Identifying Predictors of Non-Suicidal Self-Injuries in Individuals with Eating Disorders
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Purpose: Nearly one third of all patients with an eating disorder (ED) present with non-suicidal self-injury (NSSI). Although it isnecessary to pay attention clinically to NSSI in ED patients due to an increased suicidal risk, there are limited data on potentialpredictors of NSSI in ED. We conducted this study to uncover predictors of NSSI in ED. Materials and Methods: A total of 1355 ED patients who visited an ED clinic was evaluated through structured interviews by psychiatrists. The demographic and clinical characteristics of ED patients with NSSI (NSSI group) and ED patients without NSSI(non-NSSI group) were analyzed to identify potential predictors of NSSI in ED. Results: Among all ED individuals, 242 (17.9%) reported a history of NSSI. Compared to the non-NSSI group, the NSSI group reportedmore severe eating symptomatology, more comorbid psychiatric disease, and more suicidal risk. Comorbid alcohol usedisorder, depressive disorder, purging behavior, history of suicide attempt, and rumination symptoms were uncovered as predictorsof NSSI in ED. Conclusion: The findings of the study are meaningful in that they highlight predictors of NSSI in ED in a large clinical sample. Understanding risk factors of NSSI and offering appropriate interventions are important to preventing suicidality in ED.
Abstract
Purpose: Nearly one third of all patients with an eating disorder (ED) present with non-suicidal self-injury (NSSI). Although it isnecessary to pay attention clinically to NSSI in ED patients due to an increased suicidal risk, there are limited data on potentialpredictors of NSSI in ED. We conducted this study to uncover predictors of NSSI in ED. Materials and Methods: A total of 1355 ED patients who visited an ED clinic was evaluated through structured interviews by psychiatrists. The demographic and clinical characteristics of ED patients with NSSI (NSSI group) and ED patients without NSSI(non-NSSI group) were analyzed to identify potential predictors of NSSI in ED. Results: Among all ED individuals, 242 (17.9%) reported a history of NSSI. Compared to the non-NSSI group, the NSSI group reportedmore severe eating symptomatology, more comorbid psychiatric disease, and more suicidal risk. Comorbid alcohol usedisorder, depressive disorder, purging behavior, history of suicide attempt, and rumination symptoms were uncovered as predictorsof NSSI in ED. Conclusion: The findings of the study are meaningful in that they highlight predictors of NSSI in ED in a large clinical sample. Understanding risk factors of NSSI and offering appropriate interventions are important to preventing suicidality in ED.
참고문헌 (39)
- Claes L, "Non-suicidal self-injury in eating disorders" (2016), Springer
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders (DSM-5®)" (2013), American Psychiatric Pub
- Klonsky ED, "Self-injury : a research review for the practitioner", J Clin Psychol, 63, pp.1045~1056 (2007)
- Sansone RA, "Self-harm behaviors among those with eating disorders : an overview", Eat Disord, 10, pp.205~213 (2002)
- Jacobson CM, "The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents : a critical review of the literature", Arch Suicide Res, 11, pp.129~147 (2007)
- Kostro K, "The current status of suicide and self-injury in eating disorders : a narrative review", J Eat Disord, 2, pp.19~ (2014)
- Preti A, "A comprehensive meta-analysis of the risk of suicide in eating disorders", Acta Psychiatr Scand, 124, pp.6~17 (2011)
- Svirko E, "Self-injurious behavior and eating disorders : the extent and nature of the association", Suicide Life Threat Behav, 37, pp.409~421 (2007)
- Favaro A, "Self-injurious behavior in a community sample of young women : relationship with childhood abuse and other types of self-damaging behaviors", J Clin Psychiatry, 68, pp.122~131 (2007)
- Muehlenkamp JJ, "Non-suicidal self-injury in eating disordered patients : a test of a conceptual model", Psychiatry Res, 188, pp.102~108 (2011)
- Mitchison D, "The epidemiology of eating disorders : genetic, environmental, and societal factors", Clin Epidemiol, 6, pp.89~97 (2014)
- Muehlenkamp JJ, "Abuse subtypes and nonsuicidal self-injury : preliminary evidence of complex emotion regulation patterns", J Nerv Ment Dis, 198, pp.258~263 (2010)
- Wonderlich SA, "The effects of childhood trauma on daily mood lability and comorbid psychopathology in bulimia nervosa", J Trauma Stress, 20, pp.77~87 (2007)
- Favaro A, "Impulsive and compulsive self-injurious behavior in bulimia nervosa : prevalence and psychological correlates", J Nerv Ment Dis, 186, pp.157~165 (1998)
- Glenn CR, "A multimethod analysis of impulsivity in nonsuicidal self-injury", Personal Disord, 1, pp.67~75 (2010)
- Claes L, "The affect-regulation function of nonsuicidal self-injury in eating-disordered patients: which affect states are regulated?", Compr Psychiatry, 51, pp.386~392 (2010)
- Safer DL, "Anorexia nervosa as a disorder of emotion dysregulation : theory, evidence, and treatment implications", Clin Psychol Sci Prac, 18, pp.203~207 (2011)
- Oquendo MA, "The biology of impulsivity and suicidality", Psychiatr Clin North Am, 23, pp.11~25 (2000)
- Schmidt U, "Aetiology of eating disorders in the 21(st)century : new answers to old questions", Eur Child Adolesc Psychiatry, 12(Suppl 1), pp.i30~i37 (2003)
- Harrop EN, "The comorbidity of substance use disorders and eating disorders in women : prevalence, etiology, and treatment", Addict Behav, 35, pp.392~398 (2010)
- Hawton K, "Psychiatric disorders in patients presenting to hospital following self-harm : a systematic review", J Affect Disord, 151, pp.821~830 (2013)
- Vieira AI, "Putative risk factors for non-suicidal self-injury in eating disorders", Eur Eat Disord Rev, 25, pp.544~550 (2017)
- 이정현, "Validation of the Korean Version of the Eating Disorder Inventory-2: Psychometric Properties and Cross-Cultural Comparison", Yonsei Medical Journal, 53(6), pp.1099~1106 (2012), 연세대학교의과대학[DOI]
- Beck AT, "Beck depression inventory–II", pp.490~498 (1996), Psychological Corp
- Steer RA, "Evaluating stress: a book of resources" (1997), Scarecrow Press
- 임준석, "Reliability and Validity of the Korean Version of Obsessive- Compulsive Inventory-Revised in a Non-clinical Sample", Yonsei Medical Journal, 49(6), pp.909~916 (2008), 연세대학교의과대학
- Garner DM, "Eating disorder inventory-2" (1991), Psychological Assessment Resources
- Seon Hee Hwang, "Development and Validation of a Screening Scale for Depression in Korea: The Lee and Rhee Depression Scale", PSYCHIATRY INVESTIGATION, 9(1), pp.36~44 (2012), 대한신경정신의학회
- 김지혜, "한국어 확장판 불안 민감도 지수의 타당화 연구", 신경정신의학, 43(1), pp.54~61 (2004), 대한신경정신의학회
- Duggan JM, "Non-suicidal self-injury in eating disorders", pp.217~236 (2014), Springer
- Nolen-Hoeksema S, "Response styles and the duration of episodes of depressed mood", J Abnorm Psychol, 102, pp.20~28 (1993)
- Anthony JL, "An affect-based, hierarchical model of temperament and its relations with internalizing symptomatology", J Clin Child Adolesc Psychol, 31, pp.480~490 (2002)
- Rood L, "Dimensions of negative thinking and the relations with symptoms of depression and anxiety in children and adolescents", Cognit Ther Res, 34, pp.333~342 (2010)
- Skitch SA, "Rumination in response to stress as a common vulnerability factor to depression and substance misuse in adolescence", J Abnorm Child Psychol, 36, pp.1029~1045 (2008)
- Selby EA, "Understanding the relationship between emotional and behavioral dysregulation : emotional cascades", Behav Res Ther, 46, pp.593~611 (2008)
- Selby EA, "Emotional cascades and self-injury : investigating instability of rumination and negative emotion", J Clin Psychol, 69, pp.1213~1227 (2013)
- Arbuthnott AE, "Rumination and emotions in nonsuicidal self-injury and eating disorder behaviors : a preliminary test of the emotional cascade model", J Clin Psychol, 71, pp.62~71 (2015)
- Joiner T, "Why people die by suicide" (2007), Harvard University Press
- Arcelus J, "Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies", Arch Gen Psychiatry, 68, pp.724~731 (2011)