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07-07-2015 | Original Article

The Main and Interactive Effects of Maternal Interpersonal Emotion Regulation and Negative Affect on Adolescent Girls’ Borderline Personality Disorder Symptoms

Auteurs: Katherine L. Dixon-Gordon, Diana J. Whalen, Lori N. Scott, Nicole D. Cummins, Stephanie D. Stepp

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2016

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Abstract

The transaction of adolescent’s expressed negative affect and parental interpersonal emotion regulation are theoretically implicated in the development of borderline personality disorder (BPD). Although problem solving and support/validation are interpersonal strategies that foster emotion regulation, little is known about whether these strategies are associated with less BPD severity among adolescents. Adolescent girls (age 16; N = 74) and their mothers completed a conflict discussion task, and maternal problem solving, support/validation, and girls’ negative affect were coded. Girls’ BPD symptoms were assessed at four time points. A 3-way interaction of girls’ negative affect, problem solving, and support/validation indicated that girls’ negative affect was only associated with BPD severity in the context of low maternal support/validation and high maternal problem solving. These variables did not predict changes in BPD symptoms over time. Although high negative affect is a risk for BPD severity in adolescent girls, maternal interpersonal emotion regulation strategies moderate this link. Whereas maternal problem solving coupled with low support/validation is associated with a stronger negative affect-BPD relation, maternal problem solving paired with high support/validation is associated with an attenuated relationship.
Voetnoten
1
Of note, when maternal problem solving was considered as the independent variable, and girls’ negative affect and maternal support/validation were considered as moderators, maternal problem solving was associated with lower BPD severity in the context of low girls’ negative affect and low maternal support/validation, B = −0.28, SE = 0.12, z = −2.38, p = .02. In contrast, in the context of low girls’ negative affect and high maternal support/validation, there was no significant association between maternal problem solving and BPD severity, B = 0.21, SE = .27, z = 0.77, p = .44. In the context of high girls’ negative affect and low maternal support/validation, problem solving was marginally associated with BPD severity, B = 0.50, SE = 0.27, z = 1.87, p = .06, whereas in the context of high girls’ negative affect and high maternal support/validation, maternal problem solving was marginally associated with lower BPD severity, B = −0.38, SE = 0.21, z = −1.76, p = .08. In terms of regions of significance, simple slopes were significant outside the region demarcated by girls’ negative affect at the lower bound (−1.12) and upper bound (2.36) of low maternal support/validation.
 
2
Although the incorporation of repeated measures of BPD severity increases our power to detect significant effects (Raudenbush and Xiao-Feng 2001), given the absence of significant interactions with time, we trimmed the interactions with time from the model and estimated the model again. The interaction of girls’ negative affect, maternal problem solving, and maternal support/validation remained significant, B = −0.12, SE = 0.05, p = .02.
 
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
go back to reference Bateman, A. W., & Fonagy, P. (2004). Mentalization-based treatment of BPD. Journal of Personality Disorders, 18(1), 36–51.CrossRefPubMed Bateman, A. W., & Fonagy, P. (2004). Mentalization-based treatment of BPD. Journal of Personality Disorders, 18(1), 36–51.CrossRefPubMed
go back to reference Beauchaine, T. P., Klein, D. N., Crowell, S. E., Derbidge, C., & Gatzke-Kopp, L. (2009). Multifinality in the development of personality disorders: A biology × Sex × environment interaction model of antisocial and borderline traits. Development and Psychopathology, 21(3), 735–770. doi:10.1017/S0954579409000418.CrossRefPubMedPubMedCentral Beauchaine, T. P., Klein, D. N., Crowell, S. E., Derbidge, C., & Gatzke-Kopp, L. (2009). Multifinality in the development of personality disorders: A biology × Sex × environment interaction model of antisocial and borderline traits. Development and Psychopathology, 21(3), 735–770. doi:10.​1017/​S095457940900041​8.CrossRefPubMedPubMedCentral
go back to reference Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 545–553. doi:10.1097/00004583-199704000-00018.CrossRefPubMed Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 545–553. doi:10.​1097/​00004583-199704000-00018.CrossRefPubMed
go back to reference Chabrol, H., Montovany, A., Ducongé, E., Kallmeyer, A., Mullet, E., & Leichsenring, F. (2004). Factor structure of the borderline personality inventory in adolescents. European Journal of Psychological Assessment, 20, 59–65.CrossRef Chabrol, H., Montovany, A., Ducongé, E., Kallmeyer, A., Mullet, E., & Leichsenring, F. (2004). Factor structure of the borderline personality inventory in adolescents. European Journal of Psychological Assessment, 20, 59–65.CrossRef
go back to reference Chanen, A. M., & McCutcheon, L. (2013). Prevention and early intervention for borderline personality disorder: Current status and recent evidence. The British Journal of Psychiatry, 202(s54), s24–s29. doi:10.1192/bjp.bp.112.119180.CrossRef Chanen, A. M., & McCutcheon, L. (2013). Prevention and early intervention for borderline personality disorder: Current status and recent evidence. The British Journal of Psychiatry, 202(s54), s24–s29. doi:10.​1192/​bjp.​bp.​112.​119180.CrossRef
go back to reference Gadow, K. D., & Sprafkin, J. (1998). Adolescent symptom inventory-4 norms manual. Stony Brook, NY: Checkmate Plus. Gadow, K. D., & Sprafkin, J. (1998). Adolescent symptom inventory-4 norms manual. Stony Brook, NY: Checkmate Plus.
go back to reference Gadow, K. D., Sprafkin, J., Carlson, G. A., Schneider, J., Nolan, E. E., Mattison, R. E., & Rundberg-Rivera, V. (2002). A DSM-IV-referenced, adolescent self-report rating scale. Journal of the American Academy of Child and Adolescent Psychiatry, 41(6), 671–679. doi:10.1097/00004583-200206000-00006.CrossRefPubMed Gadow, K. D., Sprafkin, J., Carlson, G. A., Schneider, J., Nolan, E. E., Mattison, R. E., & Rundberg-Rivera, V. (2002). A DSM-IV-referenced, adolescent self-report rating scale. Journal of the American Academy of Child and Adolescent Psychiatry, 41(6), 671–679. doi:10.​1097/​00004583-200206000-00006.CrossRefPubMed
go back to reference Gnepp, J., & Hess, D. L. (1986). Children’s understanding of verbal and facial display rules. Developmental Psychology, 22, 103–108.CrossRef Gnepp, J., & Hess, D. L. (1986). Children’s understanding of verbal and facial display rules. Developmental Psychology, 22, 103–108.CrossRef
go back to reference Hale, W. W., Raaijmakers, Q., Muris, P., & Meeus, W. (2005). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED) in the general adolescent population. Journal of the American Academy of Child and Adolescent Psychiatry, 44(3), 283–290. doi:10.1097/00004583-200503000-00013.CrossRefPubMed Hale, W. W., Raaijmakers, Q., Muris, P., & Meeus, W. (2005). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED) in the general adolescent population. Journal of the American Academy of Child and Adolescent Psychiatry, 44(3), 283–290. doi:10.​1097/​00004583-200503000-00013.CrossRefPubMed
go back to reference Hipwell, A. E., Loeber, R., Stouthamer-Loeber, M., Keenan, K., White, H. R., Kroneman, L., et al. (2006). Characteristics of girls with early onset disruptive and antisocial behaviour. Criminal Behaviour and Mental Health, 12(1), 99–118. doi:10.1002/cbm.489.CrossRef Hipwell, A. E., Loeber, R., Stouthamer-Loeber, M., Keenan, K., White, H. R., Kroneman, L., et al. (2006). Characteristics of girls with early onset disruptive and antisocial behaviour. Criminal Behaviour and Mental Health, 12(1), 99–118. doi:10.​1002/​cbm.​489.CrossRef
go back to reference Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
go back to reference McMakin, D. L., Burkhouse, K. L., Olino, T. M., Siegle, G. J., Dahl, R. E., & Silk, J. S. (2011). Affective functioning among early adolescents at high and low familial risk for depression and their mothers: A focus on individual and transactional processes across contexts. Journal of Abnormal Child Psychology, 39(8), 1213–1225. doi:10.1007/s10802-011-9540-4.CrossRefPubMed McMakin, D. L., Burkhouse, K. L., Olino, T. M., Siegle, G. J., Dahl, R. E., & Silk, J. S. (2011). Affective functioning among early adolescents at high and low familial risk for depression and their mothers: A focus on individual and transactional processes across contexts. Journal of Abnormal Child Psychology, 39(8), 1213–1225. doi:10.​1007/​s10802-011-9540-4.CrossRefPubMed
go back to reference Morey, L. C. (1991). The personality assessment inventory professional manual. Odessa: Psychological Assessment Resources. Morey, L. C. (1991). The personality assessment inventory professional manual. Odessa: Psychological Assessment Resources.
go back to reference Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development (Oxford, England), 16(2), 361–388. doi:10.1111/j.1467-9507.2007.00389.x. Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development (Oxford, England), 16(2), 361–388. doi:10.​1111/​j.​1467-9507.​2007.​00389.​x.
go back to reference O’Connor, T. G., Hetherington, E. M., Reiss, D., Plomin, R., Connor, O., & O’Connor, T. G. (1995). A twin–sibling study of observed parent–adolescent interactions. Child Development, 66(3), 812–829.CrossRefPubMed O’Connor, T. G., Hetherington, E. M., Reiss, D., Plomin, R., Connor, O., & O’Connor, T. G. (1995). A twin–sibling study of observed parent–adolescent interactions. Child Development, 66(3), 812–829.CrossRefPubMed
go back to reference Pfohl, B., Blum, N., & Zimmerman, M. (1997). Structured interview for DSM-IV personality: SIDP-IV. Washington: American Psychiatric Publishing. Pfohl, B., Blum, N., & Zimmerman, M. (1997). Structured interview for DSM-IV personality: SIDP-IV. Washington: American Psychiatric Publishing.
go back to reference Preacher, K. J., Curran, P. J., & Bauer, D. J. (2006). Computational tools for probing interactions in multiple linear regression, multilevel modeling, and latent curve analysis. Journal of Educational and Behavioral Statistics, 31(4), 437–448. doi:10.3102/10769986031004437.CrossRef Preacher, K. J., Curran, P. J., & Bauer, D. J. (2006). Computational tools for probing interactions in multiple linear regression, multilevel modeling, and latent curve analysis. Journal of Educational and Behavioral Statistics, 31(4), 437–448. doi:10.​3102/​1076998603100443​7.CrossRef
go back to reference Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks, CA: Sage Publications. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks, CA: Sage Publications.
go back to reference Sauer, S. E., & Baer, R. A. (2010). Validation of measures of biosocial precursors to borderline personality disorder: Childhood emotional vulnerability and environmental invalidation. Assessment, 17(4), 454–466. doi:10.1177/1073191110373226.CrossRefPubMed Sauer, S. E., & Baer, R. A. (2010). Validation of measures of biosocial precursors to borderline personality disorder: Childhood emotional vulnerability and environmental invalidation. Assessment, 17(4), 454–466. doi:10.​1177/​1073191110373226​.CrossRefPubMed
go back to reference Schuppert, H. M., Albers, C. J., Minderaa, R. B., Emmelkamp, P. M. G., & Nauta, M. H. (2014). Severity of borderline personality symptoms in adolescence: Relationship with maternal parenting stress, maternal psychopathology, and rearing styles. Journal of Personality Disorders, 28, 155–168. doi:10.1521/pedi_2104_28_155. Schuppert, H. M., Albers, C. J., Minderaa, R. B., Emmelkamp, P. M. G., & Nauta, M. H. (2014). Severity of borderline personality symptoms in adolescence: Relationship with maternal parenting stress, maternal psychopathology, and rearing styles. Journal of Personality Disorders, 28, 155–168. doi:10.​1521/​pedi_​2104_​28_​155.
go back to reference Scott, L. N., Stepp, S. D., Hallquist, M. N., Whalen, D. J., Wright, A. G. C., & Pilkonis, P. A. (2015). Daily shame and hostile irritability in adolescent girls with borderline personality disorder symptoms. Personality Disorders: Theory, Research, and Treatment, 6, 53–63. doi:10.1037/per000010710.1037/per00001.CrossRef Scott, L. N., Stepp, S. D., Hallquist, M. N., Whalen, D. J., Wright, A. G. C., & Pilkonis, P. A. (2015). Daily shame and hostile irritability in adolescent girls with borderline personality disorder symptoms. Personality Disorders: Theory, Research, and Treatment, 6, 53–63. doi:10.​1037/​per000010710.​1037/​per00001.CrossRef
go back to reference Sheeber, L., Allen, N., Davis, B., & Sorensen, E. (2000). Regulation of negative affect during mother–child problem–solving interactions: Adolescent depressive status and family processes. Journal of Abnormal Child Psychology, 28(5), 467–479. doi:10.1023/A:1005135706799.CrossRefPubMed Sheeber, L., Allen, N., Davis, B., & Sorensen, E. (2000). Regulation of negative affect during mother–child problem–solving interactions: Adolescent depressive status and family processes. Journal of Abnormal Child Psychology, 28(5), 467–479. doi:10.​1023/​A:​1005135706799.CrossRefPubMed
go back to reference Shenk, C. E., & Fruzzetti, A. E. (2014). Parental validating and invalidating responses and adolescent psychological functioning: An observational study. The Family Journal, 22(1), 43–48. doi:10.1177/1066480713490900.CrossRef Shenk, C. E., & Fruzzetti, A. E. (2014). Parental validating and invalidating responses and adolescent psychological functioning: An observational study. The Family Journal, 22(1), 43–48. doi:10.​1177/​1066480713490900​.CrossRef
go back to reference Steinberg, L., Dahl, R., Keating, D., Kupfer, D. J., Masten, A. S., & Pine, D. S. (2006). The study of developmental psychopathology in adolescence: Integrating affective neuroscience with the study of context. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology, Vol 2: Developmental neuroscience (2nd ed., pp. 710–741). Hoboken: Wiley. Steinberg, L., Dahl, R., Keating, D., Kupfer, D. J., Masten, A. S., & Pine, D. S. (2006). The study of developmental psychopathology in adolescence: Integrating affective neuroscience with the study of context. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology, Vol 2: Developmental neuroscience (2nd ed., pp. 710–741). Hoboken: Wiley.
go back to reference Stepp, S. D., Whalen, D. J., Pilkonis, P. A., Hipwell, A. E., & Levine, M. D. (2012). Children of mothers with borderline personality disorder: Identifying parenting behaviors as potential targets for intervention. Personality Disorders, 3(1), 76–91. doi:10.1037/a0023081.CrossRefPubMed Stepp, S. D., Whalen, D. J., Pilkonis, P. A., Hipwell, A. E., & Levine, M. D. (2012). Children of mothers with borderline personality disorder: Identifying parenting behaviors as potential targets for intervention. Personality Disorders, 3(1), 76–91. doi:10.​1037/​a0023081.CrossRefPubMed
go back to reference Stepp, S. D., Whalen, D. J., Scott, L. N., Zalewski, M., Loeber, R., & Hipwell, A. E. (2014). Reciprocal effects of parenting and borderline personality disorder symptoms in adolescent girls. Development and Psychopathology, 26(2), 1–18. doi:10.1017/S0954579413001041.CrossRef Stepp, S. D., Whalen, D. J., Scott, L. N., Zalewski, M., Loeber, R., & Hipwell, A. E. (2014). Reciprocal effects of parenting and borderline personality disorder symptoms in adolescent girls. Development and Psychopathology, 26(2), 1–18. doi:10.​1017/​S095457941300104​1.CrossRef
go back to reference Van Asselt, A. D. I., Dirksen, C. D., Arntz, A., & Severens, J. L. (2007). The cost of borderline personality disorder: Societal cost of illness in BPD-patients. European Psychiatry, 22, 354–361.CrossRefPubMed Van Asselt, A. D. I., Dirksen, C. D., Arntz, A., & Severens, J. L. (2007). The cost of borderline personality disorder: Societal cost of illness in BPD-patients. European Psychiatry, 22, 354–361.CrossRefPubMed
go back to reference Whalen, D. J., Scott, L. N., Jakubowski, K. P., McMakin, D. L., Hipwell, A. E., Silk, J. S., & Stepp, S. D. (2014). Affective behavior during mother–daughter conflict and borderline personality disorder severity across adolescence. Personality Disorders: Theory, Research, and Treatment, 5(1), 88–96. doi:10.1037/per0000059.CrossRef Whalen, D. J., Scott, L. N., Jakubowski, K. P., McMakin, D. L., Hipwell, A. E., Silk, J. S., & Stepp, S. D. (2014). Affective behavior during mother–daughter conflict and borderline personality disorder severity across adolescence. Personality Disorders: Theory, Research, and Treatment, 5(1), 88–96. doi:10.​1037/​per0000059.CrossRef
go back to reference Wright, A. C. G., Zalewski, M., Hallquist, M. N., Hipwell, A. E., & Stepp, S. D. (2015). Developmental trajectories of borderline personality disorder symptoms and psychosocial functioning in adolescence. Journal of Personality Disorders. doi:10.1521/pedi_2015_29_200. Wright, A. C. G., Zalewski, M., Hallquist, M. N., Hipwell, A. E., & Stepp, S. D. (2015). Developmental trajectories of borderline personality disorder symptoms and psychosocial functioning in adolescence. Journal of Personality Disorders. doi:10.​1521/​pedi_​2015_​29_​200.
go back to reference Zanarini, M. C., Frankenburg, F. R., Hennen, J., & Silk, K. R. (2003). The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. The American Journal of Psychiatry, 160, 274–283. doi:10.1176/appi.ajp.160.2.274.CrossRefPubMed Zanarini, M. C., Frankenburg, F. R., Hennen, J., & Silk, K. R. (2003). The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. The American Journal of Psychiatry, 160, 274–283. doi:10.​1176/​appi.​ajp.​160.​2.​274.CrossRefPubMed
go back to reference Zanarini, M. C., Frankenburg, F. R., Vujanovic, A. A., Hennen, J., Reich, D. B., & Silk, K. R. (2004). Axis II comorbidity of borderline personality disorder: Description of 6-year course and prediction to time-to-remission. Acta Psychiatrica Scandinavica, 110(6), 416–420. doi:10.1111/j.1600-0447.2004.00362.x.CrossRefPubMed Zanarini, M. C., Frankenburg, F. R., Vujanovic, A. A., Hennen, J., Reich, D. B., & Silk, K. R. (2004). Axis II comorbidity of borderline personality disorder: Description of 6-year course and prediction to time-to-remission. Acta Psychiatrica Scandinavica, 110(6), 416–420. doi:10.​1111/​j.​1600-0447.​2004.​00362.​x.CrossRefPubMed
Metagegevens
Titel
The Main and Interactive Effects of Maternal Interpersonal Emotion Regulation and Negative Affect on Adolescent Girls’ Borderline Personality Disorder Symptoms
Auteurs
Katherine L. Dixon-Gordon
Diana J. Whalen
Lori N. Scott
Nicole D. Cummins
Stephanie D. Stepp
Publicatiedatum
07-07-2015
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-015-9706-4

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