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