School of Psychology.
Psychol Assess. 2013 Sep;25(3):1013-8. doi: 10.1037/a0032575. Epub 2013 May 6.
Nonsuicidal self-injury (NSSI) is an issue primarily of concern in adolescents and young adults. Thus far, no single NSSI self-report measure offers a fully comprehensive assessment of NSSI, particularly including measurement of both its functions and potential addictive features. The Ottawa Self-Injury Inventory (OSI) permits simultaneous assessment of both these characteristics; the current study examined the psychometric properties of this measure in a sample of 149 young adults in a university student sample (82.6% girls, Mage = 19.43 years). Exploratory factor analyses revealed 4 functions factors (internal emotion regulation, social influence, external emotion regulation, and sensation seeking) and a single addictive features factor. Convergent evidence for the functions factor scores was demonstrated through significant correlations with an existing measure of NSSI functions and indicators of psychological well-being, risky behaviors, and context and frequency of NSSI behaviors. Convergent evidence was also shown for the addictive features scores, through associations with NSSI frequency, feeling relieved following NSSI, and inability to resist NSSI urges. Additional comment is made regarding the potential for addictive features of NSSI to be both negatively and positively reinforcing. Results show preliminary psychometric support for the OSI as a valid and reliable assessment tool to be used in both research and clinical contexts. The OSI can provide important information for case formulation and treatment planning, given the comprehensive and all-inclusive nature of its assessment capacities.
非自杀性自我伤害(NSSI)主要是青少年和年轻人关注的问题。到目前为止,没有一种单一的 NSSI 自我报告测量工具能够全面评估 NSSI,特别是包括对其功能和潜在成瘾特征的测量。渥太华自我伤害清单(OSI)允许同时评估这两个特征;本研究在大学生样本中(82.6%的女孩,Mage=19.43 岁)对 149 名年轻人进行了该测量工具的心理测量特性研究。探索性因素分析显示出 4 个功能因素(内部情绪调节、社会影响、外部情绪调节和感觉寻求)和一个单一的成瘾特征因素。功能因素分数的聚合证据通过与现有的 NSSI 功能测量和心理幸福感、冒险行为以及 NSSI 行为的背景和频率的指标之间的显著相关性得到证明。成瘾特征分数也显示出聚合证据,与 NSSI 频率、NSSI 后感到解脱以及无法抵制 NSSI 冲动有关。此外,还提到了 NSSI 的成瘾特征可能具有正负强化作用。结果表明,OSI 具有初步的心理测量支持,可作为一种有效的、可靠的评估工具,在研究和临床环境中使用。鉴于其评估能力的全面性和包容性,OSI 可以为病例形成和治疗计划提供重要信息。