Goddard Alice, Hasking Penelope, Claes Laurence, McEvoy Peter
Arch Suicide Res. 2021 Jul-Sep;25(3):390-405. doi: 10.1080/13811118.2019.1691099. Epub 2019 Nov 26.
Nonsuicidal self-injury (NSSI) is a complex behavior that serves many functions and may be motivated by several factors. Although previously limited to the context of personality disorders, consideration of how general personality traits might be related to NSSI warrants examination. Our aims were to investigate whether clusters based upon the Big Five personality traits exist among people who have engaged in NSSI, and explore systematic differences with regard to gender, age, key indicators of NSSI severity, functions of NSSI, emotional avoidance, alexithymia, psychological distress, and emotion regulation strategies. A sample of 236 university students (83% female, M age = 21.59, SD = 5.43) who had engaged in NSSI completed an anonymous online questionnaire. Cluster analysis yielded three subgroups who were characterized by tendencies for resilience, dysregulation, and disagreeableness. Resilient and dyregulated profiles fell within opposite ends of a continuum with regard to severity of NSSI, psychological distress and alexithymia, and adaptive vs less adaptive emotion regulation strategies. Dysregulated characteristics were also associated with affect regulation and self-punishment functions of NSSI. Disagreeable characteristics were associated with high alexithymia and psychological distress. Implications of these findings for theory and tailored treatment approaches to NSSI are discussed.
非自杀性自伤(NSSI)是一种复杂的行为,具有多种功能,可能由多种因素驱动。尽管此前仅限于人格障碍的背景,但考虑一般人格特质与NSSI可能存在何种关联值得研究。我们的目的是调查在有过NSSI行为的人群中是否存在基于大五人格特质的聚类,并探讨在性别、年龄、NSSI严重程度的关键指标、NSSI的功能、情绪回避、述情障碍、心理困扰以及情绪调节策略方面的系统差异。236名有过NSSI行为的大学生(83%为女性,年龄均值M = 21.59,标准差SD = 5.43)完成了一份匿名在线问卷。聚类分析产生了三个亚组,其特征分别为具有复原力倾向、调节障碍倾向和不随和倾向。在NSSI严重程度、心理困扰和述情障碍以及适应性与适应性较差的情绪调节策略方面,具有复原力和调节障碍的概况处于连续体的两端。调节障碍特征还与NSSI的情绪调节和自我惩罚功能相关。不随和特征与高度述情障碍和心理困扰相关。讨论了这些发现对NSSI理论和量身定制治疗方法的意义。