Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression

Zhang, Yanyan; Hu, Zhizhong; Hu, Maorong; Lu, Zihang; Yu, Haiqing; Yuan, Xin

doi:10.1002/brb3.2771

Cited by 10 publications

(3 citation statements)

References 39 publications

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“…After controlling for all available covariates, emotional abuse continued to be an independent risk factor for NSSI in the CTQ-SF. This finding is in keeping with a previous study ( Zhang et al, 2022 ). Similar to our findings, Kang et al (2018) discovered that emotional abuse was a significant predictor of self-injury in a sample of Chinese adolescents.…”

Section: Discussionsupporting

confidence: 94%

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Cao,

Peng,

Yuan

et al. 2024

Front. Psychol.

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PurposeThis study analyzes the relationship of alexithymia, childhood trauma, and body investment to non-suicidal self-injury (NSSI) behaviors in adolescents with depressive disorder and whether they have predictive and diagnostic value for non-suicidal self-injury (NSSI) behaviors in adolescents with depressive disorder.Patients and methodsA total of 225 patients with a diagnosis of adolescent depressive disorder were included in the study and were divided into two groups according to the DSM-5 criteria: 98 cases without NSSI and 127 cases with NSSI. Compare the demographic data, 24-item Hamilton Depression Scale (HAMD-24), 20-item Toronto Alexithymia Scale (TAS-20), Childhood Trauma Questionnaire-Short Form (CTQ-SF), and Body Investment Scale (BIS) scores between two groups. Binary logistic regression was used to analyze the independent risk factors contributing to NSSI behaviors in adolescents with depression, and establish four predictive models. Based on the models’ predictive probability, the ROC curves were plotted to calculate the value of the predictive diagnostic effect.ResultsThe group without NSSI had lower scores than the group with NSSI on HAMD-24 total score, TAS-20 total score, difficulty identifying feelings, difficulty describing feelings, and externally focused thinking, as well as lower scores on CTQ-SF total score, physical neglect, emotional neglect, physical abuse, and emotional abuse. In contrast, the BIS total score, body image feelings and attitudes, body care, and body protection factor scores were higher for the group without NSSI. The BIS body care factor score and the CTQ-SF emotional abuse factor score were significantly linked with adolescents diagnosed with depressive disorder who exhibited NSSI behaviors. These results provide a good diagnostic model for adolescents with depressive disorder.ConclusionLow levels of body care and childhood emotional abuse may independently contribute to the implementation of NSSI in adolescents with depressive disorder. Body investment and childhood trauma are valuable in diagnosing and predicting NSSI behaviors and should be considered as potentially important factors in clinical treatment.

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Section: Discussionsupporting

confidence: 94%

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Cao,

Peng,

Yuan

et al. 2024

Front. Psychol.

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“…From the theory and our results, they will ght against negative emotions in unique ways, such as NSSI, to protect themselves. Second, different childhood traumatic experiences have different effects on depression and NSSI: Heleniak et al [46] found a strong association between childhood pleasure de cit mood disorder and child maltreatment in the sample of community adolescents; Zhang et al [25] found that the risk factor for NSSI was emotional abuse. Finally, there is a reciprocal predictive relationship between NSSI and depression in adolescents [47].…”

Section: Discussionmentioning

confidence: 99%

“…Overall, depression and NSSI are heavily in uenced by childhood trauma. Some scholars have found that there is a signi cant positive correlation between childhood trauma and NSSI in general [24], while others have found that emotional abuse in childhood trauma is a risk factor affecting the physical and mental health development of adolescents [25]; Steine et al…”

Section: Introductionmentioning

confidence: 99%

Network analysis of the relationship between non-suicidal self-injury, depression, and childhood trauma in adolescents

Lei,

Yang,

Zhu

et al. 2024

Preprint

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Background Non-suicidal self-injury seriously harm the physical and mental health of adolescents. The aim of the current study was to explore the relationship between non-suicide self-injury, depression, and childhood trauma from the perspective of symptoms in adolescents. Methods A cross-sectional survey was conducted in four junior high middle schools and collected 2640 valid questionnaires. Non-suicidal self-injury (NSSI), depressive symptoms, and childhood trauma were assessed using the Adolescent Self-Harm Scale, the Childhood Depression Scale, and the Childhood Trauma Questionnaire, respectively. A network analysis was performed. Results In the network, NSSI, depressive symptoms and childhood trauma are closely related. Negative Self Esteem in the depressive symptoms and emotional Abuse in the childhood trauma categories were the most central nodes. Negative self-esteem and negative mood were directly connected to NSSI, other nodes of depressive symptoms appeared to be indirectly connected to NSSI through these two nodes. Emotional Abuse was the only node in the childhood trauma categories directly connected to NSSI. The shortest pathways form other categories of childhood trauma (physical neglect, physical abuse, emotional neglect, and sexual abuse) to the NSSI through the effect of emotional abuse. Conclusions Our findings indicate that targeting negative self-esteem, negative mood and emotional abuse as intervention targets may alleviate depression and reduce NSSI in adolescents to the greatest extent.

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Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression

Zhang

et al. 2022

Brain and Behavior

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Objective: This study was performed to explore the effect of childhood trauma on nonsuicidal self-injury (NSSI) in adolescents with bipolar II (BD II) depression. Methods:Based on the diagnostic criteria of the DSM-5 and structured interviews to assess the presence or absence of NSSI, 184 adolescent patients with BD II depression were divided into the NSSI (n = 112) and non-NSSI (n = 72) groups. The Adolescent Nonsuicidal Self-Injury Assessment Questionnaire (ANSAQ), Childhood Trauma Questionnaire-Short Form (CTQ-SF), Toronto Alexithymia Scale (TAS-20), Hamilton Depression Scale (HAMD), and Hamilton Anxiety Scale (HAMA) were used to assess the subjects. Result:The CTQ-SF, HAMD, HAMA, and TAS-20 scores were significantly higher in the NSSI group than in the non-NSSI group (p < .01). Logistic regression analysis showed emotional abuse (p = .028, OR = 1.14, 95% CI = 1.01-1.28) and age of onset (p = .009) as risk factors for NSSI. Adolescents with onset age 12-13 years (OR = 6.30, 95% CI = 1.72-23.10) and 14-15 years (OR = 2.24, 95% CI = 1.04-4.84) had a higher risk of self-injury relative to adolescents aged 16-18 years. Conclusion:Childhood trauma and alexithymia were important influencing factors in adolescent patients with BD II depression. Emotional abuse and age of onset as risk factors for NSSI, and difficulties in emotion recognition were positively associated with the patients' NSSI.

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Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression

Cited by 10 publications

References 39 publications

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Network analysis of the relationship between non-suicidal self-injury, depression, and childhood trauma in adolescents

Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression

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