Reciprocal Influences of Parent and Adolescent Borderline Personality Symptoms Over 3 Years.

Reciprocal Influences of Parent and Adolescent Borderline Personality Symptoms Over 3 Years.
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DOI:
10.1521/pedi_2020_34_483
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发表时间:
2020-09
影响因子:
2.3
通讯作者:
Stepp, Stephanie D.
Stepp, Stephanie D.
中科院分区:
医学2区
文献类型:
--
作者:
Kaufman, Erin A.;Victor, Sarah E.;Hipwell, Alison E.;Stepp, Stephanie D.

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主要的病因学理论表明,家庭环境在形成边缘性人格障碍(BPD)中起着重要作用。尽管有大量文献探讨了这种疾病的家族聚集性,但大多数研究都集中在父母(S)对子女症状的影响上,而没有考察青少年症状对父母的影响。目前的研究调查了随着时间的推移父母和青少年BPD症状之间的相互关系。参与者是由城市女孩及其父母组成的498对夫妇,他们参加了一项纵向队列研究(匹兹堡女孩研究)。作者在一系列交叉滞后的面板模型中检查了15-17岁年轻人每年评估的BPD严重程度评分。在控制了自回归效应--一种衡量亲子冲突的指标和一种社会经济地位的指标--之后,没有出现父母对青少年症状产生影响的证据。然而,16岁的青少年BPD症状预示着17岁时父母BPD症状比抑郁的影响更大。结果强调了考虑青年BPD对父母症状的影响的重要性。
Leading etiological theories implicate the family environment in shaping borderline personality disorder (BPD). Although a substantive literature explores familial aggregation of this condition, most studies focus on parent influence(s) on offspring symptoms without examining youth symptom influence on the parent. The current study investigated reciprocal relations between parent and adolescent BPD symptoms over time. Participants were 498 dyads composed of urban-living girls and their parents enrolled in a longitudinal cohort study (Pittsburgh Girls Study). The authors examined BPD severity scores assessed yearly when youth were ages 15–17 years in a series of cross-lagged panel models. After controlling for auto-regressive effects, a measure of parent–child conflict, and an indicator of socioeconomic status, evidence of parental influence on adolescent symptoms did not emerge. However, adolescent BPD symptoms at age 16 predicted greater parent BPD symptoms at age 17 above the influence of depression. Results highlight the importance of considering the influence of youth BPD on parental symptoms.
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