Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Psychology, University of Houston, Houston, Texas.
J Pers Disord. 2021 Jun;35(Suppl B):56-73. doi: 10.1521/pedi_2021_35_505. Epub 2021 Jan 21.
Impairments in mothers' reflective function (RF), the ability to imagine the mental states of the self and others, underlies maladaptive parenting strategies, which have been associated with borderline personality disorder (BPD). The current study evaluated the association between mother's RF and adolescents' BPD and the mediating role of a range of parenting behaviors. Five hundred and thirty-one inpatient adolescents and their mothers participated in the current study. A multimethod assessment of BPD was used alongside mothers' self-reported quality of RF. Children completed three questionnaires about maternal parenting behaviors. There was no direct relation between mother's RF capacity and adolescents' BPD. However, mothers' adaptive certainty about mental states related to less severe BPD in adolescents, specifically through decreases in inconsistent punishment. Mothers' RF capacity predicted various parenting behaviors, which was associated with adolescents' BPD severity. Implications of findings for early intervention and prevention are discussed.
母亲的反思功能(RF)受损,即想象自己和他人心理状态的能力,是不良养育策略的基础,而不良养育策略与边缘型人格障碍(BPD)有关。本研究评估了母亲的 RF 与青少年 BPD 之间的关联,以及一系列养育行为的中介作用。目前的研究纳入了 531 名住院青少年及其母亲。使用多种方法评估 BPD,同时评估母亲自我报告的 RF 质量。孩子完成了三份关于母亲养育行为的问卷。母亲的 RF 能力与青少年的 BPD 之间没有直接关系。然而,母亲对与青少年较轻 BPD 相关的心理状态的适应性确定与较少的不一致惩罚有关。母亲的 RF 能力预测了各种养育行为,而这些行为与青少年 BPD 的严重程度有关。讨论了这些发现对早期干预和预防的意义。