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Verfasst von:Williams, Katharina [VerfasserIn]   i
 Fleck, Leonie [VerfasserIn]   i
 Fuchs, Anna [VerfasserIn]   i
 Koenig, Julian [VerfasserIn]   i
 Kaess, Michael [VerfasserIn]   i
Titel:Mother-child interactions in adolescents with borderline personality disorder traits and the impact of early life maltreatment
Verf.angabe:Katharina Williams, Leonie Fleck, Anna Fuchs, Julian Koenig and Michael Kaess
Jahr:2023
Umfang:14 S.
Fussnoten:Veröffentlicht: 10. August 2023 ; Gesehen am 13.10.1023
Titel Quelle:Enthalten in: Child and adolescent psychiatry and mental health
Ort Quelle:London : Biomed Central, 2007
Jahr Quelle:2023
Band/Heft Quelle:17(2023), Artikel-ID 96, Seite 1-14
ISSN Quelle:1753-2000
Abstract:BACKGROUND: Early detection and intervention of borderline personality disorder (BPD) in adolescence has become a public health priority. Theoretical models emphasize the role of social interactions and transgenerational mechanisms in the development of the disorder suggesting a closer look at caregiver-child relationships. METHODS: The current study investigated mother-adolescent interactions and their association with adolescent BPD traits by using a case-control design. Thirty-eight adolescent patients with ≥ 3 BPD traits and their mothers (BPD-G) were investigated in contrast to 35 healthy control dyads (HC-G). Maternal, adolescent and dyadic behavior was coded using the Coding Interactive Behavior Manual (CIB) during two interactions: a fun day planning and a stress paradigm. Additional effects of maternal and/or adolescent early life maltreatment (ELM) on behavior were also explored. RESULTS: BPD-G displayed a significantly lower quality of maternal, adolescent and dyadic behavior than the HC-G during both interactions. Maternal and adolescent behavior was predicted by BPD traits alone, whilst dyadic behavior was also influenced by general adolescent psychopathology. Exploratory analyses of CIB subscales showed that whilst HC-G increased their reciprocal behavior during stress compared to the fun day planning, BPD-G dyads decreased it. Maternal ELM did not differ between groups or have any effect on behavior. Adolescent ELM was correlated with behavioral outcome variables, but did not explain behavioral outcomes above and beyond the effect of clinical status. DISCUSSION/CONCLUSION: Our data suggest a stronger focus on parent-child interactions in BPD-specific therapies to enhance long-term treatment outcomes in adolescent BPD patients. Further research employing study designs that allow the analyses of bidirectional transactions (e.g. longitudinal design, behavioral microcoding) is needed.
DOI:doi:10.1186/s13034-023-00645-4
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1186/s13034-023-00645-4
 kostenfrei: Volltext: https://capmh.biomedcentral.com/articles/10.1186/s13034-023-00645-4
 DOI: https://doi.org/10.1186/s13034-023-00645-4
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:borderline personality disorder
 BPD specific therapies
 early life maltreatment
 interpersonal dysfunction
 mother-child interaction
K10plus-PPN:1863812830
Verknüpfungen:→ Zeitschrift

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