Investigating the DSM-5 criteria for non-suicidal self-injury disorder in a community sample of adolescents
Investigating the DSM-5 criteria for non-suicidal self-injury disorder in a community sample of adolescents
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DOI：
10.1016/j.jad.2019.09.009
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发表时间：
2020-01-01
影响因子：
6.6
通讯作者：
Claes, Laurence
中科院分区：
文献类型：
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作者：
Buelens, Tinne;Luyckx, Koen;Claes, Laurence
背景：非自杀性自伤（NSSI）是青少年中一个严重的公共卫生问题。2013年，DSM-5将NSSI视为一种独特的临床现象，并呼吁将非自杀性自我伤害障碍（NSSI-D）作为需要进一步研究的疾病进行更系统的研究。然而，很少有研究使用确切的DSM-5标准检查青少年中NSSI-D的患病率。此外，现有的几项研究批评了几项拟议的诊断标准，并指出需要进行更多的研究。方法：因此，我们检查了NSSI-D的患病率，并调查了四个最有争议的标准（即，标准A、B/C和E）在一个大的青少年社区样本中（N = 2,130; 54%为女性; M年龄= 15，SD = 1.81）.结果：我们的结果显示，总体NSSI-D患病率为7.6%，符合诊断的女孩（11.7%）明显多于男孩（2.9%）。当替代标准A（即，>= 10天的NSSI）。在我们的样本中，87%和99%的终生NSSI青少年符合标准B和C，这清楚地质疑了DSM-5诊断NSSI-D的这些标准的临床效用。重要的是，然而，虽然标准E得到了相对较低的认可，它显着区分青少年和没有NSSI-D从another.Limitations和conclusion：虽然我们的结论是受限制的横截面性质，我们的研究，这些研究结果表明，NSSI-D是常见的社区青少年和提供新的见解，在特定的NSSI-D标准的认可和临床效用。
Background: Non-suicidal self-injury (NSSI) is a serious public health concern in adolescents. In 2013, DSM-5 recognized NSSI as a distinct clinical phenomenon and made a call for more systematic research by including Non-Suicidal Self-Injury-Disorder (NSSI-D) as a condition requiring further research. Yet, few studies have examined the prevalence of NSSI-D in adolescents using the exact DSM-5 criteria. Additionally, the few studies available criticised several of the proposed diagnostic criteria and pointed out that more research is needed.Methods: Therefore, we examined prevalence rates of NSSI-D and investigated the four most controversial criteria (i.e., criteria A, B/C, and E) in a large community sample of adolescents (N = 2,130; 54% female; M-age = 15, SD = 1.81).Results: Our results show an overall NSSI-D prevalence rate of 7.6%, with significantly more girls (11.7%) than boys (2.9%) meeting the diagnosis. The prevalence of NSSI-D dropped to 5.5% when an alternative criterion A (i.e., >= 10 days of NSSI in the past year) was implemented. In our sample, 87% and 99% of adolescents with lifetime NSSI met criteria B and C, which clearly questions the clinical utility of these criteria for the DSM-5 diagnosis of NSSI-D. Importantly, however, although criterion E received relatively low endorsement, it significantly distinguished adolescents with and without NSSI-D from one another.Limitations and conclusion: Although our conclusions are restricted by the cross-sectional nature of our study, these findings show that NSSI-D is common in community adolescents and offer new insights in the endorsement and clinical utility of specific NSSI-D criteria.