scholarly journals Comorbidity Between Non-suicidal Self-Injury Disorder and Borderline Personality Disorder in Adolescents: A Graphical Network Approach

2020 ◽  
Vol 11 ◽  
Author(s):  
Tinne Buelens ◽  
Giulio Costantini ◽  
Koen Luyckx ◽  
Laurence Claes
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Separation Anxiety ◽  
Borderline Personality ◽  
Small Male ◽  
Dsm 5 ◽  
Self Injury ◽  
Symptom Level ◽  
First Time ◽  
Nssi Disorder

In 2013, DSM-5 urged for further research on non-suicidal self-injury (NSSI) and defined NSSI disorder (NSSI-D) for the first time separate from borderline personality disorder (BPD). However, research on the comorbidity between NSSI-D and BPD symptoms is still scarce, especially in adolescent populations. The current study selected 347 adolescents who engaged at least once in NSSI (78.4% girls, Mage = 15.05) and investigated prevalence, comorbidity, gender differences, and bridge symptoms of NSSI-D and BPD. Network analysis allowed us to visualize the comorbidity structure of NSSI-D and BPD on a symptom-level and revealed which bridge symptoms connected both disorders. Our results supported NSSI-D as significantly distinct from, yet closely related to, BPD in adolescents. Even though girls were more likely to meet the NSSI-D criteria, our findings suggested that the manner in which NSSI-D and BPD symptoms were interconnected, did not differ between girls and boys. Furthermore, loneliness, impulsivity, separation anxiety, frequent thinking about NSSI, and negative affect prior to NSSI were detected as prominent bridge symptoms between NSSI-D and BPD. These bridge symptoms could provide useful targets for early intervention in and prevention of the development of comorbidity between NSSI-D and BPD. Although the current study was limited by a small male sample, these findings do provide novel insights in the complex comorbidity between NSSI-D and BPD symptoms in adolescence.

Nonsuicidal Self-Injury and Suicide: Differences Between Those With and Without Borderline Personality Disorder

2020 ◽  
Vol 34 (1) ◽  
pp. 131-144 ◽  
Author(s):  
Alina Z. Levine ◽  
Rawya Aljabari ◽  
Kristy Dalrymple ◽  
Mark Zimmerman
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Behavior Disorder ◽  
Borderline Personality ◽  
Skin Picking ◽  
Dsm 5 ◽  
Self Injury ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) is associated with borderline personality disorder (BPD), but it also occurs in nonclinical samples (Briere & Gil, 1998), inflicting serious harm and serving as a precursor to suicide attempts (Klonsky, May, & Glenn, 2013). Therefore, the DSM-5 proposed a nonsuicidal self-injury disorder (NSSID) and suicidal behavior disorder. Because this addition requires reconciliation with current BPD criteria, the authors' study evaluated type and frequency of NSSI and suicide attempts in 3,795 outpatients. Both were found in those without BPD, although the behaviors increased when some symptoms and full criteria for BPD were met. Wound/skin picking, scratching, and hitting were most common. Cutting was the fifth most common self-injury for those with BPD and the eighth most common for those without the disorder. Therefore, increased clinical attention is warranted for such self-injury, which may go unnoticed but indicate significant distress. Findings suggest that NSSID/suicidal behavior disorder may account for self-injury outside of BPD.

scholarly journals Gyermekkori traumatizáció, disszociáció és szándékos fizikai önsértő viselkedés borderline személyiségzavarban

2017 ◽  
Vol 158 (19) ◽  
pp. 740-747 ◽  
Author(s):  
Katalin Merza ◽  
János Harmatta ◽  
Gábor Papp ◽  
Ildikó Kuritárné Szabó
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Significant Role ◽  
Borderline Personality ◽  
Cumulative Trauma ◽  
Self Injury ◽  
Borderline Patients ◽  
Trauma Score ◽  
Nonsuicidal Self Injury

Abstract: Introduction: Childhood traumatization plays a significant role in the etiology of borderline personality disorder. Studies found a significant association between childhood traumatization, dissociation, and nonsuicidal self-injurious behavior. Aim: The aim of our study was to assess dissociation and nonsuicidal self-injury among borderline inpatients and to reveal the association between childhood traumatization, dissociation, and self-injurious behavior. Method: The sample consisted of 80 borderline inpatients and 73 depressed control patients. Childhood traumatization, dissociation and self-injurious behavior were assessed by questionnaires. Results: Borderline patients reported severe and multiplex childhood traumatization. Cumulative trauma score and sexual abuse were the strongest predictors of dissociation. Furthermore, we have found that cumulative trauma score and dissociation were highly predictive of self-injurious behavior. Conclusion: Our results suggest that self-injurious behavior and dissociation in borderline patients can be regarded as indicators of childhood traumatization. Orv Hetil. 2017; 158(19): 740–747.

scholarly journals Non-Suicidal Self-Injury in Those Dealing With Borderline Personality Disorder or Separation from Parents

2021 ◽  
Author(s):  
Janice Valencia ◽  
Frikson Christian Sinambela
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Literature Search ◽  
Borderline Personality ◽  
Physical Injury ◽  
Self Injury ◽  
Suicidal Intention ◽  
Separation From Parents ◽  
To Receive ◽  
The Relationship

Non-suicidal self-injury (NSSI) is a deliberate destruction of one’s own body tissue without suicidal intention that causes physical injury. NSSI is mostly found in adolescents or young adults (Paul, Tsypes, Eidlitz, Ernhout, & Whitlock, 2015). Borderline personality disorder (BPD) is one of the risk factors for developing NSSI. Individuals with borderline personality disorder also experience invalidation during their childhood, this can cause individuals with BPD to feel that they deserve to receive NSSI as a form of self-punishment (Sadeh et al., 2014). In addition, children who experience parental separation (through death, divorce or employment) have a higher risk factor for developing NSSI (Astrup, Pedersen, Mok, Carr, & Webb, 2017). A literature search was conducted in six databases, and a total of 20 relevant articles were found. The explanation of the relationship between non-suicidal self-injury, borderline personality disorder, and loss of or separation from a parent are explored in this study, in order to increase understanding of how NSSI behaviours can be prevented. Keywords: NSSI, Borderline Personality, Separation Parent

Effects of a Painful Stimulus on Stress Regulation in Male Patients With Borderline Personality Disorder: A Pilot Study

2019 ◽  
Vol 33 (3) ◽  
pp. 394-412
Author(s):  
Janina Naoum ◽  
Nikolaus Kleindienst ◽  
Ulf Baumgärtner ◽  
Franziska Willis ◽  
Falk Mancke ◽  
...  
Keyword(s):  
Heart Rate ◽  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Pain Stimulus ◽  
Self Injury ◽  
Significant Difference ◽  
Pain Ratings ◽  
Male Patients

Pain processing in relation to stress has so far not been investigated in male patients with borderline personality disorder (BPD). This experimental pilot study examined 17 male BPD patients and 20 male healthy controls (HCs) to assess the effects of a pain stimulus on arousal, aggression, pain (ratings), and heart rate. At baseline, BPD patients showed significantly higher arousal and aggression; however, there was no significant difference in heart rate compared to the HC group. Following stress induction, a noninvasive mechanical pain stimulus was applied. No significant differences in pain ratings or heart rates were found between the groups. For arousal, a significantly stronger decrease was revealed in the BPD group compared to the HC group (t = 2.16, p = .038). Concerning aggression, the BPD group showed a significantly greater decrease after the pain stimulus than the HC group (t = 3.25, p = .002). This data showed that nonsuicidal self-injury can reduce arousal and aggression in male BPD.

Temperament as a Prospective Predictor of Self-Injury Among Patients With Borderline Personality Disorder

2009 ◽  
Vol 23 (2) ◽  
pp. 122-140 ◽  
Author(s):  
Alexander L. Chapman ◽  
Christina M. Derbidge ◽  
Emily Cooney ◽  
Phan Y. Hong ◽  
Marsha M. Linehan
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Self Injury

scholarly journals Emotion Differentiation as a Protective Factor Against Nonsuicidal Self-Injury in Borderline Personality Disorder

2013 ◽  
Vol 44 (3) ◽  
pp. 529-540 ◽  
Author(s):  
Landon F. Zaki ◽  
Karin G. Coifman ◽  
Eshkol Rafaeli ◽  
Kathy R. Berenson ◽  
Geraldine Downey
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Protective Factor ◽  
Borderline Personality ◽  
Emotion Differentiation ◽  
Self Injury ◽  
Nonsuicidal Self Injury
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