Effect of Maternal Borderline Personality Disorder on Adolescents’ Experience of Maltreatment and Adolescent Borderline Features
Effect of Maternal Borderline Personality Disorder on Adolescents’ Experience of Maltreatment and Adolescent Borderline Features
复制标题
DOI：
10.1037/per0000265
复制
发表时间：
2017-11
期刊：
影响因子：
--
通讯作者：
Gretchen Kurdziel;Stephanie B. Kors;J. Macfie
中科院分区：
文献类型：
--
作者：
Gretchen Kurdziel;Stephanie B. Kors;J. Macfie
边缘性人格障碍（BPD）是一种严重的慢性精神疾病。自我报告的边缘特征与诊断高度相关（情感不稳定、消极关系、不稳定的自我意识、自残）。 BPD 的病因包括儿童期虐待。目前的研究比较了患有边缘性人格障碍的母亲的青少年后代遭受虐待的经历，这些母亲本身也有患这种疾病的风险，与目前没有诊断的母亲的后代受到虐待的经历进行了比较。参与者是 56 名 14 至 18 岁的青少年。总的来说，母亲患有 BPD 的青少年中有 93% 遭受过虐待，而对照组的这一比例为 60%。具体来说，与对照相比，患有边缘性人格障碍的母亲的青少年后代经历了更多的身体虐待、情感虐待和忽视，但没有遭受更多的性虐待。虐待的维度（严重程度、多种亚型、长期性）与青少年自身的总体边缘特征相关。我们讨论了 BPD 代际传播和临床干预的影响。
Borderline personality disorder (BPD) is a severe and chronic mental illness. Self-reported borderline features correlate highly with a diagnosis (affective instability, negative relationships, unstable sense of self, self-harm). Etiological factors of BPD include childhood maltreatment. The current study compared the experience of maltreatment in adolescent offspring of mothers with BPD, who are themselves at risk of developing the disorder, with that of offspring of mothers with no current diagnosis. Participants were 56 adolescents aged 14 to 18 years. In all, 93% of the adolescents whose mothers had BPD experienced maltreatment compared with 60% of comparisons. Specifically, adolescent offspring of mothers with BPD experienced more physical abuse, emotional abuse, and neglect, but not more sexual abuse, than did comparisons. Dimensions of maltreatment (severity, multiple subtypes, chronicity) were associated with adolescents’ own total borderline features. We discuss implications for the intergenerational transmission of BPD and for clinical interventions.