{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T19:53:05Z","timestamp":1793649185785,"version":"4.5.1"},"reference-count":85,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,3,21]],"date-time":"2019-03-21T00:00:00Z","timestamp":1553126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2019,9]]},"abstract":"\n Objective<\/jats:title>\n \n People with Borderline Personality Disorder (\n BPD<\/jats:styled-content>\n ) may experience heightened rejection sensitivity (\n RS<\/jats:styled-content>\n ), a disposition developing from repeated childhood rejecting experiences. It is not known whether the full\n RS<\/jats:styled-content>\n model accounts for the cognitive\u2013affective experiences common in\n BPD<\/jats:styled-content>\n . This systematic review extends upon previous reviews, firstly by assessing the link between childhood rejecting experiences and adult\n RS<\/jats:styled-content>\n , and secondly by considering the link between\n BPD<\/jats:styled-content>\n and\n RS<\/jats:styled-content>\n in both non\u2010clinical and clinical samples.\n <\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n Two research questions were devised, and searches based on predetermined criteria were conducted using Psyc\n NET<\/jats:styled-content>\n , PubMed,\n SCOPUS<\/jats:styled-content>\n , and Web of Science. Data were extracted by one researcher and 20% was inter\u2010rated, with high levels of agreement. Forty\u2010three papers were systematically reviewed, and 31 included in meta\u2010analysis and meta\u2010regression.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Studies assessing the link between childhood rejection and\n RS<\/jats:styled-content>\n are limited; however, emotional abuse and neglect appears linked with\n RS<\/jats:styled-content>\n . Pooled effect sizes suggest\n RS<\/jats:styled-content>\n is linked with\n BPD<\/jats:styled-content>\n (\n r<\/jats:italic>\n \u00a0=\u00a0.326), with strong effect sizes when comparing clinical and control samples (\n r\u00a0<\/jats:italic>\n =\u00a0.655). Qualitative synthesis suggests this may be mediated by executive control, although further research is required. The small number of studies considering the full\n RS<\/jats:styled-content>\n model with regard to\n BPD<\/jats:styled-content>\n suggests the interaction between emotional abuse and neglect affects rejection sensitivity; however, outcomes are inconsistent.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Childhood rejection, particularly emotional abuse and neglect, appears to be linked to rejection sensitivity, and rejection sensitivity is linked to\n BPD<\/jats:styled-content>\n . However, this may not be linear. Implications for clinical practice and research are discussed.\n <\/jats:p>\n <\/jats:sec>\n \n Practitioner points<\/jats:title>\n \n \n \n \n Rejection sensitivity is consistently linked with\n BPD<\/jats:styled-content>\n , in clinical and non\u2010clinical samples. Supporting mentalization or improved theory of mind may offer a therapeutic target for this disposition.\n <\/jats:p>\n <\/jats:list-item>\n \n \n Considering the causes and effects of rejection sensitivity may offer a non\u2010blaming explanation of interpersonal difficulties in\n BPD<\/jats:styled-content>\n and could be utilized as part of formulation and the therapeutic relationship.\n <\/jats:p>\n <\/jats:list-item>\n \n \n However, the possible interaction between emotional abuse and neglect and rejection sensitivity suggests rejection sensitivity is not always apparent for people with\n BPD<\/jats:styled-content>\n . Idiosyncratic formulation should consider this.\n <\/jats:p>\n <\/jats:list-item>\n \n The literature included in the review is limited to Western populations with a high proportion of females, which may limit generalizability.<\/jats:p>\n <\/jats:list-item>\n \n Measures of rejection sensitivity included in the review were restricted to self\u2010report, which may be subject to bias. Furthermore, measures of childhood rejection were retrospective in nature due to the exclusion of child samples. Further research should consider longitudinal and observational study designs.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bjc.12216","type":"journal-article","created":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T01:04:50Z","timestamp":1553216690000},"page":"289-326","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":83,"title":["The link between rejection sensitivity and borderline personality disorder: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8106-0467","authenticated-orcid":false,"given":"Mia","family":"Foxhall","sequence":"first","affiliation":[{"name":"Department of Psychology University of Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Hamilton\u2010Giachritsis","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Button","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,21]]},"reference":[{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_4_1","first-page":"1","article-title":"Borderline personality features, anger, and intimate partner violence: An experimental manipulation of rejection","author":"Armenti N. 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