Samways Beverley, Heslop Pauline, Dowling Sandra
School for Policy Studies, University of Bristol, Bristol, UK.
Professor of Intellectual Disabilities Studies, University of Bristol, Bristol, UK.
Int J Dev Disabil. 2022 Jul 19;70(3):382-396. doi: 10.1080/20473869.2022.2098665. eCollection 2024.
Emotional distress has received less attention as an explanatory factor for self-injury in people with intellectual disabilities, with research and practice primarily focusing on biobehavioural factors. This systematic review examines the self-reported explanations for self-injury by people with mild or moderate intellectual disabilities, and discusses how the findings contrast with those from self-reported studies of people within the general population who self-harm.
Five databases (PsychINFO, IBSS, CINAHL, Web of Science and Medline) were systematically searched to find qualitative, empirical research since 2000 about self-reported reasons for self-injury.
Four studies were found which conducted research with people with intellectual disabilities. Three primary themes are discussed: relief from overwhelming emotions; trauma and loss; and difficulty in articulating emotions.
This review found a paucity of research asking people with intellectual disabilities about their own self-injury. However, the research available suggests that explanatory factors for self-injury typically reported in the general population should be considered for those with mild or moderate intellectual disabilities.
作为智力障碍者自我伤害的一个解释因素，情绪困扰受到的关注较少，研究和实践主要集中在生物行为因素上。本系统综述探讨了轻度或中度智力障碍者自我报告的自我伤害原因，并讨论了这些发现与普通人群中自我伤害者自我报告研究结果的差异。
系统检索了五个数据库（心理学文摘数据库、国际社会科学文献索引数据库、护理学与健康领域数据库、科学引文索引数据库和医学期刊数据库），以查找2000年以来关于自我伤害自我报告原因的定性实证研究。
发现四项针对智力障碍者的研究。讨论了三个主要主题：缓解压倒性情绪；创伤与损失；以及表达情绪困难。
本综述发现，询问智力障碍者关于其自身自我伤害情况的研究很少。然而，现有研究表明，对于轻度或中度智力障碍者，应考虑普通人群中通常报告的自我伤害解释因素。
