Department of Psychology.
Personal Disord. 2018 Jul;9(4):385-389. doi: 10.1037/per0000265. Epub 2017 Nov 9.
Borderline personality disorder (BPD) is a severe and chronic mental illness. Self-reported borderline features correlate highly with a diagnosis (affective instability, negative relationships, unstable sense of self, self-harm). Etiological factors of BPD include childhood maltreatment. The current study compared the experience of maltreatment in adolescent offspring of mothers with BPD, who are themselves at risk of developing the disorder, with that of offspring of mothers with no current diagnosis. Participants were 56 adolescents aged 14 to 18 years. In all, 93% of the adolescents whose mothers had BPD experienced maltreatment compared with 60% of comparisons. Specifically, adolescent offspring of mothers with BPD experienced more physical abuse, emotional abuse, and neglect, but not more sexual abuse, than did comparisons. Dimensions of maltreatment (severity, multiple subtypes, chronicity) were associated with adolescents' own total borderline features. We discuss implications for the intergenerational transmission of BPD and for clinical interventions. (PsycINFO Database Record
边缘型人格障碍（BPD）是一种严重且慢性的精神疾病。自我报告的边缘型特征与诊断高度相关（情感不稳定、人际关系不良、不稳定的自我意识、自残）。BPD 的病因包括儿童期虐待。本研究比较了患有 BPD 的母亲的青少年后代（自身有发展障碍的风险）和没有当前诊断的母亲的后代的虐待经历。参与者是 56 名年龄在 14 至 18 岁的青少年。在所有母亲患有 BPD 的青少年中，有 93%经历过虐待，而对照组为 60%。具体而言，患有 BPD 的母亲的青少年后代经历了更多的身体虐待、情感虐待和忽视，而不是更多的性虐待，与对照组相比。虐待的维度（严重程度、多种亚型、持续性）与青少年自身的总边缘型特征有关。我们讨论了 BPD 的代际传播以及临床干预的影响。
