Title |
Correlates of Non-suicidal Self-Injury and Suicide Attempts in Bulimic Spectrum Disorders
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Published in |
Frontiers in Psychology, August 2016
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DOI | 10.3389/fpsyg.2016.01244 |
Pubmed ID | |
Authors |
Alexandra Gómez-Expósito, Ines Wolz, Ana B. Fagundo, Roser Granero, Trevor Steward, Susana Jiménez-Murcia, Zaida Agüera, Fernando Fernández-Aranda |
Abstract |
The aim of this study was to examine the implication of personality, impulsivity, and emotion regulation difficulties in patients with a bulimic-spectrum disorder (BSD) and suicide attempts (SA), BSD patients with non-suicidal self-injury (NSSI), and BSD patients without these behaviors. One hundred and twenty-two female adult BSD patients were assessed using self-report questionnaires. Patients were clustered post-hoc into three groups depending on whether they presented BSD without NSSI or SA (BSD), BSD with lifetime NSSI (BSD + NSSI) or BSD with lifetime SA (BSD + SA). The BSD + NSSI and BSD + SA groups presented more emotion regulation difficulties, more eating and general psychopathology, and increased reward dependence in comparison with the BSD group. In addition, BSD + SA patients specifically showed problems with impulse control, while also presenting higher impulsivity than both the BSD and BSD + NSSI groups. No differences in impulsivity between the BSD and BSD + NSSI groups were found. The results show that BSD + NSSI and BSD + SA share a common profile characterized by difficulties in emotion regulation and low reward dependence, but differ in impulsivity and cooperativeness. This suggests that self-injury, in patients without a history of suicide attempts (i.e., BSD + NSSI), may have a regulatory role rather than being due to impulsivity. |
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Demographic breakdown
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Researcher | 7 | 10% |
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Other | 2 | 3% |
Unknown | 21 | 30% |