Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide.
Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide.
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DOI：
10.1016/j.psychres.2008.06.011
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发表时间：
2009-08-30
影响因子：
11.3
通讯作者：
Nouvion, Sylvain O.
中科院分区：
文献类型：
--
作者：
Dougherty, Donald M.;Mathias, Charles W.;Marsh-Richard, Dawn M.;Prevette, Kristen N.;Dawes, Michael A.;Hatzis, Erin S.;Palmes, Guy;Nouvion, Sylvain O.
本研究考察了非自杀性自伤青少年（自伤+自伤，n = 25）和非自伤青少年（仅自伤，n = 31）的临床特征和实验室测量的冲动行为。我们假设，与单纯自伤的青少年相比，自伤+自伤的青少年会表现出更严重的临床症状和更高水平的行为冲动。研究人员从一家精神病院的住院病人中招募了青少年，并比较了两组青少年的人口学特征、精神病理学、自我报告的临床评分、非自杀性自伤方法和两项实验室冲动测量。在精神科住院期间进行初步评估，住院期间接受测试的一部分患者在出院后4-6周再次接受测试。在住院期间，在标准临床测量中，自伤+SA患者报告了更严重的抑郁、绝望和冲动，并且在奖励导向的实验室测量中，与仅自伤患者相比，表现出更高的冲动。在初步的随访分析中，两组患者的抑郁、绝望、自杀意念和实验室冲动性均有改善，但自伤+SA组仍比单纯自伤组表现出更多的抑郁症状、绝望和冲动性。青少年自伤+SA的风险评估不仅应考虑临床症状的严重程度，还应考虑当前的冲动水平。
This study examined clinical characteristics and laboratory-measured impulsive behavior of adolescents engaging in either non-suicidal self-injury with (NSSI+SA; n = 25) or without (NSSI-Only; n = 31) suicide attempts. We hypothesized that adolescent with NSSI+SI would exhibit more severe clinical symptoms and higher levels of behavioral impulsivity compared to adolescents with NSSI-Only. Adolescents were recruited from an inpatient psychiatric hospital unit and the two groups were compared on demographic characteristics, psychopathology, self-reported clinical ratings, methods of non-suicidal self-injury, and two laboratory impulsivity measures. Primary evaluations were conducted during psychiatric hospitalization, and a subset of those tested during hospitalization was retested 4-6 weeks after discharge. During hospitalization, NSSI+SA patients reported worse depression, hopelessness, and impulsivity on standard clinical measures, and demonstrated elevated impulsivity on a reward-directed laboratory measure compared to NSSI-Only patients. In the preliminary follow-up analyses, depression, hopelessness, suicidal ideation, and laboratory impulsivity were improved for both groups, but the NSSI+SA group still exhibited significantly more depressive symptoms, hopelessness, and impulsivity than the NSSI-Only group. Risk assessments for adolescents with NSSI+SA should include consideration not only of the severity of clinical symptoms but of the current level impulsivity as well.
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影响因子：
1.1
作者：
Dougherty DM;Mathias CW;Marsh-Richard DM;Furr RM;Nouvion SO;Dawes MA
通讯作者：
Dawes MA
影响因子：
11.3
作者：
Coccaro, EF;Berman, ME;Kavoussi, RJ
通讯作者：
Kavoussi, RJ
影响因子：
3.2
作者：
Dougherty, DM;Mathias, CW;Moeller, FG
通讯作者：
Moeller, FG
影响因子：
4.3
作者：
Marsh, DM;Dougherty, DM;Hicks, LR
通讯作者：
Hicks, LR
影响因子：
2.2
作者：
Eaton, Danice K.;Kann, Laura;Wechsler, Howell
通讯作者：
Wechsler, Howell