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

Katja Dittrich, Felix Bermpohl, Dorothea Kluczniok, Catherine Hindi Attar, Charlotte Jaite, Anna Fuchs, Corinne Neukel, Sabine C. Herpertz, Romuald Brunner, Sibylle Maria Winter, Ulrike Lehmkuhl, Stefan Roepke, Michael Kaess, Christine Heim, Katja Boedeker

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Abstract

BackgroundEarly 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.MethodsWe 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.ResultsHaving 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.ConclusionThe 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.

Original languageEnglish (US)
JournalPsychological medicine
DOIs
StatePublished - Jan 1 2019

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All Science Journal Classification (ASJC) codes

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Dittrich, K., Bermpohl, F., Kluczniok, D., Hindi Attar, C., Jaite, C., Fuchs, A., Neukel, C., Herpertz, S. C., Brunner, R., Winter, S. M., Lehmkuhl, U., Roepke, S., Kaess, M., Heim, C., & Boedeker, K. (2019). 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. https://doi.org/10.1017/S0033291719001107