Putative Risk Factors for Non-Suicidal Self-Injury in Eating Disorders
Putative Risk Factors for Non-Suicidal Self-Injury in Eating Disorders
复制标题
DOI：
10.1002/erv.2545
复制
发表时间：
2017-11-01
影响因子：
5.3
通讯作者：
Goncalves, Sonia
中科院分区：
文献类型：
--
作者：
Vieira, Ana Isabel;Machado, Barbara C.;Goncalves, Sonia
有证据表明饮食失调（ED）和非自杀性自伤（NSSI）之间存在共同联系。本研究旨在探讨艾德患者发生NSSI的潜在危险因素。我们对245例艾德患者进行了牛津ED危险因素访谈，结果显示33%的艾德患者在其一生中报告了NSSI。与其他艾德患者相比，暴饮暴食/腹泻型艾德患者中NSSI的发生率更高，并且与更严重的进食病理学相关。与没有发生NSSI的患者相比，合并ED和NSSI的患者中，更年轻的饮食问题发病年龄、更消极的自我评价、自杀企图、药物滥用、父母体重低、进餐时家庭紧张、父母酒精问题、儿童期虐待、同伴攻击和负面的前因生活事件更常见。研究结果可为早期发现的ED患者的风险评估和治疗提供信息。版权所有（c）2017约翰威利父子有限公司和饮食失调协会。
Evidence suggests a common association between eating disorders (EDs) and non-suicidal self-injury (NSSI). The present study aimed to investigate the potential risk factors for NSSI among ED patients. We assessed 245 ED patients with the Oxford Risk Factor Interview for ED. The results showed that 33% of ED patients reported NSSI in their lifetime. NSSI appeared to occur more frequently among binge eating/purging type ED patients than among patients with other ED and to be related to a more severe eating pathology. A younger age at the onset of eating problems, more negative self-evaluation, suicide attempts, substance abuse, parents' low weight, family tension at mealtime, parental alcohol problems, childhood abuse, peer aggression, and negative antecedent life events were more common among patients with co-occurring EDs and NSSI than among patients without NSSI. The results may inform the risk assessment and treatment of NSSI in EDs in the early detection period. Copyright (c) 2017 John Wiley & Sons, Ltd and Eating Disorders Association.