The interaction of borderline personality disorder symptoms and relationship satisfaction in predicting affect.

Kuhlken, Katherine; Robertson, Christopher; Benson, Jessica W.; Nelson‐Gray, Rosemery O.

doi:10.1037/per0000013

Cited by 16 publications

(21 citation statements)

References 28 publications

(34 reference statements)

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“…These results have implications for understanding the reciprocal associations between BPD symptoms and romantic relationship functioning over time, and may contribute to our understanding of adolescent romantic relationship development more broadly. For example, they suggest that although high levels of support within romantic relationships are associated with positive outcomes for adults (Kuhlken et al 2014), this may not be the case during adolescence. Criterion A of DSM-5's Alternative Model for Personality Disorders defines personality pathology as adaptive failures in the domains of self and interpersonal functioning (American Psychiatric Association 2013).…”

Section: Discussionmentioning

confidence: 99%

“…We did not make specific hypotheses regarding longitudinal associations between BPD and positive romantic relationship functioning, in the form of support. On the one hand, findings from adult samples suggest romantic relationship support may attenuate core symptoms of BPD (e.g., Kuhlken et al 2014). On the other hand, there is evidence that early involvement in romantic relationships may have negative consequences for adolescents' psychological outcomes (Zimmer-Gembeck 2002); thus, support within these early romantic relationships may reflect precocious romantic involvement and predict increasing BPD symptom trajectories.…”

Section: Current Studymentioning

confidence: 99%

“…Core symptoms that comprise the disorder are often explicitly interpersonal in nature (e.g., tumultuous romantic relationships and frantic efforts to avoid abandonment) or are expressed in reaction to interpersonal stressors (e.g., affective instability, paranoid ideation, suicidal behavior; American Psychiatric Association 2013). Given the importance of romantic relationships for the symptoms and course of BPD (Kuhlken et al 2014;Links and Heslegrave 2000), it is critical to examine BPD symptoms within the context of romantic relationships during the period when both of these phenomena usually develop: adolescence. Better understanding the co-development of these phenomena in the early course of BPD could ultimately inform prevention and intervention efforts.…”

mentioning

confidence: 99%

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Too Much Too Soon?: Borderline Personality Disorder Symptoms and Romantic Relationships in Adolescent Girls

Lazarus

Choukas‐Bradley

Beeney

et al. 2019

J Abnorm Child Psychol

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Despite the centrality of adult romantic relationships to the conceptualization of borderline personality disorder (BPD), little is known about the earlier development of this interdependency during adolescence. Thus, we examined the co-development of romantic relationships and BPD symptoms from ages 15 to 19 in a large urban sample of girls (N = 2310) in the Pittsburgh Girls Study. We had two major aims. First, we sought to examine associations between BPD symptoms and romantic relationship involvement (number of partners, importance of relationship) and relational insecurity (concerns about infidelity and tactics to maintain relationship) during adolescence. Second, we investigated mutual influences and temporal precedence of BPD symptoms and four specific romantic relationship characteristics (perceived support and antagonism, verbal and physical aggression) during adolescence using latent growth curve models (LGCMs). Results indicated that BPD symptoms were associated with increased involvement in romantic relationships and heightened relational insecurity across adolescence. Furthermore, higher BPD symptoms at age 15 predicted increases in antagonism, verbal aggression, and physical aggression across ages 15 to 19. Conversely, perceptions of higher levels of relationship support at age 15 predicted steeper increases in BPD symptoms across ages 15 to 19, suggesting a potential negative influence of early involvement in close romantic relationships. These findings demonstrate the reciprocal nature of romantic relationship functioning and BPD symptoms during adolescence and suggest novel prevention targets for youth at risk for BPD.

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Section: Discussionmentioning

confidence: 99%

Section: Current Studymentioning

confidence: 99%

mentioning

confidence: 99%

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Too Much Too Soon?: Borderline Personality Disorder Symptoms and Romantic Relationships in Adolescent Girls

Lazarus

Choukas‐Bradley

Beeney

et al. 2019

J Abnorm Child Psychol

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“…At the same time, 10 of 17 patients in remission reported relief from stressful relational situations preceding symptom improvement [118], and the quality of current relationships of patients with BPD (n = 160; 120 females) predicted the outcome at a 2-year follow-up [119]. Correspondingly, satisfying romantic relationships co-occurred with amelioration of negative affects across a continuum of BPD traits [120]. When female college students with significant BPD traits (n = 29) were followed over a period of 2 weeks, individuals in a satisfying romantic relationship reported less anger and improvement of negative affect.…”

Section: Impaired Intimacymentioning

confidence: 99%

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

Jeung¹,

Herpertz²

2014

Psychopathology

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Impairments of interpersonal functioning are central to borderline personality disorder (BPD). Patients with BPD suffer from severe psychosocial dysfunction in general and - among others - disturbed romantic relationships. Compounding the problem, the diagnosis of BPD interferes with therapeutic relationships and results in pejorative and discriminatory clinical practices. Previously, interpersonal dysfunction has been related to emotional dysregulation, behavioral dyscontrol, and impaired social cognition. However, these features may be intertwined yet separate. In this review, we will focus on disturbed empathy and intimacy as they are referred to as two discrete impairments of interpersonal functioning in the new DSM-5 Section III. The aim of this review is to contribute to a comprehensive, integral understanding of interpersonal dysfunction in BPD based on the behavioral and neurobiological studies available up to now. Despite some inconsistencies, behavioral studies in BPD patients indicate impaired cognitive and affective empathy particularly in complex and ecologically valid measurements. These findings are reflected even more consistently in functional magnet resonance imaging studies. Low quality of intimate relationships in BPD may at least partially result from lower mentalizing abilities and cognitive empathy, higher personal distress and affective empathy in the social context. Finally, the evaluation of the severity and quality of impairment of interpersonal functioning may enable clinicians and researchers to describe and to understand the mechanisms of interpersonal dysfunction better, and to improve the effectiveness of the treatment of patients with BPD.

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“…In summary, examining affective responding to interpersonal perceptions in the context of both romantic and non-romantic relationships for those with elevated BPD symptoms may provide a more nuanced understanding of how and with whom problematic affective responding is likely to emerge. Given that high-quality romantic relationships may have a positive and stabilizing influence on symptoms of BPD (Kuhlken, Robertson, Benson, & Nelson-Gray, 2014;Links & Heslegrave, 2000), research that enhances our knowledge of the processes that erode such relationships is an important contribution.…”

mentioning

confidence: 99%

Borderline Personality Disorder Symptoms and Affective Responding to Perceptions of Rejection and Acceptance from Romantic versus Non-Romantic Partners

Lazarus¹,

Scott²,

Beeney³

et al. 2018

Preprint

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We examined event-contingent recording (ECR) of daily interpersonal interactions in a diagnostically diverse sample of 101 psychiatric outpatients who were involved in a romantic relationship. We tested whether the unique effect of borderline personality disorder (BPD) symptoms on affective responses (i.e., hostility, sadness, guilt, fear, positive affect) to perceptions of rejection or acceptance differed with one’s romantic partner compared to non-romantic partners. BPD symptoms were associated with more frequent perceptions of rejection and less frequent perceptions of acceptance across the study. For all participants, perceptions of rejecting behavior were associated with higher within-person negative affect and lower within-person positive affect. As predicted, in interactions with romantic partners only, those with high BPD symptoms reported heightened hostility and, to a lesser extent, attenuated sadness in response to perceptions of rejection. BPD symptoms did not moderate associations between perceptions of rejection and guilt, fear, or positive affect across romantic and non-romantic partners. For all participants, perceived acceptance was associated with lower within-person negative affect and high within-person positive affect. However, BPD symptoms were associated with attenuated positive affect in response to perceptions of accepting behavior in interactions with romantic partners only. BPD symptoms did not moderate associations between perceptions of acceptance and any of the negative affects across romantic and non-romantic partners. This study highlights the specificity of affective responses characteristic of BPD when comparisons are made to patients with other personality and psychiatric disorders. Implications for romantic relationship dysfunction are discussed.

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The interaction of borderline personality disorder symptoms and relationship satisfaction in predicting affect.

Cited by 16 publications

References 28 publications

Too Much Too Soon?: Borderline Personality Disorder Symptoms and Romantic Relationships in Adolescent Girls

Too Much Too Soon?: Borderline Personality Disorder Symptoms and Romantic Relationships in Adolescent Girls

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

Borderline Personality Disorder Symptoms and Affective Responding to Perceptions of Rejection and Acceptance from Romantic versus Non-Romantic Partners

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