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Zusammenhang zwischen unterschiedlichen Mobbingerfahrungen und der Ausprägung von Borderline-Persönlichkeitsstörungsmerkmalen bei Jugendlichen in der Kinder- und Jugendpsychiatrie

Published Online:March 09, 2023https://doi.org/10.1026/0942-5403/a000399

Abstract

Zusammenfassung:Theroretischer Hintergrund: Die vorliegende Studie untersucht den Zusammenhang zwischen Mobbing‍(–Arten) und der Ausprägung der Borderline-Persönlichkeitsstörung (BPS) bei Jugendlichen. Methode: 513 konsekutiv rekrutierte, jugendliche Patient_innen nahmen an einer umfassenden Diagnostik teil. Der Zusammenhang zwischen der Häufigkeit von Mobbingerfahrungen und der Anzahl der BPS-Kriterien wurde mit Hilfe von ordinalen logistischen Regressionen untersucht. Ergebnisse: Jugendliche Patient_innen, die in den vergangenen drei Monaten mehrmals pro Woche gemobbt wurden, wiesen eine stärkere BPS-Symptomatik auf als Jugendliche ohne Mobbingerfahrung (OR = 3.47, CI = 2.32 – 5.18, p < 0.001). Soziales Mobbing und Bedrohen erwiesen sich als wichtigste Prädiktoren für den Schweregrad der BPS-Symptomatik. Diskussion und Schlussfolgerung: Häufigere Mobbingerfahrungen, insbesondere sozialer und bedrohender Art, waren mit mehr Symptomen der BPS assoziiert. Programme zur Prävention von Mobbing an Schulen sollten gefördert sowie in der Behandlung von Patienten thematisiert werden.


Relationship Between Different Bullying Experiences and the Expression of Borderline Personality Disorder Traits in Adolescents in Child and Adolescent Psychiatry

Abstract:Theoretical background: The present study examined the relationship between bullying and the expression of borderline personality disorder (BPD) in adolescent patients. Based on previous literature, we hypothesized that adolescents who reported being victims of bullying would show more pronounced BPD pathology. Further, we investigated whether different types of bullying (verbal, physical, relational, social, threatening) are differentially associated with BPD severity. Method: 513 consecutively recruited adolescent patients (participation rate > 80 %) from the University Clinic for Child and Adolescent Psychiatry and Psychotherapy in Bern, between 11 and 18 years old (79 % female), participated in a comprehensive diagnostic assessment. Using ordinal logistic regression, we examined the relationship between the frequency of bullying experiences (Forms of Bullying Questionnaire) and the number of DSM-5 BPD criteria met in the SCID-5-PD as an indicator of severity. We analyzed the association between the type of bullying and the number of BPD criteria using ordinal logistic regression with stepwise reduction of the BIC criterion, followed by bootstrapping. Results: Adolescent patients who had been bullied several times per week during the past 3 months showed more BPD symptoms than adolescents without bullying experience (OR = 3.47, CI = 2.32 – 5.18, p < .001). Similarly, adolescents who had been bullied every few weeks showed more BPD symptoms than adolescents who reported no bullying (OR = 2.43, CI = 1.61 – 3.68, p < .001). Social bullying (e. g., being subjected to the circulation of false rumors) and threatening (e. g., being humiliated or intimidated) emerged as the most important predictors of BPD severity. Discussion and conclusion: In this clinical adolescent sample, more frequent bullying experiences, especially of a social and threatening nature, were associated with more symptoms of BPD. Addressing bullying in school-based prevention programs and the context of early treatment is warranted.

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