Getting "clean" from nonsuicidal self-injury: Experiences of addiction on the subreddit r/selfharm.
Getting "clean" from nonsuicidal self-injury: Experiences of addiction on the subreddit r/selfharm.
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从非自杀性自伤中获得“清洁”：在Reddit r/selfharm上成瘾的经验。
DOI：
10.1556/2006.2022.00005
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发表时间：
2022-03-28
影响因子：
7.8
通讯作者：
Curtis, Brenda
中科院分区：
文献类型：
--
作者：
Himelein-Wachowiak, Mckenzie;Giorgi, Salvatore;Kwarteng, Amy;Schriefer, Destiny;Smitterberg, Chase;Yadeta, Kenna;Bragard, Elise;Devoto, Amanda;Ungar, Lyle;Curtis, Brenda
Previous studies have shown that nonsuicidal self-injury (NSSI) has addictive features, and an addiction model of NSSI has been considered. Addictive features have been associated with severity of NSSI and adverse psychological experiences. Yet, there is debate over the extent to which NSSI and substance use disorders (SUDs) are similar experientially. To evaluate the extent that people who self-injure experience NSSI like an addiction, we coded the posts of users of the subreddit r/selfharm (n = 500) for each of 11 DSM-5 SUD criteria adapted to NSSI. A majority (76.8%) of users endorsed at least two adapted SUD criteria in their posts, indicative of mild, moderate, or severe addiction. The most frequently endorsed criteria were urges or cravings (67.6%), escalating severity or tolerance (46.7%), and NSSI that is particularly hazardous. User-level addictive features positively predicted number of methods used for NSSI, number of psychiatric disorders, and particularly hazardous NSSI, but not suicidality. We also observed frequent use of language and concepts common in SUD recovery circles like Alcoholics Anonymous. Our findings support previous work describing the addiction potential of NSSI and associating addictive features with clinical severity. These results suggest that NSSI and SUD may share experiential similarities, which has implications for the treatment of NSSI. We also contribute to a growing body of work that uses social media as a window into the subjective experiences of stigmatized populations.
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影响因子：
4.7
作者：
Blasco-Fontecilla H;Fernández-Fernández R;Colino L;Fajardo L;Perteguer-Barrio R;de Leon J
通讯作者：
de Leon J
影响因子：
1.5
作者：
Gonzales, Ariel Henrie;Bergstrom, Linda
通讯作者：
Bergstrom, Linda
影响因子：
3.7
作者：
Glenn CR;Klonsky ED
通讯作者：
Klonsky ED
影响因子：
2.8
作者：
Ammerman, Brooke A.;Jacobucci, Ross;McCloskey, Michael S.
通讯作者：
McCloskey, Michael S.
影响因子：
2.7
作者：
Bliuc, Ana-Maria;Doan, Tuyet-Ngan;Best, David
通讯作者：
Best, David