Taş Torun Yasemin, Gul Hesna, Yaylali Fatma Hülya, Gul Ahmet
Psychiatry. 2022 Spring;85(1):86-99. doi: 10.1080/00332747.2021.1989854. Epub 2021 Dec 21.
: This study examines non-suicidal self-injury (NSSI) behavior, its functions and associated factors like childhood trauma, alexithymia, empathy, and emotion regulation, in adolescents suffering from depression.: The study sample consisted of 67 adolescents; 11 boys (mean age = 14.94 ±1.45) and 56 girls (mean age = 14.72 ±1.48), all with major depressive disorder. Standard tests and measurements were used for data collection, including Beck Depression Inventory for identifying depression symptoms; Brief Symptom Inventory for screening psychiatric symptoms; Inventory of Statements About Self Injury (ISAS) to identify the lifetime frequency and functions of NSSI in subjects; Childhood Trauma Questionnaire to evaluate sexual, physical, and emotional abuse plus childhood neglect; Toronto Alexithymia Scale to assess difficulties in identifying and/or describing feelings; Basic Empathy Scale to measure empathy levels within the framework of basic emotions; and the Difficulty of Emotion Regulation Scale to determine the awareness and clarity of emotional response.: It was found that 64.1% of adolescents studied have had at least one NSSI to date. The most frequent intrapersonal functions associated with NSSI were Affect Regulation and Marking Distress, and the most common interpersonal functions were Toughness and Interpersonal Boundaries. According to a correlation analysis with ISAS scores, Affect Regulation was associated with obsession-compulsion, anxiety, difficulty identifying feelings and clarity scores. Marking Distress, generating a physical sign of feeling awful, was positively associated with Paranoid Ideation scores and negatively associated with Emotional Neglect scores. The Interpersonal Boundaries was positively associated with Childhood Physical Abuse and Impulse scores.: NSSI is realized by different functions in the intrapersonal and interpersonal areas in adolescents with depression. Emotion regulation abilities, alexithymia, and childhood trauma are also associated factors or functions of NSSI.
本研究调查了患有抑郁症的青少年的非自杀性自伤（NSSI）行为、其功能以及相关因素，如童年创伤、述情障碍、共情和情绪调节。
该研究样本包括67名青少年，其中11名男孩（平均年龄 = 14.94 ± 1.45）和56名女孩（平均年龄 = 14.72 ± 1.48），均患有重度抑郁症。使用标准测试和测量方法收集数据，包括用于识别抑郁症状的贝克抑郁量表；用于筛查精神症状的简明症状量表；用于确定受试者一生中NSSI频率和功能的自伤陈述量表（ISAS）；用于评估性虐待、身体虐待和情感虐待以及童年忽视的童年创伤问卷；用于评估识别和/或描述感受困难的多伦多述情障碍量表；用于在基本情绪框架内测量共情水平的基本共情量表；以及用于确定情绪反应的意识和清晰度的情绪调节困难量表。
研究发现，64.1% 的被研究青少年至今至少有过一次NSSI。与NSSI相关的最常见的个人内部功能是情绪调节和标记痛苦，最常见的人际功能是坚韧和人际边界。根据与ISAS分数的相关性分析，情绪调节与强迫观念、焦虑、识别感受困难和清晰度分数相关。标记痛苦，即产生感觉糟糕的身体迹象，与偏执观念分数呈正相关，与情感忽视分数呈负相关。人际边界与童年身体虐待和冲动分数呈正相关。
抑郁症青少年的NSSI在个人内部和人际领域通过不同功能实现。情绪调节能力、述情障碍和童年创伤也是NSSI的相关因素或功能。
