Effectiveness of a Curriculum for Pediatric Residents to Address Adolescent Nonsuicidal Self-Injury

Westers, Nicholas J.; Needham, Heather; Walsh, Jennifer B

doi:10.1007/s40596-022-01684-3

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…Так, в последнее десятилетие среди зарубежных исследователей отмечается повышенный интерес к проблеме несуицидальных повреждений. В иностранной литературе можно встретить массу данных, посвященных изучению этого феномена в клинических популяциях в рамках скрининговых исследований среди общих неклинических групп подростков и взрослых, а также в крупных метааналитических работах [2,[4][5][6][7].…”

Section:  введениеunclassified

“…К несуицидальному самоповреждению (НССП) (в зарубежной литературе -selfinjurious thoughts and behaviors, non-suicidal self-injury или self-injury (NSSI)) относят любые преднамеренные самонаправленные действия, не характеризующиеся суицидальным риском, но приводящие к повреждениям тканей организма [5,8,9].…”

Section:  введениеunclassified

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Сharacter Accentuation and Self-Injurious Behavior of a Teenager: Clinical Case

Дарьин¹,

Бойко²,

Зайцева³

2023

Психиатрия, Психотерапия И Клиническая Психология

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В настоящее время самоповреждающее поведение становится все более распространенным среди подростков, все больше привлекает внимание со стороны исследователей, работников службы здравоохранения в области психического здоровья и всего общества в целом, что подчеркивает актуальность изучения этой проблемы. Цель. На основе рассмотрения реального клинического случая провести анализ результатов экспериментально-психологического исследования девочки-подростка с акцентуацией характера и самоповреждающим поведением. Материалы и методы. Для подготовки оригинального исследования несуицидального самоповреждающего поведения был отобран данный клинический случай. Анализ проводился в нескольких направлениях: клиническом и анамнестическом на основе выписки из истории болезни, а также специально разработанной для исследования статистической карты. Для патопсихологического исследования использовался расширенный набор психодиагностических методик и шкала для исследования несуицидального самоповреждения. Результаты. В статье описывается клинический случай исследования подростка 14 лет с диагнозом F92.8 – Смешанное расстройство поведения и эмоций, сопровождающееся акцентуацией характера и самоповреждающим поведением. Представлены результаты исследования, включая основные этапы и клинический поиск при диагностике, а также дизайн проводимого исследования. Особое внимание уделяется триггерным факторам и клиническим характеристикам, предрасполагающим к развитию несуицидального самоповреждающего поведения. Currently, self-injurious behavior is becoming more common among adolescents, attracting more and more attention from researchers, mental health professionals and society as a whole, which emphasizes the relevance of studying this problem. Purpose. Based on the consideration of a real clinical case, to analyze the results of an experimental psychological study of a teenager girl with character accentuation and self- injurious behavior. Materials and methods. To prepare an original study of non-suicidal self-injurious behavior, this clinical case was selected. The analysis was carried out in several directions: clinical and anamnestic – based on an extract from the medical history, as well as a statistical map specially designed for the study. For the pathopsychological study, an expanded set of psychodiagnostic methods and a scale for the study of NSSP were used. Results. The article describes a clinical case of a 14-year-old teenager with F92.8 Mixed disorder of behavior and emotions, accompanied by character accentuation and self- injurious behavior. The results of the study are presented in the article, including the main stages and clinical search for diagnosis, as well as the design of the study. Particular attention is paid to trigger factors and clinical characteristics that predispose to the development of non-suicidal self-injurious behavior.

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Section:  введениеunclassified

Сharacter Accentuation and Self-Injurious Behavior of a Teenager: Clinical Case

Дарьин¹,

Бойко²,

Зайцева³

2023

Психиатрия, Психотерапия И Клиническая Психология

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“…However, family relationships are interpersonal relationships between family members. In addition to the objective family environment, family members’ subjective cognition of the family environment is also important ( 22 , 23 ). Moreover, our previous study found significant differences between parents and adolescents in their cognition of the familyenvironment.…”

Section: Introductionmentioning

confidence: 99%

The effects of family environment cognition and its difference perceived by adolescents and their parents on the treatment effect of non-suicidal self-injury behaviors in adolescents: a 1-year prospective cohort study

Li,

et al. 2023

Front. Psychiatry

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IntroductionFamily environment is the primary environment for adolescent growth and development, which is believed to have an important impact on the occurrence of non-suicidal self-injury (NSSI) behavior in adolescents. This study aimed to explore the effects of family environment cognition and cognitive differences perceived by adolescents and their parents on the treatment effects of NSSI in adolescents and to provide more potential perspectives for NSSI treatment.MethodsA one-year prospective longitudinal sub-cohort investigation was carried out among 199 adolescents engaged in NSSI and one of their important guardians from the Longitudinal Psychosomatic Disease Study (LoPDS). The NSSI behaviors of adolescents were evaluated at 3 months, 6 months and 1 year after enrollment. The family environment scale (FES) and NSSI Behavior Questionnaire were used as assessment tools for family environment and adolescents NSSI behaviors. Multiple linear regression was used to investigate the role of family environment perception difference in the treatment effect of adolescent NSSI.ResultsAfter one year of follow-up, the perceived self-injury impulse score in recent 2 weeks, self-injury impulse frequency in recent 2 weeks, total number of self-injury in recent 2 weeks decreased significantly. The higher the adolescent family cohesion (Beta: 1.130, 95% CI: 0.886,1.373; p=0.032), parental family expressiveness (Beta: 0.818, 95% CI: 0.375,1.260; p=0.037) and parental family active-recreational orientation score (Beta: 0.609, 95% CI: 0.236,0.981; p=0.048), the better the treatment effect. However, higher adolescent family conflict (Beta: -0.838, 95% CI: -1.377,-0.298; p=0.024) were associated with lower treatment outcomes. The greater the cognitive difference between parents and adolescents in family cohesion (Beta: -1.307, 95% CI: -2.074,-0.539; p=0.014) and family conflict(Beta: -0.665, 95% CI: -0.919,-0.410; p=0.037), the worse the therapeutic effect of NSSI might be.DiscussionThere were certain differences in the cognition of family relationships between parents and adolescents, and subjective family relationship cognition and cognitive differences had a significant effect on the treatment effect of NSSI in adolescents. Helping them identify the cause of cognitive differences and conducting systematic family therapy from the points of difference may be another perspective to improve the treatment effect of NSSI in adolescents.

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Nonsuicidal Self-Injury in Children and Adolescents

Westers

2023

Autism and Child Psychopathology Series

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Effectiveness of a Curriculum for Pediatric Residents to Address Adolescent Nonsuicidal Self-Injury

Cited by 6 publications

References 26 publications

Сharacter Accentuation and Self-Injurious Behavior of a Teenager: Clinical Case

Сharacter Accentuation and Self-Injurious Behavior of a Teenager: Clinical Case

The effects of family environment cognition and its difference perceived by adolescents and their parents on the treatment effect of non-suicidal self-injury behaviors in adolescents: a 1-year prospective cohort study

Nonsuicidal Self-Injury in Children and Adolescents

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