Are neurocognitive factors associated with repetition of self-harm? A systematic review

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS

卷:72

Review

de Cates, Angharad N.^1,2  Rees, Karen³  Jollant, Fabrice^4,5,6  Perry, Benjamin^1,2  Bennett, Karina⁷  Joyce, Katie⁷  Leyden, Eimear⁸  Harmer, Catherine⁹  Hawton, Keith¹⁰  van Heeringen, Kees¹¹  Broome, Matthew R.^9,12 

[1] Univ Warwick, Unit Mental Hlth & Wellbeing, Warwick Med Sch, Coventry CV4 7AL, W Midlands, England

[2] Coventry & Warwickshire Partnership NHS Trust, Coventry, W Midlands, England

[3] Univ Warwick, Warwick Med Sch, Div Hlth Sci, Coventry CV4 7AL, W Midlands, England

[4] McGill Univ, Dept Psychiat, Montreal, PQ, Canada

[5] McGill Univ, Douglas Mental Hlth Univ Inst, McGill Grp Suicide Studies, Montreal, PQ, Canada

[6] Acad Hosp CHU Nimes, Nimes, France

[7] Univ Warwick, Warwick Med Sch, Coventry CV4 7AL, W Midlands, England

[8] Univ Hosp Coventry & Warwickshire, Coventry, W Midlands, England

[9] Univ Oxford, Dept Psychiat, Oxford OX1 2JD, England

[10] Univ Oxford, Dept Psychiat, Ctr Suicide Res, Oxford OX1 2JD, England

[11] Univ Ghent, Dept Psychiat & Med Psychol, Unit Suicide Res, Ghent, Belgium

[12] Oxford Hlth NHS Fdn Trust, Oxford, England

关键词: Self-harm;    Suicide;    Neurocognition;    Decision-making;    Cognitive control;    Executive functioning;    Memory;    Problem solving;    Repetition;    Neuroimaging;   

DOI  :  10.1016/j.neubiorev.2016.10.032

来源: Elsevier

【 摘 要 】

Background: Prediction of self-harm is limited clinically. Early identification of individuals likely to repeat self-harm could improve outcomes and reduce suicide risk. Various neurocognitive deficits have been found in people who self-harm, but the ability of these to predict repetition has yet to 'be established Aims: Identify neurocognitive factors that may predict repetition of self-harm. Methods: Systematic narrative review of English language publications assessing neurocognitive functioning and self-harm repetition, searching multiple databases from inception to March 2015. Quality of studies was appraised. A narrative synthesis was performed. Results: 7026 unique records were identified, and 169 full-texts assessed. 15 unique studies provided data. No imaging studies could be included. Most studies assessed cognitive control or problem solving, but neither factor was consistently associated with repetition. However, specific tasks may show promise. Two studies in adolescents suggest that value-based decision-making impairments could be predictive of repetition. There were too few results for memory to draw specific conclusions. Conclusions: Selected studies suggest promise for particular neurocognitive factors and specific cognitive tasks in terms of repetition of self-harm. (C) 2016 Elsevier Ltd. All rights reserved.

【 授权许可】

Free