Department of Psychology, George Mason University, MSN 3F5, 4400 University Drive, Fairfax, VA, 22030-4444, USA.
J Youth Adolesc. 2010 Mar;39(3):281-90. doi: 10.1007/s10964-009-9452-6. Epub 2009 Sep 22.
The purpose of this study was to examine the relationship between childhood abuse, assault, cognitive distortion, and non-suicidal self-injury (NSSI) in a clinical adolescent sample. The sample included one hundred eighty-five psychiatrically hospitalized adolescents and their parents. Adolescent participants were predominantly female (71.4%), Caucasian (84%), and of non-Hispanic ethnicity (9.2%). Participants completed a diagnostic interview and self-report measures to assess youth history of abuse and assault, cognitive errors, negative self-views, and recent NSSI. No relationship was found between childhood abuse and NSSI. However, a history of assault was associated with NSSI among youth who reported higher cognitive errors and more negative self-views, even after controlling for gender and internalizing disorders. These results suggest that existing affect regulation models of NSSI may be enhanced by incorporating the role of cognitive distortion. Clinically, results also suggest that assessing adolescent victims of assault for cognitive errors and negative self-views, and helping them restructure these cognitive distortions when present, may reduce the likelihood of NSSI.
本研究旨在探讨儿童期虐待、攻击、认知扭曲与非自杀性自伤（NSSI）之间的关系，研究对象为临床青少年样本。该样本包括 185 名住院治疗的青少年及其父母。青少年参与者主要为女性（71.4%）、白种人（84%）和非西班牙裔（9.2%）。参与者完成了诊断访谈和自我报告量表，以评估青少年时期的虐待和攻击史、认知错误、消极自我观念以及最近的 NSSI 行为。儿童期虐待与 NSSI 之间没有关系。然而，对于报告认知错误更多和消极自我观念更严重的青少年，既往有过攻击史与 NSSI 相关，即使在控制了性别和内化障碍等因素后也是如此。这些结果表明，在现有的 NSSI 情感调节模型中，可能需要纳入认知扭曲的作用。临床上，这些结果还表明，评估青少年攻击受害者的认知错误和消极自我观念，并在存在这些认知扭曲时帮助他们重构这些认知扭曲，可能会降低 NSSI 的可能性。
