Identifying clinical risk factors correlated with addictive features of non-suicidal self-injury among a consecutive psychiatric outpatient sample of adolescents and young adults

Wang, Ying; Shen, Yidong; Ou, Jianjun; Chen, Hui; Jiang, Furong; Yang, Fangru; Li, Jianling; Xiao, Qian; Luo, Wei; Wang, Gang; Dong, Huixi

doi:10.1007/s00406-023-01636-4

Cited by 3 publications

(2 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Alexithymia is a difficulty in regulating emotions, defined as a disorder characterized by a failure to recognize and describe feelings ( Dong et al, 2023 ). Numerous studies have shown a strong association between alexithymia and NSSI ( Ying et al, 2023 ; Zhang et al, 2023 ). In their study, Tang et al (2022) discovered that alexithymia has a positive relationship with NSSI and that depression may act as a mediator between alexithymia and NSSI.…”

Section: Introductionmentioning

confidence: 99%

“…Childhood trauma refers to the abusive and traumatizing experiences that an individual suffers before the age of 16. These experiences encompass five forms: physical abuse, emotional abuse, sexual abuse, emotional neglect, and physical neglect ( Ying et al, 2023 ). Childhood trauma may be associated with self-injury in adolescents with depressive disorder.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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.

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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.

View full text Add to dashboard Cite

show abstract

Network Analysis of Childhood Maltreatment, Anxiety, and Addictive Non-Suicidal Self-injury in Adolescents

Zhang,

Liu,

Xia

et al. 2024

Int J Ment Health Addiction

View full text Add to dashboard Cite

Non-suicidal self-injury (NSSI) in adolescents is becoming a widespread health issue. Recent studies have suggested that repetitive NSSI is crucial in NSSI adolescents and can be conceptualized as an “addictive behavior.” The aim of this cross-sectional study was to explore the network relationships among child maltreatment, anxiety, and addictive NSSI in adolescents. In total, 542 adolescents (14.07 ± 2.15 years old, 18.6% males) with NSSI behavior completed the related questionnaires. Two types of psychometric approaches were used to analyze the data. First, the network analysis showed that emotional abuse (Expected Influence: 1.20) had the most central role among the networks, and the edges of emotional abuse–anxiety (weight: 0.25), emotional abuse-addictive NSSI (weight: 0.20), and anxiety–addictive NSSI (weight: 0.19) showed stronger positive associations of trans-symptom edges. Second, the network comparison test was used to examine the network differences between the male and female groups; however, no network differences were found. Overall, among all types of childhood maltreatment, our results suggest that emotional abuse should be more emphasized to prevent long-term mental adverse outcomes and addictive NSSI, and that anxiety may also mediate emotional abuse and addictive NSSI in NSSI adolescents.

show abstract

Investigating suicidal behavior among prisoners in the light of the behavioral addiction approach: results of a multicenter cross-sectional study

Horváthné Pató,

Kresznerits,

Szekeres

et al. 2024

Front. Psychiatry

View full text Add to dashboard Cite

IntroductionThe behavioral addiction model posits that repetitive suicidal behaviors can serve as maladaptive strategies for managing stress and negative emotional states, akin to substance addiction. Both behaviors involve negative emotions, offer temporary psychological relief, and persist, indicating shared neurobiological mechanisms. This study explored psychometric differences among major repeaters, occasional attempters, and non-suicidal prisoners.MethodsA multi-centre cross-sectional survey of 363 inmates across four prisons assessed depression, cognitive-emotional regulation, impulsivity, perceived stress, lifetime non-suicidal self-injury and suicide attempts.ResultsMild depression, moderate suicidal ideation, and moderate impulsivity were common, with nearly half of the participants having attempted suicide at least once. Hierarchical multiple regression analyses revealed that repeated suicidal behavior in the past increases susceptibility to future suicidal thoughts, with suicide attempts serving as a maladaptive emotion regulation strategy among repeated attempters.DiscussionThe results reveal differences in emotional dysregulation, impulsivity, and stress coping strategies among the studied groups, reinforcing the idea of suicidality as a form of behavioral addiction. The addiction approach helps explain the sensitivity to later suicidal thoughts in former attempters and self-harmers, offering valuable insights for tailored interventions within correctional settings.

show abstract

Identifying clinical risk factors correlated with addictive features of non-suicidal self-injury among a consecutive psychiatric outpatient sample of adolescents and young adults

Cited by 3 publications

References 55 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 Childhood Maltreatment, Anxiety, and Addictive Non-Suicidal Self-injury in Adolescents

Investigating suicidal behavior among prisoners in the light of the behavioral addiction approach: results of a multicenter cross-sectional study

Contact Info

Product

Resources

About