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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

21-03-2016

Reconsidering Criterion A for the Diagnosis of Non-Suicidal Self-Injury Disorder

Auteurs: Jennifer J. Muehlenkamp, Amy M. Brausch

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2016

Abstract

Empirical research is needed to verify that the DSM-5 proposed diagnostic criteria for non-suicidal self-injury (NSSI) disorder provide a valid and clinically meaningful symptom set. The current study used data-driven methods to examine the diagnostic validity of the frequency and recency thresholds (i.e., Criterion A) for NSSI disorder. Data were collected from a random sample (n = 2206) of undergraduates. Participants completed counter-balanced questionnaires assessing the frequency, recency, and functions of NSSI, psychopathology symptoms, and indicators of distress and functional impairment. Discriminant functional analyses identified a significant differentiation for frequency between 10 or more acts of NSSI and 1–9 acts. Groups were also differentiated with a split on recency between less than 12-months ago and more than 12-months ago. After re-grouping the sample into categories based on the new frequency and 12-month recency threshold, the 10+ NSSI group reported significantly more functions for NSSI, including higher scores on affect regulation, self-punishment, and sensation seeking, than the subthreshold NSSI group. The 10+ NSSI group also reported significantly worse psychopathology, greater distress, and more impairment than both the subthreshold group and controls (no NSSI history). These findings indicate the current DSM-5 diagnostic criteria for NSSI disorder may be too liberal, and offer support for increasing the frequency thresholds for the diagnosis to ensure clinical validity and utility.

vorige artikel Distress Tolerance and Social Support in Adolescence: Predicting Risk for Internalizing and Externalizing Symptoms Following a Natural Disaster

volgende artikel An Examination of Concurrent and Incremental Validity of Four Mindfulness Scales

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Titel: Reconsidering Criterion A for the Diagnosis of Non-Suicidal Self-Injury Disorder
Auteurs: Jennifer J. Muehlenkamp
Amy M. Brausch
Publicatiedatum: 21-03-2016
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2016
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-016-9543-0

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