Durham Veterans Affairs (VA) Health Care System, Durham, NC, USA; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA.
Durham Veterans Affairs (VA) Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Psychiatry Res. 2021 Feb;296:113672. doi: 10.1016/j.psychres.2020.113672. Epub 2020 Dec 28.
With its recent inclusion in the Diagnostic and Statistical Manual, nonsuicidal self-injury disorder (NSSID) has received limited research attention, especially in samples of military veterans. The present study sought to identify diagnostic predictors of NSSID within a veteran sample. Study participants included 124 veterans with at least one psychiatric diagnosis. Chi-square tests and t-tests evaluated bivariate associations between NSSID and twenty diagnostic correlates. Logistic regression models identified psychiatric disorders that were unique correlates of NSSID among veterans. Veterans with lifetime NSSID (n = 59) met criteria for a greater number of lifetime disorders than veterans with other psychiatric disorders. Bivariate associations were noted between NSSID and borderline personality disorder, depression, obsessive-compulsive disorder, generalized anxiety disorder, and cannabis use disorder. In the logistic regression model, only borderline personality disorder (AOR = 7.67) and obsessive-compulsive disorder (AOR = 3.23) continued to be associated with NSSID. The present study represents the first examination of the association between NSSID and psychiatric disorders among veterans. The findings shed light on psychiatric disorders associated with lifetime NSSID in veterans, with special consideration toward obsessive-compulsive disorder as a risk factor for NSSID.
随着非自杀性自伤障碍(NSSID)最近被纳入《诊断与统计手册》,它受到了有限的研究关注,尤其是在退伍军人样本中。本研究旨在确定退伍军人样本中 NSSID 的诊断预测因素。研究参与者包括 124 名至少有一个精神科诊断的退伍军人。卡方检验和 t 检验评估了 NSSID 与二十个诊断相关因素之间的双变量关联。逻辑回归模型确定了退伍军人中 NSSID 的独特相关精神障碍。有终生 NSSID(n=59)的退伍军人比有其他精神障碍的退伍军人符合更多的终生障碍标准。NSSID 与边缘型人格障碍、抑郁症、强迫症、广泛性焦虑症和大麻使用障碍之间存在双变量关联。在逻辑回归模型中,只有边缘型人格障碍(AOR=7.67)和强迫症(AOR=3.23)与 NSSID 持续相关。本研究是首次对退伍军人中 NSSID 与精神障碍之间的关联进行检查。研究结果揭示了与退伍军人终生 NSSID 相关的精神障碍,特别考虑到强迫症是 NSSID 的一个风险因素。