Borderline Personality Disorder and Emotion Dysregulation最新文献

{"title":"An examination of the role of PTSD and childhood trauma on treatment outcomes for individuals with borderline personality disorder in dialectical behavior therapy.","authors":"Katherine E Christensen, Shelley McMain, Alexander Chapman, Janice R Kuo","doi":"10.1186/s40479-025-00322-2","DOIUrl":"10.1186/s40479-025-00322-2","url":null,"abstract":"<p><strong>Background: </strong>Borderline personality disorder (BPD) is a complex and severe mental health condition often accompanied by several co-occurring clinical problems. Posttraumatic stress disorder (PTSD) is one of the most common co-occurring disorders, with prevalence rates of PTSD reported to be between 25% and 58% among persons with BPD. The primary aim of the current study was to evaluate the association of a PTSD diagnosis and different forms of childhood trauma with changes in BPD severity, PTSD severity, and frequency of suicidal behaviors among suicidal individuals with BPD undergoing 12-months of standard dialectical behavior therapy (DBT).</p><p><strong>Methods: </strong>This was a secondary data analysis that included individuals with BPD (N = 120) in the 12-month DBT condition. Participants completed measures of childhood abuse, PTSD severity, BPD severity, and frequency of suicidal behaviors at baseline as well as at 3, 6, 9, and 12 months. Generalized Estimating Equations (GEE) were used to examine both study hypotheses.</p><p><strong>Results: </strong>Results suggested that the presence of PTSD did not predict reduced rates of reduction in BPD severity, PTSD severity, or frequency of suicidal behaviors. Results also revealed that higher severity of childhood sexual and emotional abuse was associated with quicker reductions in BPD severity, whereas higher severity of childhood physical abuse was associated with slower reductions. Similarly, higher severity of emotional abuse was associated with quicker reductions in PTSD severity, while higher severity of physical abuse was associated with slower reductions in this outcome.</p><p><strong>Conclusions: </strong>Standard DBT appears to be comparably effective for both individuals with BPD without PTSD and BPD + PTSD. The addition of a PTSD diagnosis did not significantly predict slower recovery among those with BPD + PTSD. In addition, different forms of childhood trauma significantly affect the trajectories of individual treatment. Our findings suggest that DBT interventions may be particularly beneficial for individuals with higher levels of emotional abuse.</p><p><strong>Trial registration: </strong>NCT02387736. Registered February 20, 2015.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"47"},"PeriodicalIF":2.7,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12613660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Different approaches assessing mental representations of the mother-child-relationship in borderline personality disorder: how do mothers talk about their children?","authors":"Anne Jung, Jana Zitzmann","doi":"10.1186/s40479-025-00328-w","DOIUrl":"10.1186/s40479-025-00328-w","url":null,"abstract":"<p><p>Mothers with borderline personality disorder (BPD) are assumed to perceive difficulties in the relationship towards their children. However, a detailed and comprehensive investigation on how mothers with BPD reflect and speak about their children as an indicator for mental representations of the mother-child relationship is yet missing. In two articles drawing from a cross-sectional data set of a multi-center study, we examined these aspects in mothers with BPD compared with a healthy and a clinical control group comprising mothers with anxiety disorders, depression, or both. Using the Five Minute Speech Sample, we focused on Expressed Emotion (EE), Narrative Coherence (NC) - both in the primary data analysis - and an extended assessment of Mind-Mindedness (extended MM) in the secondary data analysis. This article mainly addresses the similarities and differences between the three constructs on a conceptual level and regarding the respective study results, and additionally discusses the overall results from both studies. When comparing the three constructs, we identified differences regarding the level of analyzed content (i.e., characteristics of speech vs. characteristics of representation) and the level of orientation (i.e., reference to the mother herself vs. reference to the child). Three aspects are assessed via all operationalizations: (1) reporting negatively about characteristics or behaviors of the child, (2) reporting weaknesses of the child, and (3) descriptions of relationship quality. Mothers with BPD were more likely to express overt criticism (EE) and express more mental attributes with negative valence (extended MM) than both the clinical and healthy control groups. Given that we found particularities in the parent-child relationship in mothers with BPD across all three coding systems, we assume the overlap to be grounded in a tendency towards greater disapproval of child characteristics and reports of challenges in relationship quality. Considering the results of both studies, this article provides the most a comprehensive examination of these relational aspects in mothers with BPD, including comparisons with both healthy and clinical control groups. These insights contribute to a deeper understanding of the complexities underlying mental representations of the mother-child relationship in the context of BPD.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"44"},"PeriodicalIF":2.7,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dialectical Behavior Therapy (DBT) in an Assertive Community Treatment structure (ACT): treatment outcome of Integrated Care Borderline (ICB) in a two years follow-up.","authors":"Hannah F Warkentin, Julia Jegl, Katharina Krog, Buket Saricicek, Sarah V Biedermann, Anne Karow, Jürgen Gallinat, Anja Zimmermann, Ingo Schäfer, Andreas Schindler","doi":"10.1186/s40479-025-00321-3","DOIUrl":"10.1186/s40479-025-00321-3","url":null,"abstract":"<p><strong>Background: </strong>We recently published treatment outcome data of patients with severe Borderline Personality Disorder (BPD) after one year of Dialectical Behavior Therapy (DBT) in Integrated Care Borderline (ICB). ICB provides DBT in the structures of an Assertive Community Treatment (ACT), working with a multi-professional outpatient team located in a psychiatric hospital. It integrates all elements of DBT with psychiatric and social support as well as crisis intervention if necessary. Previous data demonstrated significant improvements in BPD pathology and psychosocial functioning after one year. Since treatment typically took longer than one year, we now present data of the two years follow-up.</p><p><strong>Findings: </strong>In a sample of N = 31 patients with severe BPD outcome data after two years were compared to baseline data. Analyses show significant improvements in psychosocial functioning (GAF), BPD symptoms (BSL-23, SCID-II criteria), and other psychiatric symptoms (BSI, PHQ-9, PCL, suicidality), as well as a reduction of hospital days, and an increase in employment after two years of treatment. Effect sizes in most measures were medium to large, except psychiatric comorbidity (small effect) and anxiety (insignificant).</p><p><strong>Conclusion: </strong>Effect sizes after two years of ICB-treatment are larger than after one year, indicating an additional benefit of longer treatment duration for severely ill patients with BPD. Results further support the finding that DBT can be successful in outpatient settings and that ICB seems to have additional effects on employment and hospital days. The ICB approach appears to offer a viable framework for multi-professional outpatient DBT-teams.</p><p><strong>Trial registration: </strong>Registration number PV4920 - Integrated Care Borderline - Aerztekammer Hamburg, Germany.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"43"},"PeriodicalIF":2.7,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12570622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent class analysis of women with borderline personality disorder: the role of adverse childhood experiences in impulsivity, emotional dysregulation, and neurocognitive profiles.","authors":"Horus Laffite, J A Díaz-Garrido, J L Ordóñez-Carrasco, J L Hernández-Fleta, V Martínez-Loredo","doi":"10.1186/s40479-025-00316-0","DOIUrl":"10.1186/s40479-025-00316-0","url":null,"abstract":"<p><p>INTRODUCTION: Borderline personality disorder (BPD) is a complex psychiatric condition strongly associated with adverse childhood experiences (ACEs). This study examined how childhood trauma interacts with impulsivity, emotion dysregulation, and cognitive functioning to identify distinct clinical subtypes in women with BPD and inform personalized treatment strategies. MATERIALS AND METHODS: In this cross-sectional study, 231 women with BPD completed standardized assessments of childhood trauma (CTQ-SF), impulsivity (Barratt Impulsiveness Scale), and emotion regulation (DERS-SF), along with a neuropsychological battery. An exploratory latent class analysis identified subgroups based on trauma exposure and clinical features. Between-class differences in impulsivity, emotion regulation, and cognitive functioning were examined using ANOVA. RESULTS: Five distinct clinical profiles emerged. The most severe classes—characterized by continuous sexual abuse (17.3%) and early sexual abuse with polysubstance use (25.1%)—showed the highest impulsivity, severe emotion regulation difficulties, and deficits in attention, working memory, and cognitive flexibility. A low-severity class with early sexual abuse (13.4%) exhibited moderate emotion regulation challenges without cognitive impairments. In contrast, two classes without sexual abuse—minimal trauma or violence (31.6%) and violence with substance use (12.6%)—demonstrated better emotional and cognitive functioning, with the low-trauma group displaying the lowest impulsivity and symptom severity. CONCLUSIONS: These findings underscore the importance of trauma-informed and cognitively tailored interventions for enhancing therapeutic outcomes in women with BPD. Recognizing the interplay among trauma, impulsivity, emotion dysregulation, and neurocognition may support more effective treatment planning and resource allocation. </p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"42"},"PeriodicalIF":3.2,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12553218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Validating the Italian version of the Level of Personality Functioning Scale - Brief Form 2.0 (LPFS-BF 2.0): internal structure, temporal stability and construct validity.","authors":"Emanuela S Gritti, Pietro De Carli, Joost Hutsebaut, Alessandra Simonelli, Johannes Zimmermann","doi":"10.1186/s40479-025-00318-y","DOIUrl":"10.1186/s40479-025-00318-y","url":null,"abstract":"","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"41"},"PeriodicalIF":2.7,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12519806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decoding personality functioning: the impact of DSM-5 pathological traits mediated by emotion dysregulation and metacognition.","authors":"Amin Nazari, Nina Mafakheri, Roonak Shafiei, Farideh Nargesi, Carla Sharp, Saeid Komasi","doi":"10.1186/s40479-025-00315-1","DOIUrl":"10.1186/s40479-025-00315-1","url":null,"abstract":"<p><strong>Background: </strong>Personality disorders (PDs) have long been studied in adulthood, with relatively limited attention to their developmental course during adolescence. Recent research, however, underscores the importance of early identification and intervention in youth, as personality pathology can be reliably detected in this period and is associated with significant functional impairments. Grounded in the DSM-5 Alternative Model for Personality Disorders (AMPD), the present study explores potential intrapsychic mechanisms linking maladaptive trait domains to global personality functioning in adolescents. Drawing on developmental theories that emphasize the role of self-regulatory and reflective capacities in personality development, we examined whether emotion dysregulation and metacognitive difficulties help explain the relationship between pathological traits and functioning.</p><p><strong>Methods: </strong>A sample of 470 Iranian adolescents aged 14-17 years completed validated measures of personality traits, emotion regulation, metacognition, and personality functioning. Data were analyzed using Pearson correlation coefficient and mediation analysis.</p><p><strong>Results: </strong>All trait domains except antagonism were significantly associated with poorer functioning. Mediation analyses suggested that both emotion dysregulation and metacognition partially accounted for these associations, particularly for negative affectivity, detachment, disinhibition, and psychoticism.</p><p><strong>Conclusions: </strong>These findings support developmental models of personality by highlighting the interplay between emotion regulation and metacognition in shaping adolescent personality functioning. While the cross-sectional design and reliance on self-report measures limit causal interpretations, the study emphasizes the importance of incorporating emotion regulation and metacognitive processes into early assessments and interventions. Future research should employ longitudinal and multi-method approaches to further clarify the developmental pathways underlying personality pathology in adolescence.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"40"},"PeriodicalIF":2.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Borderline personality traits and emotion recognition in a non-clinical sample: the role of childhood neglect and abuse.","authors":"Ahmet Hamdi İmamoğlu, Yıldız Bilge","doi":"10.1186/s40479-025-00314-2","DOIUrl":"10.1186/s40479-025-00314-2","url":null,"abstract":"<p><strong>Background: </strong>Borderline personality symptoms are often associated with social-cognitive impairments, but the impact of childhood trauma on emotional processing remains poorly understood. This study explored the moderating role of childhood abuse and neglect in the relationship between borderline traits and emotion recognition.</p><p><strong>Methods: </strong>A total of 216 non-clinical adults first completed self-report measures, including the Borderline Personality Disorder subscale of the Coolidge Axis-II Inventory and the Childhood Trauma Questionnaire. They then performed a facial emotion recognition task involving five expressions-neutral, anger, happiness, sadness, and fear-with all but neutral shown at low and moderate intensity levels. Emotion recognition was evaluated in terms of accuracy, response latency, and misattribution patterns.</p><p><strong>Results: </strong>While no direct associations emerged between borderline traits and recognition accuracy for specific emotional expressions, higher trait levels were linked to increased misidentification of neutral faces and greater misattribution of anger. Additionally, childhood neglect and abuse moderated the effects of borderline traits on emotion recognition, with neglect altering responses to neutral and low-intensity happy cues, and abuse to subtle anger. A general pattern of emotional hypersensitivity was observed among participants who reported low levels of trauma, reflected in greater misinterpretation of neutral expressions and improved recognition of subtle emotional cues; as self-reported trauma levels increased, this pattern tended to diminish or even reverse. Considered alongside response time and misattribution patterns, the findings suggest avoidance and disengagement tendencies in emotional processing under severe trauma.</p><p><strong>Conclusions: </strong>In conclusion, when childhood abuse and neglect accompany BPD symptoms, emotion processing may demand nuanced clinical attention tailored to trauma-related dynamics.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"39"},"PeriodicalIF":2.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting parents with borderline personality disorder through a parenting group intervention: a randomized controlled trial.","authors":"Brin F S Grenyer, Charlotte C van Schie, Dianna R Bartsch, Laura Cooke-O'Connor, Dominic Kleinig, Kayla R Steele, Cathy McLeod Everitt","doi":"10.1186/s40479-025-00305-3","DOIUrl":"10.1186/s40479-025-00305-3","url":null,"abstract":"<p><strong>Background: </strong>There is a need for a parenting intervention that specifically addresses the concerns for parents with borderline personality disorder (BPD) due to the challenges that these parents experience and the stigma that surrounds parenting with BPD. Such interventions may also prevent intergenerational transmission of psychopathology and support clinicians to provide care within a personality disorder framework. This study aims to evaluate the effectiveness of a brief parenting group intervention for parents with BPD.</p><p><strong>Trial design: </strong>The design was a parallel randomized controlled trial (RCT) with two arms: the brief parenting intervention group and a treatment as usual (TAU) group.</p><p><strong>Methods: </strong>Participants were parents with a diagnosis of BPD who were parenting at least one child between birth and 5 years old. Participants were randomised to either the brief parenting group intervention (Coming up for AIR (CUFA)) through a public mental health service or to TAU. Participants, clinicians, and researchers were not blind to the allocation. It was hypothesised that the CUFA parenting intervention would reduce self-reported parenting stress (primary outcome) and improve parental mental health (secondary outcome) compared to TAU.</p><p><strong>Results: </strong>Participants (N = 93) were randomly allocated to the parenting intervention (n = 45) and TAU (n = 48). For the analyses of the per protocol sample 25 participants in the CUFA parenting intervention and 21 participants in the TAU condition were included. Multi-level analysis on the intention to treat sample indicated that the CUFA parenting intervention (d_pre-post = 1.29) significantly reduced parenting stress compared to TAU (d_pre-post = 0.01). This finding was replicated in the per protocol sample.</p><p><strong>Conclusion: </strong>A brief parenting intervention can have a positive effect on reducing parenting stress and improving parental mental health. Offering a parenting intervention needs a supportive and integrated approach to lower barriers for service attendance. Future research may investigate the effect on child wellbeing. It is important and in line with treatment guidelines to offer a parenting intervention to people with BPD.</p><p><strong>Trial registration: </strong>Trial registered with the Australian New Zealand Clinical Trials Registry (ANZCTR), number ACTRN12620001257954.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"38"},"PeriodicalIF":2.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological and neurophysiological measures of emotion dysregulation in borderline personality disorder and posttraumatic stress disorder.","authors":"Isabelle Göhre, Sarah Back, Simone Schütz-Bosbach, Qiaoyue Ren, Larissa Wolkenstein, André Rupp, Katja Bertsch","doi":"10.1186/s40479-025-00313-3","DOIUrl":"10.1186/s40479-025-00313-3","url":null,"abstract":"<p><strong>Background: </strong>Emotion dysregulation is a central feature in trauma-associated disorders such as posttraumatic stress disorder (PTSD) and borderline personality disorder (BPD). However, it remains unclear whether emotion dysregulation is a transdiagnostic phenomenon closely linked to childhood trauma, or if disorder-specific alterations in emotion processing exist. Following a multimethodological approach, we aimed to assess and compare the reactivity to and regulation of emotions between patients with BPD and PTSD, as well as healthy controls, and identify associations with childhood trauma.</p><p><strong>Methods: </strong>A total of 135 women, 43 healthy controls, 43 with BPD and 49 with PTSD, took part in a multimethodological assessment of emotional reactivity and regulation. Self-report measures were used to assess childhood trauma and emotion dysregulation. Additionally, participants performed a classic emotion regulation (ER) paradigm. Subjective emotional valence ratings and neurophysiological responses (P3 and late positive potential, LPP) were measured in response to negative, positive, and neutral pictures (emotional reactivity) and during active regulation vs. passive viewing of negative pictures (ER).</p><p><strong>Results: </strong>Regarding emotional reactivity, during the experimental paradigm both patient groups reported lower emotional valence after viewing positive or neutral pictures compared to healthy controls. Furthermore, P3 amplitudes in response to neutral pictures were reduced in both patient groups and in response to negative pictures, specifically in patients with PTSD. Regarding ER, while both patient groups self-reported significant disturbances in ER, neither valence ratings nor neurophysiological responses assessed during the ER task (P3, LPP) differed from healthy controls. Across groups, childhood trauma was related to decreased emotional valence ratings on neutral and positive pictures and higher self-reported emotion dysregulation.</p><p><strong>Conclusions: </strong>Patients with BPD and PTSD exhibited a reduced emotional reactivity in response to positive and neutral information. Specifically, patients with PTSD demonstrated hypo-reactivity to neutral and trauma-unrelated negative stimuli, which might be due to altered attentional resource allocation following trauma. Although patients reported using adaptive ER strategies less frequently in daily life, they effectively implemented them when instructed to, highlighting important clinical and theoretical implications.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"37"},"PeriodicalIF":2.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal assessments of family climate in mother-child dyads: investigating the role of maternal borderline personality disorder in mental representations.","authors":"Anne Jung, Robert Kumsta, Babette Renneberg, Silvia Schneider, Nina Heinrichs","doi":"10.1186/s40479-025-00306-2","DOIUrl":"10.1186/s40479-025-00306-2","url":null,"abstract":"<p><p>BACKGROUND: Family climate substantially influences children’s socio-emotional development. We examined mothers’ mental representations of their children and their relationships in three groups of mothers with young children (0–6 years): mothers (1) with a borderline personality disorder (BPD) (2), with a depressive or anxiety disorder but no BPD (AD/D), or (3) without a current mental disorder (CON). We expected both clinical groups to show more negative mental representations – more expressed emotion reflecting a critical attitude toward the child in general, more hostile attributions to child misbehavior in particular, and a less balanced view of the child (i.e., lower narrative coherence) – than CON mothers. We also expected mothers with BPD to have more impaired mental representations than mothers with AD/D. METHODS: Data were collected as part of an intervention study (at the pre-intervention assessment). To assess parental attributions, 172 mothers with BPD, 69 mothers with AD/D, and 96 CON mothers provided responses to vignettes and participated in a five-minute speech sample coded for expressed emotion and narrative coherence. RESULTS: BPD was associated with more criticism (OR = 3.17 and OR = 3.93) in comparison with CON mothers and mothers with AD/D, and with lower narrative coherence (OR = 5.45) compared with CON mothers but not compared with mothers with AD/D (OR = 1.41). Only narrative coherence remained significantly associated with group membership after education was controlled for. Mothers with BPD also showed more hostile attributions than CON mothers, with the AD/D group in between. CONCLUSION: Without controlling for maternal education, critical attitudes toward the child in general were specifically associated with BPD, hostile attributions were less clearly associated, and narrative coherence was transdiagnostically associated with mental disorders in general. Once education was controlled for, disorder-specific associations were no longer observed, while transdiagnostic associations were maintained. Early interventions may specifically aim to decrease levels of criticism, help mothers increase non-hostile attributions of child misbehavior, and support mothers in building more coherent mental representations of their children. TRIAL REGISTRATION: This study was pre-registered at the German Registry of Clinical Studies (DRKS-ID: DRKS00020460). </p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"12 1","pages":"36"},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}