参与辩证行为疗法随机临床试验的边缘型人格障碍女性患者在发生非自杀性自残行为之前饮酒的情况。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychology of Addictive Behaviors Pub Date : 2024-06-20 DOI:10.1037/adb0001016
Melissa Nance, Chelsey Wilks, Ryan W Carpenter
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引用次数: 0

摘要

目的:饮酒是导致非自杀性自残(NSSI)的一个重要风险因素,但对其研究不足。非自杀性自残的定义是在没有死亡意图的情况下故意对自己造成身体伤害。饮酒可能会增加冲动性和身体对疼痛的耐受力,从而促进非自杀性自残的发生。有限的数据还表明,在酒精的影响下,人们会进行更严重的NSSI:这项二次分析研究调查了 79 名边缘型人格障碍女性患者在进行 NSSI 之前的饮酒情况,这些患者参加了辩证行为疗法的随机临床试验。我们使用多层次建模(MLM)来检验预先登记的假设,即在进行 NSSI 之前饮酒与 NSSI 的冲动性、NSSI 期间经历的身体疼痛以及 NSSI 所造成伤害的医学严重程度有关:21.96% 的参与者(47/221)在 NSSI 事件发生前曾饮酒,约三分之一的参与者(n = 27)报告至少有一次 NSSI 事件发生前曾饮酒。在酗酒导致的 NSSI 事件中,超过半数(52.38%)的参与者报告在开始 NSSI 之前曾酗酒。饮酒与NSSI发作的较高冲动性明显相关(b = 1.16,p = .041),但与NSSI造成的身体疼痛或NSSI的医疗严重程度无关:结论:研究结果有待进一步证实,但表明在 NSSI 之前经常饮酒,这可能是减少 NSSI 冲动发作的一个目标。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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Alcohol use prior to episodes of nonsuicidal self-injury in women with borderline personality disorder participating in a randomized clinical trial of dialectical behavior therapy.

Objective: Alcohol use is an important, but understudied, risk factor for nonsuicidal self-injury (NSSI), defined as deliberate physical harm to oneself without intent to die. Alcohol use may facilitate engagement in NSSI by increasing impulsivity and physical pain tolerance. Limited data also suggest that people engage in more medically severe NSSI under the influence of alcohol.

Method: This secondary analysis study examined the use of alcohol prior to NSSI in a sample of 79 female patients with borderline personality disorder who were enrolled in a randomized clinical trial of dialectical behavior therapy. We used multilevel modeling (MLM) to examine preregistered hypotheses that alcohol use prior to NSSI would be related to the impulsivity of NSSI, physical pain experienced during NSSI, and the medical severity of injuries from NSSI.

Results: Participants endorsed alcohol use prior to 21.96% (47/221) of NSSI episodes, and roughly one third of participants (n = 27) reported at least one episode of NSSI preceded by alcohol use. For NSSI episodes preceded by alcohol use, more than half (52.38%) of participants reported using alcohol up to the moment of initiating NSSI. Alcohol use was significantly associated with higher impulsivity of NSSI episodes (b = 1.16, p = .041), but not physical pain from NSSI or medical severity of NSSI.

Conclusions: Findings need to be replicated but indicate that alcohol use occurs frequently prior to NSSI and could be a target for reducing impulsive episodes of NSSI. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
期刊最新文献
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