.1080/00048670701392833.
Parents diagnosed with borderline personality disorder (BPD) are likely to find the emotional aspects of parenting challenging. Research into the difficulties that these parents experience, however, is lacking. The aims of the present study were to (i) gain an understanding of the interactional patterns of mothers with BPD and their infants and (ii) to explore the parenting perceptions of mothers with BPD.
Two groups of mother-infant dyads were recruited: mothers with BPD and their infants; and community mothers and their infants. Groups were compared on mother-infant interaction patterns and on maternal self-perceptions of parenting.
Mothers with BPD were found to be less sensitive and demonstrated less structuring in their interaction with their infants, and their infants were found to be less attentive, less interested and less eager to interact with their mother. Furthermore, mothers with BPD reported being less satisfied, less competent and more distressed.
Early intervention needs to be provided to mothers with BPD to promote maternal sensitivity and maternal perceptions of competence.
被诊断患有边缘型人格障碍(BPD)的父母可能会发现育儿过程中的情感方面具有挑战性。然而,针对这些父母所经历困难的研究却很匮乏。本研究的目的是:(i)了解患有BPD的母亲与其婴儿的互动模式;(ii)探究患有BPD的母亲对育儿的看法。
招募了两组母婴二元组:患有BPD的母亲及其婴儿;以及社区母亲及其婴儿。对两组在母婴互动模式和母亲对育儿的自我认知方面进行了比较。
发现患有BPD的母亲在与婴儿互动时较不敏感,且较少进行结构化引导,并且她们的婴儿被发现较少专注、较少感兴趣且不太渴望与母亲互动。此外,患有BPD的母亲报告称满意度较低、能力感较弱且苦恼较多。
需要为患有BPD的母亲提供早期干预,以提高母亲的敏感性和对自身能力的认知。