Adverse childhood experiences and their impact on frequency, severity, and the individual function of nonsuicidal self-injury in youth
Adverse childhood experiences and their impact on frequency, severity, and the individual function of nonsuicidal self-injury in youth
复制标题
DOI：
10.1016/j.psychres.2012.10.012
复制
发表时间：
2013-04-30
影响因子：
11.3
通讯作者：
Brunner, Romuald
中科院分区：
文献类型：
--
作者：
Kaess, Michael;Parzer, Peter;Brunner, Romuald
本研究旨在探讨非自杀性自伤（NSSI）和各种不良童年经历（ACE）之间的特定关系，以及它们对NSSI频率、严重程度和功能的影响。一个样本的125名住院病人（年龄13至26岁）连续招募精神病大学医院。采用自伤功能评定量表（FASM）评定NSSI的频率、方法和功能，采用儿童期照料和虐待经历问卷（CECA.Q）评定ACE。在该代表性临床样本中，NSSI的12个月患病率为60.0%。参与NSSI显着相关的ACE与最高协会的母亲的反感和忽视。虽然ACE与NSSI的频率或严重程度无关，但一些ACE与NSSI的自动功能显著相关（例如，情感调节、抗解离功能或自我惩罚）以及同伴识别功能。NSSI是年轻临床人群中的一种常见现象，似乎与除了虐待经历之外，母亲反感或忽视的ACE特别相关。由于ACE也会影响NSSI的功能，因此需要将这些因素作为临床护理计划的一部分进行检查。(C)2012爱思唯尔爱尔兰有限公司保留所有权利。
This study aimed to investigate a specific relationship between nonsuicidal self-injury (NSSI) and a variety of adverse childhood experiences (ACEs) over and above childhood abuse and their impact on frequency, severity, and functions of NSSI. A sample of 125 inpatients (aged 13 to 26) was consecutively recruited within a psychiatric university hospital. Frequency, methods and functions of NSSI were assessed by the Functional Assessment of Self-Mutilation (FASM), ACEs were assessed by the Childhood Experiences of Care and Abuse Questionnaire (CECA.Q). The 12 month prevalence of NSSI in this representative, clinical sample was 60.0%. Engagement in NSSI was significantly related to ACEs with highest associations for maternal antipathy and neglect. Whilst ACEs were not associated with frequency or severity of NSSI, some ACEs were significantly related to the automatic functions of NSSI (e.g., affect regulation, anti-dissociative function or self-punishment) as well as to a peer identification function. NSSI represents a frequent phenomenon among young clinical populations and seems to be specifically related to ACEs with maternal antipathy or neglect commonly featured over and above experiences of abuse. Since ACEs also influence the functions of NSSI such factors need to be examined as part of clinical care planning. (C) 2012 Elsevier Ireland Ltd. All rights reserved.