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Self-injurious acts in patients with bordeline personality disorders 2412
Polskaya N.A.
Doctor of Psychology, Professor, Chair of Clinical Psychology and Psychotherapy, Department of Counseling and Clinical Psychology, Moscow State University of Psychology & Education, Moscow, Russia
ORCID: https://orcid.org/0000-0002-7305-5577
e-mail: polskayana@yandex.ru
Results of the empirical study on the relation between emotion regulation factors and the peculiarity of self-injurious behavior in clinical and nonclinical groups are reported. Participants of the research (N=68) comprised two groups: inpatients with borderline personality disorders (N=33; М=44,9, SD=10,8) and control group (N=35; M=39,3, SD=11,2). Methods: the scale of reasons for self-injurious behavior (Polskaya, 2014), Cognitive Emotion Regulation Questionnaire (Garnefski et al., 2002, Rasskazova et al., 2011), the Ways of Coping Questionnaire (Lazarus, Folkman, 1988, Kryukova, Kuftyak, 2004) and Emotional Intelligence questionnaire (Lyusin, 2009). Conclusion: 1) self-injuries are observed both in clinical and nonclinical group; in patients with borderline personality disorders they are related to a certain mental state and/or a wish to change it, whereas in control group self-injuries possess a reactive character; 2) such strategies of cognitive emotion regulation as decreased ability to plan, rumination and catastrophizing, can be regarded as markers of self-injurious behavior; 3) self-injury in patients with borderline personality disorders is related to decreased understanding of emotion, whereas in control group it is related to emotion management and expression; 4) self-injury can execute antisuicidal function and be reinforced by constructive strategies of emotion regulation in the structure of coping behavior or defense mechanisms.
- Bek А., Frimen А. Kognitivnaya psikhoterapiya rasstrojstv lichnosti.
Praktikum po psikhoterapii [Cognitive therapy of personality disorders.
Workshop on psychotherapy]. SPb: Piter, 2002. 544 s.
- Korolenko Ts. P., Shpiks T. А. Samopovrezhdayushhee i suitsidnoe povedenie
u zhenshhin s pogranichnoj povrezhdayushhej psikhicheskoj organizatsiej i
pogranichnym lichnostnym rasstrojstvom [Self-harm and suicidal behavior in
women with borderline damaging mental organization and borderline personality
disorder]. Meditsina i obrazovanie v Sibiri [Health and education in Siberia],
2012, no. 3. http://www.ngmu. ru/cozo/mos/article/text_full.php?id=716 (access
date 10.08.2015)
- Kryukova T.L., Kuftyak E.V. Oprosnik sposobov sovladaniya (adaptatsiya
metodiki WCQ) [Questionnaire methods of coping (adaptation techniques WCQ)].
Zhurnal prakticheskogo psikhologa [Journal of Practical Psychology], 2007, no.
3, pp. 93–112.
- Lasovskaya T.Yu. Samopovrezhdayushhee povedenie u lits s pogranichnym
lichnostnym rasstrojstvom (obzor literatury) [Self-injurious behavior in
patients with borderline personality disorder (review)]. Sibirskij vestnik
psikhiatrii i narkologii [Siberian bulletin of Psychiatry and Addiction], 2011,
no. 6, pp. 58-61.
- Lyusin D.V. Oprosnik na ehmotsional’nyj intellekt EmIn: novye
psikhometricheskie dannye [ Questionnaire on emotional intelligence EmIn: new
psychometric data]. In D.V. Lyusin, D.V. Ushakov (eds.), Sotsial’nyj i
ehmotsional’nyj intellekt: ot modelej k izmereniyam [The social and emotional
intelligence, models for measurement]. Moscow: Institut psikhologii RАN, 2009,
pp. 264–278.
- Mezhdunarodnaya klassifikatsiya boleznej (10-j peresmotr). Klassifikatsiya
psikhicheskikh i povedencheskikh rasstrojstv. Klinicheskie opisaniya i
ukazaniya po diagnostike. [International Classification of Diseases (10th
revision). Classification of mental and behavioral disorders. Clinical
descriptions and diagnostic guidelines]. World Health Organization. Rossiya.
SPb: Аdis, 1994.
- Menninger K. Vojna s samim soboj [War with the self]. Moscow: EKSMO-Press,
2000.
- Pol’skaya N.А. Zavisimost' chastoty i kharaktera nesuitsidal'nykh
samopovrezhdenij ot pola i vozrasta (v neklinicheskoj populyatsii) [The
frequency and nature of nesuitsidalnyh self-harm by age and gender (in the
non-clinical population)]. Voprosy psikhologii [Questions of psychology], 2015,
no. 1, pp. 97–109.
- Pol’skaya N.А. Prichiny samopovrezhdeniya v yunosheskom vozraste (na osnove
shkaly samootcheta) [The reasons for self-harm in young adulthood (based on
self-report scale)]. Konsul’tativnaya psikhologiya i psikhoterapiya [Counseling
Psychology and psychotherapy], 2014a, no. 2 (81), pp. 140–152.
- Pol’skaya N.А. Samopovrezhdayushhee povedenie v klinicheskoj praktike
[Self-injurious behavior in clinical practice]. Obozrenie psikhiatrii i
meditsinskoj psikhologii imeni Bekhtereva [Review of Psychiatry and Medical
Psychology named after Bekhterev], 2011, no. 2, pp. 4–8.
- Pol’skaya N.А. Struktura i funktsii samopovrezhdayushhego povedeniya
[Structure and function of self- injurious behavior]. Psikhologicheskij zhurnal
[Psychological Journal], 2014b, vol. 35, no. 2, pp. 45–56.
- Rasskazova E.I., Leonova А.B., Pluzhnikov I.V. Razrabotka russkoyazychnoj
versii oprosnika kognitivnoj regulyatsii ehmotsij [The development of the
Russian version of the questionnaire cognitive emotion regulation]. Vestnik
psikhologii. Seriya 14. Psikhologiya [Journal of Psychology. Series 14.
Psychology], 2011, no. 4, pp. 161–179.
- Chukhutova G.L. Stereotipnoe i samopovrezhdayushhee povedenie u detej s
narusheniyami v razvitii [Stereotypical and self-injurious behavior in children
with developmental disorders]. Sovremennaya zarubezhnaya psikhologiya [Modern
foreign psychology], 2013, vol. 2, no. 4, pp. 92–117.
- Shevchenko Yu.S. Patologicheskie privychnye dejstviya u detej i podrostkov
i printsipy ikh terapii s pozitsij kontseptsii psikhicheskogo dizontogeneza
[Pathological habitual actions in children and adolescents and the principles
of their treatment from the point of conception of mental dizontogeneza].
Sotsial’naya i klinicheskaya psikhiatriya [Social and clinical psychiatry],
1992, vol. 2, no. 1, pp. 11–21.
- American Psychiatric Association. Diagnostic and Statistical manual of
mental disorders, fifth edition (DSM-V). Arlington, VА: American Psychiatric
Publishing, 2013. P. 803–806.
- Brown M.Z., Linehan M.M., Comtois K.A., Murray A., Chapman A.L. Shame as a
prospective predictor of self-inflicted injury in borderline personality
disorder: A multi-modal analysis. Behav. Res. Ther., 2009, vol. 47, no. 10, pp.
815–822.
- Deb S. Self-injurious behavior as part of genetic syndromes. Brit J
Psychiat., 1998, vol. 172, pp. 385–388.
- Favazza A.R. Bodies under siege: Self-mutilation in Culture and Psychiatry.
Second Edition. Baltimore and London: The Johns Hopkins University Press,
1996.
- Glenn C.R., Klonsky E.D. Nonsuicidal self-injury disorder: an empirical
investigation in adolescent psychiatric patients. J Clin Child Adolesc
Psychol., 2013, vol. 42, no. 4, pp. 496–507.
- Gratz K.L., Gunderson J.G. Preliminary Data on an Acceptance-Based Emotion
Regulation Group Intervention for Deliberate Self-Harm Among Women With
Borderline Personality Disorder. Behav. Ther., 2006, vol. 37, pp. 25–35.
- Gratz K.L., Roemer L. The relationship between emotion dysregulation and
deliberate self-harm among female undergraduate students at an urban commuter
university. Cogn. Behav. Ther., 2008, vol. 37, August, pp. 14–25.
- Horsfall J. Towards understanding some complex borderline behaviours.
Journal of Psychiatric and Mental Health Nursing. 1999, vol. 6, pp.
425–432.
- Linehan M. Cognitive-behavioral treatment of borderline personality
disorder. Guilford Press, 1993.
- Nock M.K. Self-injury. Annu. Rev. Clin. Psychol., 2010, vol. 6, pp.
339–363.
- Zaki L.F., Coifman K.G., Rafaeli E., Berenson K.R., Downey G. Emotion
Differentiation as a Protective Factor Against Nonsuicidal Self-Injury in
Borderline Personality Disorder. Behavior Therapy, 2013, vol. 44, pp.
529–540.
- Zetterqvist M., Lundh L., Dahlström ., SvedinK.G. 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.
- Abnorm. Child Psychol., 2013, vol. 41, pp. 759–773
- Voon D., Hasking P., Martin G. The roles of emotion regulation and
ruminative thoughts in non-suicidal self-injury. British Journal of Clinical
Psychology, 2014, vol. 53, pp. 95–113.
- Werner H. Comparative psychology of mental development. Rev. ed. NY:
International Universities Press, 1957. 564 c.
- Witkin H. A. Psychological differentiation and forms of pathology.
Journal of Abnormal Psychology, 1965, vol. 70, no. 5, pp. 317–336
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