Hilt Lori M, Cha Christine B, Nolen-Hoeksema Susan
Department of Psychology, Yale University, New Haven, CT 06511, USA.
J Consult Clin Psychol. 2008 Feb;76(1):63-71. doi: 10.1037/0022-006X.76.1.63.
This study examined nonsuicidal self-injury (NSSI) in a community sample of young adolescent girls. Potential moderators of the relationships between different types of distress (internal and interpersonal) and particular functions of NSSI (emotion-regulation and interpersonal) were explored. Participants included 94 girls (49% Hispanic; 25% African American) ages 10-14 years who completed questionnaires regarding self-injurious behavior and other constructs of interest. Fifty-six percent of girls (n = 53) reported engaging in NSSI during their lifetime, including 36% (n = 34) in the past year. Internal distress (depressive symptoms) was associated with engaging in NSSI for emotion-regulation functions, and rumination moderated the relationship between depressive symptoms and engaging in NSSI for automatic positive reinforcement. Interpersonal distress (peer victimization) was associated with engaging in NSSI for social reinforcement, and quality of peer communication moderated this relationship. The clinical implications of these findings include designing preventions that address the particular contexts of self-injurious behavior.
本研究调查了年轻少女社区样本中的非自杀性自伤行为（NSSI）。探讨了不同类型的痛苦（内在和人际方面）与NSSI的特定功能（情绪调节和人际方面）之间关系的潜在调节因素。参与者包括94名年龄在10至14岁的女孩（49%为西班牙裔；25%为非裔美国人），她们完成了关于自伤行为及其他相关构念的问卷调查。56%的女孩（n = 53）报告称其一生中曾有过NSSI行为，其中36%（n = 34）在过去一年中有过此类行为。内在痛苦（抑郁症状）与出于情绪调节功能而进行NSSI行为相关，沉思调节了抑郁症状与出于自动积极强化目的而进行NSSI行为之间的关系。人际痛苦（同伴受害）与出于社会强化目的而进行NSSI行为相关，同伴沟通质量调节了这种关系。这些发现的临床意义包括设计针对自伤行为特定背景的预防措施。
