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Disastrous_Bite1741 t1_j92a2j7 wrote

Background

Research on the precursors of borderline personality disorder (BPD) reveals numerous child and adolescent risk factors, with impulsivity and trauma among the most salient. Yet few prospective longitudinal studies have examined pathways to BPD, particularly with inclusion of multiple risk domains.

Methods

We examined theory-informed predictors of young-adult BPD (a) diagnosis and (b) dimensional features from childhood and late adolescence via a diverse (47% non-white) sample of females with (n = 140) and without (n = 88) carefully diagnosed childhood attention-deficit hyperactivity disorder (ADHD).

Results

After adjustment for key covariates, low levels of objectively measured executive functioning in childhood predicted young adult BPD diagnostic status, as did a cumulative history of childhood adverse experiences/trauma. Additionally, both childhood hyperactivity/impulsivity and childhood adverse experiences/trauma predicted young adult BPD dimensional features. Regarding late-adolescent predictors, no significant predictors emerged regarding BPD diagnosis, but internalizing and externalizing symptoms were each significant predictors of BPD dimensional features. Exploratory moderator analyses revealed that predictions to BPD dimensional features from low executive functioning were heightened in the presence of low socioeconomic status.

Conclusions

Given our sample size, caution is needed when drawing implications. Possible future directions include focus on preventive interventions in populations with enhanced risk for BPD, particularly those focused on improving executive functioning skills and reducing risk for trauma (and its manifestations). Replication is required, as are sensitive measures of early emotional invalidation and extensions to male samples.

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Bierbart12 t1_j92b2qs wrote

Did it factor in children with parents who have narcissistic personality disorder?

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WilNotJr t1_j92cmo8 wrote

To add on to u/Bierbart12 's question: Did they control for children with one or more parent with Borderline Personality Disorder?

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Disastrous_Bite1741 t1_j92d2pf wrote

From my own limited understanding, it seems to focus specifically on those diagnosed with it and a combination of diagnosable criteria and self reported measures.

If you want, I can provide you with specific extracts of it that you may think would best answer your question?

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Disastrous_Bite1741 t1_j92c9hx wrote

Hmm, I don't believe this study was conducted with a directed intent of including those born and raised by parents with the disorder,

"Borderline Personality Disorder Dimensional Features. Because both diagnostic interview and self-report measures may yield optimal assessment of BPD [81], we also included a dimensional measure of BPD in order to assess and validate the categorical measure of BPD.

For a large subset of the sample, a 15-item self-report scale was included, based on the BPD module of the Structured Clinical Interview for DSM-5 Axis II disorders (SCID-II) [82].

However, every participant did not complete this self-report measure, as it was added after data collection began. Additionally, some participants completed only interviews and did not return their packet of questionnaires including this measure.

Each item of the measure is rated dichotomously (0 = No, 1 = Yes), so that the total possible score ranged from 0–15, with higher scores indicating more features of BPD. For example, items included: “Have you often become frantic when you thought that someone you really cared about was going to leave you?” This scale is consistent with DSM-5 BPD criteria, and has been used in several other studies, with satisfactory internal reliability (α = 0.81) [83, 84]."

Aspects of it may have been included in the participents self report, however I believe that snippet will give you a better understanding of it than I can.

I think I can safely say that the scope of this study doesn't necessarily include that factor however I am far from the best that can interpret this study, I've only posted this since another commenter couldn't access the site.

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mescalelf t1_j94m5fx wrote

I have to wonder if kids with poor executive function and inattentiveness/hyperactivity are more likely to be abused (hence higher ACEs), resulting in elevated risk for BPD.

I also have to wonder if the poor executive function and inattentiveness/hyperactivity are temporally preceded by increased ACEs—in other words, I wonder if ACEs might cause some of the ADHD-like features.

It’s also possible that neither is true (in which case both are probably just risk factors), or that both are true (in which case they all interrelate).

I’m not a researcher in developmental psychology, so I…really don’t know enough to answer my own queries.

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