The effects of maternal borderline personality disorder on toddler theory of mind development

母亲边缘性人格障碍对幼儿心理发展理论的影响

• 批准号: 10460417
• 负责人: Salome Vanwoerden
• 金额: $ 6.76万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10460417
• 关键词: Active Learning; Address; Adolescence; Adolescent; Affective; Age; Agreement; Anger; Attention; Behavior; Behavioral; Biological Models; Borderline Personality Disorder; Caregivers; Child; Child Behavior; Code; Data; Deceleration; Development; Diagnosis; Disadvantaged; Emotional; Family; Fostering; Frequencies; Functional disorder; Gold; Heart Rate; Hostility; Impairment; Individual; Intervention; Knowledge; Lead; Learning; Life; Maternal Behavior; Measurement; Measures; Mediating; Mental disorders; Mind; Modeling; Mother-Child Relations; Mothers; National Institute of Mental Health; Nursery Schools; Onset of illness; Parents; Pattern; Perception; Phase; Physiological; Physiology; Play; Preschool Child; Prevention; Prevention Research; Process; Psychophysiology; Research; Research Domain Criteria; Risk; Risk Behaviors; Risk Factors; Role; Sampling; Series; Social Processes; Strategic Planning; Symptoms; Testing; Time; Toddler; Training; Withdrawal; aged; analytical method; approach behavior; base; catalyst; cost; dynamic system; early childhood; experience; falls; follow-up; high risk; improved; indexing; maladaptive behavior; mental state; novel; offspring; prevent; response; severe mental illness; skills; social engagement; social influence; social learning; suicidal behavior; symptomatology; theories

PROJECT SUMMARY/ABSTRACT Theory of mind (ToM) is the ability to perceive and understand mental states in others a nd represents one operationalization of the RDoC construct of Perception and Understanding of Others. ToM is an early emerging mechanism in the development of borderline personality disorder (BPD); individuals with BPD tend to misattribute mental states to others, spurring a cycle of anger dysregulation, interpersonal dysfunction, and suicidal behavior. Aligned with the 2020 NIMH strategic plan, to identify malleable targets for prevention of BPD, it is necessary to study the unfolding of this critical mechanism prior to the onset of symptomatology. The current proposal aims to do so in a high-risk mother-child sample in which mothers have BPD and offspring are 36-48 months old, a critical time for ToM development. Further, this study will elucidate the specific behaviors that mothers with BPD engage in that influence the development of ToM during the preschool period as well as child behaviors involved in this process. ToM undergoes rapid development during the preschool age and is highly susceptible to environmental influence, particularly interactions with caregivers. This proposal details a comprehensive training plan that will enable me to address these questions while building on previous experiences in important ways. First, expanding on my experience studying ToM and related processes in adolescence, I will focus on the developmental trajectory of this construct during the preschool age. Second, I will obtain training in measurement and interpretation of heart rate and RSA as physiological markers of preschooler social engagement with mothers. Third, building on my knowledge of global behavioral coding of mother-adolescent interactions, I will master the use of micro-analytic coding to obtain continuous time-series data of mother and child behavior within interactions. Further, I will learn novel analytic methods for this unique data based on dynamic systems modeling. The specific aims of this study are to 1) Determine whether two forms of maladaptive maternal behaviors--hostility and inaccurate mental state attribution--are observed more often among mothers with BPD compared to those with no psychiatric disorder; 2) Evaluate how preschooler social engagement with mothers (i.e., approach and withdrawal behaviors as well as heart rate and RSA) is influenced by these maternal behaviors; and 3) Test the effect of identified maternal behaviors on the trajectory of ToM development over the course of one year in preschoolers. The central hypothesis of this proposal is that maternal BPD is associated with maladaptive behaviors directed toward their children. These behaviors lead to a pattern of dysfunctional social engagement by preschoolers (decreased approach and increased withdrawal behavior toward mother during as well as heart rate deceleration and RSA withdrawal), which further inhibits their ToM development during this critical phase. By identifying risk factors associated with ToM, families at risk can be targeted for specific interventions focused on improving the quality of mother-child interactions, which may have the effect of preventing BPD onset in offspring.

项目摘要/摘要 心理理论是一种感知和理解他人心理状态并代表他人心理状态的能力 RDoC对他人的感知和理解结构的可操作性。汤姆是个后起之秀 边缘人格障碍(BPD)的发展机制；BPD患者倾向于 错误地将精神状态归因于他人，引发愤怒、调节失调、人际功能障碍和 自杀行为。与2020年NIMH战略计划保持一致，以确定预防BPD的可扩展目标， 在症状出现之前，有必要研究这一关键机制的展开。海流 该提案旨在对母亲患有BPD、子女年龄在36-48岁之间的高危母婴样本进行研究。 几个月大，这是汤姆发育的关键时期。此外，本研究将阐明特定的行为， 患有BPD的母亲参与了影响托姆在学龄前阶段和孩子的发展的工作 这一过程中涉及的行为。TOM在学龄前阶段经历了快速的发展，并且高度 易受环境影响，特别是与照顾者的互动。这份提案详细说明了 全面的培训计划，使我能够在之前的基础上解决这些问题 在重要方面的经验。首先，扩展了我研究Tom和相关流程的经验 在青春期，我将重点介绍这一结构在学龄前阶段的发展轨迹。第二，我 将接受心率和RSA的测量和解释方面的培训 学龄前儿童与母亲的社交活动。第三，基于我对全局行为编码的了解 母亲与青少年的互动，我会掌握使用微观分析编码获得连续的时间序列 互动中母子行为的数据。此外，我将学习新的分析方法，为这个独特的 基于动态系统建模的数据。这项研究的具体目的是：1)确定两种形式 不适应的母亲行为--敌意和不准确的心理状态归因--更多地被观察到 在患有BPD的母亲和没有精神障碍的母亲之间进行比较；2)评估学龄前儿童的社交能力 与母亲的参与度(即接近和退出行为以及心率和RSA)受到影响 3)检验识别出的母性行为对心理理论发展轨迹的影响 学龄前儿童在一年中的发展。这一提议的中心假设是母体 BPD与针对其子女的不良适应行为有关。这些行为导致了一种模式 学龄前儿童功能障碍的社会参与(方法减少和退缩行为增加 以及心率减速和RSA戒断)，这进一步抑制了他们的TOM 在这一关键阶段的发展。通过识别与TOM相关的风险因素，处于危险中的家庭可以 针对侧重于改善母子互动质量的具体干预措施，这可能会 预防子代BPD发病的效果。

项目成果

Maternal invalidation and child RSA reactivity to frustration interact to predict teacher-reported aggression among at-risk preschoolers.

• DOI: 10.1017/s0033291722003713
• 发表时间: 2023-10
• 期刊: Psychological medicine
• 影响因子: 6.9
• 作者: Byrd AL;Frigoletto OA;Vine V;Vanwoerden S;Jennings JR;Zalewski M;Stepp SD
• 通讯作者: Stepp SD

Are We Thinking about the Same Disorder? A Trifactor Model Approach to Understand Parents' and Their Adolescents' Reports of Borderline Personality Pathology.

我们正在考虑同样的疾病吗？

• DOI: 10.1080/00223891.2022.2039165
• 发表时间: 2023
• 期刊: Journal of personality assessment
• 影响因子: 3.4
• 作者: Vanwoerden,Salome;McLaren,Veronica;Stepp,StephanieD;Sharp,Carla
• 通讯作者: Sharp,Carla

The role of youths' cardiac autonomic balance and parental responses to youth emotion in vulnerability to borderline personality disorder development.

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
• 发表时间: 2023
• 期刊: Development and psychopathology
• 影响因子: 3.3
• 作者: Vanwoerden,Salome;Vine,Vera;Byrd,AmyL;Jennings,JRichard;Stepp,StephanieD
• 通讯作者: Stepp,StephanieD

Sampling methods in personality pathology research: Some data and recommendations.

人格病理学研究中的抽样方法：一些数据和建议。

• DOI: 10.1037/per0000593
• 发表时间: 2023
• 期刊: Personality disorders
• 作者: Vanwoerden,Salome;Chandler,Jesse;Cano,Kiana;Mehta,Paras;Pilkonis,PaulA;Sharp,Carla
• 通讯作者: Sharp,Carla

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, alternative model conceptualization of borderline personality disorder: A review of the evidence.

• DOI: 10.1037/per0000563
• 发表时间: 2022-07
• 期刊: PERSONALITY DISORDERS-THEORY RESEARCH AND TREATMENT
• 影响因子: 2.8
• 作者: Vanwoerden, Salome;Stepp, Stephanie D
• 通讯作者: Stepp, Stephanie D