The functions of self-injury in young adults who cut themselves: clarifying the evidence for affect-regulation.

The functions of self-injury in young adults who cut themselves: clarifying the evidence for affect-regulation.
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DOI:
10.1016/j.psychres.2008.02.008
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发表时间:
2009-04-30
影响因子:
11.3
通讯作者:
Klonsky ED
Klonsky ED
中科院分区:
医学2区
文献类型:
--
作者:
Klonsky ED

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对39名有割皮和其他自伤行为史的年轻人进行了非自杀性自伤的功能检测,包括敲打、灼伤和严重抓挠。通过结构化访谈评估与自我伤害相关的后果、情感状态和原因。结果表明,自我伤害与情感效价的提高和情感唤醒的降低有关。具体地说,在自我伤害之前,参与者往往感到不知所措、悲伤和沮丧,而在自我伤害之后,参与者往往感到放松和平静。此外,这些情感变化预测了一生中自我伤害的频率,表明它们加强了行为。最后,尽管大多数受试者认可了与情感调节(例如,释放在我体内积累的情绪压力)和自我惩罚(例如,表达对自己的愤怒)有关的自我伤害的原因,但情感调节原因被压倒性地认为是主要的,自我惩罚原因是次要的。
The functions of non-suicidal self-injury were examined in 39 young adults with a history of skin-cutting and other self-injurious behaviors including banging, burning, and severe scratching. Consequences, affect-states, and reasons associated with self-injury were assessed by a structured interview. Results indicate that self-injury is associated with improvements in affective valence and decreases in affective arousal. Specifically, participants tended to feel overwhelmed, sad, and frustrated before self-injury, and relieved and calm after self-injury. Further, these affective changes predict lifetime frequency of self-injury, suggesting that they reinforce the behavior. Finally, although reasons for self-injury related to both affect-regulation (e.g., to release emotional pressure that builds up inside of me) and self-punishment (e.g., to express anger at myself) were endorsed by a majority of participants, affect-regulation reasons were overwhelmingly rated as primary and self-punishment reasons as secondary.
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