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An experimental examination of interpersonal problem-solving in nonsuicidal self-injury: A pilot study
Journal of Psychiatric Research ( IF 4.8 ) Pub Date : 2021-09-03 , DOI: 10.1016/j.jpsychires.2021.09.005
Brooke A Ammerman 1 , Kristen M Sorgi 2 , Martha K Fahlgren 2 , Alexander A Puhalla 3 , Michael S McCloskey 2
Affiliation  

Nonsuicidal self-injury (NSSI) typically occurs in the presence of negative emotions. Prior research has emphasized interpersonal stress as a specific context that may elevate negative emotions in this population and even increase the likelihood of NSSI behavior. However, the factors that contribute to the relationship between interpersonal stress and NSSI have received relatively limited attention. The current pilot study aimed to experimentally examine interpersonal problem-solving as a potential moderator of the interpersonal stress – NSSI risk relationship among those with a NSSI history. Eighty-six participants (52.3% with NSSI history) were randomly assigned to one of three mood induction conditions (interpersonal negative, general negative, interpersonal neutral), after which they completed an interpersonal problem-solving task and a laboratory analogue of self-injurious behavior. Results indicated that NSSI history was associated with poorer interpersonal effectiveness. Further, individuals with a history of NSSI who experienced an interpersonally-focused negative mood and produced less effective interpersonal solutions were more self-harming on a laboratory analogue of self-injurious behavior. While the present findings are preliminary in nature, they offer guidance for research moving forward and, if replicated, suggest interpersonal problem-solving as a potential treatment target among individuals engaging in NSSI.



中文翻译:

非自杀性自伤中人际关系问题解决的实验检验:一项初步研究

非自杀性自伤 (NSSI) 通常发生在存在负面情绪的情况下。先前的研究强调人际压力是一种特定的环境,可能会增加该人群的负面情绪,甚至增加 NSSI 行为的可能性。然而,促成人际压力与 NSSI 之间关系的因素受到的关注相对有限。目前的试点研究旨在通过实验检查人际关系问题解决作为人际关系压力的潜在调节剂 - 具有 NSSI 历史的人之间的 NSSI 风险关系。86 名参与者(52.3% 有 NSSI 病史)被随机分配到三种情绪诱导条件之一(人际关系消极、一般消极、人际关系中立),之后,他们完成了人际关系问题解决任务和自我伤害行为的实验室模拟。结果表明,NSSI 历史与较差的人际关系有效性相关。此外,有 NSSI 病史的个体经历过以人际关系为中心的消极情绪并产生不太有效的人际关系解决方案时,在实验室的自我伤害行为模拟中更容易自我伤害。虽然目前的研究结果本质上是初步的,但它们为向前推进的研究提供了指导,如果被复制,建议将人际问题解决作为参与 NSSI 的个人的潜在治疗目标。有 NSSI 病史的个体经历过以人际关系为中心的消极情绪并产生不太有效的人际关系解决方案,在实验室的自我伤害行为模拟中更容易自我伤害。虽然目前的研究结果本质上是初步的,但它们为向前推进的研究提供了指导,如果被复制,建议将人际问题解决作为参与 NSSI 的个人的潜在治疗目标。有 NSSI 病史的个体经历过以人际关系为中心的消极情绪并产生不太有效的人际关系解决方案,在实验室的自我伤害行为模拟中更容易自我伤害。虽然目前的研究结果本质上是初步的,但它们为向前推进的研究提供了指导,如果被复制,建议将人际问题解决作为参与 NSSI 的个人的潜在治疗目标。

更新日期:2021-10-08
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