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ORIGINAL RESEARCH

The Association of Borderline Personality Features and Self-Injury Among Adolescents with Non-Suicidal Self-Injury: The Mediating Role of Alexithymia

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Pages 1741-1754 | Received 08 Jan 2023, Accepted 12 Apr 2023, Published online: 08 May 2023

References

  • Brown RC, Plener PL. Non-suicidal self-injury in adolescence. Curr Psychiatry Rep. 2017;19(3):20. doi:10.1007/s11920-017-0767-9
  • Rodríguez-Blanco L, Carballo-Belloso JJ, de León S, Baca-García E. A longitudinal study of adolescents engaged in Non-Suicidal Self Injury (NSSI): clinical follow-up from adolescence to young adulthood. Psychiatry Res. 2021;297:113711. doi:10.1016/j.psychres.2021.113711
  • Zetterqvist M. The DSM-5 diagnosis of nonsuicidal self-injury disorder: a review of the empirical literature. Child Adolesc Psychiatry Ment Health. 2015;9:31. doi:10.1186/s13034-015-0062-7
  • Lim KS, Wong CH, McIntyre RS, et al. Global lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents between 1989 and 2018: a meta-analysis. Int J Environ Res Public Health. 2019;16(22). doi:10.3390/ijerph16224581
  • Wang C, Zhang P, Zhang N. Adolescent mental health in China requires more attention. Lancet Public Health. 2020;5(12):e637. doi:10.1016/s2468-2667(20)30094-3
  • Brausch AM, Muehlenkamp JJ. Perceived effectiveness of NSSI in achieving functions on severity and suicide risk. Psychiatry Res. 2018;265:144–150. doi:10.1016/j.psychres.2018.04.038
  • Victor SE, Styer D, Washburn JJ. Functions of nonsuicidal self-injury (NSSI): cross-sectional associations with NSSI duration and longitudinal changes over time and following treatment. Psychiatry Res. 2016;241:83–90. doi:10.1016/j.psychres.2016.04.083
  • Victor SE, Styer D, Washburn JJ. Corrigendum to “Functions of nonsuicidal self-injury (NSSI): cross-sectional associations with NSSI duration and longitudinal changes over time and following treatment” [Psychiatry Res. 241 (2016) 83–90]. Psychiatry Res. 2018;270:1185. doi:10.1016/j.psychres.2018.11.053
  • Robins RW. Psychology. The nature of personality: genes, culture, and national character. Science. 2005;310(5745):62–63.
  • Nock MK, Prinstein MJ. Contextual features and behavioral functions of self-mutilation among adolescents. J Abnorm Psychol. 2005;114(1):140–146. doi:10.1037/0021-843X.114.1.140
  • Reinhardt M, Kökönyei G, Rice KG, Drubina B, Urbán R. Functions of nonsuicidal self-injury in a Hungarian community adolescent sample: a psychometric investigation. BMC Psychiatry. 2021;21(1):618. doi:10.1186/s12888-021-03613-4
  • Qu D, Wang Y, Zhang Z, et al. Psychometric properties of the Chinese version of the Functional Assessment of Self-Mutilation (FASM) in Chinese clinical adolescents. Front Psychiatry. 2022;12:755857. doi:10.3389/fpsyt.2021.755857
  • You J, Lin M-P, Leung F. Functions of nonsuicidal self-injury among Chinese community adolescents. J Adolesc. 2013;36(4):737–745. doi:10.1016/j.adolescence.2013.05.007
  • Barrocas AL, Giletta M, Hankin BL, Prinstein MJ, Abela JRZ. Nonsuicidal self-injury in adolescence: longitudinal course, trajectories, and intrapersonal predictors. J Abnorm Child Psychol. 2015;43(2):369–380. doi:10.1007/s10802-014-9895-4
  • Fox KR, Franklin JC, Ribeiro JD, Kleiman EM, Bentley KH, Nock MK. Meta-analysis of risk factors for nonsuicidal self-injury. Clin Psychol Rev. 2015;42:156–167. doi:10.1016/j.cpr.2015.09.002
  • Jacobson CM, Muehlenkamp JJ, Miller AL, Turner JB. Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. J Clin Child Adolesc Psychol. 2008;37(2):363–375. doi:10.1080/15374410801955771
  • Courtney-Seidler EA, Klein D, Miller AL. Borderline personality disorder in adolescents. Clin Psychol. 2013;20(4):425–444. doi:10.1111/cpsp.12051
  • Alberdi-Páramo I, Díaz-Marsá M, Sáiz González MD, Carrasco Perera JL. Association between non-suicidal self-injury and suicidal behavior in Borderline Personality Disorder: a retrospective study. Actas Esp Psiquiatr. 2021;49(5):199–204.
  • Crowell SE, Beauchaine TP, Linehan MM. A biosocial developmental model of borderline personality: elaborating and extending Linehan’s theory. Psychol Bull. 2009;135(3):495–510. doi:10.1037/a0015616
  • Jacob GA, Ower N, Buchholz A. The role of experiential avoidance, psychopathology, and borderline personality features in experiencing positive emotions: a path analysis. J Behav Ther Exp Psychiatry. 2013;44(1):61–68. doi:10.1016/j.jbtep.2012.07.006
  • Kuo JR, Fitzpatrick S, Metcalfe RK, McMain S. A multi-method laboratory investigation of emotional reactivity and emotion regulation abilities in borderline personality disorder. J Behav Ther Exp Psychiatry. 2016;50:52–60. doi:10.1016/j.jbtep.2015.05.002
  • Chapman AL. Borderline personality disorder and emotion dysregulation. Dev Psychopathol. 2019;31(3):1143–1156. doi:10.1017/S0954579419000658
  • McLachlan J, Mehdikhani M, Larham B, Centifanti LCM. Borderline personality traits and emotion regulation strategies in adolescents: the role of implicit theories. Child Psychiatry Hum Dev. 2022;53(5):899–907. doi:10.1007/s10578-021-01169-8
  • Zanarini MC, Frankenburg FR, Reich DB, Fitzmaurice G, Weinberg I, Gunderson JG. The 10-year course of physically self-destructive acts reported by borderline patients and axis II comparison subjects. Acta Psychiatr Scand. 2008;117(3):177–184. doi:10.1111/j.1600-0447.2008.01155.x
  • Goodman M, Tomas IA, Temes CM, Fitzmaurice GM, Aguirre BA, Zanarini MC. Suicide attempts and self-injurious behaviours in adolescent and adult patients with borderline personality disorder. Personal Ment Health. 2017;11(3):157–163. doi:10.1002/pmh.1375
  • Groschwitz RC, Plener PL, Kaess M, Schumacher T, Stoehr R, Boege I. The situation of former adolescent self-injurers as young adults: a follow-up study. BMC Psychiatry. 2015;15:160. doi:10.1186/s12888-015-0555-1
  • Zanarini MC, Laudate CS, Frankenburg FR, Wedig MM, Fitzmaurice G. Reasons for self-mutilation reported by borderline patients over 16 years of prospective follow-up. J Pers Disord. 2013;27(6):783–794. doi:10.1521/pedi_2013_27_115
  • Kleindienst N, Bohus M, Ludäscher P, et al. Motives for nonsuicidal self-injury among women with borderline personality disorder. J Nerv Ment Dis. 2008;196(3):230–236. doi:10.1097/NMD.0b013e3181663026
  • Brown MZ, Comtois KA, Linehan MM. Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. J Abnorm Psychol. 2002;111(1):198–202.
  • Sadeh N, Londahl-Shaller EA, Piatigorsky A, et al. Functions of non-suicidal self-injury in adolescents and young adults with Borderline Personality Disorder symptoms. Psychiatry Res. 2014;216(2):217–222. doi:10.1016/j.psychres.2014.02.018
  • Vega D, Torrubia R, Soto À, et al. Exploring the relationship between non suicidal self-injury and borderline personality traits in young adults. Psychiatry Res. 2017;256:403–411. doi:10.1016/j.psychres.2017.07.008
  • Garisch JA, Wilson MS. Prevalence, correlates, and prospective predictors of non-suicidal self-injury among New Zealand adolescents: cross-sectional and longitudinal survey data. Child Adolesc Psychiatry Ment Health. 2015;9:28. doi:10.1186/s13034-015-0055-6
  • Hemming L, Haddock G, Shaw J, Pratt D. Alexithymia and its associations with depression, suicidality, and aggression: an overview of the literature. Front Psychiatry. 2019;10:203. doi:10.3389/fpsyt.2019.00203
  • Gramaglia C, Gambaro E, Zeppegno P. Alexithymia and treatment outcome in anorexia nervosa: a scoping review of the literature. Front Psychiatry. 2019;10:991. doi:10.3389/fpsyt.2019.00991
  • Panayiotou G, Panteli M, Vlemincx E. Adaptive and maladaptive emotion processing and regulation, and the case of alexithymia. Cogn Emot. 2021;35(3):488–499. doi:10.1080/02699931.2019.1671322
  • Selby EA, Anestis MD, Joiner TE. Understanding the relationship between emotional and behavioral dysregulation: emotional cascades. Behav Res Ther. 2008;46(5):593–611.
  • Lumley MA. Alexithymia, emotional disclosure, and health: a program of research. J Pers. 2004;72(6):1271–1300.
  • Hepp J, Störkel LM, Wycoff AM, Freeman LK, Schmahl C, Niedtfeld I. A test of the interpersonal function of non-suicidal self-injury in daily life. Behav Res Ther. 2021;144:103930. doi:10.1016/j.brat.2021.103930
  • Linehan MM. Cognitive-Behavioral Treatment of Borderline Personality Disorder. Guilford Press; 1993:xvii, 558–xvii, 558.
  • Sleuwaegen E, Houben M, Claes L, Berens A, Sabbe B. The relationship between non-suicidal self-injury and alexithymia in borderline personality disorder: “Actions instead of words”. Compr Psychiatry. 2017;77:80–88. doi:10.1016/j.comppsych.2017.06.006
  • Ridings LE, Lutz-Zois CJ. Emotional dysregulation and borderline personality disorder: explaining the link between secondary psychopathy and alexithymia. Pers Individ Dif. 2014;57:14–19.
  • Webb D, McMurran M. Emotional intelligence, alexithymia and borderline personality disorder traits in young adults. Personal Ment Health. 2008;2(4):265–273.
  • Burke TA, Ammerman BA, Hamilton JL, Alloy LB. Impact of non-suicidal self-injury scale: initial psychometric validation. Cognit Ther Res. 2017;41(1):130–142. doi:10.1007/s10608-016-9806-9
  • Hasking PA, Coric SJ, Swannell S, Martin G, Thompson HK, Frost ADJ. Brief report: emotion regulation and coping as moderators in the relationship between personality and self-injury. J Adolesc. 2010;33(5):767–773. doi:10.1016/j.adolescence.2009.12.006
  • Hamza CA, Willoughby T. A longitudinal person-centered examination of nonsuicidal self-injury among university students. J Youth Adolesc. 2014;43(4):671–685. doi:10.1007/s10964-013-9991-8
  • Victor SE, Klonsky ED. Correlates of suicide attempts among self-injurers: a meta-analysis. Clin Psychol Rev. 2014;34(4):282–297. doi:10.1016/j.cpr.2014.03.005
  • Anestis MD, Khazem LR, Law KC. How many times and how many ways: the impact of number of nonsuicidal self-injury methods on the relationship between nonsuicidal self-injury frequency and suicidal behavior. Suicide Life Threat Behav. 2015;45(2):164–177. doi:10.1111/sltb.12120
  • Wang Y, Zhou X, Cao B, et al. The psychological characteristics and risk factors of suicidal attempt among mood disorders adolescents accompany with non-suicidal self-injury: a multi-center study. J Affect Disord. 2022;298(Pt A):301–307. doi:10.1016/j.jad.2021.10.130
  • Liu P, Wang X. Evaluation of reliability and validity of Chinese-version borderline personality features scale for children. Med Sci Monit. 2019;25:3476–3484. doi:10.12659/MSM.912662
  • Crick NR, Murray-Close D, Woods K. Borderline personality features in childhood: a short-term longitudinal study. Dev Psychopathol. 2005;17(4):1051–1070.
  • Taylor GJ, Ryan D, Bagby RM. Toward the development of a new self-report alexithymia scale. Psychother Psychosom. 1985;44(4):191–199.
  • Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994;38(1):23–32.
  • Bagby RM, Parker JDA, Taylor GJ. Twenty-five years with the 20-item Toronto Alexithymia Scale. J Psychosom Res. 2020;131:109940. doi:10.1016/j.jpsychores.2020.109940
  • Ling Y, Zeng Y, Yuan H, Zhong M. Cross-cultural validation of the 20-item Toronto Alexithymia Scale in Chinese adolescents. J Psychiatr Ment Health Nurs. 2016;23(3–4):179–187. doi:10.1111/jpm.12298
  • Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6(1):1–55. doi:10.1080/10705519909540118
  • Hooper D, Coughlan JP, Mullen MR. Structural equation modelling: guidelines for determining model fit. Electron J Bus Res Methods. 2008;6:53–60.
  • Muehlenkamp J, Brausch A, Quigley K, Whitlock J. Interpersonal features and functions of nonsuicidal self-injury. Suicide Life Threat Behav. 2013;43(1):67–80. doi:10.1111/j.1943-278X.2012.00128.x
  • Iskric A, Ceniti AK, Bergmans Y, McInerney S, Rizvi SJ. Alexithymia and self-harm: a review of nonsuicidal self-injury, suicidal ideation, and suicide attempts. Psychiatry Res. 2020;288:112920. doi:10.1016/j.psychres.2020.112920
  • Zareen G, Ashraf F. Sub-clinical borderline personality disorder symptoms as predictor of suicidality and non-suicidal self-injury in young Pakistani females. J Pak Med Assoc. 2021;71(2(b)):740–743. doi:10.47391/jpma.1088
  • Selby EA, Joiner TE. Cascades of emotion: the emergence of borderline personality disorder from emotional and behavioral dysregulation. Rev Gen Psychol. 2009;13(3):219.
  • Chen J, Xu T, Jing J, Chan RCK. Alexithymia and emotional regulation: a cluster analytical approach. BMC Psychiatry. 2011;11:33. doi:10.1186/1471-244X-11-33
  • Richmond S, Hasking P, Meaney R. Psychological distress and non-suicidal self-injury: the mediating roles of rumination, cognitive reappraisal, and expressive suppression. Arch Suicide Res. 2017;21(1):62–72. doi:10.1080/13811118.2015.1008160
  • Meaney R, Hasking P, Reupert A. Borderline personality disorder symptoms in college students: the complex interplay between alexithymia, emotional dysregulation and rumination. PLoS One. 2016;11(6):e0157294. doi:10.1371/journal.pone.0157294
  • Ammmerman BA, Hong M, Sorgi K, Park Y, Jacobucci R, McCloskey MS. An examination of individual forms of nonsuicidal self-injury. Psychiatry Res. 2019;278:268–274. doi:10.1016/j.psychres.2019.06.029
  • Bresin K, Schoenleber M. Gender differences in the prevalence of nonsuicidal self-injury: a meta-analysis. Clin Psychol Rev. 2015;38:55–64. doi:10.1016/j.cpr.2015.02.009
  • Zetterqvist M, Lundh L-G, Dahlström O, Svedin CG. Prevalence and function of non-suicidal self-injury (NSSI) in a community sample of adolescents, using suggested DSM-5 criteria for a potential NSSI disorder. J Abnorm Child Psychol. 2013;41(5):759–773. doi:10.1007/s10802-013-9712-5
  • Nolen-Hoeksema S. Emotion regulation and psychopathology: the role of gender. Annu Rev Clin Psychol. 2012;8:161–187. doi:10.1146/annurev-clinpsy-032511-143109
  • Selby EA, Anestis MD, Bender TW, Joiner TE. An exploration of the emotional cascade model in borderline personality disorder. J Abnorm Psychol. 2009;118(2):375–387. doi:10.1037/a0015711