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非自杀性自伤作为催吐行为开始的一个风险因素:减轻情绪困扰的负强化行为。

Nonsuicidal Self-injury as a Risk Factor for Purging Onset: Negatively Reinforced Behaviours that Reduce Emotional Distress.

作者信息

Riley Elizabeth N, Davis Heather A, Combs Jessica L, Jordan Carol E, Smith Gregory T

机构信息

Department of Psychology, University of Kentucky, KY, USA.

出版信息

Eur Eat Disord Rev. 2016 Jan;24(1):78-82. doi: 10.1002/erv.2407. Epub 2015 Sep 16.

Abstract

Both nonsuicidal self-injury (NSSI) and purging behaviour are thought to involve harm to the self. The acquired capability for self-harm model holds that engaging in one self-harming behaviour increases the capability to tolerate harm to the self, thus increasing risk for engaging on other such behaviours. In addition, both behaviours are thought to serve the similar function of relief from distress. We thus tested whether engagement in one of these behaviours predicts the subsequent onset of the other. In a longitudinal design, 1158 first-year college women were assessed for purging and NSSI at two time points. Engagement in NSSI at time 1 predicted the college onset of purging behaviour 9 months later (OR = 2.20, p < .04, CI = 1.07-4.19) beyond prediction from time 1 binge behaviour, and purging behaviour at time 1 predicted the subsequent onset of NSSI (OR = 6.54, p < .01, CI = 1.71-25.04). These findings are consistent with the acquired capability for harm model and with the possibility that the two behaviours serve a similar function.

摘要

非自杀性自伤(NSSI)和清除行为都被认为涉及自我伤害。自我伤害习得能力模型认为,从事一种自我伤害行为会增加对自我伤害的耐受能力,从而增加从事其他此类行为的风险。此外,这两种行为都被认为具有缓解痛苦的相似功能。因此,我们测试了从事其中一种行为是否能预测另一种行为随后的出现。在一项纵向研究中,对1158名大学一年级女生在两个时间点进行了清除行为和非自杀性自伤的评估。第1时间点的非自杀性自伤行为预测了9个月后大学期间清除行为的出现(比值比[OR]=2.20,p<0.04,可信区间[CI]=1.07 - 4.19),超出了第1时间点暴饮暴食行为的预测,并且第1时间点的清除行为预测了随后非自杀性自伤行为的出现(OR = 6.54,p<0.01,CI = 1.71 - 25.04)。这些发现与自我伤害习得能力模型以及这两种行为具有相似功能的可能性相一致。

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