Derner School of Psychology, Adelphi University, Garden City, New York.
School of Behavioral and Brain Sciences, The University of Texas at Dallas.
J Pers Disord. 2020 Sep;34(Suppl B):104-129. doi: 10.1521/pedi_2020_34_480. Epub 2020 Jun 15.
The self-damaging behaviors central to borderline personality disorder (BPD) become prominent in adolescence. Current developmental theories cite both early family processes and childhood dysregulation as contributors to BPD, but longitudinal data from infancy are rare. Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development database (SECCYD; = 1,364), we examined path models to evaluate parent and child contributors from infancy/preschool, middle childhood, and adolescence to adolescent BPD-related features. In addition, person-centered latent class analyses (LCA) investigated whether adolescent BPD-related features were more strongly predicted by particular patterns of maladaptive parenting. Path modeling identified unique influences of maternal insensitivity and maternal depression on BPD-related features, first, through social-emotional dysregulation in middle childhood, and second, through continuity from infancy in maternal insensitivity and depression. LCA results indicated that early withdrawn parenting was particularly predictive of BPD-related features in adolescence. Results suggest multiple points of intervention to alter pathways toward adolescent borderline psychopathology.
以自我伤害行为为核心的边缘型人格障碍（BPD）在青少年时期变得尤为突出。目前的发展理论认为，早期家庭过程和儿童期失调都会导致 BPD，但从婴儿期开始的纵向数据很少。利用国家儿童健康与人类发展研究所（NICHD）的早期儿童保育和青年发展数据库（SECCYD；n = 1364），我们通过路径模型来评估从婴儿期/学龄前、儿童中期到青少年期，父母和儿童对青少年 BPD 相关特征的影响。此外，个体中心潜在类别分析（LCA）还研究了特定的适应不良养育模式是否更能预测青少年 BPD 相关特征。路径模型发现，母亲的不敏感和抑郁对 BPD 相关特征有独特的影响，首先是通过儿童中期的社会情感失调，其次是通过婴儿期母亲不敏感和抑郁的连续性。潜在类别分析的结果表明，早期的回避型养育方式尤其能预测青少年时期与 BPD 相关的特征。研究结果表明，有多个干预点可以改变通向青少年边缘性精神病理的途径。
