Shorter communicationEmotional states preceding and following acts of non-suicidal self-injury in bulimia nervosa patients☆
Section snippets
Participants
One hundred thirty one female participants who met DSM-IV criteria for bulimia nervosa (BN) took part in this study. Participants were recruited from the community and local campuses. The participants were selected from a sample of 154 women who appeared to meet study entry criteria based on a phone screening process. Ph.D. level assessors trained in administering the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I/P; described below) then screened potentially eligible women
Description of sample
The 131 participants included in this sample were predominantly single/never married (64.9%), primarily Caucasian (96.9%), and full-time students (51.1%). Participants were relatively young (M = 25.3 years; SD = 7.6) and were generally of average weight (body mass index = 23.8; SD = 5.25). Of the 131 participants, 19 (14.5%) reported at least one act of NSSI during the study time period. A total of 55 episodes of NSSI were recorded across these 19 participants and used for the current study analyses.
Comparison of NSSI group vs. non-NSSI group
We
Discussion
Results from the current study partially confirm hypotheses that NSSI serves a real-time emotion regulating function within persons diagnosed with bulimia nervosa (BN). Findings that negative affect increased and positive affect decreased preceding an act of NSSI is consistent with previous self-report data indicating NSSI is used to manage aversive emotional states (Kemperman et al., 1997, Laye-Gindhu and Schonert-Reichl, 2005, Nock and Prinstein, 2004, Osuch et al., 1999). The result that
References (58)
- et al.
The effects of caloric deprivation and negative affect on binge eating in obese binge-eating disordered women
Behavior Therapy
(1998) - et al.
Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation
Clinical Psychology Review
(1988) - et al.
Solving the puzzle of deliberate self-harm: the experiential avoidance model
Behaviour Research and Therapy
(2006) - et al.
Self-injurious behaviors in eating-disordered patients
Eating Behaviors
(2001) - et al.
Cognitive behavior therapy for eating disorders: a “transdiagnostic” theory and treatment
Behaviour Research and Therapy
(2003) - et al.
Different types of self-injurious behavior in bulimia nervosa
Comprehensive Psychiatry
(1999) The functions of deliberate self-injury: a review of the evidence
Clinical Psychology Review
(2007)- et al.
Smoking and suicidality among adolescent psychiatric patients
Journal of Adolescent Health
(2004) - et al.
Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents
Journal of the American Academy of Child and Adolescent Psychiatry
(2002) - et al.
Reasons for deliberate self-harm: comparison of self-poisoners and self-cutters in a community sample of adolescents
Journal of the American Academy of Child and Adolescent Psychiatry
(2004)
Bulimics' responses to food cravings: is binge-eating a product of hunger or emotional state?
Behaviour Research and Therapy
Self-harm and suicide attempts in individuals with bulimia nervosa
Eating Disorders: The Journal of Treatment & Prevention
Depression and hostility in self-mutilation
Suicide and Life-Threatening Behavior
Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder
Journal of Abnormal Psychology
Eating-disordered patients with and without self-injurious behaviours: a comparison of psychopathological features
European Eating Disorders Review
The eating disorder examination
Female habitual self-mutilators
Act Psychiatrica Scandinavica
Structured clinical interview for DSM-IV Axis I disorders: Patient edition (SCID-I/P)
Targeting emotion dysregulation in the treatment of self-injury
Journal of Clinical Psychology
Binge eating as escape from self-awareness
Psychological Bulletin
Testing the emotion regulation hypothesis among self-injuring females: evidence for differences across mood states
The Journal of Nervous and Mental Disease
Self-injurious behavior and mood regulation in borderline patients
Journal of Personality Disorders
Antecedents and consequences of binge eating episodes in women with an eating disorder
Eating and Weight Disorders
Self-injury: a research review for the practitioner
Journal of Clinical Psychology
Nonsuicidal self-harm among community adolescents: understanding the ‘whats’ and ‘whys’ of self-harm
Journal of Youth and Adolescence
Cognitive-behavioral treatment of borderline personality disorder
Characteristic and functions on non-suicidal self-injury in a community sample of adolescents
Psychological Medicine
Understanding deliberate self-harm: the patient's views
Crisis
Self-injurious behavior as a separate clinical syndrome
American Journal of Orthopsychiatry
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2022, Comprehensive PsychiatryCitation Excerpt :As such, the assessment of their level of PSU is here considered as a comparative mean through which trying and define if these adolescents' state of suffering broadens to other dysfunctional behaviors as a function of their psychological state and (im)maturity. The rationale behind this resides in the conceptualization of the two as regulatory strategies [36,45–47,115–117] thus as means through which a negative and unpleasant emotional state is expressed and modulated. In this respect, it should be noted that PSU had a marginal position within the network, showing the lowest centrality indices, which suggests that PSU severity does not significantly contribute to the NSSI phenomenon overall.
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This project was funded by grant R01-MH-59674 from the National Institute of Mental Health awarded to the Neuropsychiatric Research Institute (Dr. Wonderlich).