First empirical evaluation of the link between attachment,social cognition and borderline features in adolescents |
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| Institution: | 1. University of Houston, Houston, TX, USA;2. The Menninger Clinic, Houston, TX, USA;3. Sam Houston State University, Huntsville, TX, USA;4. University College London, London, England, UK;1. Private Practice, Indianapolis, IN;2. Center for Metacognitive Therapy, Rome, Italy;3. Roudebush VA Medical Center, Indianapolis, IN;4. University of Indianapolis, School of Psychological Science, Indianapolis, IN;5. HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, IN;6. Department of Psychology, Indiana University Purdue University, Indianapolis, IN;7. Indiana University School of Medicine, Indianapolis, IN;1. Institute of Clinical Medicine, University of Oslo, Oslo, Norway;2. Department of Psychology, University of Oslo, Oslo, Norway;3. Department of Personality Psychiatry, Clinic for Mental Health and Addiction, Oslo University Hospital, Oslo, Norway;4. Department of Research and Development, Clinic for Mental Health and Addiction, Oslo University Hospital, Oslo, Norway;1. Department of Psychology and Philosophy, Sam Houston State University, Campus Box 2447, Huntsville, TX 77341-2447, USA;2. Department of Psychology, University of Houston, 4811 Calhoun Rd., Room 373, Houston, TX 77204, USA |
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| Abstract: | ObjectiveSeveral developmental models of borderline personality disorder (BPD) emphasize the role of disrupted interpersonal relationships or insecure attachment. As yet, attachment quality and the mechanisms by which insecure attachment relates to borderline features in adolescents have not been investigated. In this study, we used a multiple mediational approach to examine the cross-sectional interplay between attachment, social cognition (in particular hypermentalizing), emotion dysregulation, and borderline features in adolescence, controlling for internalizing and externalizing symptoms.MethodsThe sample included 259 consecutive admissions to an adolescent inpatient unit (Mage = 15.42, SD = 1.43; 63.1% female). The Child Attachment Interview (CAI) was used to obtain a dimensional index of overall coherence of the attachment narrative. An experimental task was used to assess hypermentalizing, alongside self-report measures of emotion dyregulation and BPD.ResultsOur findings suggested that, in a multiple mediation model, hypermentalizing and emotion dysregulation together mediated the relation between attachment coherence and borderline features, but that this effect was driven by hypermentalizing; that is, emotion dysregulation failed to mediate the link between attachment coherence and borderline features while hypermentalizing demonstrated mediational effects.ConclusionsThe study provides the first empirical evidence of well-established theoretical approaches to the development of BPD. |
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