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成年人群体样本中的非自杀性自伤障碍

Non-suicidal self-injury disorder in a community sample of adults.

作者信息

Andover Margaret S

机构信息

Department of Psychology, Fordham University, 441 East Fordham Road, Bronx, NY 10458, USA.

出版信息

Psychiatry Res. 2014 Oct 30;219(2):305-10. doi: 10.1016/j.psychres.2014.06.001. Epub 2014 Jun 10.

Abstract

Non-suicidal self-injury (NSSI) Disorder has been included in DSM-5 for the first time as a disorder requiring further research. The present study investigated DSM-5 criteria for NSSI Disorder in a community sample of adults and provided an initial investigation of differences between those with and without a diagnosis of NSSI Disorder and NSSI history. Participants over the age of 18 (N=548) completed an online survey using Amazon׳s MTurk. A lifetime history of NSSI was reported by 23% of the sample. Nearly 3% of the total sample and 11.2% of those with an NSSI history met criteria for NSSI Disorder. Those with NSSI Disorder were similar to participants with an NSSI history who did not meet criteria for the disorder on NSSI frequency and methods, and age of NSSI onset, use of coping strategies, and borderline symptoms, but they differed on automatic reinforcement of the behavior and reported interference with functioning. Endorsement of specific NSSI Disorder criteria, potential implications for the diagnosis, and avenues for future research are discussed.

摘要

非自杀性自伤障碍首次被纳入《精神疾病诊断与统计手册》第5版,作为一种需要进一步研究的障碍。本研究在一个成年社区样本中调查了非自杀性自伤障碍的《精神疾病诊断与统计手册》第5版标准,并初步调查了有无非自杀性自伤障碍诊断和非自杀性自伤病史者之间的差异。18岁以上的参与者(N = 548)通过亚马逊的土耳其机器人完成了一项在线调查。23%的样本报告有非自杀性自伤的终生病史。总样本中近3%以及有非自杀性自伤病史者中的11.2%符合非自杀性自伤障碍的标准。有非自杀性自伤障碍者在非自杀性自伤频率和方法、非自杀性自伤开始年龄、应对策略的使用以及边缘性症状方面,与有非自杀性自伤病史但不符合该障碍标准的参与者相似,但在行为的自动强化和报告的功能干扰方面存在差异。文中讨论了对特定非自杀性自伤障碍标准的认可、该诊断的潜在影响以及未来研究的方向。

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