Comparative Impact of Maternal vs. Paternal Rejection on the Symptoms of Borderline Personality Disorder in a Clinical Population

Authors

  • Shelina Fatema Binte Shahid

DOI:

https://doi.org/10.63682/jns.v14i31S.7468

Keywords:

Borderline Personality Disorder, maternal rejection, paternal rejection, BPD symptoms, maternal hostility

Abstract

Background: Borderline Personality Disorder (BPD) refers to a serious mental health problem involving mood swings, lack of self-control, and unclear self-image, which is also associated with issues in childhood relationships.

Objective: This study aims to compare the impact of maternal versus paternal rejection on the severity of BPD symptoms in Bangladeshi populations.

Methodology: It was a cross-sectional descriptive study. The participants were selected purposively from five psychiatric outpatient departments of Bangladeshi hospitals. Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II), a socio-demographic questionnaire, and the Parental Acceptance-Rejection Questionnaire- Mother (PARQ-M) and Parental Acceptance-Rejection Questionnaire- Father (PARQ-F) were administered on 40 BPD-diagnosed subjects (age group 18–46). Data analysis was done by SPSS v26.0 software to conduct the analysis and conduct Pearson and Kendall’s Tau-b correlation tests. Approval for the study was given by the Ethical Approval Committee of the Department of Clinical Psychology and the Ethical Approval Committee of the Biological Science at the University of Dhaka.

Result: Most of the participants were found to be women, with the average age being 28.2 years. The amount of maternal rejection (67.5%) was notably higher than the amount of paternal rejection (41%). The relationship between maternal rejection and the severity of BPD was strongly and positively correlated (r = 0.304, p = 0.028), whereas the correlation between paternal rejection and BPD severity was weaker but significant (tau b = 0.210, p = 0.044). The regression model showed maternal hostility to be a significant predictor of BPD severity (beta = 0.489, p = 0.001), with 23.9 percent of the variance being explained (R 2 =0.239). Scatterplots and residual plots confirmed the statistical results, pointing to them as the main causes of BPD severity. 

Conclusion: Maternal hostility toward a child is much more strongly linked to the occurrence and severity of BPD symptoms compared to paternal acts of rejection. These findings highlight the value of paying attention to a mother’s role in therapy for BPD.

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References

Jennifer Chapman, R. T. (2024). Borderline Personality Disorder. In Treasure Island (FL). StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430883/

Falk Leichsenring, P. F. (2024). Borderline personality disorder: a comprehensive review of diagnosis and clinical presentation, etiology, treatment, and current controversies. World Psychiatry., 23(1), 4-25. doi:10.1002/wps.21156

Sophie C. Dahlenburg, D. R. (2024). Global prevalence of borderline personality disorder and self-reported symptoms of adults in prison: A systematic review and meta-analysis. International Journal of Law and Psychiatry, 97, 102032. doi:https://doi.org/10.1016/j.ijlp.2024.102032

Shivani K. Shenoy, S. K. (2019). Borderline Personality Disorder and its Association with Bipolar Spectrum and Binge Eating Disorder in College Students from South India. Asian Journal of Psychiatry, 44. doi:10.1016/j.ajp.2019.07.017

Camilo J Ruggero, M. Z. (2009). Borderline Personality Disorder and the Misdiagnosis of Bipolar Disorder. J Psychiatr Res., 44(6), 405–408. doi:10.1016/j.jpsychires.2009.09.011

D E Rodante, L. N. (2019). Predictors of short- and long-term recurrence of suicidal behavior in borderline personality disorder. Acta Psychiatr Scand., 140(2), 158-168. doi:10.1111/acps.13058

Nadège Bourvis, A. A. (2017). How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder? Front Psychol., 8(2054). doi:10.3389/fpsyg.2017.02054

Eva Irle, C. L. (2005). Reduced size and abnormal asymmetry of parietal cortex in women with borderline personality disorder. Biol Psychiatry., 57(2), 173-82. doi:10.1016/j.biopsych.2004.10.004

Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.

Ali Amad, N. R. (2014). Genetics of borderline personality disorder: systematic review and proposal of an integrative model. Neurosci Biobehav Rev., 40, 6-19. doi:10.1016/j.neubiorev.2014.01.003

Hans R Agrawal, J. G.-R. (2004). Attachment studies with borderline patients: a review. Harv Rev Psychiatry, 12(2), 94-104. doi:10.1080/10673220490447218

Angela D. Nickell, C. J. (2002). Attachment, Parental Bonding and Borderline Personality Disorder Features in Young Adults. Journals of Personality Disorders, 16(2), 148-159. doi:https://doi.org/10.1521/pedi.16.2.148.22544

John G Gunderson, K. L.-R. (2008). BPD's interpersonal hypersensitivity phenotype: a gene-environment-developmental model. J Pers Disord., 22(1), 22-41. doi:10.1521/pedi.2008.22.1.22

Swapnil Gupta, S. K. (2012). Personality disorders: prevalence and demography at a psychiatric outpatient in North India. Int J Soc Psychiatry, 58(2), 146-52. doi:10.1177/0020764010387548

APA. (2000). Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision (DSM-IV-TR). Washington DC: American Psychiatric Association. doi:https://doi.org/10.1176/appi.books.9780890423349

Skodol, A. E. (2003). Why are women diagnosed borderline more than men? Psychiatric Quarterly, 74(4), 349–360. doi:https://doi.org/10.1023/A:1026087410516

Randy A Sansone, L. A. (2009). Borderline personality and criminality. Psychiatry (Edgmont)., 6(10), 16-20.

Rumana Aktar, A. N. (2014). Parental Acceptance, Mental Health and Self-efficacy of Adults in Bangladesh. IOSR Journal of Humanities and Social Science, 19(2), 01-07. doi:10.9790/0837-19240107

Christy M.K. Cheung, M. K. (2008). The impact of electronic word‐of‐mouth: The adoption of online opinions in online customer communities. Internet Research, 18, 229-247. doi:https://doi.org/10.1108/10662240810883290

Parminder Parmar, R. P. (2008). Relations Among Spouse Acceptance, Remembered Parental Acceptance in Childhood, and Psychological Adjustment Among Married Adults in India. Cross-Cultural Research, 42(1), 57-66. doi:10.1177/1069397107309763

Ronald Preston Rohner, A. K. (2005). Parental acceptance-rejection theory, methods, and implications. In Handbook for the study of parental acceptance and rejection (4 ed., pp. 1-35). Rohner Research Publications. Retrieved from https://www.researchgate.net/publication/255729046_Parental_acceptance-rejection_theory_methods_and_implications

Azmi Varan, R. P. (2008). Intimate Partner Acceptance, Parental Acceptance in Childhood, and Psychological Adjustment Among Turkish Adults in Ongoing Attachment Relationships. Cross-Cultural Research, 42(1), 46-56. doi:10.1177/1069397107309758

Kayla R. Steele, M. L. (2019). Parenting and personality disorder: An overview and meta-synthesis of systematic reviews. PLOS ONE, 14(10), e0223038. doi:https://doi.org/10.1371/journal.pone.0223038

H Marieke Schuppert, C. J. (2012). Parental rearing and psychopathology in mothers of adolescents with and without borderline personality symptoms. Child Adolesc Psychiatry Ment Health, 6(1), 29. doi:10.1186/1753-2000-6-29.

Jenny Macfie, G. K. (2017). A MOTHER’S BORDERLINE PERSONALITY DISORDER AND HER SENSITIVITY, AUTONOMY SUPPORT, HOSTILITY, FEARFUL/DISORIENTED BEHAVIOR, AND ROLE REVERSAL WITH HER YOUNG CHILD. Journal of Personality Disorders, 31(6), 721-737. Retrieved from https://macfie.utk.edu/wp-content/uploads/2018/08/Macfie-Kurdziel-Mahan-Kors-2017.pdf

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Published

2025-06-18

How to Cite

1.
Shahid SFB. Comparative Impact of Maternal vs. Paternal Rejection on the Symptoms of Borderline Personality Disorder in a Clinical Population. J Neonatal Surg [Internet]. 2025Jun.18 [cited 2025Sep.21];14(31S):913-20. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7468