The moderating role of rejection sensitivity in the relationship between emotional maltreatment and borderline symptoms

Goodman, Jeanne; Fertuck, Eric A.; Chesin, Megan; Lichenstein, Sarah; Stanley, Bárbara

doi:10.1016/j.paid.2014.07.038

Cited by 21 publications

(22 citation statements)

References 45 publications

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“…In nonclinical samples, RS interacts with impaired cognitive control to predict BPD features [28,29], and emotional abuse and affective dysfunction interact to predict adolescent BPD symptoms [30]. Our findings are also concordant with another study from our group demonstrating that ENA interacts with RS to predict BPD symptoms in undergraduates [31]. …”

Section: Discussionsupporting

confidence: 87%

The Interaction between Rejection Sensitivity and Emotional Maltreatment in Borderline Personality Disorder

et al. 2014

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Background: Borderline personality disorder (BPD) is a prevalent psychiatric disorder associated with significant distress, dysfunction, and treatment utilization. Though, theoretically, BPD is posited to arise from a combination of trait and environmental risk factors, few studies have tested trait-by-environment interactions in BPD. We investigated the roles of rejection sensitivity (RS) and childhood emotional neglect and abuse (ENA) as well as their interaction in BPD. Sampling and Methods: Eighty-five adults with a lifetime mood disorder who were recruited for outpatient studies in a psychiatric clinic were assessed for ENA using the Childhood Trauma Questionnaire and for RS with the Adult Rejection Sensitivity Questionnaire. BPD diagnoses were made by consensus using data collected on the Structured Clinical Interview for DSM-IV. Hierarchical logistic regression was used to test associations between RS, ENA, their interaction and BPD. Results: RS and ENA interacted to predict co-occurring BPD in our sample of mood-disordered patients, with the strength of the relationship between RS and BPD depending on the severity of ENA. In the context of little or no ENA, RS and BPD were more strongly related than when ENA was more severe. Conclusions: Our results extend previous findings suggesting RS and ENA are risk factors for BPD. They also provide preliminary support for contemporary theories of BPD positing trait-by-environment interactions in the development of BPD. Prospective studies are needed to confirm these findings.

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Section: Discussionsupporting

confidence: 87%

The Interaction between Rejection Sensitivity and Emotional Maltreatment in Borderline Personality Disorder

et al. 2014

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“…However, this study did not consider subtypes of childhood abuse. In contrast, two studies measuring EAN in isolation report the interaction between RS and EAN significantly predicted BPD diagnosis in clinical populations (Chesin et al ., ), and BPD symptom frequency in non‐clinical populations (Goodman et al ., ), although the latter suggested an attenuated effect for those reporting greater than average abuse. In non‐clinical samples, studies identified a meditational role of RS in the link between parental rejection and BPD symptoms (Rosenbach & Renneberg, ) and emotional neglect and interpersonal stress (Hernandez et al ., ).…”

Section: Resultsmentioning

confidence: 92%

“…Furthermore, a case–control study did not find a significant difference in RS scores between those who had and had not experienced physical violence and/or threatening behaviour from a parent as a child (Berenson & Andersen, ). Sexual abuse was measured on four occasions and excluded from statistical analysis once due to low numbers of participants endorsing these items (Goodman et al ., ). One study did not identify a significant relationship (Hernandez et al ., ).…”

Section: Resultsmentioning

confidence: 97%

“…Five studies indicated physical abuse significantly correlated with RS (Bungert, Liebke, et al ., ; Erozkan, ; Feldman & Downey, ; Hernandez, Trout, & Liu, ; Kahya, ), and three studies indicated physical neglect correlated significantly (Bungert, Liebke, et al ., ; Goodman, Fertuck, Chesin, Lichenstein, & Stanley, ; Kahya, ). However, one study reported no significant relationship between physical abuse and RS in a non‐clinical population (Goodman et al ., ) and another reported no significant relationship between physical abuse or neglect in a mixed population (Masland, ). Furthermore, a case–control study did not find a significant difference in RS scores between those who had and had not experienced physical violence and/or threatening behaviour from a parent as a child (Berenson & Andersen, ).…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, one study identified a significant correlation when neuroticism was controlled for (Boldero et al ., ), whilst another indicated the effect of RS on BPD symptom severity was mediated by self‐esteem (Bungert, Liebke, et al ., ). Finally, one study found the association to be higher in individuals who report lower than average emotional neglect (Goodman et al ., ). Only one study considered individual symptoms of BPD; in this study, ‘dysfunctional responses to emotion’ accounted for large portion of effect of RS on PAI‐BOR (Peters, Smart, & Baer, ).…”

Section: Resultsmentioning

confidence: 99%

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The link between rejection sensitivity and borderline personality disorder: A systematic review and meta‐analysis

Foxhall

Hamilton‐Giachritsis

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2019

British J Clinic Psychol

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Objective. People with Borderline Personality Disorder (BPD) may experience heightened rejection sensitivity (RS), a disposition developing from repeated childhood rejecting experiences. It is not known whether the full RS model accounts for the cognitive-affective experiences common in BPD. This systematic review extends upon previous reviews, firstly by assessing the link between childhood rejecting experiences and adult RS, and secondly by considering the link between BPD and RS in both nonclinical and clinical samples.Method. Two research questions were devised, and searches based on predetermined criteria were conducted using PsycNET, PubMed, SCOPUS, and Web of Science. Data were extracted by one researcher and 20% was inter-rated, with high levels of agreement. Forty-three papers were systematically reviewed, and 31 included in meta-analysis and meta-regression.Results. Studies assessing the link between childhood rejection and RS are limited; however, emotional abuse and neglect appears linked with RS. Pooled effect sizes suggest RS is linked with BPD (r = .326), with strong effect sizes when comparing clinical and control samples (r = .655). Qualitative synthesis suggests this may be mediated by executive control, although further research is required. The small number of studies considering the full RS model with regard to BPD suggests the interaction between emotional abuse and neglect affects rejection sensitivity; however, outcomes are inconsistent.Conclusions. Childhood rejection, particularly emotional abuse and neglect, appears to be linked to rejection sensitivity, and rejection sensitivity is linked to BPD. However, this may not be linear. Implications for clinical practice and research are discussed. Practitioner pointsRejection sensitivity is consistently linked with BPD, in clinical and non-clinical samples. Supporting mentalization or improved theory of mind may offer a therapeutic target for this disposition.Considering the causes and effects of rejection sensitivity may offer a non-blaming explanation of interpersonal difficulties in BPD and could be utilized as part of formulation and the therapeutic relationship.

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Cognitive Empathy Partially Mediates the Relationship between Childhood Physical Abuse and Borderline Personality Disorder Features in College Students

2017

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The moderating role of rejection sensitivity in the relationship between emotional maltreatment and borderline symptoms

Cited by 21 publications

References 45 publications

The Interaction between Rejection Sensitivity and Emotional Maltreatment in Borderline Personality Disorder

The Interaction between Rejection Sensitivity and Emotional Maltreatment in Borderline Personality Disorder

The link between rejection sensitivity and borderline personality disorder: A systematic review and meta‐analysis

Cognitive Empathy Partially Mediates the Relationship between Childhood Physical Abuse and Borderline Personality Disorder Features in College Students

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