关键词: borderline personality disorder conflict resolution parent-child relationship parent-offspring interaction

Mesh : Humans Borderline Personality Disorder / psychology Female Adolescent Parenting / psychology Male Mother-Child Relations / psychology Adult Severity of Illness Index Mothers / psychology Child Maternal Behavior / psychology Object Attachment

来  源:   DOI:10.1521/pedi.2024.38.3.284

Abstract:
Examining the impact of maternal borderline personality disorder (BPD) on parent-child interactions could elucidate pathways of intergenerational risk and inform intervention. The current study used an expanded version of the Observing Mediational Interactions to investigate (a) associations between maternal BPD symptom severity and mediational parenting behaviors during conflict discussions with clinically referred early adolescent offspring (N = 56, age = 10-15, 54% female) and their mothers, and (b) the potential moderating role of early adolescent BPD symptom severity in those associations. Consistent with hypotheses, mothers with higher levels of BPD symptom severity engaged in fewer positive emotional/attachment-based behaviors and more negative (i.e., invalidating, controlling, coercive, or insensitive) parenting behaviors. Only parent-reported, but not self-reported, adolescent BPD severity moderated these associations; maternal BPD severity was significantly associated only with negative parenting in dyads with low-to-moderate levels of parent-reported adolescent BPD severity. We discuss implications including targeting attachment-based and negative parenting behaviors in intervention.
摘要:
检查母亲边缘性人格障碍(BPD)对亲子互动的影响可以阐明代际风险的途径并为干预提供信息。当前的研究使用了观察中介相互作用的扩展版本来调查(a)在与临床转诊的早期青春期后代(N=56,年龄=10-15,54%为女性)和他们的母亲进行冲突讨论期间,母亲BPD症状严重程度与中介育儿行为之间的关联。(b)在这些关联中,早期青少年BPD症状严重程度的潜在调节作用。与假设一致,BPD症状严重程度较高的母亲从事较少的积极情绪/基于依恋的行为和更多的消极情绪(即,无效,控制,强制,或不敏感)育儿行为。只有家长报告,但不是自我报告,青少年BPD严重程度缓和了这些关联;在父母报告的青少年BPD严重程度为低至中等水平的双体中,母亲BPD严重程度仅与负育儿显著相关.我们讨论了影响,包括在干预中针对基于依恋的和消极的育儿行为。
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