Alterations of empathy in mothers with a history of early life maltreatment, depression, and borderline personality disorder and their effects on child psychopathology

Dittrich, Katja and Bermpohl, Felix and Kluczniok, Dorothea and Hindi Attar, Catherine and Jaite, Charlotte and Fuchs, Anna and Neukel, Corinne and Herpertz, Sabine C. and Brunner, Romuald and Winter, Sibylle Maria and Lehmkuhl, Ulrike and Roepke, Stefan and Kaess, Michael and Heim, Christine and Boedeker, Katja (2020) Alterations of empathy in mothers with a history of early life maltreatment, depression, and borderline personality disorder and their effects on child psychopathology. PSYCHOLOGICAL MEDICINE, 50 (7): PII S00332. pp. 1182-1190. ISSN 0033-2917, 1469-8978

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Abstract

Background Early life maltreatment (ELM), borderline personality disorder (BPD), and major depressive disorder (MDD) have been associated with empathy deficits in different domains. Lack of maternal empathy has also been related to child behavioral problems. As ELM, BPD, and MDD often co-occur, we aimed to identify dissociable effects on empathy due to these three factors. In addition, we aimed to investigate their indirect effects via empathy on child psychopathology. Methods We included 251 mothers with and without MDD (in remission), BPD and ELM and their children, aged 5-12. We used the Interpersonal Reactivity Index as a measure of empathy on four different dimensions (personal distress, empathic concern, perspective taking, and fantasy) and the Child Behavior Checklist as a measure of child psychopathology. Results Having included all three factors (ELM, MDD, BPD) in one analysis, we found elevated personal distress in MDD and BPD, and lower levels of perspective-taking in BPD, but no effects from ELM on any empathy subscales. Furthermore, we found indirect effects from maternal BPD and MDD on child psychopathology, via maternal personal distress. Conclusion The present study demonstrated the dissociable effects of maternal ELM, MDD, and BPD on empathy. Elevated personal distress in mothers with BPD and MDD may lead to higher levels of child psychopathology.

Item Type: Article
Uncontrolled Keywords: NEUROPSYCHIATRIC INTERVIEW MINI; INTERGENERATIONAL TRANSMISSION; MATERNAL DEPRESSION; ABUSE CECA; WOMEN; VALIDITY; BEHAVIOR; ASSOCIATIONS; ALEXITHYMIA; RELIABILITY; Child; borderline personality disorder; depressive disorder; empathy; mothers
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 24 Mar 2021 12:57
Last Modified: 24 Mar 2021 12:57
URI: https://pred.uni-regensburg.de/id/eprint/44647

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