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那些停止自我伤害的人有何不同?当前非自杀性自我伤害与终生非自杀性自我伤害的比较。

What's Different About Those Who Have Ceased Self-Injury? Comparison Between Current and Lifetime Nonsuicidal Self-Injury.

作者信息

Kim Haeun, Hur Ji-Won

出版信息

Arch Suicide Res. 2023 Apr-Jun;27(2):718-733. doi: 10.1080/13811118.2022.2064256. Epub 2022 Apr 21.

Abstract

OBJECTIVE

The current study aimed to investigate the sociodemographic and psychological variables as well as the function of NSSI related to the cessation of NSSI by analyzing the difference between those currently engaged in nonsuicidal self-injury (NSSI) and those who have stopped NSSI behaviors.

METHODS

A total of 490 adults with a history of NSSI (359 females) were assigned to one of two groups: NSSI engagement within the last 12 months or "current NSSI" ( = 402) vs. no episode of NSSI in the previous 12 months or "lifetime NSSI" ( = 88).

RESULTS

There were no significant group differences in sex or socioeconomic status, while individuals with current NSSI were slightly younger than those who had ceased NSSI behavior. Regarding the functions of NSSI, the current NSSI group endorsed more intrapersonal functions. Moreover, the participants who had ceased NSSI behavior reported significantly less perceived stress, dysfunctional attitudes, alexithymia, emotion reactivity, and suicidal ideation. On the other hand, the lifetime NSSI group showed greater psychological resources such as self-esteem, distress tolerance, and resilience.

CONCLUSIONS

We revealed apparent differences in NSSI functions, clinical symptoms, and psychological resources depending on the maintenance and cessation of NSSI. This study highlights the need for a better understanding of the factors that stop as well as those that continue NSSI behaviors. HIGHLIGHTSThe lifetime NSSI group reported less intrapersonal NSSI functions.The current NSSI group suffered from more clinical symptoms.Individuals who ceased NSSI had more psychological resources.

摘要

目的

本研究旨在通过分析当前从事非自杀性自伤(NSSI)的人群与已停止NSSI行为的人群之间的差异,调查社会人口学和心理变量以及与NSSI停止相关的NSSI功能。

方法

共有490名有NSSI病史的成年人(359名女性)被分为两组:过去12个月内有NSSI行为或“当前NSSI”组(n = 402)与过去12个月内无NSSI发作或“终生NSSI”组(n = 88)。

结果

两组在性别或社会经济地位上无显著差异,但当前有NSSI行为的个体比已停止NSSI行为的个体略年轻。关于NSSI的功能,当前NSSI组认可更多的个人内部功能。此外,已停止NSSI行为的参与者报告的感知压力、功能失调态度、述情障碍、情绪反应性和自杀意念明显更少。另一方面,终生NSSI组表现出更强的心理资源,如自尊、痛苦耐受力和心理韧性。

结论

我们发现,根据NSSI的持续和停止情况,NSSI功能、临床症状和心理资源存在明显差异。本研究强调需要更好地理解停止以及持续NSSI行为的因素。要点终生NSSI组报告的个人内部NSSI功能较少。当前NSSI组有更多临床症状。停止NSSI行为的个体有更多心理资源。

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