Self-care versus self-harm: Piercing, tattooing, and self-injuring in eating disorders

Self-care versus self-harm: Piercing, tattooing, and self-injuring in eating disorders
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DOI:
10.1002/erv.612
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发表时间:
2005-01-01
影响因子:
5.3
通讯作者:
Vertommen, H
Vertommen, H
中科院分区:
心理学2区
文献类型:
--
作者:
Claes, L;Vandereycken, W;Vertommen, H

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饮食失调的患者似乎对自己的身体又爱又恨。为什么有些人通过纹身和穿孔来装饰自己的身体,而另一些人则故意伤害自己,使身体的某些部分变得不吸引人?我们探讨了这个问题,在101进食障碍患者通过自我报告问卷的纹身,穿孔和自我伤害的存在和特点,以及潜在的动机。此外,我们还研究了冲动行为和人格特质的共同发生。在我们的患者样本中,11.9%有一个或多个纹身,25.7%有穿孔,64.9%表现出某种形式的自我伤害行为(SIB)。纹身和穿孔显然是出于美学原因,而SIB可以有各种解释。所有这三种行为都更经常与物质(ab)使用有关。就人格特质而言,穿孔与外向性(积极情感)和开放性呈正相关,与开放性呈负相关。与此相反,SIB与神经质(消极情感)和外向性呈正相关,与外向性和开放性呈负相关。纹身并没有显示出与特定人格特质的显着相关性(可能是由于纹身患者的数量很少)。总之,穿孔和纹身似乎反映了更多的自我照顾,并可能保护一些患者免受更多的自我伤害。版权所有(c)2005年约翰威利父子有限公司和饮食失调协会。
Eating disordered patients seem to have a love-hate relationship with their bodies. Why do some decorate their bodies by means of tattooing and piercing, while others deliberately injure themselves and make parts of their body unattractive? We have explored this question in 101 eating-disordered patients by means of self-reporting questionnaires about the presence and characteristics of tattooing, piercing and self-injuring as well as the underlying motives. Furthermore, we studied the co-occurrence of impulsive behaviours as well as personality traits. In our patient sample, 11.9 per cent had one or more tattoos, 25.7 per cent a piercing and 64.9 percent showed some form of self-injurious behaviour (SIB). Tattooing and piercing are clearly driven by esthetical reasons, whereas SIB can have various explanations. All three behaviours were significantly more often linked to substance (ab)use. With respect to personality traits, piercing was positively linked to extraversion (positive affectivity) and openness, and negatively to conscientiousness. SIB, on the contrary, was positively linked to neuroticism (negative affectivity) and conscientiousness, and negatively to extraversion and openness. Tattooing did not show significant correlations with particular personality traits (probably due to the small number of tattooed patients). In summary, piercing and tattooing seem to reflect more self-care, and might protect some patients against more self-harm. Copyright (c) 2005 John Wiley & Sons, Ltd and Eating Disorders Association.