Abstract
Although parent emotion socialization and child temperament are theorized to interact in the prediction of borderline personality disorder (BPD) features, few studies have directly examined these relationships. The present study examined whether parental emotion socialization interacted with behavioral ratings and physiological indicators of emotional vulnerability in the prediction of BPD features among preadolescent children. Participants were 125 children (10–12 years; 55% female) and their parents recruited from the community. Parents and children reported on children’s BPD features and parents completed a measure of supportive and non-supportive emotion socialization. Children’s emotional vulnerability was assessed based on parent-rated negativity/lability and emotion regulation skills and children’s respiratory sinus arrhythmia (RSA) and skin conductance level (SCL) reactivity to a social stressor. Several significant interactions of parent supportive reactions, non-supportive reactions, and child emotional reactivity emerged. Children were lowest in BPD features when parents were high in supportive reactions and/or low in non-supportive reactions and the child was low in emotional vulnerability (e.g., low negativity/lability, good emotion regulation skills, or low SCL reactivity to stress). These findings suggest that specific emotion socialization factors in interaction with children’s emotional reactivity may predict risk for BPD features in preadolescence. Future research is needed to replicate these findings and examine whether this interaction prospectively predicts trajectories of BPD features.
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Notes
RSA or SCL reactivity data were missing because the parent declined to have the child complete the peer rejection task (n = 7), the child’s study visit was ended prematurely due to behavior problems (n = 2), the child did not want to wear the physiological measures (n = 1), computer failure (n = 2), participant belief that the task was fake (n = 1), or invalid RSA reactivity (n = 7) or SCL reactivity data (n = 2) due to equipment malfunction.
References
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.
Bardack, S., Herbers, J. E., & Obradović, J. (2017). Unique contributions of dynamic versus global measures of parent-child interaction quality in predicting school adjustment. Journal of Family Psychology, 31(6), 649–658. https://doi.org/10.1037/fam0000296.
Bateman, A. W., & Fonagy, P. (2004). Mentalization-based treatment of BPD. Journal of Personality Disorders, 18(1), 36–51.
Beauchaine, T. P. (2001). Vagal tone, development, and Gray’s motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214. https://doi.org/10.1017/S0954579401002012.
Berntson, G. G., Cacioppo, J. T., & Quigley, K. S. (1991). Autonomic determinism: The modes of autonomic control, the doctrine of autonomic space, and the laws of autonomic constraint. Psychological Review, 98(4), 459–487. https://doi.org/10.1016/0273-1177(82)90048-5.
Black, D. W., Blum, N., Pfohl, B., & Hale, N. (2004). Suicidal behavior in borderline personality disorder: Prevalence, risk factors, prediction, and prevention. Journal of Personality Disorders, 18(3), 226–239. https://doi.org/10.1521/pedi.18.3.226.35445.
Bornovalova, M. A., Hicks, B. M., Iacono, W. G., & McGue, M. (2009). Stability, change and heritability of borderline personality disorder traits from adolescence to adulthood: A longitudinal twin study. Development and Psychopathology, 21(4), 1335–1353. https://doi.org/10.1017/S0954579409990186.
Cassano, M., Perry-Parrish, C., & Zeman, J. (2007). Influence of gender on parental socialization of children’s sadness regulation. Social Development, 16, 210-231. https://doi.org/10.1111/j.1467-9507.2007.00381.x.
Castro, V. L., & Nelson, J. A. (2018). Social development quartet: When is parental supportiveness a good thing? The dynamic value of parents’ supportive emotion socialization across childhood. Social Development, 27(3), 461–465. https://doi.org/10.1111/sode.12299.
Chanen, A., Sharp, C., & Hoffman, P. (2017). Prevention and early intervention for borderline personality disorder: A novel public health priority. World Psychiatry, 16(2), 215–216. https://doi.org/10.1002/wps.20429.
Chaplin, T. M., Cole, P. M., & Zahn-Waxler, C. (2005). Parental socialization of emotion expression: Gender differences and relations to child adjustment. Emotion, 5(1), 80–88. https://doi.org/10.1037/1528-3542.5.1.80.
Chapman, A. L., Walters, K. N., & Dixon-Gordon, K. L. (2014). Emotional reactivity to social rejection and negative evaluation among persons with borderline personality features. Journal of Personality Disorders, 28(5), 720–733. https://doi.org/10.1521/pedi_2012_26_06.
Courtney-Seidler, E. A., Klein, D., & Miller, A. L. (2013). Borderline personality disorder in adolescents. Clinical Psychology: Science and Practice, 20(4), 425–444. https://doi.org/10.1111/cpsp.12051.
Crick, N. R., Murray–Close, D., & Woods, K. (2005). Borderline personality features in childhood: A short-term longitudinal study. Development and Psychopathology, 17(04). https://doi.org/10.1017/S0954579405050492.
Crowell, S. E., Beauchaine, T. P., McCauley, E., Smith, C. J., Stevens, A. L., & Sylvers, P. (2005). Psychological, autonomic, and serotonergic correlates of parasuicide among adolescent girls. Development and Psychopathology, 17(04), 1105–1127. https://doi.org/10.1017/S0954579405050522.
Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theory. Psychological Bulletin, 135, 495–510. https://doi.org/10.1037/a0015616.
Cunningham, J. N., Kliewer, W., & Garner, P. W. (2009). Emotion socialization, child emotion understanding and regulation, and adjustment in urban African American families: Differential associations across child gender. Development and Psychopathology, 21(1), 261–283. https://doi.org/10.1017/S0954579409000157.
Dawson, J. F. (2014). Moderation in management research: What, why, when and how. Journal of Business and Psychology, 29, 1–19.
Dawson, M. E., Schell, A. M., & Filion, D. L. (2007). The electrodermal system. In J. T. Cacioppo, L. G. Tassinary, & G. G. Berntson (Eds.), Handbook of psychophysiology (3rd ed., pp. 159–181). New York, NY: Cambridge University Press.
Denham, S. A., Bassett, H. H., & Wyatt, T. (2007). Socialization of emotional competence. In J. E. Grusec & P. D. Hastings (Eds.), Handbook of socialization: Theory and research (pp. 614–637). New York: Guilford Press.
Dixon-Gordon, K. L., Yiu, A., & Chapman, A. L. (2013). Borderline personality features and emotional reactivity: The mediating role of interpersonal vulnerabilities. Journal of Behavior Therapy and Experimental Psychiatry, 44(2), 271–278. https://doi.org/10.1016/j.jbtep.2012.12.001.
Dixon-Gordon, K. L., Whalen, D. J., Scott, L. N., Cummins, N. D., & Stepp, S. D. (2015). The main and interactive effects of maternal interpersonal emotion regulation and negative affect on adolescent girls’ borderline personality disorder symptoms. Cognitive Therapy and Research, (2016). https://doi.org/10.1007/s10608-015-9706-4.
Eisenberg, N., Cumberland, A., & Spinrad, T. L. (1998). Parental socialization of emotion. Psychological Inquiry, 9(4), 241–273. https://doi.org/10.1207/s15327965pli0904_1.
El-Gabalawy, R., Katz, L. Y., & Sareen, J. (2010). Comorbidity and associated severity of borderline personality disorder and physical health conditions in a nationally representative sample. Psychosomatic Medicine, 72(7), 641–647.
Engle, J. M., & McElwain, N. L. (2011). Parental reactions to toddlers’ negative emotions and child negative emotionality as correlates of problem behavior at the age of three. Social Development, 20(2), 251–271. https://doi.org/10.1111/j.1467-9507.2010.00583.x.
Fabes, R. A., Eisenberg, N., & Bernzweig, J. (1990). The coping with Children’s negative emotions scale. Unpublished measure. Tempe: Arizona State University.
Fabes, R. A., Leonard, S. A., Kupanoff, K., & Martin, C. L. (2001). Parental coping with children’s negative emotions: Relations with children’s emotional and social responding. Child Development, 72(3), 907–920 Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11405590.
Fabes, R. A., Poulin, R. E., Eisenberg, N., & Madden-Derdich, D. A. (2002). The coping with Children’s negative emotions scale (CCNES): Psychometric properties and relations with children’s emotional competence. Marriage & Family Review, 34, 285–310.
Fowles, D. C., & Kochanska, G. (2000). Temperament as a moderator of pathways to conscience in children : The contribution of electrodermal activity. Psychophysiology, 37, 788–795.
Fruzzetti, A. E., Shenk, C. E., & Hoffman, P. D. (2005). Family interaction and the development of borderline personality disorder: A transactional model. Development and Psychopathology, 17(4), 1007–1030. https://doi.org/10.1017/S0954579405050479.
Graziano, P., & Derefinko, K. J. (2013). Cardiac vagal control and children’s adaptive functioning: A meta-analysis. Biological Psychology, 94(1), 22–37. https://doi.org/10.1016/j.biopsycho.2013.04.011.
Hastings, P. D., Nuselovici, J. N., Utendale, W. T., Coutya, J., McShane, K. E., & Sullivan, C. (2008). Applying the polyvagal theory to children’s emotion regulation: Social context, socialization, and adjustment. Biological Psychology, 79(3), 299–306. https://doi.org/10.1016/j.biopsycho.2008.07.005.
Hastings, P. D., Klimes-Dougan, B., Kendziora, K. T., Brand, A., & Zahn-Waxler, C. (2014). Regulating sadness and fear from outside and within: Mothers’ emotion socialization and adolescents’ parasympathetic regulation predict the development of internalizing difficulties. Development and Psychopathology, 26, 1369–1384. https://doi.org/10.1017/S0954579414001084.
Hubbard, J. A., Smithmyer, C. M., Ramsden, S. R., Parker, E. H., Flanagan, K. D., Dearing, K. F., Relyea, N., & Simons, R. F. (2002). Observational, physiological, and self-report measures of children’s anger: Relations to reactive versus proactive aggression. Child Development, 73(4), 1101–1118.
Hughes, A. E., Crowell, S. E., Uyeji, L., & Coan, J. A. (2012). A developmental neuroscience of borderline pathology: Emotion dysregulation and social baseline theory. Journal of Abnormal Child Psychology, 40(1), 21–33. https://doi.org/10.1007/s10802-011-9555-x.
Jacobo, M. C., Blais, M. A., Baity, M. R., & Harley, R. M. (2007). Concurrent validity of the personality assessment inventory borderline scales in patients seeking dialectical behavior therapy. Journal of Personality Assessment, 88(1), 74–80. https://doi.org/10.1080/00223890709336837.
Johnson, J. G., Cohen, P., Chen, H., Kasen, S., & Brook, J. S. (2006). Parenting behaviors associated with risk for offspring personality disorder during adulthood. Archives of General Psychiatry, 63(5), 579–587. https://doi.org/10.1001/archpsyc.63.5.579.
Johnson, J. G., Cohen, P., Kasen, S., Skodol, A. E., & Oldham, J. M. (2008). Cumulative prevalence of personality disorders between adolescence and adulthood. Acta Psychiatrica Scandinavica, 118(5), 410–413. https://doi.org/10.1111/j.1600-0447.2008.01231.x.
Katz, L. F., Maliken, A. C., & Stettler, N. M. (2012). Parental meta-emotion philosophy: A review of research and theoretical framework. Child Development Perspectives, 6(4), 417–422. https://doi.org/10.1111/j.1750-8606.2012.00244.x.
Kim, S., Sharp, C., & Carbone, C. (2014). The protective role of attachment security for adolescent borderline personality disorder features via enhanced positive emotion regulation strategies. Personality Disorders: Theory, Research, and Treatment, 5(2), 125–136. https://doi.org/10.1037/per0000038.
Klimes-Dougan, B., Brand, A. E., Zahn-Waxler, C., Usher, B., Hastings, P. D., Kendziora, K., & Garside, R. B. (2007). Parental emotion socialization in adolescence: Differences in sex, age and problem status. Social Development, 16(2), 326–342. https://doi.org/10.1111/j.1467-9507.2007.00387.x.
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Lunkenheimer, E. S., Shields, A. M., & Cortina, K. S. (2007). Parental emotion coaching and dismissing in family interaction. Social Development, 16(2), 232–248. https://doi.org/10.1111/j.1467-9507.2007.00382.x.
Macfie, J. (2010). Development in children and adolescents whose mothers have borderline personality disorder. Child Development Perspectives, 3(1), 66–71. https://doi.org/10.1111/j.1750-8606.2008.00079.x.
McQuade, J. D., & Breaux, R. P. (2017a). Are elevations in ADHD symptoms associated with physiological reactivity and emotion dysregulation in children? Journal of Abnormal Child Psychology, 45(6), 1091–1103. https://doi.org/10.1007/s10802-016-0227-8.
McQuade, J. D., & Breaux, R. P. (2017b). Parent emotion socialization and pre-adolescent’s social and emotional adjustment: Moderating effects of autonomic nervous system reactivity. Biological Psychology, 130(April), 67–76. https://doi.org/10.1016/j.biopsycho.2017.10.007.
McQuade, J. D., Murray-Close, A., Breslend, N. L., Blada, K. E., Kim, M. M., & Marsh, N. P. (2019). Emotional underarousal and overarousal and relational aggression: Interactive effects of relational victimization, physiological reactivity, and emotional sensitivity. Journal of Abnormal Child Psychology. Advance online publication. https://doi.org/10.1007/s10802-019-00544-3.
Miller-Slough, R. L., Dunsmore, J. C., Zeman, J. L., Sanders, W. M., & Poon, J. A. (2018). Maternal and paternal reactions to child sadness predict children’s psychosocial outcomes: A family-centered approach. Social Development, 27(3), 495–509. https://doi.org/10.1111/sode.12244.
Morey, L. C. (1991). Classification of mental disorder as a collection of hypothetical constructs. Journal of Abnormal Psychology, 100(3), 289–293.
Muthén, L. K., & Muthén, B. O. (2017). Mplus User’s guide. (8th Ed.). Los Angeles: Muthén & Muthén.
Perepletchikova, F., Nathanson, D., Axelrod, S. R., Merrill, C., Walker, A., Grossman, M., et al. (2017). Randomized clinical trial of dialectical behavior therapy for preadolescent children with disruptive mood dysregulation disorder: Feasibility and outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, 56(10), 832–840. https://doi.org/10.1016/j.jaac.2017.07.789.
Porges, S. W. (1985). Method and apparatus for evaluting rhythmic oscillations in aperiodic physiological response systems. United States Patent Number, 4, 510,944.
Rose, A. J., & Rudolph, K. D. (2006). A review of sex differences in peer relationship processes: Potential trade-offs for the emotional and behavioral development of girls and boys. Psychological Bulletin, 132(1), 98-131.doi:Psychol Bull. 2006 January ; 132(1): 98–131. https://doi.org/10.1037/0033-2909.132.1.98.
Sanders, W., Zeman, J., Poon, J., & Miller, R. (2015). Child regulation of negative emotions and depressive symptoms: The moderating role of parental emotion socialization. Journal of Child and Family Studies, 24(2), 402–415. https://doi.org/10.1007/s10826-013-9850-y.
Sauer, S. E., & Baer, R. A. (2010). Validation of measures of biosocial precursors to borderline personality disorder: Childhood emotional vulnerability and environmental invalidation. Assessment, 17(4), 454–466. https://doi.org/10.1177/1073191110373226.
Schuppert, H. M., Albers, C. J., Minderaa, R. B., Emmelkamp, P. M. G., & Nauta, M. H. (2014). Severity of borderline personality symptoms in adolescence: Relationship with maternal parenting stress, maternal psychopathology, and rearing styles. Journal of Personality Disorders, 28, 155–168. https://doi.org/10.1521/pedi_2104_28_155.
Shenk, C. E., & Fruzzetti, A. E. (2014). Parental validating and invalidating responses and adolescent psychological functioning: An observational study. The Family Journal, 22(1), 43–48. https://doi.org/10.1177/1066480713490900.
Shewark, E. A., & Blandon, A. Y. (2015). Mothers’ and fathers’ emotion socialization and children’s emotion regulation: A within-family model. Social Development, 24(2), 266–284. https://doi.org/10.1111/sode.12095.
Shields, A., & Cicchetti, D. (1997). Emotion regulation among school-age children: The development and validation of a new criterion Q-sort scale. Developmental Psychology, 33(6), 906–916. https://doi.org/10.1037/0012-1649.33.6.906.
Silk, J. S., Stroud, L. R., Siegle, G. J., Dahl, R. E., Lee, K. H., & Nelson, E. E. (2012). Peer acceptance and rejection through the eyes of youth: Pupillary, eyetracking and ecological data from the chatroom interact task. Social Cognitive and Affective Neuroscience, 7, 93–105. https://doi.org/10.1093/scan/nsr044.
Stanger, S., Abaied, J., Wagner, C., & Sanders, W. (2018). Contributions of observed parent socialization of coping and skin conductance level reactivity to childhood adjustment. Family Process, 57(1), 181–194. https://doi.org/10.1111/famp.12272.
van Asselt, A. D. I., Dirksen, C. D., Arntz, A., & Severens, J. L. (2007). The cost of borderline personality disorder: Societal cost of illness in BPD-patients. European Psychiatry, 22(6), 354–361. https://doi.org/10.1016/j.eurpsy.2007.04.001.
Zahn-Waxler, C., Klimes-Dougan, B. J., & Slattery, M. J. (2000). Internalizing problems of childhood and adolescence: Prospects, pitfalls, and progress in understanding the development of anxiety and depression. Development and Psychopathology, 12(03), 443–466.
Zanarini, M. C., Frankenburg, F. R., Dubo, E. D., Sickel, A. E., Trikha, A., Levin, A., & Reynolds, V. (1998). Axis II comorbidity of borderline personality disorder. Comprehensive Psychiatry, 39(5), 296–302.
Zanarini, M. C., Frankenburg, F. R., Ridolfi, M. E., Jager-Hyman, S., Hennen, J., & Gunderson, J. G. (2006). Reported childhood onset of self-mutilation among borderline patients. Journal of Personality Disorders, 20(1), 9–15. https://doi.org/10.1521/pedi.2006.20.1.9.
Zanarini, M. C., Horwood, J., Wolke, D., Waylen, A., Fitzmaurice, G., & Grant, B. F. (2011). Prevalence of DSM-IV borderline personality disorder in two community samples: 6,330 English 11-year-olds and 34,653 American adults. Journal of Personality Disorders, 25(5), 607–619. https://doi.org/10.1521/pedi.2011.25.5.607.
Zweig-Frank, H., & Paris, J. (1991). Parents’ emotional neglect and overprotection according to the recollections of patients with borderline personality disorder. American Journal of Psychiatry, 148(5), 648–651. https://doi.org/10.1176/ajp.148.5.648.
Acknowledgements
We are grateful to the families who generously participated in this study. We would like to acknowledge Rosalyn Langhinrichsen-Rohling, B.A., Amherst College, Mindy Kim, B.A., Amherst College, and Sarah Mattison Buhl, M.A., Amherst College, for their important roles in collecting these data.
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Dixon-Gordon, K.L., Marsh, N.P., Balda, K.E. et al. Parent Emotion Socialization and Child Emotional Vulnerability as Predictors of Borderline Personality Features. Res Child Adolesc Psychopathol 48, 135–147 (2020). https://doi.org/10.1007/s10802-019-00579-6
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DOI: https://doi.org/10.1007/s10802-019-00579-6