Prospective study of family adversity and maladaptive parenting in childhood and borderline personality disorder symptoms in a non-clinical population at 11 years.
Psychol Med
; 42(11): 2405-20, 2012 Nov.
Article
em En
| MEDLINE
| ID: mdl-22475090
ABSTRACT
BACKGROUND:
Retrospective studies have consistently indicated an association between maladaptive parenting and borderline personality disorder (BPD). This requires corroboration with prospective, longitudinal designs. We investigated the association between suboptimal parenting and parent conflict in childhood and BPD symptoms in late childhood using a prospective sample.METHOD:
A community sample of 6050 mothers and their children (born between April 1991 and December 1992) were assessed. Mothers' family adversity was assessed during pregnancy and parenting behaviours such as hitting, shouting, hostility and parent conflict across childhood. Intelligence quotient (IQ) and DSM-IV Axis I diagnoses were assessed at 7-8 years. Trained psychologists interviewed children at 11 years (mean age 11.74 years) to ascertain BPD symptoms.RESULTS:
After adjustment for confounders, family adversity in pregnancy predicted BPD probable 1 to 2 adversities odds ratio (OR)=1.34 [95% confidence interval (CI) 1.01-1.77]; >2 adversities OR 1.99 (95% CI 1.34-2.94) and definite 1 to 2 adversities OR 2.48 (95% CI 1.01-6.08) symptoms. Each point increase in the suboptimal parenting index predicted BPD probable OR 1.13 (95% CI 1.05-1.23) and definite OR 1.28 (95% CI 1.03-1.60) symptoms. Parent conflict predicted BPD probable OR 1.19 (95% CI 1.06-1.34) and definite OR 1.42 (95% CI 1.06-1.91) symptoms. Within the path analysis, the association between suboptimal parenting and BPD outcome was partially mediated by DSM-IV diagnoses and IQ at 7-8 years.CONCLUSIONS:
Children from adverse family backgrounds, who experience suboptimal parenting and more conflict between parents, have poor cognitive abilities and a DSM-IV diagnosis, are at increased risk of BPD symptoms at 11 years.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtorno da Personalidade Borderline
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Poder Familiar
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Conflito Familiar
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Inteligência
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Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Qualitative_research
Limite:
Adolescent
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Adult
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Child
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Female
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Humans
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Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Psychol Med
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Reino Unido