Self-mutilative behaviors in male substance-dependent inpatients and relationship with anger and aggression: mediator effect of childhood trauma

Evren, Cüneyt; Cınar, Ozgul; Evren, Bilge; Çelik, Selime

doi:10.1016/j.comppsych.2011.04.061

Cited by 15 publications

(26 citation statements)

References 49 publications

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“…These 2 PDs share several comorbidities, including SUDs,11–17 impulsivity,11,13,18–21 and aggressiveness 7,22–24. Moreover, patients with BPD and ASPD are particularly at risk of self-inflicted injury or suicide attempts6,21; these risks increase with impulsivity6,19,25,26 and SUD 14…”

mentioning

confidence: 99%

Male Inmate Profiles and Their Biological Correlates

et al. 2014

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Objective:Borderline and antisocial personality disorders (PDs) share common clinical features (impulsivity, aggressiveness, substance use disorders [SUDs], and suicidal behaviours) that are greatly overrepresented in prison populations. These disorders have been associated biologically with testosterone and cortisol levels. However, the associations are ambiguous and the subject of controversy, perhaps because these heterogeneous disorders have been addressed as unitary constructs. A consideration of profiles of people, rather than of exclusive diagnoses, might yield clearer relationships.Methods:In our study, multiple correspondence analysis and cluster analysis were employed to identify subgroups among 545 newly convicted inmates. The groups were then compared in terms of clinical features and biological markers, including levels of cortisol, testosterone, estradiol, progesterone, and sulfoconjugated dehydroepiandrosterone (DHEA-S).Results:Four clusters with differing psychiatric, criminal, and biological profiles emerged. Clinically, one group had intermediate scores for each of the tested clinical features. Another group comprised people with little comorbidity. Two others displayed severe impulsivity, PD, and SUD. Biologically, cortisol levels were lowest in the last 2 groups and highest in the group with less comorbidity. In keeping with previous findings reported in the literature, testosterone was higher in a younger population with severe psychiatric symptoms. However, some apparently comparable behavioural outcomes were found to be related to distinct biological profiles. No differences were observed for estradiol, progesterone, or DHEA-S levels.Conclusions:The results not only confirm the importance of biological markers in the study of personality features but also demonstrate the need to consider the role of comorbidities and steroid coregulation.

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confidence: 99%

Male Inmate Profiles and Their Biological Correlates

et al. 2014

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“…Also, [42] found that patients with borderline and fully-developed self-mutilative behavior were more disturbed than those who did not have this diagnosis or behavior. Among male patients, selfmutilative behavior has been found to correlate with anger, and young age and physical aggression are predictive of this behavior [43]. However, in this study we did not investigate gender differences in self-mutilative behavior.…”

Section: Discussionmentioning

confidence: 94%

Adherence of 13–17 Year Old Adolescents to Medicinal and Non-pharmacological Treatment in Psychiatric Inpatient Care: Special Focus on Relative Clinical and Family Factors

Timlin

Hakko

Riala

et al. 2014

Child Psychiatry Hum Dev

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Clinical studies investigating adolescents' adherence to medicinal and non-pharmacological treatment in hospitalized psychiatric populations are few. In our study of 13-17 year old adolescents admitted to psychiatric inpatient care, the patients' adherence to treatment in general, and to medicinal and non-pharmacological treatment individually, was examined, with special focus on family and clinical factors. Data on adherence was collected from patients' hospital records. A step-wise logistic regression analysis was used to find the significant predictors of adherence to treatment. Good family or social network relational functioning and use of special services at school were positively related to adherence in adolescents. Involuntary treatment and self-mutilative behavior were related to non-adherence to treatment. The results indicate the importance of addressing adherence to treatment in adolescent psychiatric inpatients. More studies with larger samples are needed to investigate this area further.

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“…Alkol ya da madde bağımlılarında yapılan çalışmalarda sık karşı-laşılan KZVD biçimleri, kendini kesme, başını ya da ekstremitelerini bir yere vurma ve kendini yakma iken (15)(16)(17)20,21), opiyat bağımlıları ile yapılan bir çalışmada en sık saptanan KZVD tipleri, kendini kesme (%75), tırnak yeme (%51), dudak yeme (%44) ve kendini ısırma (%36) olarak bildirilmiştir (19). Bizim olgumuzda ise, bunlardan farklı olarak, dişlerini sökme, cilt yolma ve gözü kaşıyarak mikrop bulaştırma şeklinde birden çok KZVD mevcuttu.…”

Section: Discussionunclassified

“…Ayrıca, hastanın gözünü kaşıma ve gözüne bastırma davranışlarını öfkelendiği zamanlarda gerçekleştirdiğini bildirmesi, bu davranışların affekt düzenlenmesi ile ilişkili olduğunu düşündürdü. Öfke şiddeti ve öfke kontrolündeki yetersizlik, alkol/madde bağımlılarında KZVD ile ilişkili en önemli değişkenler olarak bildirilmiştir (20). Alkol (21) ve opiyat (19) bağım-lılarında affekt düzenleme KZVD ile ilişkili en önemli neden olmuştur.…”

Section: Discussionunclassified