Background:

Non-suicidal self-injury (NSSI) is a condition with debilitating consequences. We aimed to assess the mentalization skills of female adolescents with NSSI and parents who showed alexithymia and depressive symptoms.

Method:

Ours was a case-control study. Thirty adolescents with NSSI were recruited into the case group, 31 adolescents were recruited into the control group. Reading the Mind in the Eyes Test (RMET) and the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children – Present and Lifetime Version (K-SADS-PL) were applied. The Inventory of Statements about Self-Injury was used. The Toronto Alexithymia Scale (TAS-20) and Beck Depression Inventory (BDI) were given to parents.

Results:

There were no significant differences between two groups for RMET and parental TAS-20 scores. Maternal BDI scores were found to be significantly higher in the NSSI group. There were no significant differences for paternal BDI. RMET scores correlated negatively with maternal BDI scores. Major depression was found to be the most common diagnosis in the NSSI group.

Conclusion:

Because maternal depressive features seem to be related to NSSI, a detailed psychiatric examination of mothers should be carried out. Studies with larger samples or different designs are needed for a better understanding of the mentalization in NSSI.

中文翻译：

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父母有非自杀性自伤和述情障碍和抑郁特征的女性青少年的心理化

背景：

非自杀性自伤 (NSSI) 是一种具有严重后果的疾病。我们旨在评估患有 NSSI 的女性青少年和表现出述情障碍和抑郁症状的父母的心智化技能。

方法：

我们的研究是病例对照研究。病例组招募了 30 名 NSSI 青少年，对照组招募了 31 名青少年。应用了“读心术”测试 (RMET) 和学龄儿童情感障碍和精神分裂症儿童时间表 - 现在和终生版本 (K-SADS-PL)。使用了关于自伤的陈述清单。向父母提供了多伦多述情障碍量表 (TAS-20) 和贝克抑郁量表 (BDI)。

结果：

两组之间的 RMET 和父母 TAS-20 评分没有显着差异。NSSI 组的产妇 BDI 评分显着更高。父系 BDI 没有显着差异。RMET 评分与母体 BDI 评分呈负相关。重度抑郁症被发现是 NSSI 组中最常见的诊断。

结论：

由于母亲的抑郁特征似乎与 NSSI 有关，因此应对母亲进行详细的精神检查。为了更好地理解 NSSI 的心理化，需要进行更大样本或不同设计的研究。