The role of maternal care in borderline personality disorder and dependent life stress

Abstract

BackgroundBorderline Personality Disorder (BPD) affects 0.9%–3.2% of adolescents, and more than 20% of inpatient adolescents. Life stress has been linked to BPD across the lifespan, and previous research in adults has linked BPD to dependent stress (i.e., stress induced by the individual). However, prior research has not examined dependent stress alongside BPD in adolescents. Additionally, the potential protective effect of maternal care has not been considered in this relation. This study tested a moderation model expecting that (1) BPD would be positively associated with dependent life stress, (2) maternal care would be negatively associated with BPD, and (3) maternal care would moderate the relation between BPD and dependent life stress.MethodThe sample consisted of 184 adolescents recruited from an inpatient psychiatric facility serving a diverse population in the Southwestern United States. Dependent life stress, BPD, and maternal care were measured using the UCLA Life Stress Interview, DSM-IV Childhood Interview for BPD, and Kerns Security Scale, respectively.ResultsResults supported the first two hypotheses; BPD diagnosis was significantly, positively associated with dependent life stress, and negatively associated with maternal availability and dependability. Contrary to the third hypothesis, no significant evidence that maternal care acts as a buffer in the relation between BPD and dependent life stress was found.ConclusionsAlthough maternal care was not found to moderate the association between BPD and dependent life stress, results supported previously found relations between BPD, dependent life stress, and maternal care, and did so within a diverse inpatient adolescent sample.

Mother–child interactions in adolescents with borderline personality disorder traits and the impact of early life maltreatment

“…Also in clinical samples, adolescents and young adults with BPD report that their parents displayed several problematic parenting practices (e.g. emotional withdrawal, parental inconsistencies, invalidation of thoughts and feelings; [7,10,14,46,63,80,89,91]. Studies investigating child-driven effects have focused on temperament-related features: a review of Boucher et al [14] summarized that parents of children with BPD often describe their child as "unusually sensitive" or with a "difficult temperament" early on.…”