Hallquist Michael N, Hipwell Alison E, Stepp Stephanie D
Department of Psychiatry, University of Pittsburgh.
J Abnorm Psychol. 2015 Aug;124(3):549-64. doi: 10.1037/abn0000058.
Developmental theories of borderline personality disorder (BPD) propose that harsh, invalidating parenting of a child with poor self-control and heightened negative emotionality often leads to a coercive cycle of parent-child transactions that increase risk for BPD symptoms such as emotion dysregulation. Although parenting practices and child temperament have previously been linked with BPD, less is known about the prospective influences of caregiver and child characteristics. Using annual longitudinal data from the Pittsburgh Girls Study (n = 2,450), our study examined how reciprocal influences among harsh parenting, self-control, and negative emotionality between ages 5 and 14 predicted the development of BPD symptoms in adolescent girls ages 14 to 17. Consistent with developmental theories, we found that harsh punishment, poor self-control, and negative emotionality predicted BPD symptom severity at age 14. Only worsening self-control between ages 12 and 14, however, predicted growth in BPD symptoms from 14 to 17. Furthermore, the effects of harsh punishment and poor self-control on age 14 BPD symptoms were partially mediated by their earlier reciprocal effects on each other between ages 5 and 14. Our findings underscore the need to address both child and parental contributions to dysfunctional transactions in order to stem the development of BPD symptoms. Moreover, problems with self-regulation in early adolescence may indicate heightened risk for subsequent BPD. Altogether, these results increase our understanding of developmental trajectories associated with BPD symptoms in adolescent girls.
边缘型人格障碍(BPD)的发展理论提出,对自我控制能力差且负面情绪强烈的孩子进行严厉、否定性的养育方式,往往会导致亲子互动中出现一种强制性循环,增加出现情绪失调等BPD症状的风险。尽管此前养育方式和儿童气质已被认为与BPD有关,但对于照顾者和儿童特征的前瞻性影响却知之甚少。利用匹兹堡女孩研究(样本量n = 2450)的年度纵向数据,我们的研究考察了5至14岁之间严厉养育、自我控制和负面情绪之间的相互影响如何预测14至17岁少女BPD症状的发展。与发展理论一致,我们发现严厉惩罚、自我控制能力差和负面情绪可预测14岁时BPD症状的严重程度。然而,只有12至14岁之间自我控制能力的恶化,才预测了14至17岁BPD症状的增加。此外,严厉惩罚和自我控制能力差对14岁BPD症状的影响,部分是由它们在5至14岁之间彼此的早期相互影响所介导的。我们的研究结果强调,有必要同时解决儿童和父母对功能失调互动的影响,以阻止BPD症状的发展。此外,青春期早期的自我调节问题可能表明随后患BPD的风险增加。总之,这些结果增进了我们对少女BPD症状相关发展轨迹的理解。