Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers
Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers
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DOI：
10.1037/0022-006x.76.1.28
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发表时间：
2008-02-01
影响因子：
5.9
通讯作者：
Mendes, Wendy Berry
中科院分区：
文献类型：
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作者：
Nock, Matthew K.;Mendes, Wendy Berry
有人认为，人们进行非自杀性自残（NSSI）是因为他们（a）在压力事件后经历了更高的生理唤醒，并利用 NSSI 来调节所经历的痛苦；（b）解决社会问题的能力存在缺陷，从而干扰了更具适应性的社会反应的表现。然而，缺乏支持该模型的客观生理和行为数据。作者将青少年自残者 (n = 62) 与非自残者 (n = 30) 进行了比较，发现自残者在执行令人痛苦的任务时表现出较高的生理反应性（皮肤电导），忍受这种痛苦的能力较差，并且在解决一些社会问题的能力方面存在缺陷。这些发现强调了在 NSSI 评估和治疗中关注提高觉醒、痛苦耐受性和解决问题能力的重要性。
It has been suggested that people engage in nonsuicidal self-injury (NSSI) because they (a) experience heightened physiological arousal following stressful events and use NSSI to regulate experienced distress and (b) have deficits in their social problem-solving skills that interfere with the performance of more adaptive social responses. However, objective physiological and behavioral data supporting this model are lacking. The authors compared adolescent self-injurers (n = 62) with noninjurers (n = 30) and found that self-injurers showed higher physiological reactivity (skin conductance) during a distressing task, a poorer ability to tolerate this distress, and deficits in several social problem-solving abilities. These findings highlight the importance of attending to increased arousal, distress tolerance, and problem-solving skills in the assessment and treatment of NSSI.