Emotional Awareness Moderates the Relationship Between Childhood Abuse and Borderline Personality Disorder Symptom Factors

John Westbrook, Howard Berenbaum

Research output: Contribution to journalArticle

Abstract

Objective: To examine pathways to borderline personality disorder (BPD), focusing on childhood abuse and emotional attention and clarity. Method: Among 293 community residents (mean age = 43.1; 53.9% female), measured associations between the BPD symptom factors of disturbed relatedness, affective dysregulation, and behavioral dysregulation and (a) childhood abuse (emotional, physical, and sexual); (b) emotional attention and clarity; and (c) negative affect, using structured interviews, the Schedule for Non-Adaptive and Adaptive Personality-2, the Trait Meta Mood Scale, and the Positive and Negative Affect Scale, respectively. Results: All forms of childhood abuse were associated with BPD symptom factors. Emotional attention and clarity moderated the effects of childhood physical and emotional abuse on behavioral dysregulation and disturbed relatedness. All results held when controlling for negative affect. Conclusion: The relations between childhood abuse and BPD are robust. Emotional attention and clarity may help elucidate the links between childhood abuse and BPD.

Original languageEnglish (US)
Pages (from-to)910-921
Number of pages12
JournalJournal of Clinical Psychology
Volume73
Issue number7
DOIs
StatePublished - Jul 2017

Fingerprint

Borderline Personality Disorder
Personality
Appointments and Schedules
Childhood
Abuse
Emotion
Interviews
Clarity

Keywords

  • borderline personality disorder
  • childhood abuse
  • emotional attention
  • emotional awareness
  • emotional clarity

ASJC Scopus subject areas

  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

Cite this

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abstract = "Objective: To examine pathways to borderline personality disorder (BPD), focusing on childhood abuse and emotional attention and clarity. Method: Among 293 community residents (mean age = 43.1; 53.9{\%} female), measured associations between the BPD symptom factors of disturbed relatedness, affective dysregulation, and behavioral dysregulation and (a) childhood abuse (emotional, physical, and sexual); (b) emotional attention and clarity; and (c) negative affect, using structured interviews, the Schedule for Non-Adaptive and Adaptive Personality-2, the Trait Meta Mood Scale, and the Positive and Negative Affect Scale, respectively. Results: All forms of childhood abuse were associated with BPD symptom factors. Emotional attention and clarity moderated the effects of childhood physical and emotional abuse on behavioral dysregulation and disturbed relatedness. All results held when controlling for negative affect. Conclusion: The relations between childhood abuse and BPD are robust. Emotional attention and clarity may help elucidate the links between childhood abuse and BPD.",
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