Evidence map›Paper›PMID 42483099›Full record

ArticleFrontiers in psychiatry2026

Self-esteem and inner strengths: a network study in Thai university students with borderline personality disorder symptoms.

Yuting Song, Justin DeMaranville, Kanyarat Khattiya, Kelvin Leung, Nahathai Wongpakaran, Tinakon Wongpakaran

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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yuting SongMental Health Program, Multidisciplinary and Interdisciplinary School (MidS), Chiang Mai University, Chiang Mai, Thailand.
Justin DeMaranvilleMental Health Program, Multidisciplinary and Interdisciplinary School (MidS), Chiang Mai University, Chiang Mai, Thailand.
Kanyarat KhattiyaMental Health and Psychiatry Services, Maesai Hospital, Chiang Rai, Thailand.
Kelvin LeungFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Nahathai WongpakaranMental Health Program, Multidisciplinary and Interdisciplinary School (MidS), Chiang Mai University, Chiang Mai, Thailand.
Tinakon WongpakaranMental Health Program, Multidisciplinary and Interdisciplinary School (MidS), Chiang Mai University, Chiang Mai, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Self-esteem is widely regarded as an important construct in the psychological functioning of individuals with borderline personality disorder (BPD) symptoms. During emerging adulthood, fluctuations in self-esteem are often linked to emotional dysregulation and maladaptive adjustment; however, self-esteem has rarely been examined within a broader system of culturally relevant psychological resources. Drawing on the Theravāda Buddhist framework of the Ten Pāramīs, inner strengths may represent protective resources that can be examined alongside self-esteem to clarify how these strengths co-occur among students experiencing BPD symptoms. Methods: The present study employed a regularized psychological network approach to investigate partial associations between self-esteem and Ten Pāramī-based inner strengths among Thai university students screening positive for BPD symptoms. Participants were 346 Thai university students (25.4% male, 74.6% female; mean age = 21.60 ± 2.24 years) identified using a standardized BPD screening instrument. Inner strengths included Truthfulness, Perseverance, Wisdom, Generosity, adherence to the Five Precepts, Meditation, Tolerance, Equanimity, Determination, and Loving-kindness. Result: The estimated network showed a predominantly positive pattern of partial associations among strengths. The strongest edge was observed between Generosity and Loving-kindness, and links between self-esteem and Determination (and Equanimity) were among the most consistently estimated associations (based on bootstrap confidence intervals). Centrality indices were examined descriptively; however, case-dropping bootstrap results indicated very limited stability of centrality estimates (CS(cor = 0.7) = 0.13 for strength and expected influence), and centrality rankings were therefore treated as strictly exploratory. Discussion: Although some negative partial associations were estimated (e.g., involving Truthfulness, Perseverance, and Equanimity), their precision was limited and such patterns should be treated as exploratory. Exploratory gender-stratified analyses suggested that the strongest edges were similar in the female subsample, whereas the male subsample yielded a sparse/near-empty regularized network, limiting inference regarding gender differences. Given the cross-sectional design, all associations are interpreted as conditional co-occurrence rather than directional or causal effects. Conclusion: Overall, these findings highlight a small set of robust co-occurring inner strengths linked to self-esteem in Thai university students with BPD symptoms and provide a culturally informed basis for hypothesis generation regarding strengths-based skills cultivation and supportive interventions in university settings.

Indexed as

borderline personality featurescultural psychologyemerging adulthoodinner strengthsnetwork analysisprotective factorsself-esteemTen Pāramīs

Identifiers

PMID42483099
PMCPMC13385106

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