Maternal bonding impairment predicts personality disorder features in adolescence: The moderating role of child temperament and sex.

Fleck, Leonie; Fuchs, Anna; Moehler, Eva; Parzer, Peter; Koenig, Julian; Resch, Franz; Kaess, Michael

doi:10.1037/per0000433

Cited by 11 publications

(7 citation statements)

References 45 publications

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“…Importantly, "adverse (childhood) experiences, biological predisposition, or a combination of both may disrupt these virtuous cycles," which in turn may lead to low resilience and vulnerability for psychopathology (Luyten et al, 2020). Research investigating this pathway to psychopathology is accumulating (Back et al, 2021), and since recently, there is first longitudinal evidence for the interaction of temperamental features in early childhood and parental caring skills as a predictor of PF 14 years later (Fleck et al, 2021). Viewed from this angle, differences in PF impairment in individuals reporting ACE found in our study may be an indicator for predispositional vulnerability that only comes into effect in the interaction with unfavorable environmental influences such as ACE.…”

Section: Discussionmentioning

confidence: 99%

Adverse childhood experiences and personality functioning interact substantially in predicting depression, anxiety, and somatization

Kerber

Gewehr

Zimmermann

et al. 2023

Personality & Mental Health

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Etiological theories on the development of psychopathology often incorporate adverse childhood experiences (ACE) as an important contributing factor. Recent studies suggest personality functioning (PF; i.e., stability of the self and interpersonal relationships) as an important transdiagnostic construct that could be useful in better understanding when persons with ACE do (not) develop psychopathological symptoms. A representative sample of N = 2363 was assessed by questionnaires on ACE, PF (Level of Personality Functioning Scale—Brief Form 2.0), and current symptoms of depression, anxiety, and somatization (Brief Symptom Inventory 18). The interaction between ACE and PF on symptoms was investigated using multiple group models and Bayesian structural equation modeling. ACE were positively associated with psychopathology and PF impairments. The interaction effect between ACE and PF explained incremental variance in current symptoms, ranging from 26% for somatization to 49% for depression with the complete model explaining up to 91% of the latent variance in psychopathology. Our findings indicate a diathesis–stress model with PF as a resource or resilience that may buffer against the development of symptoms in the face of adversity. Treatments of depression and anxiety targeting self and interpersonal functioning therefore may lead to improvements in resilience and relapse prevention. [Correction added on 15 March 2023, after first online publication: Level of Personality Functioning Scale—Brief Form has been replaced to Level of Personality Functioning Scale—Brief Form 2.0 ]

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Section: Discussionmentioning

confidence: 99%

Adverse childhood experiences and personality functioning interact substantially in predicting depression, anxiety, and somatization

Kerber

Gewehr

Zimmermann

et al. 2023

Personality & Mental Health

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“…2,3 Studies have shown that establishing an early emotional link can lead to more positive parenting behaviors and that such a link can protect against social and emotional maladjustment in the child; in contrast, failure to establish such a bond during infancy can have serious longterm effects on the parent-infant relationship, which may lead to child neglect or abuse and affect the child's psychosocial development. 1,4 Various factors can compromise the formation of a close and positive parent-infant relationship. 5,6 For example, studies have shown that parents with depression had a difficult time adjusting to parenthood and were less sensitive to their infants' cues, which may result in less than optimal bonding with their infants.…”

Section: Introductionmentioning

confidence: 99%

“…Parent‐infant bonding refers to a close emotional tie that the parent develops with the infant 2,3 . Studies have shown that establishing an early emotional link can lead to more positive parenting behaviors and that such a link can protect against social and emotional maladjustment in the child; in contrast, failure to establish such a bond during infancy can have serious long‐term effects on the parent‐infant relationship, which may lead to child neglect or abuse and affect the child's psychosocial development 1,4 …”

Section: Introductionmentioning

confidence: 99%

Predictors of Parent‐Infant Bonding Among Postpartum Chinese Mothers and Fathers

Ngai

Lam

2022

J Midwife Womens Health

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Introduction The emotional bond that parents feel with their child is a crucial determinant of the child's psychosocial well‐being and future development. Few studies have evaluated the predictive roles of depressive symptoms, relationship satisfaction, and family sense of coherence in the quality of parent‐infant bonding for both parents during the perinatal period. The aim of this study was to determine the predictive effects of depressive symptoms, relationship satisfaction, and family sense of coherence during pregnancy; changes thereof from pregnancy to 6 weeks postpartum; and the partner's bond with the infant on the quality of parent‐infant bonding at 6 weeks postpartum in Chinese mothers and fathers. Methods This was a secondary analysis of data from an intervention study. A convenience sample of 231 Chinese childbearing couples was recruited from the antenatal clinics of public hospitals in Hong Kong. Parent‐infant bonding, depressive symptoms, relationship satisfaction, and family sense of coherence were measured using the Postpartum Bonding Questionnaire, Edinburgh Postnatal Depression Scale, Dyadic Adjustment Scale, and Family Sense of Coherence Scale during pregnancy and at 6 weeks postpartum. Results The findings indicated that higher depressive symptoms during pregnancy and poor partner bonding with the infant were the major predictors of impaired parent‐infant bonding at 6 weeks postpartum for both parents. Prenatal relationship satisfaction was not a significant predictor of parent‐infant bonding at 6 weeks postpartum for either parent. Prenatal family sense of coherence was a strong predictor of parent‐infant bonding for mothers but not for fathers. Discussion The findings highlight the significant effects of depressive symptoms, family sense of coherence, and the partner's bond with the infant on parent‐infant bonding during the perinatal period. Comprehensive early prenatal programs that promote parental well‐being and strengthen family sense of coherence should be integrated into existing perinatal services to promote the quality of parent‐infant bonding for both parents.

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“…We examined a community sample of 76 adolescent-mother dyads who participated in a longitudinal study on temperament and the development of BPD traits [ 47 – 49 ]. Adolescents (46% girls) were 14.0 (SD = 0) years old, mothers on average 48.2 years old (SD = 4.6).…”

Section: Methodsmentioning

confidence: 99%

Adolescent borderline personality traits and dyadic behavior shape mother-adolescent cortisol synchrony

Fleck

Fuchs

Lerch

et al. 2023

bord personal disord emot dysregul

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Background Associations between parent and child cortisol levels (“cortisol synchrony”) are often reported and positive synchrony may mark dyadic regulation on a physiological level. Although dyadic behavior during interaction and adolescent borderline personality disorder (BPD) traits are linked with individual and dyadic regulatory capacities, little is known about how both factors influence parent-adolescent cortisol synchrony. We hypothesized that cortisol synchrony would differ depending on behavioral synchrony, i.e., smooth reciprocal dyadic interaction patterns, adolescent BPD traits, and their interactions. Methods Multilevel state-trait modeling was implemented to investigate associations between concurrent mother-adolescent state cortisol and mother-adolescent average cortisol levels in a community sample of 76 mother-adolescent dyads. Three saliva samples were collected across interaction paradigms. Behavioral synchrony was observed, and adolescent BPD traits were evaluated using clinical interviews. Results First, behavioral synchrony and absence of BPD traits were linked with positive associations between adolescent and maternal state cortisol (positive synchrony), BPD traits with negative associations (negative synchrony). When interaction effects were examined, results were more nuanced. In low-risk dyads (higher behavioral synchrony, no BPD traits) asynchrony was found. When risk (BPD traits) and resource (higher behavioral synchrony) were combined, synchrony was positive. Lastly, in high-risk dyads (lower behavioral synchrony, adolescent BPD traits), negative synchrony was observed. Average adolescent and maternal cortisol levels were consistently positively associated in dyads with higher risk. Conclusions Positive dyadic interaction patterns are associated with positive state cortisol synchrony in mother-adolescent dyads and could buffer the effect of BPD traits, possibly supporting the process of physiological regulation.

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Maternal bonding impairment predicts personality disorder features in adolescence: The moderating role of child temperament and sex.

Cited by 11 publications

References 45 publications

Adverse childhood experiences and personality functioning interact substantially in predicting depression, anxiety, and somatization

Adverse childhood experiences and personality functioning interact substantially in predicting depression, anxiety, and somatization

Predictors of Parent‐Infant Bonding Among Postpartum Chinese Mothers and Fathers

Adolescent borderline personality traits and dyadic behavior shape mother-adolescent cortisol synchrony

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