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Borderline Personal Disord Emot Dysregul. 2020 Feb 12;7:4. doi: 10.1186/s40479-019-0117-0. eCollection 2020.

Mental images, entrapment and affect in young adults meeting criteria of nonsuicidal self-injury disorder (NSSID) - a daily diary study.

Borderline personality disorder and emotion dysregulation

Marie Cloos, Martina Di Simplicio, Florian Hammerle, Regina Steil

Affiliations

  1. 1Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University, Frankfurt Main, Germany.
  2. 2Division of Psychiatry, Department of Brain Sciences, Imperial College London, London, UK.
  3. 3Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.

PMID: 32071721 PMCID: PMC7014591 DOI: 10.1186/s40479-019-0117-0

Abstract

BACKGROUND: Incidents of nonsuicidal self-injury (NSSI) are often accompanied by mental images which could be perceived as distressing and/or soothing; yet existing data is derived from participants with a history of NSSI using retrospective methods. This study investigated mental images related to NSSI ("NSSI-images"), and their relationship to the proposed Nonsuicidal Self-Injury Disorder (NSSID).

METHODS: An e-mail was sent to all female students of the local University providing the link to an online screening and 201 students with a history of repetitive NSSI responded. Nineteen eligible participants meeting criteria of NSSID (mean age = 25; 32% with migrant background) further completed a baseline interview and a ten-day-diary protocol.

RESULTS: Among the sample of

LIMITATIONS: Due to non-significant results among a small sample size and a low rate of NSSI among the NSSID-group, results remain preliminary.

CONCLUSIONS: The study provides information on feasibility and methodological challenges such as intervention effects of the diary. NSSI-images may be common among individuals who engage in NSSI; they may capture ambivalent (positive and negative) appraisals of NSSI and thus play a role in NSSI and possibly a disorder such as NSSID. The preoccupation with NSSI (Criterion C of NSSID in DSM-5) may as well be imagery-based.

REGISTRATION: The study was retrospectively registered with the DRKS under the number DRKS00011854.

© The Author(s). 2020.

Keywords: Daily diary; Mental images; NSSI; NSSI-images; NSSID

Conflict of interest statement

Ethics approval and consent to participateInformed consent was obtained prior to all parts of the study. Ethical approval was obtained from the ethics committee of the psychological faculty of the Goe

References

  1. Cortex. 2018 Aug;105:104-117 - PubMed
  2. BMC Psychiatry. 2015 Dec 02;15:308 - PubMed
  3. J Am Diet Assoc. 2011 Jan;111(1):92-102 - PubMed
  4. Behav Cogn Psychother. 2018 Nov;46(6):706-725 - PubMed
  5. Psychiatry J. 2013;2013:159208 - PubMed
  6. Biol Psychiatry. 2009 May 1;65(9):819-22 - PubMed
  7. J Affect Disord. 2014 Feb;155:241-6 - PubMed
  8. Trends Neurosci. 1989 Oct;12(10):395-9 - PubMed
  9. Cogn Neuropsychol. 2005 May;22(3):333-47 - PubMed
  10. Eur Child Adolesc Psychiatry. 2014 Jul;23(7):579-86 - PubMed
  11. Clin Psychol Psychother. 2012 Jan-Feb;19(1):57-69 - PubMed
  12. Psychol Rev. 2005 Apr;112(2):446-67 - PubMed
  13. Suicide Life Threat Behav. 2014 Jun;44(3):273-303 - PubMed
  14. Front Psychol. 2013 Sep 23;4:626 - PubMed
  15. Suicide Life Threat Behav. 2017 Jun;47(3):321-335 - PubMed
  16. Psychol Sci. 2007 Mar;18(3):199-203 - PubMed
  17. Psychother Psychosom Med Psychol. 2001 May;51(5):201-11 - PubMed
  18. J Cogn Neurosci. 1993 Summer;5(3):263-87 - PubMed
  19. Emotion. 2005 Dec;5(4):489-97 - PubMed
  20. J Pers Disord. 2019 Feb 20;:1-19 - PubMed
  21. Philos Trans R Soc Lond B Biol Sci. 2018 Sep 5;373(1754): - PubMed
  22. Child Adolesc Psychiatry Ment Health. 2015 Sep 28;9:31 - PubMed
  23. Bipolar Disord. 2011 Nov-Dec;13(7-8):651-61 - PubMed
  24. Psychol Med. 1998 May;28(3):585-98 - PubMed
  25. Behav Cogn Psychother. 1995 Jul;23(3):217-49 - PubMed
  26. Behav Res Ther. 2007 Sep;45(9):2053-65 - PubMed
  27. BMC Psychiatry. 2015 Jul 18;15:160 - PubMed
  28. Clin Psychol Rev. 2015 Jun;38:79-91 - PubMed
  29. Nord J Psychiatry. 2014 Jan;68(1):66-71 - PubMed
  30. Addict Behav. 2015 May;44:29-34 - PubMed
  31. Compr Psychiatry. 2018 Apr;82:53-60 - PubMed
  32. Clin Psychol Rev. 2014 Jun;34(4):273-81 - PubMed
  33. Pers Soc Psychol Bull. 2006 Jul;32(7):917-29 - PubMed
  34. J Consult Clin Psychol. 2008 Feb;76(1):45-51 - PubMed
  35. J Behav Med. 2012 Jun;35(3):347-63 - PubMed
  36. Psychol Bull. 2011 May;137(3):391-420 - PubMed
  37. J Youth Adolesc. 2016 Aug;45(8):1560-74 - PubMed
  38. J Abnorm Psychol. 2017 Jan;126(1):89-95 - PubMed
  39. Cogn Emot. 2017 Dec;31(8):1543-1556 - PubMed
  40. J Pers Assess. 2003 Jun;80(3):217-22 - PubMed
  41. J Pers Disord. 2017 Dec;31(6):844-855 - PubMed
  42. J Adolesc Health. 2013 Apr;52(4):486-92 - PubMed
  43. Personal Disord. 2017 Oct;8(4):357-365 - PubMed
  44. Behav Modif. 2007 Nov;31(6):867-79 - PubMed
  45. J Behav Ther Exp Psychiatry. 2007 Dec;38(4):423-34 - PubMed
  46. Behav Cogn Psychother. 2016 Jan;44(1):92-103 - PubMed
  47. Depress Res Treat. 2010;2010:501782 - PubMed
  48. J Affect Disord. 2014 Sep;166:234-42 - PubMed
  49. BMC Psychiatry. 2016 Oct 19;16(1):353 - PubMed
  50. J Clin Child Adolesc Psychol. 2013;42(4):496-507 - PubMed
  51. Behav Res Methods. 2007 May;39(2):175-91 - PubMed
  52. Behav Res Ther. 2009 Jan;47(1):83-7 - PubMed
  53. J Behav Ther Exp Psychiatry. 2017 Dec;57:163-171 - PubMed
  54. Eur Child Adolesc Psychiatry. 2011 Feb;20(2):103-8 - PubMed
  55. Bipolar Disord. 2016 Dec;18(8):669-683 - PubMed
  56. Personal Disord. 2015 Jul;6(3):267-77 - PubMed
  57. Psychiatry Res. 2016 Dec 30;246:453-460 - PubMed
  58. Cogn Emot. 2018 Aug;32(5):941-952 - PubMed
  59. Front Psychol. 2013 Nov 26;4:863 - PubMed
  60. Behav Res Ther. 2008 May;46(5):593-611 - PubMed
  61. J Am Coll Health. 2011;59(8):691-8 - PubMed
  62. Depress Anxiety. 2018 Jul;35(7):629-637 - PubMed
  63. J Grad Med Educ. 2012 Sep;4(3):279-82 - PubMed

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