患有抑郁症和双相情感障碍的成年人的自我伤害、情感特质和社会心理功能
Self-Harm, Affective Traits, and Psychosocial Functioning in Adults With Depressive and Bipolar Disorders.
作者信息
Weintraub Marc J, Van de Loo Margaret M, Gitlin Michael J, Miklowitz David J
机构信息
*Department of Psychology, University of Miami, Coral Gables, Florida; and †Department of Psychiatry, David Geffen School of Medicine at UCLA, Semel Institute, Los Angeles, California.
出版信息
J Nerv Ment Dis. 2017 Nov;205(11):896-899. doi: 10.1097/NMD.0000000000000744.
Self-harm refers to the purposeful destruction of bodily tissue without suicidal intention and for purposes that are not socially sanctioned. Little is known about the associations between a history of self-harm, mood symptoms, and functioning in adults with different types of mood disorders. Lifetime histories of self-harm, current mood symptoms, global functioning, and affective traits were collected on 142 adults with mood disorders. The prevalence of lifetime self-harm was higher in patients with bipolar disorder compared with patients with a unipolar depressive disorder. Self-harm was also more strongly linked to impulsivity in individuals with bipolar disorder compared with unipolar depressive disorder. Across both diagnoses, histories of self-harm were related to lower levels of current global functioning, more severe depressive symptoms, and high self-reported emotional dysregulation and neuroticism. Findings indicate that self-harm is a potent prognostic variable for symptoms, global functioning, and personality functioning in individuals with mood disorders.
自我伤害是指在没有自杀意图且出于未被社会认可的目的情况下，对身体组织进行的蓄意破坏。对于不同类型情绪障碍的成年人而言，关于自我伤害史、情绪症状以及功能之间的关联，我们所知甚少。我们收集了142名患有情绪障碍的成年人的自我伤害终生史、当前情绪症状、整体功能以及情感特质。与单相抑郁症患者相比，双相情感障碍患者的终生自我伤害患病率更高。与单相抑郁症患者相比，自我伤害在双相情感障碍患者中也与冲动性的联系更为紧密。在这两种诊断中，自我伤害史均与当前较低的整体功能水平、更严重的抑郁症状以及较高的自我报告情绪失调和神经质有关。研究结果表明，自我伤害是情绪障碍患者症状、整体功能和人格功能的一个有力预后变量。
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