Self-reported explanations for self-injury by people with intellectual disabilities: a systematic review of qualitative studies

Self-reported explanations for self-injury by people with intellectual disabilities: a systematic review of qualitative studies
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智障人士自残行为的自我报告解释:定性研究的系统回顾

DOI:
10.1080/20473869.2022.2098665
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发表时间:
2022
影响因子:
2.1
通讯作者:
Samways B
Samways B
中科院分区:
医学4区
文献类型:
--
作者:
Samways B

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背景情绪困扰作为智障人士自残的解释因素较少受到关注,研究和实践主要集中在生物行为因素上。这篇系统综述考察了轻度或中度智力障碍者对自残行为的自我报告解释,并讨论了研究结果与一般人群中自残者的自我报告研究结果的对比。方法系统地检索了五个数据库(PsychINFO、IBSS、CINAHL、Web of Science 和 Medline),以查找自 2000 年以来关于自残原因的定性、实证研究。结果四研究发现对智障人士进行了研究。讨论了三个主要主题:缓解压倒性的情绪;创伤和损失;以及表达情绪的困难。结论这篇综述发现,很少有研究询问智障人士关于他们自己的自伤的情况。然而,现有研究表明,对于患有轻度或中度智力障碍的人,应考虑一般人群中通常报告的自残的解释因素。
BackgroundEmotional 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.MethodsFive 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.ResultsFour 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.ConclusionThis 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.
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