Jørgensen Mie Sedoc, Vestergaard Martin, Beck Emma, Storebø Ole Jakob, Poulsen Stig, Simonsen Erik, Bo Sune
Psychiatric Research Unit, Region Zealand, Fælledvej 6, 4200, Slagelse, Denmark.
Department of Child and Adolescent Psychiatry, Psychiatry Region Zealand, Smedegade 16, 4000, Roskilde, Denmark.
Child Psychiatry Hum Dev. 2024 Jul 15. doi: 10.1007/s10578-024-01735-w.
Parent-child informant discrepancies on psychopathology provide important knowledge on the parent-child relationship and the child's mental health, but mechanisms underlying parent-child informant discrepancies are largely unknown. Therefore, we investigated the relationship between attachment problems and mentalizing capacity and parent-child informant discrepancies on borderline personality disorder (BPD) severity, internalizing, and externalizing pathology in a clinical sample of 91 adolescent girls with BPD and their parents. Results showed that more attachment problems to parents and peers were related to adolescents reporting more severe BPD than parents. Adolescents who described more internalizing symptoms relative to parents, reported more parental attachment problems, but enhanced peer attachment, suggesting those adolescents who do not feel recognized by their parents might turn to their friends. When parents rated adolescents higher on externalizing behaviors, the adolescent reported more attachment problems to parents and lower mentalizing capacity, indicating that this sub-group of adolescents may reflect less about how their behavior affects others.
亲子间关于精神病理学的信息差异为亲子关系和孩子的心理健康提供了重要认识，但亲子信息差异背后的机制在很大程度上尚不清楚。因此，我们在一个由91名患有边缘性人格障碍（BPD）的青春期女孩及其父母组成的临床样本中，研究了依恋问题与心理化能力以及亲子信息差异在BPD严重程度、内化和外化病理方面的关系。结果显示，与父母相比，青少年对父母和同伴存在更多依恋问题与他们报告更严重的BPD相关。与父母相比，描述内化症状更多的青少年报告了更多的父母依恋问题，但同伴依恋增强，这表明那些感觉未被父母认可的青少年可能会转向朋友寻求认可。当父母对青少年的外化行为评分更高时，青少年报告了更多对父母的依恋问题和更低的心理化能力，这表明这一亚组青少年可能较少思考自己的行为如何影响他人。
