Ghaziuddin M, Tsai L, Naylor M, Ghaziuddin N
Department of Child and Adolescent Psychiatry, University of Michigan Hospital, Ann Arbor 48109-0390.
Acta Paedopsychiatr. 1992;55(2):103-5.
This study describes the occurrence of mood disorder in a group of adolescent inpatients involved in self-cutting behavior. Although self-cutting is generally said to be associated with borderline personality disorder, a substantial number of patients who cut themselves in our study were clinically depressed. In addition, the self-cutting adolescents had a high prevalence of child abuse, past psychiatric history, and family psychiatric history. The incidents tended to spread by contagion and occur at times of change affecting the milieu. Clinical implications of these findings are discussed.
本研究描述了一组有自残行为的青少年住院患者中情绪障碍的发生情况。尽管一般认为自残行为与边缘型人格障碍有关，但在我们的研究中，大量自残患者临床上存在抑郁症状。此外，有自残行为的青少年中，儿童期受虐、既往精神病史和家族精神病史的患病率较高。这些事件往往通过传染扩散，且发生在影响环境的变化时期。本文讨论了这些发现的临床意义。
