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Prospective study of family adversity and maladaptive parenting in childhood and borderline personality disorder symptoms in a non-clinical population at 11 years

Published online by Cambridge University Press:  05 April 2012

C. Winsper ,
M. Zanarini  and
D. Wolke
C. Winsper
Affiliation:
Department of Psychology, University of Warwick, Coventry, UK
M. Zanarini
Affiliation:
McLean Hospital, Harvard Medical School, Belmont, USA
D. Wolke*
Affiliation:
Department of Psychology, University of Warwick, Coventry, UK Division of Mental Health and Wellbeing (Warwick Medical School), University of Warwick, Coventry, UK
*
*Address for correspondence: D. Wolke, Ph.D., Department of Psychology, University of Warwick, Coventry CV4 7AL, UK. Email: [email protected]
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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.

Keywords

Avon Longitudinal Study of Parents and Children (ALSPAC)borderline personality disorderDSM-IV Axis I diagnosesparent conflictsuboptimal parenting
Type
Original Articles
Information
Psychological Medicine , Volume 42 , Issue 11 , November 2012 , pp. 2405 - 2420
Copyright
Copyright © Cambridge University Press 2012

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