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

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....

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Detalles Bibliográficos
Autores: Gómez-Expósito, Alexandra, Wolz, Ines|||0000-0001-8338-3948, Fagundo, Ana Beatriz|||0000-0003-1703-9457, Granero, Roser|||0000-0001-6308-3198, Steward, Trevor|||0000-0003-3116-8175, Jiménez Murcia, Susana|||0000-0002-3596-8033, Agüera, Zaida|||0000-0003-4453-4939, Fernández Aranda, Fernando|||0000-0002-2968-9898
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:254221
Acceso en línea:https://ddd.uab.cat/record/254221
https://dx.doi.org/urn:doi:10.3389/fpsyg.2016.01244
Access Level:acceso abierto
Palabra clave:Bulimic spectrum disorder (BSD)
Emotion regulation
Personality
Impulsivity
Non-suicidal self-injury (NSSI)
Suicide attempts
Descripción
Sumario: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.