Preschool Age Predictors of Adolescent Borderline Personality Symptoms.
Preschool Age Predictors of Adolescent Borderline Personality Symptoms.
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DOI：
10.1016/j.jaac.2020.07.908
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发表时间：
2021-05
影响因子：
13.3
通讯作者：
Vogel A
中科院分区：
文献类型：
--
作者：
Geselowitz B;Whalen DJ;Tillman R;Barch DM;Luby JL;Vogel A
边缘型人格障碍（BPD）的发展模型强调了心理变量（即，冲动和情绪反应）与社会风险因素，包括无效的养育和童年创伤。前瞻性纵向研究已经证明了BPD与社会，家庭和心理前因的关联。然而，迄今为止，这些研究中很少有研究多个风险领域的相互作用及其在学龄前阶段的潜在表现。参与者是170名儿童参加了一项前瞻性纵向研究的早期儿童抑郁症。参与者在3-6岁之间完成了基线评估。精神病理学，自杀和自我伤害进行了评估，使用半结构化的年龄适当的精神病学访谈之前8岁，以及8岁后的自我报告。通过自我报告评估14-19岁之间的BPD症状。不良的童年经历（ACE）和同伴关系的父母报告。母亲的支持进行了评估，在3-6岁的观察措施。在回归分析中，学龄前ACE占青少年BPD症状变异的14.9%。在多变量分析中，控制性别和学龄前ACE、学龄前和学龄外化症状、学龄前内化症状和母亲支持度低是BPD症状的重要预测因素。学龄前和学龄期自杀综合评分显著预测BPD症状。这些结果表明，学龄前因素可能是BPD发病的早期预测因素。研究结果表明，具有内化和外化精神病理学、高ACE和早期自杀倾向的学龄前儿童出现BPD症状的风险更大。然而，需要进一步的研究来指导有针对性的早期干预的关键因素。
Developmental models of Borderline Personality Disorder (BPD) have highlighted the interplay of psychological variables (i.e., impulsivity and emotional reactivity) with social risk factors including invalidating parenting and childhood trauma. Prospective longitudinal studies have demonstrated the association of BPD with social, familial and psychological antecedents. However, to date, few of these studies have studied the interaction of multiple risk domains and their potential manifestations in the preschool period. Participants were 170 children enrolled in a prospective longitudinal study of early childhood depression. Participants completed a baseline assessment between ages 3-6 years. Psychopathology, suicidality and self-harm were assessed using a semi-structured age appropriate psychiatric interview before age 8 as well as self-report after age 8. BPD symptoms were assessed between ages 14-19 by self-report. Adverse childhood experiences (ACEs) and peer relations were reported by parents. Maternal support was assessed using an observational measure at ages 3-6. Preschool ACEs accounted for 14.9% of adolescent BPD symptom variance in a regression analysis. Controlling for gender and preschool ACEs, preschool and school-age externalizing symptoms, preschool internalizing symptoms and low maternal support were significant predictors of BPD symptoms in multivariate analyses. Preschool and school age suicidality composite scores significantly predicted BPD symptoms. These findings suggest that preschool factors may be early predictors of BPD symptomatology. Findings demonstrate that preschoolers with internalizing and externalizing psychopathology, high ACEs, and early suicidality are at greater risk of developing BPD symptoms. However, further research is needed to guide key factors for targeted early intervention.
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影响因子：
3.3
作者：
Bornovalova MA;Hicks BM;Iacono WG;McGue M
通讯作者：
McGue M
影响因子：
11.3
作者：
Lyons-Ruth, Karlen;Bureau, Jean-Francois;Holmes, Bjarne;Easterbrooks, Ann;Brooks, Nancy Hall
通讯作者：
Brooks, Nancy Hall
DOI：
10.1097/00004583-200205000-00017
发表时间：
2002-05-01
影响因子：
13.3
作者：
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通讯作者：
Kupfer, DJ
影响因子：
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作者：
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通讯作者：
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影响因子：
7.3
作者：
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通讯作者：
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