Temporal Associations Between Disordered Eating and Nonsuicidal Self-Injury: Examining Symptom Overlap Over 1 Year

Turner, Brianna J.; Yiu, Angelina; Layden, Brianne K.; Claes, Laurence; Zaitsoff, Shannon L.; Chapman, Alexander L.

doi:10.1016/j.beth.2014.09.002

Cited by 40 publications

(28 citation statements)

References 48 publications

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“…Our results are in agreement with others (Claes et al, ; Ahrén‐Moonga, Holmgren, von Knorring, & Af Klinteberg, ; Solano et al, ; Claes et al, ; Favaro & Santonastaso, ; Svirko & Hawton, ; Favaro & Santonastaso, ) that reported NSSI prevalence ranging from 12.5% to 72% in eating‐disordered subjects. The high co‐occurrence between ED and NSSI may be because both conditions function as emotion regulation strategy as has been described in several studies (Turner et al, ; Claes et al, ). Studies have shown that ED patients and individuals with NSSI experience more negative emotions than those without NSSI and ED.…”

Section: Discussionmentioning

confidence: 79%

“…Studies have shown that ED patients and individuals with NSSI experience more negative emotions than those without NSSI and ED. The combination of severe ED symptoms and emotion dysregulation may reinforce the prospective relationship between ED and NSSI (Turner et al, ). NSSI may be a response to negative affective states related to ED symptoms (Vansteenkiste et al,; Vansteelandt et al, ).…”

Section: Discussionmentioning

confidence: 99%

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Non‐suicidal Self‐injury in Different Eating Disorder Types: Relevance of Personality Traits and Gender

Islam

Steiger

Jiménez‐Murcia

et al. 2015

Euro Eating Disorders Rev

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The study explored lifetime prevalence of non-suicidal self-injury (NSSI) in female and male individuals with eating disorders (ED) and compared ED symptoms, general psychopathology and personality traits across individuals with and without a history of NSSI. The incremental discriminative capacity of gender on the manifestation of lifetime NSSI was also studied. A total sample of 1649 consecutively admitted ED patients (1515 women and 134 men) participated in the current study [339 ED + NSSI (ED with NSSI) and 1310 ED - NSSI (ED without NSSI)]. Specific self-report measures were included and other clinical and psychopathological indices. The observed lifetime prevalence of NSSI was 20.6% (20.9% in women and 17.2% in men). NSSI was not associated with ED type or gender. However, ED + NSSI patients exhibited more impulsive behaviour, substance-abuse disorders and additional impulse-control disorders, were younger and had more previous treatments. Age was shown to affect the presentation of NSSI. Additionally, ED + NSSI patients exhibited more severe ED and general psychopathological symptoms and had more dysfunctional personality traits when compared with ED - NSSI. ED + NSSI was found to be positively associated with harm avoidance and self-transcendence but negatively with reward dependence, self-directedness and cooperativeness. Thus, the variables with stronger capacity to identify the presence of ED + NSSI were younger age, harm avoidance, self-directedness and self-transcendence. A lack of association between sex and ED subtype with the presence of NSSI was observed.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Non‐suicidal Self‐injury in Different Eating Disorder Types: Relevance of Personality Traits and Gender

Islam

Steiger

Jiménez‐Murcia

et al. 2015

Euro Eating Disorders Rev

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“…Specifically, it was found that both groups were more likely to report difficulties accepting distressing emotions, concentrating and accomplishing tasks when experiencing negative emotions, as well as believing that there is little that can be done to regulate emotions effectively once they are upset (Gratz and Roemer, 2004). These findings suggest that NSSI is better explained by impairments in emotion regulation rather than by impulsivity (Favaro and Santonastaso, 1998; Claes et al, 2014a; Islam et al, 2015; Turner et al, 2015). This is particularly relevant since it supports the hypothesis that self-harm behaviors act as regulators of negative affective states (Paul et al, 2002; Claes and Vandereycken, 2007a; Klonsky, 2007; Claes et al, 2010a; Riley et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Correlates of Non-suicidal Self-Injury and Suicide Attempts in Bulimic Spectrum Disorders

et al. 2016

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Objective: The aim of this study was to examine the implication of personality, impulsivity, and emotion regulation difficulties in patients with a bulimic-spectrum disorder (BSD) and suicide attempts (SA), BSD patients with non-suicidal self-injury (NSSI), and BSD patients without these behaviors.Method: One hundred and twenty-two female adult BSD patients were assessed using self-report questionnaires. Patients were clustered post-hoc into three groups depending on whether they presented BSD without NSSI or SA (BSD), BSD with lifetime NSSI (BSD + NSSI) or BSD with lifetime SA (BSD + SA).Results: The BSD + NSSI and BSD + SA groups presented more emotion regulation difficulties, more eating and general psychopathology, and increased reward dependence in comparison with the BSD group. In addition, BSD + SA patients specifically showed problems with impulse control, while also presenting higher impulsivity than both the BSD and BSD + NSSI groups. No differences in impulsivity between the BSD and BSD + NSSI groups were found.Conclusions: The results show that BSD + NSSI and BSD + SA share a common profile characterized by difficulties in emotion regulation and low reward dependence, but differ in impulsivity and cooperativeness. This suggests that self-injury, in patients without a history of suicide attempts (i.e., BSD + NSSI), may have a regulatory role rather than being due to impulsivity.

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“…The frequency of NSSI appears to vary between 14% and 42% for anorexia nervosa restricting type, between 28% and 68% for anorexia nervosa binge eating/purging type, and between 26% and 55% for bulimia nervosa (Svirko & Hawton, ). Furthermore, individuals with NSSI possibly exhibit more eating pathology, including bulimic behaviours and body dissatisfaction, than individuals without NSSI (Favaro & Santonastaso, ; Ross, Heath, & Toste, ), and a higher frequency of NSSI may be related to more severe ED (Turner et al, ).…”

Section: Introductionmentioning

confidence: 99%

Putative Risk Factors for Non‐Suicidal Self‐Injury in Eating Disorders

Vieira

Machado

et al. 2017

Euro Eating Disorders Rev

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Evidence suggests a common association between eating disorders (EDs) and non-suicidal self-injury (NSSI). The present study aimed to investigate the potential risk factors for NSSI among ED patients. We assessed 245 ED patients with the Oxford Risk Factor Interview for ED. The results showed that 33% of ED patients reported NSSI in their lifetime. NSSI appeared to occur more frequently among binge eating/purging type ED patients than among patients with other ED and to be related to a more severe eating pathology. A younger age at the onset of eating problems, more negative self-evaluation, suicide attempts, substance abuse, parents' low weight, family tension at mealtime, parental alcohol problems, childhood abuse, peer aggression, and negative antecedent life events were more common among patients with co-occurring EDs and NSSI than among patients without NSSI. The results may inform the risk assessment and treatment of NSSI in EDs in the early detection period. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

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Temporal Associations Between Disordered Eating and Nonsuicidal Self-Injury: Examining Symptom Overlap Over 1 Year

Cited by 40 publications

References 48 publications

Non‐suicidal Self‐injury in Different Eating Disorder Types: Relevance of Personality Traits and Gender

Non‐suicidal Self‐injury in Different Eating Disorder Types: Relevance of Personality Traits and Gender

Correlates of Non-suicidal Self-Injury and Suicide Attempts in Bulimic Spectrum Disorders

Putative Risk Factors for Non‐Suicidal Self‐Injury in Eating Disorders

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