GANGGUAN MOOD PADA ANAK DENGAN IBU KEPRIBADIAN AMBANG: LAPORAN KASUS
DOI:
https://doi.org/10.51878/healthy.v3i4.4355Keywords:
disregulasi emosi, gangguan mood, kepribadian ambangAbstract
ABSTRACT
Childhood is an important phase in personality formation, but it is often accompanied by psychological problems that affect child development. Child development is greatly influenced by various factors, including parenting patterns. Data in this case study were obtained through in-depth interviews, medical records and psychometric examinations and projection tests aimed at seeing how mood disorders in children who have mothers with borderline personality. The patient is a 9-year-old boy who shows symptoms of aggression, hallucinations, unstable moods, and feelings of emptiness and loneliness. The child in this case shows problems with emotional dysregulation due to inconsistent parenting and environmental stress. The patient's mother has a borderline personality characterized by difficulty controlling emotions, extreme mood swings, and unstable behavior, which negatively affects parenting patterns. Studies show that mothers with borderline personality tend to create unstable environments, increase the risk of insecure attachment in children, and affect their emotional regulation. This case study highlights the importance of understanding the relationship between parental personality disorders and parenting, and their impact on child development. Interventions in parenting and support for families at risk of psychopathology can be preventive steps to reduce the incidence of mood disorders in children.
ABSTRAK
Masa kanak-kanak adalah fase penting dalam pembentukan kepribadian, namun sering disertai masalah psikologis yang memengaruhi perkembangan anak. Perkembangan anak sangat dipengaruhi oleh berbagai faktor, diantaranya pola asuh orangtua. Data dalam studi kasus ini diperoleh melalui wawancara mendalam, catatan rekam medis dan pemeriksaan psikometri dan tes proyeksi yang bertujuan untuk melihat bagaimana gangguan mood pada anak yang memiliki ibu dengan kepribadian ambang. Pasien adalah anak laki-laki 9 tahun yang menunjukkan gejala agresivitas, halusinasi, mood yang tidak stabil, serta rasa hampa dan kesepian. Anak dalam kasus ini menunjukkan masalah disregulasi emosi akibat pola asuh yang tidak konsisten dan tekanan lingkungan. Ibu pasien memiliki kepribadian ambang yang ditandai dengan kesulitan mengendalikan emosi, perubahan suasana hati yang ekstrem, dan perilaku tidak stabil, yang memengaruhi pola pengasuhan secara negatif. Studi menunjukkan bahwa ibu dengan kepribadian ambang cenderung menciptakan lingkungan yang tidak stabil, meningkatkan risiko kelekatan yang tidak aman pada anak, dan memengaruhi regulasi emosinya. Studi kasus ini menyoroti pentingnya memahami hubungan antara gangguan kepribadian orang tua dan pengasuhan, serta dampaknya pada perkembangan anak. Intervensi pada pola asuh dan dukungan bagi keluarga dengan risiko psikopatologi dapat menjadi langkah preventif untuk menurunkan kejadian gangguan mood pada anak.
References
Amiri, S., Ghoreishizadeh, M. A., Alavizadeh, Y., & Saedi, F. (2014). Lifetime prevalence of psychiatric disorders among parents of children with bipolar i disorder: Parental difference. Scientific World Journal, 2014. https://doi.org/10.1155/2014/256584
Brennan, P. A., Hammen, C., Katz, A. R., & Le Brocque, R. M. (2002). Maternal depression, paternal psychopathology, and adolescent diagnostic outcomes. Journal of Consulting and Clinical Psychology, 70(5), 1075–1085. https://doi.org/10.1037/0022-006X.70.5.1075
Campbell, L. E., Hanlon, M. C., Galletly, C. A., Harvey, C., Stain, H., Cohen, M., van Ravenzwaaij, D., & Brown, S. (2018). Severity of illness and adaptive functioning predict quality of care of children among parents with psychosis: A confirmatory factor analysis. Australian and New Zealand Journal of Psychiatry, 52(5), 435–445. https://doi.org/10.1177/0004867417731526
Chen, Y. C., Kao, C. F., Lu, M. K., Yang, Y. K., Liao, S. C., Jang, F. L., Chen, W. J., Lu, R. B., & Kuo, P. H. (2014). The relationship of family characteristics and bipolar disorder using causal-pie models. European Psychiatry, 29(1), 36–43. https://doi.org/10.1016/j.eurpsy.2013.05.004
Cimino, S., Tambelli, R., & Cerniglia, L. (2023). The Role of Maternal Personality Organization and of the p Factor in Predicting Parental Distress, the Quality of Parental Care, and Offspring’s Dysregulation Symptoms. Psychology Research and Behavior Management, 16, 3963–3971. https://doi.org/10.2147/PRBM.S423698
Crow, T. M., Levy, K. N., Bradley, B., Fani, N., & Powers, A. (2021). The roles of attachment and emotion dysregulation in the association between childhood maltreatment and PTSD in an inner-city sample. Child Abuse and Neglect, 118. https://doi.org/10.1016/j.chiabu.2021.105139
Hobson, R. P., Patrick, M., Crandell, L., García-Pérez, R., & Lee, A. (2005). Personal relatedness and attachment in infants of mothers with borderline personality disorder. Development and Psychopathology, 329–347.
King, L. S., Humphreys, K. L., & Gotlib, I. H. (2019). The neglect–enrichment continuum: Characterizing variation in early caregiving environments. Developmental Review, 51, 109–122. https://doi.org/10.1016/j.dr.2019.01.001
Mittendorfer-Rutz, E., Rasmussen, F., & Lange, T. (2012). A Life-Course Study on Effects of Parental Markers of Morbidity and Mortality on Offspring’s Suicide Attempt. PLoS ONE, 7(12). https://doi.org/10.1371/journal.pone.0051585
Ozturk, E. (2022). Dysfunctional generations versus natural and guiding parenting style: Intergenerational transmission of trauma and intergenerational transfer of psychopathology as dissociogenic agents. Medicine Science | International Medical Journal, 11(2), 886. https://doi.org/10.5455/medscience.2022.04.090
Petfield, L., Startup, H., Droscher, H., & Cartwright-Hatton, S. (2015). Parenting in mothers with borderline personality disorder and impact on child outcomes. Evid Based Mental Health, 18(3). http://ebmh.bmj.com/
Yatham, L. N., Kennedy, S. H., Parikh, S. V., Schaffer, A., Bond, D. J., Frey, B. N., Sharma, V., Goldstein, B. I., Rej, S., Beaulieu, S., Alda, M., MacQueen, G., Milev, R. V., Ravindran, A., O’Donovan, C., McIntosh, D., Lam, R. W., Vazquez, G., Kapczinski, F., … Berk, M. (2018). Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. Bipolar Disorders, 20(2), 97–170. https://doi.org/10.1111/bdi.12609
Zalewski, M., Stepp, S. D., Scott, L. N., Whalen, D. J., Beeney, J. F., & Hipwell, A. E. (2014). Maternal borderline personality disorder symptoms and parenting of adolescent daughters. Journal of Personality Disorders, 28(4), 541–554. https://doi.org/10.1521/pedi_2014_28_131













