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A systematic review of the parenting and outcomes experienced by offspring of mothers with borderline personality pathology: Potential mechanisms and clinical implications.
Clin Psychol Rev. 2016 07; 47:85-105.CP

Abstract

There is growing interest in whether the parenting strategies and offspring outcomes of mothers with borderline personality disorder (BPD) differ from those of mothers without BPD. We searched PsychINFO, PubMed, EMBASE, Web of Science, Scopus and ASSIA databases for studies examining parenting skills and attitudes among mothers with BPD/BPD symptoms and/or offspring outcomes. PRISMA reporting guidelines were followed. Of 10,067 abstracts screened, 101 full-text articles were retrieved and 33 met pre-determined criteria for qualitative synthesis. Overall, studies suggest that mothers with BPD/BPD symptoms are more likely to engage in maladaptive interactions with their offspring characterised by insensitive, overprotective, and hostile parenting compared to mothers without BPD/BPD symptoms. Adverse offspring outcomes include BPD symptoms, internalising (including depression) and externalising problems, insecure attachment patterns, and emotional dysregulation. Findings suggest that vulnerability from mother to offspring may be partly transmitted via maladaptive parenting and maternal emotional dysfunction. Conclusions were limited by study heterogeneity in methodology and construct definitions, as well as a paucity of clinical comparison groups. Prospective studies of mothers with BPD and their offspring from pregnancy onwards may further elucidate mechanisms of transmission and identify resilience factors across development. Parenting behaviour awareness, improving attachment behaviours and emotional regulation strategies may be important intervention targets.

Authors+Show Affiliations

Department of Psychology, University of Warwick, Coventry, UK. Electronic address: j.eyden@warwick.ac.uk.Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.Department of Psychology, University of Warwick, Coventry, UK; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK; Department of Psychiatry, University of Oxford, Oxford, UK; Warneford Hospital, Oxford Health NHS Foundation Trust, Oxford, UK.Department of Psychology, University of Warwick, Coventry, UK.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

27261413

Citation

Eyden, Julie, et al. "A Systematic Review of the Parenting and Outcomes Experienced By Offspring of Mothers With Borderline Personality Pathology: Potential Mechanisms and Clinical Implications." Clinical Psychology Review, vol. 47, 2016, pp. 85-105.
Eyden J, Winsper C, Wolke D, et al. A systematic review of the parenting and outcomes experienced by offspring of mothers with borderline personality pathology: Potential mechanisms and clinical implications. Clin Psychol Rev. 2016;47:85-105.
Eyden, J., Winsper, C., Wolke, D., Broome, M. R., & MacCallum, F. (2016). A systematic review of the parenting and outcomes experienced by offspring of mothers with borderline personality pathology: Potential mechanisms and clinical implications. Clinical Psychology Review, 47, 85-105. https://doi.org/10.1016/j.cpr.2016.04.002
Eyden J, et al. A Systematic Review of the Parenting and Outcomes Experienced By Offspring of Mothers With Borderline Personality Pathology: Potential Mechanisms and Clinical Implications. Clin Psychol Rev. 2016;47:85-105. PubMed PMID: 27261413.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A systematic review of the parenting and outcomes experienced by offspring of mothers with borderline personality pathology: Potential mechanisms and clinical implications. AU - Eyden,Julie, AU - Winsper,Catherine, AU - Wolke,Dieter, AU - Broome,Matthew R, AU - MacCallum,Fiona, Y1 - 2016/04/21/ PY - 2015/10/04/received PY - 2016/03/07/revised PY - 2016/04/11/accepted PY - 2016/6/5/entrez PY - 2016/6/5/pubmed PY - 2017/12/9/medline KW - Borderline personality disorder KW - Mothers KW - Offspring outcomes KW - Parenting KW - Systematic review SP - 85 EP - 105 JF - Clinical psychology review JO - Clin Psychol Rev VL - 47 N2 - There is growing interest in whether the parenting strategies and offspring outcomes of mothers with borderline personality disorder (BPD) differ from those of mothers without BPD. We searched PsychINFO, PubMed, EMBASE, Web of Science, Scopus and ASSIA databases for studies examining parenting skills and attitudes among mothers with BPD/BPD symptoms and/or offspring outcomes. PRISMA reporting guidelines were followed. Of 10,067 abstracts screened, 101 full-text articles were retrieved and 33 met pre-determined criteria for qualitative synthesis. Overall, studies suggest that mothers with BPD/BPD symptoms are more likely to engage in maladaptive interactions with their offspring characterised by insensitive, overprotective, and hostile parenting compared to mothers without BPD/BPD symptoms. Adverse offspring outcomes include BPD symptoms, internalising (including depression) and externalising problems, insecure attachment patterns, and emotional dysregulation. Findings suggest that vulnerability from mother to offspring may be partly transmitted via maladaptive parenting and maternal emotional dysfunction. Conclusions were limited by study heterogeneity in methodology and construct definitions, as well as a paucity of clinical comparison groups. Prospective studies of mothers with BPD and their offspring from pregnancy onwards may further elucidate mechanisms of transmission and identify resilience factors across development. Parenting behaviour awareness, improving attachment behaviours and emotional regulation strategies may be important intervention targets. SN - 1873-7811 UR - https://www.unboundmedicine.com/medline/citation/27261413/A_systematic_review_of_the_parenting_and_outcomes_experienced_by_offspring_of_mothers_with_borderline_personality_pathology:_Potential_mechanisms_and_clinical_implications_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0272-7358(15)30132-X DB - PRIME DP - Unbound Medicine ER -