Predictors for DSM-5 nonsuicidal self-injury in female adolescent inpatients: The role of childhood maltreatment, alexithymia, and dissociation

PSYCHIATRY RESEARCH

卷:239

Article

Luedtke, Janine¹  In-Albon, Tina²  Michel, Chantal³  Schmid, Marc¹ 

[1] Univ Basel, Psychiat Clin, Dept Child & Adolescent Psychiat, Basel, Switzerland

[2] Univ Koblenz Landau, Dept Psychol, Clin Child & Adolescent Psychol, Mainz, Germany

[3] Univ Bern, Univ Hosp Child & Adolescent Psychiat & Psychothe, Bern, Switzerland

关键词: Nonsuicidal self-injury;    Childhood maltreatment;    Alexithymia;    Dissociation;    Emotion regulation;   

DOI  :  10.1016/j.psychres.2016.02.026

来源: Elsevier

【 摘 要 】

The purpose of this study was to examine the relationship between various adverse childhood experiences, alexithymia, and dissociation in predicting nonsuicidal self-injury (NSSI) in an inpatient sample of female adolescents. Seventy-two adolescents (aged 14-18 years) with NSSI disorder (n=46) or mental disorders without NSSI (n=26) completed diagnostic interviews and self-report measures to assess NSSI disorder according to the DSM-5 criteria, childhood maltreatment, alexithymia, and dissociation. Alexithymia and dissociation were highly prevalent in both study groups. Multivariate logistic regression analyses indicated that only alexithymia was a significant predictor for NSSI, whereas childhood maltreatment and dissociation had no predictive influence. The association between alexithymia and NSSI emphasizes the significance of emotion regulation training for female adolescents with NSSI. Efforts to reduce NSSI behavior should therefore foster skills to heighten the perception and recognition of one's own emotions. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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