Sato, M; Fonagy, P; Luyten, P; (2020) Rejection Sensitivity and Borderline Personality Disorder Features: The Mediating Role of Attachment Anxiety, Need to Belong, and Self-Criticism. Journal of Personality Disorders , 34 (2) pp. 273-278. 10.1521/pedi_2019_33_397.

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Abstract

Rejection hypersensitivity has been considered to be the core feature of borderline personality disorder (BPD) patients. However, little is known about the possible developmental mechanisms that might explain the association between rejection sensitivity and BPD features. The current study investigated the mediating roles of adult attachment, need to belong, and self-criticism in the association between rejection sensitivity and BPD features in 256 healthy adults. Results indicated attachment anxiety, need to belong, and self-criticism mediated the association between rejection sensitivity and BPD features. However, attachment anxiety and self-criticism did not moderate the mediated association between rejection sensitivity and BPD features. The findings suggested that individuals with high rejection sensitivity were more likely to be anxiously attached to significant others, which might increase the desire to be accepted by others. To satisfy this elevated need to affiliate with others, they might become more self-critical which may contribute to high BPD features.

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