Emory University, Atlanta, Georgia.
J Pers Disord. 2022 Apr;36(2):230-247. doi: 10.1521/pedi_2021_35_537. Epub 2021 Aug 31.
Borderline personality disorder symptoms (BPDsx) in mothers have been linked to psychopathology in their offspring. However, it is still unclear whether BPDsx in fathers influences offspring psychopathology and, if so, how this risk transmission may occur. A total of 448 father-mother-offspring triads completed a longitudinal study following children from birth until age 20 and included self-report questionnaires and clinical interviews when children were 15 and 20 years old. Results revealed that paternal BPDsx were predictive of youth BPDsx and internalizing symptoms, even after controlling for maternal BPDsx. Chronic family stress was a significant mediator of the relationship between paternal BPDsx and offspring BPDsx, internalizing symptoms, and externalizing symptoms. Fathers' expressed emotion and child temperament were not significant mediators. Although offspring sex predicted youth outcomes, it was not a significant moderator of the association between paternal BPDsx and offspring symptoms. Finally, controlling for comorbid paternal disorders weakened the association between paternal BPDsx and youth psychopathology.
母亲的边缘型人格障碍症状（BPDsx）与子女的精神病理学有关。然而，目前尚不清楚父亲的 BPDsx 是否会影响子女的精神病理学，如果会，这种风险传递是如何发生的。总共 448 个父亲-母亲-子女三组成员完成了一项纵向研究，从孩子出生开始一直跟踪到 20 岁，并在孩子 15 岁和 20 岁时进行了自我报告问卷和临床访谈。结果表明，即使在控制了母亲的 BPDsx 后，父亲的 BPDsx 也可以预测青少年的 BPDsx 和内化症状。慢性家庭压力是父亲的 BPDsx 与子女的 BPDsx、内化症状和外化症状之间关系的重要中介因素。父亲的表达情绪和孩子的气质不是显著的中介因素。尽管子女的性别预测了青少年的结果，但它并不是父亲的 BPDsx 与子女症状之间关联的重要调节因素。最后，控制共患的父亲障碍削弱了父亲的 BPDsx 与青少年精神病理学之间的关联。
