Borderline personality disorder features, emotion dysregulation and non‐suicidal self‐injury: Preliminary findings in a sample of community‐dwelling Italian adolescents

Somma, Antonella; Sharp, Carla; Borroni, Serena; Fossati, Andrea

doi:10.1002/pmh.1353

Cited by 20 publications

(15 citation statements)

References 37 publications

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“…Consistent with other findings among European adolescents [19,39,40], about 26% of participants reported to have engaged in NSSI at least once in their life, and 38% had at least one episode of binge eating. As expected, our findings by using MCA technique showed that adolescents with NSSI and/or BE behaviours fell into the same category and were different from other groups of students with other types of maladaptive behaviours or none.…”

Section: Maladaptive Behaviours Clusters and Their Clinical Characteristicssupporting

confidence: 89%

“…The high co-occurrence rate of these two selfdamaging behaviours suggests that similar antecedents and mechanisms may be underlying [41,42]. Several studies have found that people who engage in NSSI have a higher level of ED [40,43,44] supporting the notion that NSSI serves an emotion regulation function. In our study, adolescent students with higher depressive symptoms and ED scores were about 3 and 2.5 times more likely to belong to the NSSI-BE group.…”

Section: Maladaptive Behaviours Clusters and Their Clinical Characteristicsmentioning

confidence: 95%

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Maladaptive behaviours in adolescence and their associations with personality traits, emotion dysregulation and other clinical features in a sample of Italian students: a cross-sectional study

Lanfredi

Macis

Ferrari

et al. 2021

bord personal disord emot dysregul

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Background Emotion Dysregulation (ED), childhood trauma and personality are linked to the occurrence of maladaptive behaviours in adolescence which, in turn, may be related to increased risk for psychopathology in the life course. We sought to explore the relationship among the occurrence of different clusters of maladaptive behaviours and ED, clinical features (i.e. impulsivity, childhood maltreatment, anxiety, depressive symptoms) and personality traits that have been found to be associated to Borderline Personality Disorder (BPD), in a sample of 179 adolescent students. Methods Multiple Correspondence Analysis (MCA) was applied to detect clustered types of maladaptive behaviours and groups of students were defined as individuals engaging in these clustered behaviours (non-suicidal self-injury-NSSI, binge eating, binge drinking, cannabis use, and sexual risk behaviours). Logistic models were used to evaluate the association among clinical scales, and student groups. Mediation analysis was used to evaluate whether clinical features affected the association between personality traits and student groups. Results MCA analysis allowed to identify three student groups: NSSI/binge eating (NSSI-BE) behaviours, other maladaptive behaviours and “none”. Higher scores in ED, impulsivity, childhood maltreatment, anxiety and depressive symptoms increased the risk of belonging to the cluster of NSSI-BE behaviours compared to the other two groups. ED, depression and anxiety symptoms were found to be mediators of the relationship between specific personality traits, mainly pertaining to the negative affectivity construct, and NSSI/BE. Conclusions Individuals engaging in NSSI-BE behaviours represent a vulnerable adolescent population. ED, depression and anxiety were mediators of the relationship between a variety of personality traits related to BPD and NSSI and binge eating behaviours. Findings have important clinical implications in terms of prevention and interventions among adolescents engaging in self-damaging behaviours.

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Section: Maladaptive Behaviours Clusters and Their Clinical Characteristicssupporting

confidence: 89%

Section: Maladaptive Behaviours Clusters and Their Clinical Characteristicsmentioning

confidence: 95%

Maladaptive behaviours in adolescence and their associations with personality traits, emotion dysregulation and other clinical features in a sample of Italian students: a cross-sectional study

Lanfredi

Macis

Ferrari

et al. 2021

bord personal disord emot dysregul

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“…The English version of the DSHI, originally tested among young adults in the United States, demonstrates good internal consistency and test-retest reliability, as well as adequate construct, convergent, and discriminant validity (Gratz, 2001). The DSHI has been translated into various languages, including Italian (Somma, Sharp, Borroni, & Fossati, 2017), Swedish (Lundh et al, 2007), German (Fliege et al, 2006), Dutch (Kool, van Meijel, van der Bijl, Koekkoek, & Kerkhof, 2015), and Iranian (Nobakht & Dale, 2017). Although there are differences across studies in terms of the stringency of translation and validation procedures, preliminary data suggest acceptable psychometric properties of the DSHI across translations and versions of this scale (Fliege et al, 2006;Kool et al, 2015;Latimer et al, 2013;Lundh et al, 2007;Nobakht & Dale, 2017;Somma et al, 2017).…”

Section: Psychometric Properties Of the Dshi And Isasmentioning

confidence: 99%

The psychometric properties and clinical utility of the Norwegian versions of the deliberate self-harm inventory and the inventory of statements about self-injury

et al. 2020

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Deliberate self-harm (DSH) is a widespread transdiagnostic health problem with increasing prevalence among adolescences, and young adults. It is therefore essential to effectively chart the epidemiology of DSH, as well as to assess the efficacy of interventions designed to modify this behavior. The aim was to translate and analyze the psychometric properties of the Norwegian versions of two instruments designed to assess DSH: the Deliberate Self-harm Inventory (DSHI) and the Inventory of Statements About Self-Injury (ISAS), as well as to assess the prevalence of DSH within a nonclinical Norwegian adult population. Of the 402 participants who completed a questionnaire packet comprising the DSHI, ISAS, general questions about DSH, and other related measures, 30.6% reported some form of DSH. Those with a history of DSH reported greater difficulties with emotion regulation than those without. Participants with and without a history of DSH did not differ in unrelated constructs, including social desirability. The frequency of specific DSH behaviors was in accordance with previous research, with cutting being the most frequent. The factor structure of DSH functions in the Norwegian ISAS was generally comparable to the factor structure of the English version. Overall, results indicate that: a) the Norwegian versions of the DSHI and ISAS behave as expected and in accordance with prior research in other languages and other populations, and b) both the DSHI and ISAS have high internal consistency and adequate construct, convergent, and discriminant validity, and may be applied to evaluate DSH in adult Norwegian populations.

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“…Skala ta jest popularnym narzędziem badawczym, zastosowana została m. in. w pracach "Multidimensional Assessment of Emotion Regulation Difficulties in Adolescents Using the Difficulties in Emotion Regulation Scale" [62], jak również w "Borderline personality disorder features, emotion dysregulation and non-suicidal selfinjury: Preliminary findings in a sample of communitydwelling Italian adolescents" [63]. Została opisana w artykule Marii Zetterqvist "The DSM-5 diagnosis of nonsuicidal self-injury disorder: review of the empirical literature" [39].…”

Section: Difficulties In Emotion Regulation Scale (Ders)mentioning

confidence: 99%

Self-harm - an overview of the tools used to assess non-suicidal self-harming behaviors

Drzał-Fiałkiewcz

Makarewicz

Walczak

et al. 2017

Current Problems of Psychiatry

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Introduction: Non-Suicidal Self-Injury (NSSI) is the deliberate injury to one’s own body intended to cause mental or physical harm to oneself. In view of the growing scale of the NSSI, especially among young people without identifying any other psychiatric disorders, the disorder was included in both DSM-5 and ICD10 as independent diagnostic entity. Many etiopathogenetic hypotheses and research tools assessing various aspects of NSSI have been developed.The aim of the work is to present and discuss the most commonly used scales for NSSI assessment.Method: A review of available literature was made using the databases Medline / PubMed, using the key words: “self injury”, “self-mutilation”, “non-suicidal,”, “NSSI”, “self-harm” and time descriptors: 2005-2017Results: Available tools were divided into three groups: I- scale of self-assessment made by the patient, II- assessment made by the clinician, and III- auxiliary scale.Conclusions: None of the available scales covers the complexity of the NSSI phenomenon. For the overall NSSI assessment, several NSSI assessment tools are suggested, taking into account both self-assessment scales and clinical evaluation.

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Borderline personality disorder features, emotion dysregulation and non‐suicidal self‐injury: Preliminary findings in a sample of community‐dwelling Italian adolescents

Cited by 20 publications

References 37 publications

Maladaptive behaviours in adolescence and their associations with personality traits, emotion dysregulation and other clinical features in a sample of Italian students: a cross-sectional study

Maladaptive behaviours in adolescence and their associations with personality traits, emotion dysregulation and other clinical features in a sample of Italian students: a cross-sectional study

The psychometric properties and clinical utility of the Norwegian versions of the deliberate self-harm inventory and the inventory of statements about self-injury

Self-harm - an overview of the tools used to assess non-suicidal self-harming behaviors

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