Self-Injury in Adolescence Is Associated with Greater Behavioral Risk Avoidance, Not Risk-Taking.
Self-Injury in Adolescence Is Associated with Greater Behavioral Risk Avoidance, Not Risk-Taking.
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DOI：
10.3390/jcm11051288
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发表时间：
2022-02-26
影响因子：
3.9
通讯作者：
Westlund Schreiner M
中科院分区：
文献类型：
--
作者：
Dillahunt AK;Feldman DA;Thomas LR;Farstead BW;Frandsen SB;Lee S;Pazdera M;Galloway J;Bessette KL;Roberts H;Crowell SE;Watkins ER;Langenecker SA;Westlund Schreiner M
将冲动和自伤行为(SIB)联系起来的策略显示出高度不同的结果，而且可能会因所使用的冲动衡量标准而有所不同。为了更好地理解这种一致性的缺乏，我们调查了自我报告与行为冲动、抑制控制、SIB和沉思之间的相关性。我们纳入了年龄在13-17岁之间、患有或缓解精神病的患者，他们有(n=31)或没有(n=14)SIB病史。参与者完成了冲动的自我报告测量、沉思反应量表(RRS)和两种冲动的行为测量：气球模拟风险任务(BART)和参数进行/不进行(PGNG)。终生SIB与自我报告的冲动呈正相关，特别是积极紧迫感和消极紧迫感。然而，通过BART测量，终生SIB较高的个体表现出更大的风险厌恶(较低的冲动)，而终生SIB与PGNG表现之间没有关系。沉思与行为冲动之间没有关系，尽管沉思越多，负性紧迫感越强。未来有必要对SIB在积极和缓解的精神病理学中的作用进行研究。由于大多数青少年在研究时已经从严重抑郁障碍中缓解，后续研究可以确定较低的冒险行为是否有助于既往有更多SIB的个人达到并保持缓解状态。
Strategies to link impulsivity and self-injurious behaviors (SIBs) show highly variable results, and may differ depending on the impulsivity measure used. To better understand this lack of consistency, we investigated correlations between self-report and behavioral impulsivity, inhibitory control, SIBs, and rumination. We included participants aged 13–17 years with either current or remitted psychopathology who have (n = 31) and who do not have (n = 14) a history of SIBs. Participants completed self-report measures of impulsivity, the Rumination Responsiveness Scale (RRS), and two behavioral measures of impulsivity: the Balloon Analogue Risk Task (BART) and Parametric Go/No-Go (PGNG). Lifetime SIBs were positively associated with self-reported impulsivity, specifically positive and negative urgency. However, individuals with greater lifetime SIBs demonstrated greater risk aversion (lower impulsivity) as measured by the BART, whereas there was no relation between lifetime SIBs and PGNG performance. There was no relation between rumination and behavioral impulsivity, although greater rumination was associated with higher negative urgency. Future research examining the role of SIBs in the context of active versus remitted psychopathology is warranted. Because most adolescents were remitted from major depressive disorder at the time of study, follow-up studies can determine if lower risk-taking may aid individuals with more prior SIBs to achieve and maintain a remitted state.
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影响因子：
4.3
作者：
FURNHAM, A;HENDERSON, M
通讯作者：
HENDERSON, M
影响因子：
4.4
作者：
Ellingson JM;Potenza MN;Pearlson GD
通讯作者：
Pearlson GD
影响因子：
64.3
作者：
Mars, Becky;Heron, Jon;Gunnell, David
通讯作者：
Gunnell, David
影响因子：
3.2
作者：
Klonsky, E. David;May, Alexis
通讯作者：
May, Alexis
影响因子：
7.6
作者：
Giannetta, Mariel M.;Betancourt, Laura M.;Hurt, Hallam
通讯作者：
Hurt, Hallam