Does Nonsuicidal Self-injury Prospectively Predict Change in Depression and Self-criticism?

Does Nonsuicidal Self-injury Prospectively Predict Change in Depression and Self-criticism?
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DOI:
10.1007/s10608-018-9984-8
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发表时间:
2019-04-01
影响因子:
2.8
通讯作者:
Cole, David A.
Cole, David A.
中科院分区:
心理学3区
文献类型:
--
作者:
Burke, Taylor A.;Fox, Kathryn;Cole, David A.

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很少有研究将非自杀性自我伤害(NSSI)作为自杀性自我伤害以外的后果的预测指标,这严重限制了我们对这种行为的所有后果的理解。三项独立的研究被用来检验NSSI和两种结果之间的预期联系:抑郁症状和自我批评。数据来自(1)过去一个月NSSI的成年人,(2)终生NSSI的成年人,和(3)过去一年NSSI的成年人。研究包括1个月和6个月的随访期。结果在一项内部荟萃分析中进行检验。结果表明,NSSI并未对自我批评的变化进行前瞻性预测。在较短的随访期内没有发现抑郁症状的变化;然而,NSSI预测在一个样本的6个月随访期内抑郁症状会增加。内部荟萃分析表明,NSSI和预期的内化症状之间的关系为零。未来的研究应该重复这些发现,并检查NSSI的更广泛的结果,以更好地理解其与精神病理学的复杂关系。
Few studies have investigated nonsuicidal self-injury (NSSI) as a predictor of outcomes other than suicidal self-injury, severely limiting our understanding of this behavior's full range of consequences. Three independent studies were used to examine the prospective association between NSSI and two outcomes: depressive symptoms and self-criticism. Data were collected from samples of (1) adults with past-month NSSI, (2) adults with lifetime NSSI, and (3) adults with past-year NSSI. Studies included 1- and 6-month follow-up periods. Results were tested in an internal meta-analysis. Results suggested that NSSI did not prospectively predict changes in self-criticism. No changes in depressive symptoms were seen over shorter follow-up periods; however, NSSI predicted increases in depressive symptoms at 6-month follow-up in one sample. The internal meta-analysis indicated a null relationship between NSSI and prospective internalizing symptoms. Future research should replicate these findings and examine a broader range of outcomes of NSSI to better understand its complex relationship to psychopathology.