Gatta Michela, Angelico Caterina, Rigoni Francesca, Raffagnato Alessia, Miscioscia Marina
Child and Adolescent Neuropsychiatric Unit, Department of Women's and Children's Health, University Hospital of Padua, 35128 Padua, Italy.
Department of Developmental Psychology and Socialisation, University of Padua, 35131 Padua, Italy.
J Clin Med. 2022 Apr 15;11(8):2220. doi: 10.3390/jcm11082220.
The present study aimed to investigate alexithymia and psychopathological manifestations centered on the body in a sample of adolescents with somatizing and/or self-harming issues to analyze the phenomenon of NSSI linked to Somatic Symptom Disorders (SSD). A sample of 184 adolescents between 12 and 19 years of age, was divided into three groups, one with NSSI ( = 49) and the second group with SSD ( = 57), comparing them with a third group of adolescents with SSD and NSSI ( = 78) to investigate their differences and similarities in psychopathological correlates and to analyze the mediation role of alexithymia and emotional dysregulation in NSSI and SSD related to internalizing problems. The battery of tests included the Toronto Alexithymia Scale (TAS-20) and the Youth Self-Report 11-18 (YSR). The NSSI + SSD group scored higher than the other two groups on all the YSR scales. The affective syndromes were the only clinical condition that discriminated between the three groups. On all the other syndrome scales, the NSSI + SSD group differed from the other two groups, while there were no differences between the NSSI group and the SSD group. The NSSI + SSD group revealed a more severely deficient emotional self-regulation. Difficulty identifying feelings was a trait shared by adolescents with SSD and those engaging in NSSI, a more complex overall alexithymia profile was associated with the combination of self-harming behavior and somatization. Alexithymia and emotional dysregulation played a mediating role in the relationship between internalizing problems and somatization. We did not find a mediating role in alexithymia and emotional dysregulation in the relationship between internalizing problems and self-injurious behavior. The combination of NSSI and SSD gave rise to more severe psychopathological correlates, clinical levels of alexithymia, and more severe deficient emotional self-regulation. Results of mediation role indicated a link between alexithymia, emotional dysregulation, and somatization.
本研究旨在调查有躯体化和/或自我伤害问题的青少年样本中的述情障碍和以身体为中心的精神病理表现，以分析与躯体症状障碍（SSD）相关的非自杀性自伤（NSSI）现象。184名年龄在12至19岁之间的青少年样本被分为三组，一组有NSSI（n = 49），第二组有SSD（n = 57），将他们与第三组有SSD和NSSI的青少年（n = 78）进行比较，以研究他们在精神病理相关因素方面的差异和相似之处，并分析述情障碍和情绪失调在与内化问题相关的NSSI和SSD中的中介作用。测试组包括多伦多述情障碍量表（TAS-20）和青少年自我报告11 - 18（YSR）。NSSI + SSD组在所有YSR量表上的得分均高于其他两组。情感综合征是区分这三组的唯一临床状况。在所有其他综合征量表上，NSSI + SSD组与其他两组不同，而NSSI组和SSD组之间没有差异。NSSI + SSD组表现出更严重的情绪自我调节缺陷。难以识别情感是患有SSD的青少年和参与NSSI的青少年共有的特征，更复杂的整体述情障碍特征与自我伤害行为和躯体化的组合相关。述情障碍和情绪失调在内化问题与躯体化之间的关系中起中介作用。我们没有发现述情障碍和情绪失调在内化问题与自我伤害行为之间的关系中起中介作用。NSSI和SSD的组合导致更严重的精神病理相关因素、述情障碍的临床水平以及更严重的情绪自我调节缺陷。中介作用的结果表明述情障碍、情绪失调和躯体化之间存在联系。
