Tags

Type your tag names separated by a space and hit enter

Parenting in mothers with borderline personality disorder and impact on child outcomes.
Evid Based Ment Health. 2015 Aug; 18(3):67-75.EB

Abstract

QUESTION

This systematic review explores two questions: what parenting difficulties are experienced by mothers with borderline personality disorder (BPD); and what impact do these have on her children?

STUDY SELECTION AND ANALYSIS

Studies had to include mothers with a diagnosis of BPD, who was the primary caregiver to a child/children under 19 years. PsycINFO and MEDLINE were screened (update: July 2014), yielding 17 relevant studies.

FINDINGS

Mothers with BPD are often parenting in the context of significant additional risk factors, such as depression, substance use and low support. Interactions between mothers with BPD and their infants are at risk of low sensitivity and high intrusiveness, and mothers have difficulty in correctly identifying their emotional state. Levels of parenting stress are high, and self-reported competence and satisfaction are low. The family environment is often hostile and low in cohesion, and mothers with BPD show low levels of mind-mindedness but high levels of overprotection of older children. Outcomes for children are poor compared with both children of healthy mothers, and mothers with other disorders. Infants of mothers with BPD have poorer interactions with their mother (e.g., less positive affect and vocalising, more dazed looks and looks away). Older children exhibit a range of cognitive-behavioural risk factors (e.g., harm avoidance, dysfunctional attitudes and attributions), and have poorer relationships with their mothers. Unsurprisingly, given these findings, children of mothers with BPD have poorer mental health in a range of domains.

CONCLUSIONS

This review highlights the elevated need for support in these mother-child dyads.

Authors+Show Affiliations

School of Psychology, University of Sussex, Brighton, UK.Sussex Partnership NHS Foundation Trust, Sussex Education Centre, Hove, UK.School of Psychology, University of Sussex, Brighton, UK.School of Psychology, University of Sussex, Brighton, UK.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

26205740

Citation

Petfield, Lara, et al. "Parenting in Mothers With Borderline Personality Disorder and Impact On Child Outcomes." Evidence-based Mental Health, vol. 18, no. 3, 2015, pp. 67-75.
Petfield L, Startup H, Droscher H, et al. Parenting in mothers with borderline personality disorder and impact on child outcomes. Evid Based Ment Health. 2015;18(3):67-75.
Petfield, L., Startup, H., Droscher, H., & Cartwright-Hatton, S. (2015). Parenting in mothers with borderline personality disorder and impact on child outcomes. Evidence-based Mental Health, 18(3), 67-75. https://doi.org/10.1136/eb-2015-102163
Petfield L, et al. Parenting in Mothers With Borderline Personality Disorder and Impact On Child Outcomes. Evid Based Ment Health. 2015;18(3):67-75. PubMed PMID: 26205740.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parenting in mothers with borderline personality disorder and impact on child outcomes. AU - Petfield,Lara, AU - Startup,Helen, AU - Droscher,Hannah, AU - Cartwright-Hatton,Sam, PY - 2015/7/25/entrez PY - 2015/7/25/pubmed PY - 2016/4/23/medline SP - 67 EP - 75 JF - Evidence-based mental health JO - Evid Based Ment Health VL - 18 IS - 3 N2 - QUESTION: This systematic review explores two questions: what parenting difficulties are experienced by mothers with borderline personality disorder (BPD); and what impact do these have on her children? STUDY SELECTION AND ANALYSIS: Studies had to include mothers with a diagnosis of BPD, who was the primary caregiver to a child/children under 19 years. PsycINFO and MEDLINE were screened (update: July 2014), yielding 17 relevant studies. FINDINGS: Mothers with BPD are often parenting in the context of significant additional risk factors, such as depression, substance use and low support. Interactions between mothers with BPD and their infants are at risk of low sensitivity and high intrusiveness, and mothers have difficulty in correctly identifying their emotional state. Levels of parenting stress are high, and self-reported competence and satisfaction are low. The family environment is often hostile and low in cohesion, and mothers with BPD show low levels of mind-mindedness but high levels of overprotection of older children. Outcomes for children are poor compared with both children of healthy mothers, and mothers with other disorders. Infants of mothers with BPD have poorer interactions with their mother (e.g., less positive affect and vocalising, more dazed looks and looks away). Older children exhibit a range of cognitive-behavioural risk factors (e.g., harm avoidance, dysfunctional attitudes and attributions), and have poorer relationships with their mothers. Unsurprisingly, given these findings, children of mothers with BPD have poorer mental health in a range of domains. CONCLUSIONS: This review highlights the elevated need for support in these mother-child dyads. SN - 1468-960X UR - https://www.unboundmedicine.com/medline/citation/26205740/Parenting_in_mothers_with_borderline_personality_disorder_and_impact_on_child_outcomes_ L2 - https://ebmh.bmj.com/lookup/pmidlookup?view=long&pmid=26205740 DB - PRIME DP - Unbound Medicine ER -