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Cited by 21Personality Disorders and PsychopathologyChild and Adolescent Psychosocial and Emotional DevelopmentPersonality Traits and Psychology

Developmental Pathways to BPD-Related Features in Adolescence: Infancy to Age 15

Brumariu, Laura E., Owen, Margaret Tresch, Dyer, Nazly, Lyons-Ruth, Karlen·2020·Journal of Personality Disorders
DOI 10.1521/pedi_2020_34_480
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Abstract

The self-damaging behaviors central to borderline personality disorder (BPD) become prominent in adolescence. Current developmental theories cite both early family processes and childhood dysregulation as contributors to BPD, but longitudinal data from infancy are rare. Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development database (SECCYD; N = 1,364), we examined path models to evaluate parent and child contributors from infancy/preschool, middle childhood, and adolescence to adolescent BPD-related features. In addition, person-centered latent class analyses (LCA) investigated whether adolescent BPD-related features were more strongly predicted by particular patterns of maladaptive parenting. Path modeling identified unique influences of maternal insensitivity and maternal depression on BPD-related features, first, through social-emotional dysregulation in middle childhood, and second, through continuity from infancy in maternal insensitivity and depression. LCA results indicated that early withdrawn parenting was particularly predictive of BPD-related features in adolescence. Results suggest multiple points of intervention to alter pathways toward adolescent borderline psychopathology.

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  • The combination of childhood abuse and neglect by primary caregivers, which is an antecedent for both cPTSD and BPD, constitutes a significant disruption to the development of secure emotional bonds that are the basis for internal working models of attachment security.

    “The combination of childhood abuse and neglect by primary caregivers, which is an antecedent for both cPTSD and BPD, constitutes a significant disruption to the development of the secure emotional bonds that are the basis for internal working models of attachment security [13].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [13]

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Authors
Brumariu, L. E., Owen, M. T., Dyer, N., & Lyons-Ruth, K.
Affiliations
  • Adelphi University (US)
  • Cambridge Health Alliance (US)
  • Department of Psychiatry, Harvard Medical School at Cambridge Health Alliance, Cambridge, Massachusetts.
ORCID
Venue
Journal of Personality Disorders
Publisher
Guilford Publications
Published
2020-09
Volume
34
Issue
Supplement B
Pages
104-129
ISSN
0885-579X (ISSN-L)
DOI
10.1521/pedi_2020_34_480
OpenAlex
W3034249099
Cited by
21
References
65
Citations by year
2026: 1 · 2025: 4 · 2024: 3 · 2023: 7 · 2022: 2 · 2021: 2 · 2020: 2
FWCI
1.29
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Personality Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Wellcome Trust (217065/Z/19/Z)
  • Medical Research Council (MC_PC_19009)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords
borderline personality disorder, adolescence, developmental pathways, maternal depression, early childhood, preschool, middle childhood, maladaptive parenting, intervention points
MeSH terms
Adolescent, Antisocial Personality Disorder, Borderline Personality Disorder, Child, Child, Preschool, Emotions, Humans, Infant, Parents, Parenting

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