Selbstverletzendes Verhalten und komorbide psychische Störungen: ein Überblick

Nitkowski, Dennis; Petermann, Franz

doi:10.1055/s-0029-1245772

Cited by 88 publications

(34 citation statements)

References 31 publications

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“…Findings suggest that NSSI is comorbid with a wide range of diagnoses. The most common comorbid diagnoses were major depression, PTSD, and social phobia, supporting the results of others [13, 21] and a review by Nitkowski and Petermann [48]. Results are also in line with the chart review of inpatient adults with NSSI [15], characterized by high rates of internalizing disorders like depressive and anxiety disorders.…”

Section: Discussionsupporting

confidence: 85%

“…Our finding of a prevalence rate of 20% of adolescents with NSSI disorder also fulfilling diagnostic criteria for BPD corresponds to some studies [24, 48, 49] but is lower than the rate of 50% reported by Nock et al [13]. On the criteria level, adolescents with NSSI disorder without a comorbid BPD endorsed a mean of 2.3 borderline symptoms compared with a mean of 0.3 endorsed by the clinical control adolescents.…”

Section: Discussionsupporting

confidence: 82%

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Proposed Diagnostic Criteria for theDSM-5of Nonsuicidal Self-Injury in Female Adolescents: Diagnostic and Clinical Correlates

2013

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Nonsuicidal self-injury (NSSI) is included as conditions for further study in the DSM-5. Therefore, it is necessary to investigate the proposed diagnostic criteria and the diagnostic and clinical correlates for the validity of a diagnostic entity. The authors investigated the characteristics of NSSI disorder and the proposed diagnostic criteria. A sample of 73 female inpatient adolescents and 37 nonclinical adolescents (aged 13 to 19 years) was recruited. Patients were classified into 4 groups (adolescents with NSSI disorder, adolescents with NSSI without impairment/distress, clinical controls without NSSI, and nonclinical controls). Adolescents were compared on self-reported psychopathology and diagnostic cooccurrences. Results indicate that adolescents with NSSI disorder have a higher level of impairment than adolescents with other mental disorders without NSSI. Most common comorbid diagnoses were major depression, social phobia, and PTSD. There was some overlap of adolescents with NSSI disorder and suicidal behaviour and borderline personality disorder, but there were also important differences. Results further suggest that the proposed DSM-5 diagnostic criteria for NSSI are useful and necessary. In conclusion, NSSI is a highly impairing disorder characterized by high comorbidity with various disorders, providing further evidence that NSSI should be a distinct diagnostic entity.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 82%

Proposed Diagnostic Criteria for theDSM-5of Nonsuicidal Self-Injury in Female Adolescents: Diagnostic and Clinical Correlates

2013

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“…In adolescent psychiatric samples, prevalence rates of NSSI have found to be as high as 60% for one incident of NSSI and around 50% for repetitive NSSI [8]. NSSI not only can occur in the broad context of psychiatric disorders (affective disorders, BPD, substance abuse, anxiety disorder, posttraumatic stress disorders) but can also occur without comorbid psychiatric diagnosis [9–11]. To date, only few studies on the longitudinal development of NSSI exist.…”

Section: Epidemiologymentioning

confidence: 99%

Non-suicidal Self-Injury in Adolescence

Brown

Plener

2017

Curr Psychiatry Rep

321

187

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Purpose of ReviewNon-suicidal self-injury (NSSI) is a common mental health threat among adolescents. This review aims to present the current literature on epidemiology, etiology, and therapeutic approaches with a focus on the period of adolescence.Recent FindingsNSSI is widespread among adolescents both in community as well as in clinical settings with lifetime prevalence rates between 17 and 60% in recent studies. It is influenced by multiple factors including social contagion, interpersonal stressors, neurobiological background, as well as emotional dysregulation and adverse experiences in childhood.SummaryThere is still a lack of studies regarding the psychotherapeutic as well as the psychopharmacological treatment of NSSI in adolescence. Furthermore, sufficient evidence for prevention programs is missing.

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“…NSSI is comorbid with several mental disorders (In‐Albon et al, ), especially mood disorders, anxiety, substance abuse disorders, and externalizing disorders (Nitkowski & Petermann, ). In addition, the relationship between NSSI, eating disorders, and borderline personality disorder (BPD) has been well documented: Some studies have found that between 25.4% and 55.2% of eating disorder patients report NSSI (Claes et al, ; Claes, Vandereycken, & Vertommen, ), and have reported a relationship between body image dissatisfaction and NSSI (Pérez et al, ).…”

Section: Introductionmentioning

confidence: 99%

Confirmatory factor analysis of the Inventory of Statements About Self‐injury in a Spanish clinical sample

et al. 2019

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Objectives The main aim of the present study was to confirm the two‐factor structure of the Inventory of Statements About Self‐injury‐ Part II (ISAS‐II), analyze its psychometric properties and test–retest reliability of Parts I and II of the ISAS. Method The sample was composed of 355 Spanish participants diagnosed with eating disorders or borderline personality disorder (mean age 27.89, standard deviation = 13.31; 315 women, 40 men). Two models proposed for the ISAS‐II were analyzed by means of confirmatory factorial analysis. Results A two‐factor model was confirmed, and a model with self‐care included in the intrapersonal factor was preferable. The ISAS‐II showed positive correlations with emotional dysregulation. Test–retest reliability showed statistically significant correlations at 7 months (n = 123). Conclusion The ISAS‐II is a valid instrument to assess nonsuicidal self‐injury in Spanish populations, making it possible to assess these behaviors, which require valid and reliable measures worldwide.

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Selbstverletzendes Verhalten und komorbide psychische Störungen: ein Überblick

Abstract: Depressive disorders and the borderline personality disorders are robustly associated with NSSI. It is still unknown whether or not the occurrence of NSSI with particular disorders can be explained by comorbidity with the borderline syndrome.

Cited by 88 publications

References 31 publications

Proposed Diagnostic Criteria for theDSM-5of Nonsuicidal Self-Injury in Female Adolescents: Diagnostic and Clinical Correlates

Proposed Diagnostic Criteria for theDSM-5of Nonsuicidal Self-Injury in Female Adolescents: Diagnostic and Clinical Correlates

Non-suicidal Self-Injury in Adolescence

Confirmatory factor analysis of the Inventory of Statements About Self‐injury in a Spanish clinical sample

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