Borderline symptoms and suicidality/self-injury in late adolescence: prospectively observed relationship correlates in infancy and childhood.
Borderline symptoms and suicidality/self-injury in late adolescence: prospectively observed relationship correlates in infancy and childhood.
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DOI：
10.1016/j.psychres.2012.09.030
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发表时间：
2013-04-30
影响因子：
11.3
通讯作者：
Brooks, Nancy Hall
中科院分区：
文献类型：
--
作者：
Lyons-Ruth, Karlen;Bureau, Jean-Francois;Holmes, Bjarne;Easterbrooks, Ann;Brooks, Nancy Hall
主要目的是评估是否前瞻性观察到的婴儿期和儿童中期的亲子互动质量有助于预测边缘症状和复发性自杀/自伤在青春期后期。青少年（平均19.9岁）从56个家庭参与了纵向研究，从婴儿期（留存率74%）进行了评估的边缘型人格障碍症状，包括自杀/自伤的SCID-II。早期临床风险指数的临床转介到父母-婴儿服务。在18个月和8岁时通过录像评估依恋安全性和亲子互动。儿童期虐待的严重程度进行了评估，从采访和自我报告的措施。母亲在婴儿期的退缩是青春期后期边缘症状和自杀/自伤的重要预测因素。在8岁时，混乱的控制儿童行为对边缘症状的预测有独立贡献。母亲退出的影响是独立的，和添加剂，变异解释的严重程度的儿童虐待。边缘症状和自杀/自伤可能早在18个月大时就出现了发育障碍。一个亲子交易模型，提出了占的调查结果。
The primary objective was to assess whether prospectively observed quality of parent-child interaction in infancy and middle childhood contributed to the prediction of borderline symptoms and recurrent suicidality/self-injury in late adolescence. Adolescents (mean 19.9 years) from 56 families participating in a longitudinal study since infancy (retention rate 74%) were assessed on the SCID-II for symptoms of borderline personality disorder, including suicidality/self-injury. Early clinical risk was indexed by clinical referral to parent-infant services. Attachment security and parent-child interaction were assessed from videotape at 18 months and 8 years. Severity of childhood abuse was rated from interview and self-report measures. Maternal withdrawal in infancy was a significant predictor of both borderline symptoms and suicidality/self-injury in late adolescence. Disorganizedcontrolling child behavior at age 8 contributed independently to the prediction of borderline symptoms. The effect of maternal withdrawal was independent of, and additive to, variability explained by severity of childhood abuse. Borderline symptoms and suicidality/self-injury may be preceded developmentally by disturbed interactions as early as 18 months of age. A parent-child transactional model is proposed to account for the findings.
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