Dynamic and Clinical Psychology, Sapienza University of Rome, Via degli Apuli 1, 00185 Roma, Italia.
Am J Orthopsychiatry. 2012 Jul;82(3):298-308. doi: 10.1111/j.1939-0025.2012.01169.x.
This study aims to explore rates of deliberate self-harm (DSH) behaviors and their psychological and psychopathological correlates within a sample of nonclinical young adults (N = 365; 63% women; M age = 23 ± 4.06). Participants completed the Deliberate Self-Harm Inventory and other self-report questionnaires assessing clinical (borderline personality, dissociative, and depersonalization traits) and nonclinical (body perception, behavioral inhibition and activation, cognitive emotional regulation, and the Big Five traits) dimensions of their personality. The rate of DSH in the present sample was 39%, comparable to that found in previous studies of young adults in other countries. Further, consistent with past research, DSH was found to be associated with clinical dimensions of personality pathology, including borderline personality and dissociative symptoms. Finally, results revealed an association between DSH and nonclinical dimensions of personality, including the behavioral activation dimension of fun-seeking, more negative body perception and lower body protection, the use of more nonadaptive cognitive strategies for regulating emotions, higher levels of openness to experience, and lower levels of emotional stability. This pattern of results is consistent with those found for other impulsive behaviors and impulse control disorders.
本研究旨在探讨非临床年轻成年人样本中故意自我伤害（DSH）行为的发生率及其与心理和精神病理相关因素的关系（N=365；63%为女性；M 年龄=23±4.06）。参与者完成了故意自我伤害清单和其他自我报告问卷，评估了临床（边缘型人格、解离和人格解体特征）和非临床（身体知觉、行为抑制和激活、认知情绪调节和大五人格特质）人格维度。本研究样本中的 DSH 发生率为 39%，与其他国家的年轻成年人的先前研究中的发生率相当。此外，与过去的研究一致，DSH 与人格病理学的临床维度相关，包括边缘型人格和解离症状。最后，研究结果显示 DSH 与非临床人格维度相关，包括寻求乐趣的行为激活维度、更消极的身体知觉和较低的身体保护、使用更多不适应的情绪调节认知策略、更高的开放性体验水平和较低的情绪稳定性。这种结果模式与其他冲动行为和冲动控制障碍的发现一致。
