痛苦时冲动控制困难：情绪调节障碍的一个方面与军事医疗机构住院精神病人的非自杀性自伤有关。
Impulse control difficulties while distressed: A facet of emotion dysregulation links to Non-Suicidal Self-Injury among psychiatric inpatients at military treatment facilities.
机构信息
Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USUHS), 4301 Jones Bridge Road, Bethesda 20814-4799, MD, USA.
Walter Reed National Military Medical Center, National Intrepid Center of Excellence, Bethesda, MD, USA.
出版信息
Psychiatry Res. 2018 Nov;269:419-424. doi: 10.1016/j.psychres.2018.08.082. Epub 2018 Aug 24.
Links between emotion dysregulation, suicide ideation, and suicidal versus non-suicidal self-injury (NSSI) are poorly understood within military samples. United States service members and beneficiaries (N = 186), psychiatrically hospitalized following a suicidal crisis, completed the Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004), and reported lifetime suicide ideation, attempts, and NSSI. We expected that emotion dysregulation would positively associate with worst lifetime suicide ideation, multiple suicide attempt status, and lifetime NSSI. Suicide ideation severity and multiple suicide attempts did not associate with DERS components. Notably, difficulties with impulse control (feeling out of control while distressed) was positively associated with NSSI history. Theoretical models that clearly describe the role of emotion dysregulation in suicidal thoughts, its progression to suicidal actions, and NSSI are needed to advance clinical care for this highly vulnerable group. Longitudinal and micro-longitudinal study designs require further investigation.
在军事样本中，情绪调节障碍、自杀意念、自杀与非自杀性自伤（NSSI）之间的联系尚未得到充分理解。186 名美国现役军人和退伍军人在经历自杀危机后住院治疗，他们完成了情绪调节困难量表（DERS；Gratz & Roemer，2004），并报告了一生中的自杀意念、自杀企图和 NSSI。我们预计情绪调节障碍与最严重的一生中的自杀意念、多次自杀企图状态和一生中的 NSSI 呈正相关。自杀意念严重程度和多次自杀企图与 DERS 成分无关。值得注意的是，冲动控制困难（在感到痛苦时失去控制）与 NSSI 史呈正相关。需要有明确描述情绪调节障碍在自杀意念中的作用、其向自杀行为的进展以及 NSSI 的理论模型，以推进对这一高度脆弱群体的临床护理。需要进一步进行纵向和微观纵向研究设计。
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