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高中生中的非自杀性自伤行为与饮食病理状况

Non-suicidal self-injury and eating pathology in high school students.

作者信息

Ross Shana, Heath Nancy L, Toste Jessica R

机构信息

McGill University, Quebec, Canada.

出版信息

Am J Orthopsychiatry. 2009 Jan;79(1):83-92. doi: 10.1037/a0014826.

Abstract

Although past research has explored self-injurious behaviors and disordered eating among adults in clinical settings, little research has been conducted examining nonsuicidal self-injury (NSSI) and eating pathology in community samples of adolescents. Four hundred and 40 students were screened for the presence of NSSI; a prevalence rate of 13.9% was found. Those who indicated that they engaged in NSSI (n = 59) and a comparison group of non-self-injurers (n = 57) completed the Eating Disorders Inventory. Results indicate that students who engage in NSSI display significantly more eating pathology than their non-NSSI peers, including poor interoceptive awareness; difficulties with impulse regulation; an increased sense of ineffectiveness, distrust, and social insecurity; and increased bulimic tendencies and body dissatisfaction. Relationships were found between increased lifetime frequency of NSSI behaviors and poor impulse control and deficits in affective regulation. In addition, adolescents who had stopped self-injuring reported comparable rates of eating pathology as did adolescents who continued to self-injure. The theoretical connection between NSSI and eating pathology are discussed with reference to enhancing knowledge regarding the characteristics of NSSI.

摘要

尽管过去的研究已经探讨了临床环境中成年人的自我伤害行为和饮食失调问题,但针对青少年社区样本中的非自杀性自我伤害(NSSI)和饮食病理学的研究却很少。对440名学生进行了NSSI筛查;发现患病率为13.9%。那些表示自己有NSSI行为的学生(n = 59)和一个非自我伤害者对照组(n = 57)完成了饮食失调量表。结果表明,有NSSI行为的学生比没有NSSI行为的同龄人表现出明显更多的饮食病理学问题,包括内感受性意识差;冲动调节困难;无效感、不信任感和社会不安全感增加;以及暴食倾向和身体不满情绪增加。研究发现,NSSI行为的终生频率增加与冲动控制差和情感调节缺陷之间存在关联。此外,已经停止自我伤害的青少年报告的饮食病理学发生率与继续自我伤害的青少年相当。本文结合增强对NSSI特征的认识,讨论了NSSI与饮食病理学之间的理论联系。

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