Norman Hilary, Borrill Jo
University of Westminster, London, UK.
Scand J Psychol. 2015 Aug;56(4):405-19. doi: 10.1111/sjop.12217. Epub 2015 May 22.
This paper presents a systematic review of the literature concerning the relationship between alexithymia and self-harm. Fifteen studies were selected following a systematic search of relevant databases. Results indicate significantly higher levels of alexithymia in women who self-harm compared with women who do not self-harm. Studies of men were less conclusive and require further investigation. A subsample of the studies found that childhood abuse and bullying were more likely to be associated with self-harm if alexithymia was present as a mediator. Other studies found that depression mediated between alexithymia and self-harm. The results indicate that the poor emotional cognition and expression associated with alexithymia may increase vulnerability to self-harm, particularly in women.
本文对有关述情障碍与自我伤害之间关系的文献进行了系统综述。在对相关数据库进行系统检索后，选取了15项研究。结果表明，与未进行自我伤害的女性相比，进行自我伤害的女性述情障碍水平显著更高。对男性的研究结果不太具有决定性，需要进一步调查。部分研究样本发现，如果述情障碍作为中介因素存在，童年期受虐待和欺凌更有可能与自我伤害相关。其他研究发现，抑郁在述情障碍和自我伤害之间起中介作用。结果表明，与述情障碍相关的不良情绪认知和表达可能会增加自我伤害的易感性，尤其是在女性中。
