School of Population Health, Faculty of Health Sciences Curtin University, Perth, Western Australia, Australia.
J Clin Psychol. 2022 Sep;78(9):1896-1911. doi: 10.1002/jclp.23336. Epub 2022 Mar 5.
Due to cognitive and emotional differences between individuals who have and have not stopped self-injuring, we explored these in the context of desire to stop.
Australian university students (n = 374) completed cognitive and emotional measures. Comparisons were made between those who had self-injured in the past 12 months and those who had not, and between individuals who reported wanting to stop self-injuring and those who did not.
Approximately 20% of participants did not want to stop self-injuring. Cognitive emotional factors (psychological distress, self-efficacy to resist, difficulties regulating emotion, interpersonal functions, and outcome expectancies) differentiated individuals who had and had not stopped, but could not explain differences in desire to stop.
Factors associated with desire to stop are not the same as factors underlying behavioural cessation. Motivational approaches to changes in self-injurious behaviour would be beneficial for clinicians and their clients.
由于有和没有停止自我伤害的个体在认知和情绪上存在差异，我们在想要停止的背景下探讨了这些差异。
澳大利亚大学生（n=374）完成了认知和情绪测量。对过去 12 个月内有过自我伤害行为和没有过自我伤害行为的个体，以及报告想要停止自我伤害和不想停止自我伤害的个体进行了比较。
约 20%的参与者不想停止自我伤害。认知情绪因素（心理困扰、抵制自我伤害的自我效能、情绪调节困难、人际关系功能和结果预期）区分了已经停止和尚未停止自我伤害的个体，但不能解释停止意愿的差异。
与停止意愿相关的因素与行为停止的基础因素不同。针对自我伤害行为改变的动机方法对临床医生及其患者都将是有益的。
