Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents

Background: Non-suicidal self-injury (NSSI) is a serious public health concern among adolescents, especially in clinical settings. Social support plays a critical role in the onset and maintenance of NSSI in adolescence. NSSI is closely associated with borderline personality disorder (BPD), yet no p...

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Autores: Mendez, Iria|||0000-0002-1861-6968, Sintes Estevez, Anna|||0000-0001-8496-9916, Pascual, Juan Carlos|||0000-0001-8039-9346, Puntí Vidal, Joaquim|||0000-0001-6572-3398, Lara, Anaís, Briones-Buixassa, Laia|||0000-0001-6020-9672, Nicolaou, Stella|||0000-0002-1981-8895, Schmidt, Carlos|||0000-0002-5927-4554, Romero, Soledad|||0000-0001-9934-5196, Fernández, Marta, Carmona i Farrés, Cristina|||0000-0002-7028-3697, Soler, Joaquim|||0000-0001-8077-3641, Santamarina, Pilar|||0000-0003-3806-1979, Vega, Daniel|||0000-0002-5621-8987
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:257010
Acceso en línea:https://ddd.uab.cat/record/257010
https://dx.doi.org/urn:doi:10.1016/j.jad.2022.01.065
Access Level:acceso abierto
Palabra clave:Borderline personality disorder
Non-suicidal self-injury
Self-harm
Adolescents
Perceived social support
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spelling Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescentsMendez, Iria|||0000-0002-1861-6968Sintes Estevez, Anna|||0000-0001-8496-9916Pascual, Juan Carlos|||0000-0001-8039-9346Puntí Vidal, Joaquim|||0000-0001-6572-3398Lara, AnaísBriones-Buixassa, Laia|||0000-0001-6020-9672Nicolaou, Stella|||0000-0002-1981-8895Schmidt, Carlos|||0000-0002-5927-4554Romero, Soledad|||0000-0001-9934-5196Fernández, MartaCarmona i Farrés, Cristina|||0000-0002-7028-3697Soler, Joaquim|||0000-0001-8077-3641Santamarina, Pilar|||0000-0003-3806-1979Vega, Daniel|||0000-0002-5621-8987Borderline personality disorderNon-suicidal self-injurySelf-harmAdolescentsPerceived social supportBackground: Non-suicidal self-injury (NSSI) is a serious public health concern among adolescents, especially in clinical settings. Social support plays a critical role in the onset and maintenance of NSSI in adolescence. NSSI is closely associated with borderline personality disorder (BPD), yet no previous work has analyzed the mediating role of borderline traits in the relationship between perceived social support (PSS) and NSSI. This study aimed to address this gap. Methods: Participants were 228 adolescent patients (12 to 18 years old), who completed a clinical interview and self-report measures of BPD-traits, current psychological distress, emotion dysregulation and PSS. They were grouped based on the presence (vs. absence) of NSSI. Univariate and multivariate logistic regression analyses were used to identify risk factors of NSSI, and a mediation analysis was conducted to examine the intermediary role of borderline traits in the relationship between PSS and NSSI. Results: NSSI was highly prevalent in our sample (58%) and was associated with higher clinical severity. Low PSS predicted NSSI in univariate, but not multivariate regression. Mediation analyses showed that borderline traits fully accounted for the relationship between low PSS and NSSI, even when controlling for current psychological distress and gender. Limitations: Cross-sectional design through self-report assessment. Conclusions: Findings suggest that adolescents with low PSS are especially vulnerable for developing NSSI due to elevated BPD traits. In clinical settings, interventions aimed to reduce borderline symptoms may be a promising treatment option for adolescents with NSSI and low PSS. 22022-01-0120222022-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/257010https://dx.doi.org/urn:doi:10.1016/j.jad.2022.01.065reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2570102026-06-06T12:50:31Z
dc.title.none.fl_str_mv Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
title Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
spellingShingle Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
Mendez, Iria|||0000-0002-1861-6968
Borderline personality disorder
Non-suicidal self-injury
Self-harm
Adolescents
Perceived social support
title_short Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
title_full Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
title_fullStr Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
title_full_unstemmed Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
title_sort Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
dc.creator.none.fl_str_mv Mendez, Iria|||0000-0002-1861-6968
Sintes Estevez, Anna|||0000-0001-8496-9916
Pascual, Juan Carlos|||0000-0001-8039-9346
Puntí Vidal, Joaquim|||0000-0001-6572-3398
Lara, Anaís
Briones-Buixassa, Laia|||0000-0001-6020-9672
Nicolaou, Stella|||0000-0002-1981-8895
Schmidt, Carlos|||0000-0002-5927-4554
Romero, Soledad|||0000-0001-9934-5196
Fernández, Marta
Carmona i Farrés, Cristina|||0000-0002-7028-3697
Soler, Joaquim|||0000-0001-8077-3641
Santamarina, Pilar|||0000-0003-3806-1979
Vega, Daniel|||0000-0002-5621-8987
author Mendez, Iria|||0000-0002-1861-6968
author_facet Mendez, Iria|||0000-0002-1861-6968
Sintes Estevez, Anna|||0000-0001-8496-9916
Pascual, Juan Carlos|||0000-0001-8039-9346
Puntí Vidal, Joaquim|||0000-0001-6572-3398
Lara, Anaís
Briones-Buixassa, Laia|||0000-0001-6020-9672
Nicolaou, Stella|||0000-0002-1981-8895
Schmidt, Carlos|||0000-0002-5927-4554
Romero, Soledad|||0000-0001-9934-5196
Fernández, Marta
Carmona i Farrés, Cristina|||0000-0002-7028-3697
Soler, Joaquim|||0000-0001-8077-3641
Santamarina, Pilar|||0000-0003-3806-1979
Vega, Daniel|||0000-0002-5621-8987
author_role author
author2 Sintes Estevez, Anna|||0000-0001-8496-9916
Pascual, Juan Carlos|||0000-0001-8039-9346
Puntí Vidal, Joaquim|||0000-0001-6572-3398
Lara, Anaís
Briones-Buixassa, Laia|||0000-0001-6020-9672
Nicolaou, Stella|||0000-0002-1981-8895
Schmidt, Carlos|||0000-0002-5927-4554
Romero, Soledad|||0000-0001-9934-5196
Fernández, Marta
Carmona i Farrés, Cristina|||0000-0002-7028-3697
Soler, Joaquim|||0000-0001-8077-3641
Santamarina, Pilar|||0000-0003-3806-1979
Vega, Daniel|||0000-0002-5621-8987
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Borderline personality disorder
Non-suicidal self-injury
Self-harm
Adolescents
Perceived social support
topic Borderline personality disorder
Non-suicidal self-injury
Self-harm
Adolescents
Perceived social support
description Background: Non-suicidal self-injury (NSSI) is a serious public health concern among adolescents, especially in clinical settings. Social support plays a critical role in the onset and maintenance of NSSI in adolescence. NSSI is closely associated with borderline personality disorder (BPD), yet no previous work has analyzed the mediating role of borderline traits in the relationship between perceived social support (PSS) and NSSI. This study aimed to address this gap. Methods: Participants were 228 adolescent patients (12 to 18 years old), who completed a clinical interview and self-report measures of BPD-traits, current psychological distress, emotion dysregulation and PSS. They were grouped based on the presence (vs. absence) of NSSI. Univariate and multivariate logistic regression analyses were used to identify risk factors of NSSI, and a mediation analysis was conducted to examine the intermediary role of borderline traits in the relationship between PSS and NSSI. Results: NSSI was highly prevalent in our sample (58%) and was associated with higher clinical severity. Low PSS predicted NSSI in univariate, but not multivariate regression. Mediation analyses showed that borderline traits fully accounted for the relationship between low PSS and NSSI, even when controlling for current psychological distress and gender. Limitations: Cross-sectional design through self-report assessment. Conclusions: Findings suggest that adolescents with low PSS are especially vulnerable for developing NSSI due to elevated BPD traits. In clinical settings, interventions aimed to reduce borderline symptoms may be a promising treatment option for adolescents with NSSI and low PSS.
publishDate 2022
dc.date.none.fl_str_mv 2
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/257010
https://dx.doi.org/urn:doi:10.1016/j.jad.2022.01.065
url https://ddd.uab.cat/record/257010
https://dx.doi.org/urn:doi:10.1016/j.jad.2022.01.065
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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