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Borderline Personal Disord Emot Dysregul. 2014 Sep 25;1:14. doi: 10.1186/2051-6673-1-14. eCollection 2014.

The relationship between non-suicidal self-injury and borderline personality disorder symptoms in a college sample.

Borderline personality disorder and emotion dysregulation

Lauren J Brickman, Brooke A Ammerman, Amy E Look, Mitchell E Berman, Michael S McCloskey

Affiliations

  1. Department of Psychology, Temple University, 1701 N. 13th Street, Weiss Hall, Philadelphia, PA 19122 USA.
  2. Department of Psychology, Lee Blvd, Mississippi State University, Mississippi, MS 39759 USA.

PMID: 26401298 PMCID: PMC4579519 DOI: 10.1186/2051-6673-1-14

Abstract

BACKGROUND: Non-suicidal self-injury (NSSI) is a major concern in both clinical and non-clinical populations. It has been approximated that 65-80% of individuals with borderline personality disorder (BPD) engage in some form of NSSI. Despite such high co-morbidity, much still remains unknown about the relationship between NSSI and BPD symptomatology. The goal of the current study was to identify individual BPD symptoms and higher order BPD factors that increase one's vulnerability of NSSI engagement among a college sample. It was hypothesized that the BPD factor of emotion dysregulation and the BPD symptoms of affect instability and intense anger/aggression would be associated with the presence and frequency of NSSI.

METHOD: Seven hundred twenty four undergraduates (61.2% female) completed self-report measures of BPD symptomology and NSSI history.

RESULTS: Regression analyses revealed that among the individual BPD symptoms, past suicidality, impulsivity, chronic emptiness, and identity disturbance were each significantly, positively associated with lifetime history of NSSI, whereas unstable relationships were negatively associated with lifetime history of NSSI. The BPD symptom associated with NSSI frequency was dissociation. Among the BPD factors, emotion dysregulation and disturbed relatedness were both associated with NSSI history, but only disturbed relatedness was associated with NSSI frequency.

CONCLUSION: Findings show partial support for the importance of emotion dysregulation in the relationship between NSSI and BPD symptomatology, but also suggest that the relationship may be more complex and not solely based on emotion dysregulation.

Keywords: BPD; BPD symptoms; Borderline personality disorder; Non-suicidal self-injury; Self-harm

References

  1. Child Adolesc Psychiatry Ment Health. 2012 Mar 30;6:10 - PubMed
  2. Psychiatry Res. 2014 May 15;216(2):217-22 - PubMed
  3. J Pers Disord. 2004 Jun;18(3):226-39 - PubMed
  4. Psychiatry Res. 2009 Oct 30;169(3):261-7 - PubMed
  5. J Abnorm Psychol. 2002 Feb;111(1):198-202 - PubMed
  6. Psychol Med. 2006 Dec;36(12):1779-88 - PubMed
  7. Am J Psychiatry. 2002 Feb;159(2):284-90 - PubMed
  8. Am J Orthopsychiatry. 1998 Oct;68(4):609-20 - PubMed
  9. Appl Prev Psychol. 2008;12(4):159-168 - PubMed
  10. Clin Psychol Rev. 2004 Mar;24(1):35-74 - PubMed
  11. Am J Psychiatry. 2004 Aug;161(8):1350-65 - PubMed
  12. J Pers Disord. 2003 Dec;17(6):568-73 - PubMed
  13. J Adolesc Health. 2013 Apr;52(4):486-92 - PubMed
  14. Compr Psychiatry. 2007 Jan-Feb;48(1):70-8 - PubMed
  15. J Nerv Ment Dis. 2008 Mar;196(3):230-6 - PubMed
  16. Suicide Life Threat Behav. 2005 Oct;35(5):581-91 - PubMed
  17. J Clin Psychol. 2007 Nov;63(11):1091-103 - PubMed
  18. Child Adolesc Psychiatry Ment Health. 2013 Feb 20;7(1):5 - PubMed
  19. Behav Ther. 2011 Dec;42(4):751-62 - PubMed
  20. Personal Disord. 2010 Jan;1(1):67-75 - PubMed
  21. Curr Dir Psychol Sci. 2009 Apr 1;18(2):78-83 - PubMed
  22. Clin Psychol Rev. 2007 Mar;27(2):226-39 - PubMed
  23. Psychiatry Res. 2009 Apr 30;166(2-3):260-8 - PubMed
  24. Acta Psychiatr Scand. 2001 Oct;104(4):264-72 - PubMed
  25. Am J Psychiatry. 1988 Nov;145(11):1424-7 - PubMed
  26. J Abnorm Psychol. 1983 Aug;92(3):263-75 - PubMed
  27. Psychiatry Res. 2014 Aug 15;218(1-2):129-33 - PubMed
  28. Psychiatry Res. 2011 Dec 30;190(2-3):304-8 - PubMed
  29. Lancet. 2004 Jul 31-Aug 6;364(9432):453-61 - PubMed
  30. Br J Psychiatry. 2008 Mar;192(3):166-70 - PubMed
  31. J Child Psychol Psychiatry. 2011 Feb;52(2):148-55 - PubMed
  32. Am J Orthopsychiatry. 2012 Jul;82(3):291-7 - PubMed
  33. Am J Psychiatry. 2000 Oct;157(10):1629-33 - PubMed
  34. Suicide Life Threat Behav. 2012 Apr;42(2):197-209 - PubMed
  35. J Abnorm Psychol. 2013 Feb;122(1):231-7 - PubMed
  36. J Nerv Ment Dis. 2006 Feb;194(2):69-77 - PubMed
  37. Am J Psychiatry. 2006 Jan;163(1):20-6 - PubMed
  38. J Pers Disord. 2005 Oct;19(5):505-23 - PubMed
  39. J Clin Psychiatry. 2008 Apr;69(4):533-45 - PubMed
  40. Psychol Med. 2011 Sep;41(9):1981-6 - PubMed
  41. Biol Psychiatry. 2010 Aug 15;68(4):383-91 - PubMed
  42. J Pers Disord. 2009 Feb;23(1):20-8 - PubMed
  43. Behav Ther. 2008 Jun;39(2):107-16 - PubMed

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