当身体成为目标——自我伤害中对自身身体和身体感觉的表达：一项系统综述。
When the body is the target-Representations of one's own body and bodily sensations in self-harm: A systematic review.
机构信息
Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia; Queensland Centre for Mental Health Research (QCMHR), The Park Centre for Mental Health, Brisbane, QLD, Australia; School of Public Health, The University of Queensland, Brisbane, QLD, Australia.
School of Psychology, The University of New South Wales, Sydney, NSW, Australia.
出版信息
Neurosci Biobehav Rev. 2019 Jun;101:85-112. doi: 10.1016/j.neubiorev.2019.03.007. Epub 2019 Mar 13.
BACKGROUND
Typically, we try to protect our own bodies and this is supported by internal representations that specify one's body identity, spatial parameters, and bodily sensations, but in self-harm the body becomes the target. First acts of self-harm are typically reported in adolescence. At this age, the body also becomes more salient to one's self-concept. It may be possible that disturbances in representations of one's own body and its sensations contribute to self-harm.
METHODS
To investigate these links, we conducted a systematic review critically examining the potential role of body representation and sensation disturbances in self-harm (non-suicidal or suicidal) in adolescents and young adults (12-25 years).
RESULTS
The search strategy identified 64 studies (275,183 participants) and overall, young people engaging in self-harm reported greater levels of body dissatisfaction, body disownership, and deficits in the experience and evaluation of bodily sensations compared to non-injuring control groups; however, there was subscale variability and gender differences.
CONCLUSION
Our results emphasise the strong link between body representations and self-protection, as well as a need for investigating self-harm interventions that take body image and awareness into account.
背景
通常，我们会试图保护自己的身体，这是由内部表征支持的，内部表征指定了一个人的身体身份、空间参数和身体感觉，但在自残中，身体成为了目标。自残的最初行为通常发生在青春期。在这个年龄，身体对自我概念也变得更加突出。可能是自身身体及其感觉的表征紊乱导致了自残。
方法
为了研究这些联系，我们进行了系统综述，批判性地检查了身体表征和感觉紊乱在青少年和年轻成年人（12-25 岁）非自杀或自杀自残中的潜在作用。
结果
搜索策略确定了 64 项研究（275,183 名参与者），总体而言，与未受伤的对照组相比，进行自残的年轻人报告了更高水平的身体不满、身体归属感丧失以及身体感觉的体验和评估缺陷；然而，存在亚量表变异性和性别差异。
结论
我们的结果强调了身体表征与自我保护之间的紧密联系，以及需要研究将身体形象和意识考虑在内的自残干预措施。
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