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Extending extant models of the pathogenesis of borderline personality disorder to childhood borderline personality symptoms: The roles of affective dysfunction, disinhibition, and self- and emotion-regulation deficits

Published online by Cambridge University Press:  14 October 2009

Kim L. Gratz ,
Matthew T. Tull ,
Elizabeth K. Reynolds ,
Courtney L. Bagge ,
Robert D. Latzman ,
Stacey B. Daughters  and
C. W. Lejuez
Kim L. Gratz*
Affiliation:
University of Mississippi Medical Center
Matthew T. Tull
Affiliation:
University of Mississippi Medical Center
Elizabeth K. Reynolds
Affiliation:
University of Maryland, College Park
Courtney L. Bagge
Affiliation:
University of Mississippi Medical Center
Robert D. Latzman
Affiliation:
University of Mississippi Medical Center
Stacey B. Daughters
Affiliation:
University of Maryland, College Park
C. W. Lejuez
Affiliation:
University of Maryland, College Park
*
Address correspondence and reprint requests to: Kim L. Gratz, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS 39216; E-mail: [email protected].
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Abstract

Although research has been conducted on the course, consequences, and correlates of borderline personality disorder (BPD), little is known about its emergence in childhood, and no studies have examined the extent to which theoretical models of the pathogenesis of BPD in adults are applicable to the correlates of borderline personality symptoms in children. The goal of this study was to examine the interrelationships between two BPD-relevant personality traits (affective dysfunction and disinhibition), self- and emotion-regulation deficits, and childhood borderline personality symptoms among 263 children aged 9 to 13. We predicted that affective dysfunction, disinhibition, and their interaction would be associated with childhood borderline personality symptoms, and that self- and emotion-regulation deficits would mediate these relationships. Results provided support for the roles of both affective dysfunction and disinhibition (in the form of sensation seeking) in childhood borderline personality symptoms, as well as their hypothesized interaction. Further, both self- and emotion-regulation deficits partially mediated the relationship between affective dysfunction and childhood borderline personality symptoms. Finally, results provided evidence of different gender-based pathways to childhood borderline personality symptoms, suggesting that models of BPD among adults are more relevant to understanding the factors associated with borderline personality symptoms among girls than boys.

Type
Regular Articles
Information
Development and Psychopathology , Volume 21 , Issue 4: Precursors and Diverse Pathways to Personality Disorder in Children and Adolescents: Part 2 , November 2009 , pp. 1263 - 1291
Copyright
Copyright © Cambridge University Press 2009

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