Borderline symptoms and suicidality/self-injury in late adolescence: Prospectively observed relationship correlates in infancy and childhood

PSYCHIATRY RESEARCH

卷:206

Article

Lyons-Ruth, Karlen¹  Bureau, Jean-Francois^1,2  Holmes, Bjarne^1,3  Easterbrooks, Ann⁴  Brooks, Nancy Hall^1,5 

[1] Harvard Univ, Sch Med, Cambridge Hosp, Dept Psychiat, Cambridge, MA 02139 USA

[2] Univ Ottawa, Sch Psychol, Ottawa, ON K1N 6N5, Canada

[3] Heriot Watt Univ, Sch Life Sci, Edinburgh, Midlothian, Scotland

[4] Tufts Univ, Eliot Pearson Dept Child Dev, Medford, MA USA

[5] Harvard Univ, McLean Hosp, Sch Med, Dept Psychiat, Belmont, MA USA

关键词: Borderline personality disorder;    Suicide;    Longitudinal;    Attachment;    Maltreatment;   

DOI  :  10.1016/j.psychres.2012.09.030

来源: Elsevier

【 摘 要 】

\The primary objective was to assess whether prospectively observed quality of parent-child interaction in infancy and middle childhood contributed to the prediction of borderline symptoms and recurrent suicidality/self-injury in late adolescence. Adolescents (mean 19.9 years) from 56 families participating in a longitudinal study since infancy (retention rate 74%) were assessed on the SCID-II for symptoms of borderline personality disorder (BPD), including suicidality/self-injury. Early clinical risk was indexed by clinical referral to parent-infant services. Attachment security and parent-child interaction were assessed from videotape at 18 months and 8 years. Severity of childhood abuse was rated from interview and self-report measures. Maternal withdrawal in infancy was a significant predictor of both borderline symptoms and suicidality/self-injury in late adolescence. Disorganized controlling child behavior at age 8 contributed independently to the prediction of borderline symptoms. The effect of maternal withdrawal was independent of, and additive to, variability explained by severity of childhood abuse. Borderline symptoms and suicidality/self-injury may be preceded developmentally by disturbed interactions as early as 18 months of age. A parent-child transactional model is proposed to account for the findings. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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