Psychopathological and Interactive-Relational Characteristics in Non-Suicidal Self-Injury Adolescent Outpatients

Miscioscia, Marina; Angelico, Caterina; Raffagnato, Alessia; Gatta, Michela

doi:10.3390/jcm11051218

Cited by 6 publications

(4 citation statements)

References 46 publications

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“…We demonstrated that family functioning differs between adolescents with and without NSSI. A study showed that poor family communication and lack of support may promote the development of NSSI, which in turn affects the relationship between children and parents and damages family function, forming a vicious circle ( 44 , 45 ). The specific role of the familial environment in the occurrence of NSSI needs further study.…”

Section: Discussionmentioning

confidence: 99%

Effects of BPD tendencies and subjective well-being on NSSI in adolescents with PTSD

Deng

Yan²,

et al. 2023

Front. Psychiatry

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BackgroundSevere posttraumatic stress disorder (PTSD) may lead to non-suicidal self-injury (NSSI), and borderline personality disorder (BPD) tendencies may play a role in this process. Secondary vocational students experience more social, familial and other pressures and are more vulnerable to psychological problems. Thus, we explored the effect of BPD tendencies and subjective well-being (SWB) on NSSI in secondary vocational students with PTSD.MethodsA total of 2,160 Chinese secondary vocational students in Wuhan participated in our cross-sectional investigation. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for PTSD, NSSI Questionnaire, Personality Diagnostic Questionnaire-4+, subjective well-being scale, and family adaptation, partnership, growth, affection, and resolve (APGAR) Index were used. We conducted a binary logistic regression model and linear regression analysis.ResultsSex (odds ratio [OR] = 0.354, 95% confidence interval [CI] = 0.171–0.733), BPD tendencies (OR = 1.192, 95% CI = 1.066–1.333) and SWB (OR = 0.652, 95% CI = 0.516–0.824) were independent factors that predicted NSSI in secondary vocational students with PTSD. Spearman’s correlation analysis showed that BPD tendencies were positively correlated with NSSI frequency (r = 0.282, P < 0.01). SWB was negatively correlated with NSSI frequency (r = −0.301, P < 0.01). The linear regression showed that BPD tendencies (β = 0.137, P < 0.05 and β = −0.230, P < 0.001) were significantly correlated with NSSI frequency. Spearman’s correlation analysis showed that family functioning was positively correlated with SWB (r = 0.486, P < 0.01) and negatively correlated with BPD tendencies (r = −0.296, P < 0.01).ConclusionIn adolescents, PTSD in response to stressful events could lead to NSSI, and BPD tendencies promote the intensity of NSSI, while SWB diminishes its intensity. Improvement in family functioning may actively guide the development of mental health and improve SWB; such steps may constitute interventions to prevent or treat NSSI.

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Section: Discussionmentioning

confidence: 99%

Effects of BPD tendencies and subjective well-being on NSSI in adolescents with PTSD

Deng

Yan²,

et al. 2023

Front. Psychiatry

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“…Albeit, with these limitations, our findings can provide useful theoretical-clinical input, and entitle us to claim that a combination of alexithymia and somatization in selfharming patients is associated with more severe clinical picture. Investigating these aspects in patients who engage in self-harming, both clinically and with the aid of tests-and possibly taking into account the environment in which patients live and the dynamics of their family interactions [45,53,54]-could help us to identify the individuals at greater psychopathological risk. This is an interesting finding from a preventive and intervention perspective, suggesting the importance of work on emotional awareness, on the capacity to recognize and express feelings to acquire competence in their regulation.…”

Section: Discussionmentioning

confidence: 99%

Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm

Gatta

Angelico

Rigoni

et al. 2022

JCM

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The present study aimed to investigate alexithymia and psychopathological manifestations centered on the body in a sample of adolescents with somatizing and/or self-harming issues to analyze the phenomenon of NSSI linked to Somatic Symptom Disorders (SSD). A sample of 184 adolescents between 12 and 19 years of age, was divided into three groups, one with NSSI (n = 49) and the second group with SSD (n = 57), comparing them with a third group of adolescents with SSD and NSSI (n = 78) to investigate their differences and similarities in psychopathological correlates and to analyze the mediation role of alexithymia and emotional dysregulation in NSSI and SSD related to internalizing problems. The battery of tests included the Toronto Alexithymia Scale (TAS-20) and the Youth Self-Report 11–18 (YSR). The NSSI + SSD group scored higher than the other two groups on all the YSR scales. The affective syndromes were the only clinical condition that discriminated between the three groups. On all the other syndrome scales, the NSSI + SSD group differed from the other two groups, while there were no differences between the NSSI group and the SSD group. The NSSI + SSD group revealed a more severely deficient emotional self-regulation. Difficulty identifying feelings was a trait shared by adolescents with SSD and those engaging in NSSI, a more complex overall alexithymia profile was associated with the combination of self-harming behavior and somatization. Alexithymia and emotional dysregulation played a mediating role in the relationship between internalizing problems and somatization. We did not find a mediating role in alexithymia and emotional dysregulation in the relationship between internalizing problems and self-injurious behavior. The combination of NSSI and SSD gave rise to more severe psychopathological correlates, clinical levels of alexithymia, and more severe deficient emotional self-regulation. Results of mediation role indicated a link between alexithymia, emotional dysregulation, and somatization.

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“…Abnormalities of emotional perception and regulation in nonsuicidal self-injury ED is a transdiagnostic construct defined as the inability to regulate the intensity and quality of emotions (eg, sadness, anger, or fear) to generate an appropriate emotional response, cope with mood instability and emotional overactivity, and return to the emotional baseline 26 . Previously published studies showed that NSSI was associated with difficulty in emotional perception, emotional overactivity, and emotion regulation [27][28][29][30][31] . For example, individuals engaged in NSSI struggled with perceiving their emotions and expressing them to others through interpersonal communication.…”

Section: Nonsuicidal Self-injury and Emotional Dysregulationmentioning

confidence: 99%

“…For example, individuals engaged in NSSI struggled with perceiving their emotions and expressing them to others through interpersonal communication. Consequently, they often used their bodies as a tool for communicating their emotions 27,28 . Another study found that adolescents with NSSI demonstrated lower accuracy in recognizing facial expressions of fear and sadness compared with adolescents without a history of NSSI 29 .…”

Section: Nonsuicidal Self-injury and Emotional Dysregulationmentioning

confidence: 99%

Mechanisms and intervention strategies of emotional dysregulation in individuals with nonsuicidal self-injury

Li,

2023

Interdisciplinary Nursing Research

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Non-suicidal self-injury (NSSI) is a deliberate, direct, socially unacceptable, and nonsuicidal form of self-hurt, with a high incidence rate among adolescents. NSSI harms people’s bodies and minds, dampening their social function and increasing the risk of suicide. The Benefit and Barrier Model of NSSI proposes that the core benefit of NSSI is emotional gain, in other words, the emotion regulation effect of the NSSI behaviors. The purpose of this study was to elucidate the relationship between NSSI and emotional dysregulation, analyze the possible behavioral and neural mechanisms underlying emotional dysregulation in NSSI, and summarize the application of emotion regulation strategies in the intervention for NSSI. This review provides evidence and implications for further research on the mechanisms and interventions related to emotional dysregulation in people with NSSI.

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Psychopathological and Interactive-Relational Characteristics in Non-Suicidal Self-Injury Adolescent Outpatients

Cited by 6 publications

References 46 publications

Effects of BPD tendencies and subjective well-being on NSSI in adolescents with PTSD

Effects of BPD tendencies and subjective well-being on NSSI in adolescents with PTSD

Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm

Mechanisms and intervention strategies of emotional dysregulation in individuals with nonsuicidal self-injury

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