A functional approach to the assessment of self-mutilative behavior
A functional approach to the assessment of self-mutilative behavior
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DOI：
10.1037/0022-006x.72.5.885
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发表时间：
2004-10-01
影响因子：
5.9
通讯作者：
Prinstein, MJ
中科院分区：
文献类型：
--
作者：
Nock, MK;Prinstein, MJ
这项研究应用功能方法来评估青少年精神科住院患者的自残行为。基于过去对不同形式的自我伤害行为的概念化。作者假设，SMB是因为自动强化(即，自我强化；例如，情绪调节)和/或社会强化(即，他人强化；例如……)而发生的。注意，回避-逃避)与这类行为相关的特性。资料收集自108名因自伤思想或行为而转诊的青少年精神科住院病人。据报告，青少年经常参与SMB，使用多种方法，并且发病年龄较早。此外，研究结果支持了所提出的中小企业功能模型的结构效度和信度。大多数青少年在SMB中从事自动强化，尽管相当大一部分人也支持社会强化功能。这些发现对SMB的理解、评估和治疗具有直接的意义。
This study applied a functional approach to the assessment of self-mutilative behavior (SMB) among adolescent psychiatric inpatients. On the basis of past conceptualizations of different forms of self-injurious behavior. the authors hypothesized that SMB is performed because of the automatically reinforcing (i.e., reinforced by oneself; e.g., emotion regulation) and/or socially reinforcing (i.e., reinforced by others; e.g... attention, avoidance-escape) properties associated with such behaviors. Data were collected from 108 adolescent psychiatric inpatients referred for self-injurious thoughts or behaviors. Adolescents reported engaging in SMB frequently, using multiple methods, and having an early age of onset. Moreover, the results supported the structural validity and reliability of the hypothesized functional model of SMB. Most adolescents engaged in SMB for automatic reinforcement, although a sizable portion endorsed social reinforcement functions as well. These findings have direct implications for the understanding, assessment, and treatment of SMB.