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Does mindfulness mediate the association between attachment dimensions and Borderline Personality Disorder features? A study of Italian non-clinical adolescents

Andrea Fossati, Judith A. Feeney, Cesare Maffei, Serena Borroni

Attachment & human development October 19, 2011 DOI: 10.1080/14616734.2011.608993 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional observational study Peer reviewed
Sample size 501
Population Italian high-school students (non-clinical adolescents)
Topics Meditation
Citations 27
Key findings Low Confidence and high Need for Approval and Preoccupation with Relationships attachment scores were associated with more BPD features (adjusted R² = .2). Mindfulness was negatively associated with Need for Approval and Relationships as Secondary scales (adjusted R² = .14) and with BPD features (adjusted R² = .15). The association between Need for Approval and BPD features was fully mediated by mindfulness, which the authors say is consistent with a mentalization-deficit account of the attachment–BPD link.

Abstract

The aim of this study was to assess whether mindfulness mediates the association between attachment dimensions and features of Borderline Personality Disorder (BPD) in a sample of 501 Italian high-school students. Low scores on Confidence and high scores on Need for Approval and Preoccupation with Relationships attachment scales was significantly related to the number of BPD features (adjusted R(2) = .2, p < .001). Further, mindfulness scores were negatively associated with Need for Approval and Relationships as Secondary attachment scales (adjusted R(2) = .14, p < .001). Finally, mindfulness scores were negatively associated with the number of BPD features (adjusted R(2) = .15, p < .001). Mediation analyses showed that the relationship between Need for Approval and BPD was completely mediated by the mindfulness effects. Our results in non-clinical adolescents are consistent with Bateman and Fonagy's (2004) hypothesis that the link between attachment disturbances and BPD features may be mediated by deficits in mentalization, at least as these are operationalized by low mindfulness.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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