Self-injurious acts in patients with bordeline personality disorders

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.

1. Bek А., Frimen А. Kognitivnaya psikhoterapiya rasstrojstv lichnosti. Praktikum po psikhoterapii [Cognitive therapy of personality disorders. Workshop on psychotherapy]. SPb: Piter, 2002. 544 s.
2. 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)
3. 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.
4. 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.
5. 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.
6. 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.
7. Menninger K. Vojna s samim soboj [War with the self]. Moscow: EKSMO-Press, 2000.
8. 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.
9. 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.
10. 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.
11. 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.
12. 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.
13. 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.
14. 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.
15. American Psychiatric Association. Diagnostic and Statistical manual of mental disorders, fifth edition (DSM-V). Arlington, VА: American Psychiatric Publishing, 2013. P. 803–806.
16. 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.
17. Deb S. Self-injurious behavior as part of genetic syndromes. Brit J Psychiat., 1998, vol. 172, pp. 385–388.
18. Favazza A.R. Bodies under siege: Self-mutilation in Culture and Psychiatry. Second Edition. Baltimore and London: The Johns Hopkins University Press, 1996.
19. 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.
20. 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.
21. 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.
22. Horsfall J. Towards understanding some complex borderline behaviours. Journal of Psychiatric and Mental Health Nursing. 1999, vol. 6, pp. 425–432.
23. Linehan M. Cognitive-behavioral treatment of borderline personality disorder. Guilford Press, 1993.
24. Nock M.K. Self-injury. Annu. Rev. Clin. Psychol., 2010, vol. 6, pp. 339–363.
25. 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.
26. 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.
27. Abnorm. Child Psychol., 2013, vol. 41, pp. 759–773
28. 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.
29. Werner H. Comparative psychology of mental development. Rev. ed. NY: International Universities Press, 1957. 564 c.
30. Witkin H. A. Psychological differentiation and forms of pathology. Journal of Abnormal Psychology, 1965, vol. 70, no. 5, pp. 317–336