The role of youths' cardiac autonomic balance and parental responses to youth emotion in vulnerability to borderline personality disorder development.
The role of youths' cardiac autonomic balance and parental responses to youth emotion in vulnerability to borderline personality disorder development.
复制标题
青少年心脏自主平衡和父母对青少年情绪的反应在易患边缘性人格障碍发展中的作用。
DOI：
10.1017/s095457942300024x
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发表时间：
2023
影响因子：
3.3
通讯作者：
Stepp,StephanieD
中科院分区：
文献类型：
--
作者：
Vanwoerden,Salome;Vine,Vera;Byrd,AmyL;Jennings,JRichard;Stepp,StephanieD
边缘型人格障碍（BPD）的发展模型强调青少年的生物脆弱性和他们对父母情绪反应的经历的影响，以及这两个因素之间的相互作用。当前的研究评估了自主神经系统反应和父母对青少年负面情绪的反应这两个指标对青少年向青春期过渡期间BPD特征的严重程度和恶化的独立和交互影响。样本包括162名精神病青年（10-14岁; 47.2%女性）及其父母。在基线时，青年和他们的父母完成了一个基于实验室的冲突讨论，在此期间，副交感神经和交感神经系统的反应进行了测量，交感神经-副交感神经平衡和共激活/共抑制指数进行了计算。青年还报告了父母的支持和不支持反应。在基线和9个月后，青少年自我报告了他们的BPD特征。结果表明，转向交感神经优势独立预测BPD的恶化在9个月。此外，较少的经验，支持性的父母的反应和更多的非支持性的父母的反应与更严重的BPD功能的青年。本研究强调了自主反应的亲子冲突的作用，以及在这个发展窗口的BPD的发展，青少年情绪的父母的反应的意义。
Developmental models of borderline personality disorder (BPD) emphasize the effects of youths’ biological vulnerabilities and their experiences of parental responses to emotion, as well as the interaction between these two elements. The current study evaluated the independent and interactive effects of two indices of autonomic nervous system response and parental responses to youth negative emotions on severity and exacerbation of youths’ BPD features during the transition to adolescence. The sample consisted of 162 psychiatric youth (10–14 years; 47.2% female) and their parents. At baseline, youth and their parents completed a lab-based conflict discussion during which parasympathetic and sympathetic nervous system response were measured and indices of sympathetic-parasympathetic balance and coactivation/coinhibition were calculated. Youth also reported on supportive and non-supportive parental responses. At baseline and after 9 months, youth self-reported on their BPD features. Results demonstrated that shifting toward sympathetic dominance independently predicted exacerbation of BPD across 9 months. Additionally, fewer experiences of supportive parental responses and more non-supportive parental responses were associated with greater severity of BPD features in youth. This study highlights the role of autonomic response to parent-child conflict as well as the significance of parental responses to youth emotion for the development of BPD during this developmental window.