Poor Self-Control and Harsh Punishment in Childhood Prospectively Predict Borderline Personality Symptoms in Adolescent Girls
Poor Self-Control and Harsh Punishment in Childhood Prospectively Predict Borderline Personality Symptoms in Adolescent Girls
复制标题
DOI：
10.1037/abn0000058
复制
发表时间：
2015-08-01
影响因子：
4.6
通讯作者：
Stepp, Stephanie D.
中科院分区：
文献类型：
--
作者：
Hallquist, Michael N.;Hipwell, Alison E.;Stepp, Stephanie D.
边缘型人格障碍（BPD）的发展理论提出，严厉的，无效的养育孩子的自我控制能力差和高度的负面情绪往往会导致一个强制性的亲子交易循环，增加BPD症状的风险，如情绪失调。虽然父母的做法和儿童的气质以前与BPD，很少有人知道的前瞻性影响的照顾者和儿童的特点。使用匹兹堡女孩研究（n = 2，450）的年度纵向数据，我们的研究探讨了5至14岁之间的严厉养育，自我控制和负面情绪之间的相互影响如何预测14至17岁青春期女孩BPD症状的发展。与发展理论相一致，我们发现严厉的惩罚，自我控制能力差和消极情绪可以预测14岁时BPD症状的严重程度。然而，只有在12岁至14岁之间自我控制的恶化才能预测14至17岁BPD症状的增长。此外，严厉的惩罚和自我控制能力差对14岁BPD症状的影响部分是由他们在5岁至14岁之间的相互影响所介导的。我们的研究结果强调，为了阻止BPD症状的发展，需要解决儿童和父母对功能失调交易的贡献。此外，青春期早期的自我调节问题可能表明随后BPD的风险增加。总之，这些结果增加了我们对青春期女孩BPD症状相关发展轨迹的理解。
Developmental theories of borderline personality disorder (BPD) propose that harsh, invalidating parenting of a child with poor self-control and heightened negative emotionality often leads to a coercive cycle of parent-child transactions that increase risk for BPD symptoms such as emotion dysregulation. Although parenting practices and child temperament have previously been linked with BPD, less is known about the prospective influences of caregiver and child characteristics. Using annual longitudinal data from the Pittsburgh Girls Study (n = 2,450), our study examined how reciprocal influences among harsh parenting, self-control, and negative emotionality between ages 5 and 14 predicted the development of BPD symptoms in adolescent girls ages 14 to 17. Consistent with developmental theories, we found that harsh punishment, poor self-control, and negative emotionality predicted BPD symptom severity at age 14. Only worsening self-control between ages 12 and 14, however, predicted growth in BPD symptoms from 14 to 17. Furthermore, the effects of harsh punishment and poor self-control on age 14 BPD symptoms were partially mediated by their earlier reciprocal effects on each other between ages 5 and 14. Our findings underscore the need to address both child and parental contributions to dysfunctional transactions in order to stem the development of BPD symptoms. Moreover, problems with self-regulation in early adolescence may indicate heightened risk for subsequent BPD. Altogether, these results increase our understanding of developmental trajectories associated with BPD symptoms in adolescent girls.