Brief report: Borderline personality symptoms and perceived caregiver criticism in adolescents

Whalen, Diana J.; Malkin, Mallory L.; Freeman, Megan J.; Young, John; Gratz, Kim L.

doi:10.1016/j.adolescence.2015.03.009

Cited by 14 publications

(4 citation statements)

References 31 publications

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“…Also in clinical samples, adolescents and young adults with BPD report that their parents displayed several problematic parenting practices (e.g. emotional withdrawal, parental inconsistencies, invalidation of thoughts and feelings; [7,10,14,46,63,80,89,91]. Studies investigating child-driven effects have focused on temperament-related features: a review of Boucher et al [14] summarized that parents of children with BPD often describe their child as "unusually sensitive" or with a "difficult temperament" early on.…”

Section: Caregiver-child Interactions and Bpdmentioning

confidence: 99%

Mother–child interactions in adolescents with borderline personality disorder traits and the impact of early life maltreatment

Williams

Fleck

Fuchs

et al. 2023

Child Adolesc Psychiatry Ment Health

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Background Early detection and intervention of borderline personality disorder (BPD) in adolescence has become a public health priority. Theoretical models emphasize the role of social interactions and transgenerational mechanisms in the development of the disorder suggesting a closer look at caregiver-child relationships. Methods The current study investigated mother-adolescent interactions and their association with adolescent BPD traits by using a case–control design. Thirty-eight adolescent patients with ≥ 3 BPD traits and their mothers (BPD-G) were investigated in contrast to 35 healthy control dyads (HC-G). Maternal, adolescent and dyadic behavior was coded using the Coding Interactive Behavior Manual (CIB) during two interactions: a fun day planning and a stress paradigm. Additional effects of maternal and/or adolescent early life maltreatment (ELM) on behavior were also explored. Results BPD-G displayed a significantly lower quality of maternal, adolescent and dyadic behavior than the HC-G during both interactions. Maternal and adolescent behavior was predicted by BPD traits alone, whilst dyadic behavior was also influenced by general adolescent psychopathology. Exploratory analyses of CIB subscales showed that whilst HC-G increased their reciprocal behavior during stress compared to the fun day planning, BPD-G dyads decreased it. Maternal ELM did not differ between groups or have any effect on behavior. Adolescent ELM was correlated with behavioral outcome variables, but did not explain behavioral outcomes above and beyond the effect of clinical status. Discussion/Conclusion Our data suggest a stronger focus on parent–child interactions in BPD-specific therapies to enhance long-term treatment outcomes in adolescent BPD patients. Further research employing study designs that allow the analyses of bidirectional transactions (e.g. longitudinal design, behavioral microcoding) is needed.

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Section: Caregiver-child Interactions and Bpdmentioning

confidence: 99%

Mother–child interactions in adolescents with borderline personality disorder traits and the impact of early life maltreatment

Williams

Fleck

Fuchs

et al. 2023

Child Adolesc Psychiatry Ment Health

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“…As a result, patients anticipate that they cannot rely on others for assistance. Adolescent BPD risk factors include a history of disrupted attachment, maternal neglect, maternal rejection, grossly inappropriate parental behavior, number of mother and father surrogates, physical and sexual abuse, parental loss [17], perceived caregiver criticism [18], and low socioeconomic status [19]. These elements lend support to an insecure attachment etiological model.…”

Section: Etiologymentioning

confidence: 99%

The Influence of Family Intervention on the Treatment of Adolescent Patients With Borderline Personality Disorder: A Literature Review

Pu¹,

Zaidi²,

Patel³

et al. 2023

Cureus

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Borderline personality disorder (BPD) is a widespread mental disorder linked to functional impairment and a high suicide rate. Adolescent BPD is now recognized as a reliable and valid diagnosis in psychiatric classification systems and national treatment guidelines. Family issues, such as parental underinvolvement or neglect, may affect the mentalization process and attachment styles. Thus, the family is crucial to understanding the etiology of BPD in adolescents. Family intervention was primarily used as a component of the psychotherapy strategy in the current treatment of BPD, including pharmacological and psychotherapy measures. The primary objective of this study is to review previous research on the effectiveness of family intervention in treating adolescents with BPD. Although there is currently little data, studies in this paper show that family intervention is a realistic treatment option for adolescents with BPD.

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“…A genetic predisposition to interpersonal hypersensitivity is assumed to interact with negative relational experiences such as punitive behaviors of parents during the child's early development, resulting in relational deficits at a later age. One study examined the relationship of BPD symptoms with perceptions of caregiver criticism in a high-risk sample of 109 adolescents in a residential psychiatric treatment facility [21]. Findings suggested that adolescents with BPD symptoms may perceive their caregivers as more critical even if their caregivers do not actually exhibit high levels of criticism.…”

Section: Maladaptive Parentingmentioning

confidence: 99%

Parenting Role in the Development of Borderline Personality Disorder

Kaur

Sanches

2022

Psychopathology

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The progressively improving understanding of the borderline personality disorder (BPD) has led to an increased interest in the better clarification of the integrated role of biological and psychosocial factors in the underlying pathophysiology of this condition. The influence of early childhood interactions and stress exposure in shaping our personalities during adulthood cannot be emphasized enough. In this review, we discuss the critical role of parenting-related factors including maladaptive parenting, parenting styles, and parenting psychopathology as early childhood influences in the developmental psychopathology of BPD. Protective factors that may impact the development of this disorder and possible preventive interventions are also briefly reviewed.

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Brief report: Borderline personality symptoms and perceived caregiver criticism in adolescents

Cited by 14 publications

References 31 publications

Mother–child interactions in adolescents with borderline personality disorder traits and the impact of early life maltreatment

Mother–child interactions in adolescents with borderline personality disorder traits and the impact of early life maltreatment

The Influence of Family Intervention on the Treatment of Adolescent Patients With Borderline Personality Disorder: A Literature Review

Parenting Role in the Development of Borderline Personality Disorder

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