Lewis Stephen P, Seko Yukari
University of Guelph.
J Clin Psychol. 2016 Mar;72(3):249-62. doi: 10.1002/jclp.22242. Epub 2015 Nov 27.
This review aimed to synthesize current evidence on the perceived benefits and risks of online activity pertinent to nonsuicidal self-injury (NSSI).
A systematic literature search was conducted to identify peer-reviewed articles, which yielded a total of 27 articles published between 2005 and 2015. Following this, a thematic analysis was employed to identify perceived benefits and risks of online NSSI activity.
Our thematic analysis identified 4 potential benefits (mitigation of social isolation, recovery encouragement, emotional self-disclosure, curbing NSSI urges) and 3 potential risks (NSSI reinforcement, triggering NSSI urges, stigmatization of NSSI) associated with online NSSI activities.
Given the double-edged effect of online NSSI activities, clinicians may benefit from incorporating clients' online NSSI activity in the context of NSSI assessment and treatment. Future research ought to directly examine the link between online NSSI activity and NSSI behavior to better understand the nature of these benefits and risks.
本综述旨在综合当前有关与非自杀性自伤（NSSI）相关的网络活动的感知益处和风险的证据。
进行了系统的文献检索以识别同行评审的文章，共检索到2005年至2015年间发表的27篇文章。随后，采用主题分析来确定网络NSSI活动的感知益处和风险。
我们的主题分析确定了与网络NSSI活动相关的4种潜在益处（减轻社会隔离、鼓励康复、情感自我表露、抑制NSSI冲动）和3种潜在风险（强化NSSI、引发NSSI冲动、使NSSI受到污名化）。
鉴于网络NSSI活动的双刃剑效应，临床医生在NSSI评估和治疗过程中纳入患者的网络NSSI活动可能会有所助益。未来的研究应直接考察网络NSSI活动与NSSI行为之间的联系，以更好地理解这些益处和风险的本质。
