International Journal of High Risk Behaviors and Addiction

Published by: Kowsar

Prediction of Self-Injury Behavior in Men with Borderline Personality Disorder Based on Their Symptoms of Borderline Personality and Alexithymia

Azizollah Mojahed 1 , Moslem Rajabi 2 , Sajjad Khanjani 3 , * and Sajjad Basharpoor 4
Authors Information
1 Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, IR Iran
2 MA of Clinical Psychology, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, IR Iran
3 PhD Candidate in Clinical Psychology, Developmental Center for Student Research and Technology Talent, School of Behavioral Sciences and Mental Health (Institute of Tehran Psychiatry), Iran University of Medical Sciences, Tehran, IR Iran
4 Department of of Psychology, Faculty of Educational Science and Psychology University of Mohaghegh Ardabili, Ardabil, IR Iran
Article information
  • International Journal of High Risk Behaviors and Addiction: , In Press (In Press); e67693
  • Published Online: March 10, 2018
  • Article Type: Research Article
  • Received: April 24, 2016
  • Revised: March 13, 2017
  • Accepted: June 20, 2017
  • DOI: 10.5812/ijhrba.67693

To Cite: Mojahed A, Rajabi M, Khanjani S, Basharpoor S. Prediction of Self-Injury Behavior in Men with Borderline Personality Disorder Based on Their Symptoms of Borderline Personality and Alexithymia, Int J High Risk Behav Addict. Online ahead of Print ;In Press(In Press):e67693. doi: 10.5812/ijhrba.67693.

Abstract
Copyright © 2018, International Journal of High Risk Behaviors and Addiction. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Material and Method
3. Results
4. Discussion and Conclusion
Acknowledgements
References
  • 1. Psychiatric Association A. Diagnostic and Statistical Manual of Mental Disorders. fifthed, editor. Arlington, VA: American Psychiatric Publishing; 2013.
  • 2. Chesney E, Goodwin GM, Fazel S. Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry. 2014;13(2):153-60. doi: 10.1002/wps.20128. [PubMed: 24890068].
  • 3. Bodner E, Cohen-Fridel S, Mashiah M, Segal M, Grinshpoon A, Fischel T, et al. The attitudes of psychiatric hospital staff toward hospitalization and treatment of patients with borderline personality disorder. BMC Psychiatry. 2015;15:2. doi: 10.1186/s12888-014-0380-y. [PubMed: 25609479].
  • 4. Oldham JM. Borderline personality disorder and suicidality. Am J Psychiatry. 2006;163(1):20-6. doi: 10.1176/appi.ajp.163.1.20. [PubMed: 16390884].
  • 5. Schneider B, Wetterling T, Sargk D, Schneider F, Schnabel A, Maurer K, et al. Axis I disorders and personality disorders as risk factors for suicide. Eur Arch Psychiatry Clin Neurosci. 2006;256(1):17-27. doi: 10.1007/s00406-005-0593-7. [PubMed: 16133739].
  • 6. Klonsky ED. Non-suicidal self-injury in United States adults: prevalence, sociodemographics, topography and functions. Psychol Med. 2011;41(9):1981-6. doi: 10.1017/S0033291710002497. [PubMed: 21208494].
  • 7. Nock MK. Self-injury. Annu Rev Clin Psychol. 2010;6:339-63. doi: 10.1146/annurev.clinpsy.121208.131258. [PubMed: 20192787].
  • 8. Hankin BL, Abela JR. Nonsuicidal self-injury in adolescence: prospective rates and risk factors in a 2(1/2) year longitudinal study. Psychiatry Res. 2011;186(1):65-70. doi: 10.1016/j.psychres.2010.07.056. [PubMed: 20807667].
  • 9. Zetterqvist M, Lundh LG, Dahlstrom O, Svedin CG. 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. J Abnorm Child Psychol. 2013;41(5):759-73. doi: 10.1007/s10802-013-9712-5. [PubMed: 23344701].
  • 10. Swannell SV, Martin GE, Page A, Hasking P, St John NJ. Prevalence of nonsuicidal self-injury in nonclinical samples: systematic review, meta-analysis and meta-regression. Suicide Life Threat Behav. 2014;44(3):273-303. doi: 10.1111/sltb.12070. [PubMed: 24422986].
  • 11. Nixon MK, Heath NL. Self-injury in youth: The essential guide to assessment and intervention. Taylor & Francis; 2008.
  • 12. Glenn CR, Klonsky ED. A multimethod analysis of impulsivity in nonsuicidal self-injury. Personal Disord. 2010;1(1):67-75. doi: 10.1037/a0017427. [PubMed: 22448604].
  • 13. Guerry JD, Prinstein MJ. Longitudinal prediction of adolescent nonsuicidal self-injury: examination of a cognitive vulnerability-stress model. J Clin Child Adolesc Psychol. 2010;39(1):77-89. doi: 10.1080/15374410903401195. [PubMed: 20390800].
  • 14. Muehlenkamp JJ, Ertelt TW, Miller AL, Claes L. Borderline personality symptoms differentiate non-suicidal and suicidal self-injury in ethnically diverse adolescent outpatients. J Child Psychol Psychiatry. 2011;52(2):148-55. doi: 10.1111/j.1469-7610.2010.02305.x. [PubMed: 20735511].
  • 15. Selby EA, Bender TW, Gordon KH, Nock MK, Joiner TJ. Non-suicidal self-injury (NSSI) disorder: a preliminary study. Personal Disord. 2012;3(2):167-75. doi: 10.1037/a0024405. [PubMed: 22452757].
  • 16. Bryan CJ, Bryan AO, Ray-Sannerud BN, Etienne N, Morrow CE. Suicide attempts before joining the military increase risk for suicide attempts and severity of suicidal ideation among military personnel and veterans. Compr Psychiatry. 2014;55(3):534-41. doi: 10.1016/j.comppsych.2013.10.006. [PubMed: 24246604].
  • 17. Klonsky ED, May AM, Glenn CR. The relationship between nonsuicidal self-injury and attempted suicide: converging evidence from four samples. J Abnorm Psychol. 2013;122(1):231-7. doi: 10.1037/a0030278. [PubMed: 23067259].
  • 18. Andover MS, Morris BW, Wren A, Bruzzese ME. The co-occurrence of non-suicidal self-injury and attempted suicide among adolescents: distinguishing risk factors and psychosocial correlates. Child Adolesc Psychiatry Ment Health. 2012;6:11. doi: 10.1186/1753-2000-6-11. [PubMed: 22463065].
  • 19. Andover MS, Pepper CM, Ryabchenko KA, Orrico EG, Gibb BE. Self-mutilation and symptoms of depression, anxiety, and borderline personality disorder. Suicide Life Threat Behav. 2005;35(5):581-91. doi: 10.1521/suli.2005.35.5.581. [PubMed: 16268774].
  • 20. Nock MK, Joiner TJ, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res. 2006;144(1):65-72. doi: 10.1016/j.psychres.2006.05.010. [PubMed: 16887199].
  • 21. Klonsky ED, Muehlenkamp JJ. Self-injury: a research review for the practitioner. J Clin Psychol. 2007;63(11):1045-56. doi: 10.1002/jclp.20412. [PubMed: 17932985].
  • 22. Lazarus SA, Cheavens JS, Festa F, Zachary Rosenthal M. Interpersonal functioning in borderline personality disorder: a systematic review of behavioral and laboratory-based assessments. Clin Psychol Rev. 2014;34(3):193-205. doi: 10.1016/j.cpr.2014.01.007. [PubMed: 24534643].
  • 23. Klonsky ED. The functions of self-injury in young adults who cut themselves: clarifying the evidence for affect-regulation. Psychiatry Res. 2009;166(2-3):260-8. doi: 10.1016/j.psychres.2008.02.008. [PubMed: 19275962].
  • 24. Bresin K. Five indices of emotion regulation in participants with a history of nonsuicidal self-injury: a daily diary study. Behav Ther. 2014;45(1):56-66. doi: 10.1016/j.beth.2013.09.005. [PubMed: 24411115].
  • 25. O'Connor RC, Nock MK. The psychology of suicidal behaviour. Lancet Psychiat. 2014;1(1):73-85.
  • 26. Milnes D, Owens D, Blenkiron P. Problems reported by self-harm patients: perception, hopelessness, and suicidal intent. J Psychosomat Res. 2002;53(3):819-22.
  • 27. McMillan D, Gilbody S, Beresford E, Neilly L. Can we predict suicide and non-fatal self-harm with the Beck Hopelessness Scale? A meta-analysis. Psychol Med. 2007;37(6):769-78. doi: 10.1017/S0033291706009664. [PubMed: 17202001].
  • 28. Zweig-Frank H, Paris J, Guzder J. Psychological risk factors for dissociation and self-mutilation in female patients with borderline personality disorder. Canadian J Psychiat/La Revue canadienne de psychiatrie. 1994.
  • 29. Paris J. Understanding self-mutilation in borderline personality disorder. Harv Rev Psychiatry. 2005;13(3):179-85. doi: 10.1080/10673220591003614. [PubMed: 16020029].
  • 30. Navarro-Haro MV, Wessman I, Botella C, Garcia-Palacios A. The role of emotion regulation strategies and dissociation in non-suicidal self-injury for women with borderline personality disorder and comorbid eating disorder. Compr Psychiatry. 2015;63:123-30. doi: 10.1016/j.comppsych.2015.09.001. [PubMed: 26555500].
  • 31. Gupta MA. Emotional regulation, dissociation, and the self-induced dermatoses: clinical features and implications for treatment with mood stabilizers. Clin Dermatol. 2013;31(1):110-7. doi: 10.1016/j.clindermatol.2011.11.015. [PubMed: 23245982].
  • 32. Chesin MS, Jeglic EL, Stanley B. Pathways to high-lethality suicide attempts in individuals with borderline personality disorder. Arch Suicide Res. 2010;14(4):342-62. doi: 10.1080/13811118.2010.524054. [PubMed: 21082450].
  • 33. Anestis MD, Soberay KA, Gutierrez PM, Hernandez TD, Joiner TE. Reconsidering the link between impulsivity and suicidal behavior. Pers Soc Psychol Rev. 2014;18(4):366-86. doi: 10.1177/1088868314535988. [PubMed: 24969696].
  • 34. Anestis MD, Tull MT, Lavender JM, Gratz KL. The mediating role of non-suicidal self-injury in the relationship between impulsivity and suicidal behavior among inpatients receiving treatment for substance use disorders. Psychiatry Res. 2014;218(1-2):166-73. doi: 10.1016/j.psychres.2014.03.031. [PubMed: 24768248].
  • 35. Claes L, Fernandez-Aranda F, Jimenez-Murcia S, Botella C, Casanueva FF, de la Torre R. Co-occurrence of non-suicidal self-injury and impulsivity in extreme weight conditions. Personalit Individual Differ. 2013;54(1):137-40.
  • 36. Hamza CA, Willoughby T, Heffer T. Impulsivity and nonsuicidal self-injury: A review and meta-analysis. Clin Psychol Rev. 2015;38:13-24. doi: 10.1016/j.cpr.2015.02.010. [PubMed: 25779460].
  • 37. Gratz KL, Roemer L. The relationship between emotion dysregulation and deliberate self-harm among female undergraduate students at an urban commuter university. Cogn Behav Ther. 2008;37(1):14-25. doi: 10.1080/16506070701819524. [PubMed: 18365795].
  • 38. Swannell S, Martin G, Page A, Hasking P, Hazell P, Taylor A, et al. Child maltreatment, subsequent non-suicidal self-injury and the mediating roles of dissociation, alexithymia and self-blame. Child Abuse Negl. 2012;36(7-8):572-84. doi: 10.1016/j.chiabu.2012.05.005. [PubMed: 22858062].
  • 39. Cerutti R, Calabrese M, Valastro C. Alexithymia and personality disorders in the adolescent non-suicidal self injury: Preliminary results. Procedia-Social Behavior Sci. 2014;114:372-6.
  • 40. Dimaggio G, Carcione A, Nicolo G, Lysaker PH, d'Angerio S, Conti ML, et al. Differences between axes depend on where you set the bar: associations among symptoms, interpersonal relationship and alexithymia with number of personality disorder criteria. J Pers Disord. 2013;27(3):371-82. doi: 10.1521/pedi_2012_26_043. [PubMed: 23130814].
  • 41. Grynberg D, Luminet O, Corneille O, Grezes J, Berthoz S. Alexithymia in the interpersonal domain: A general deficit of empathy?. Personalit Individual Differ. 2010;49(8):845-50.
  • 42. Mattila AK, Salminen JK, Nummi T, Joukamaa M. Age is strongly associated with alexithymia in the general population. J Psychosom Res. 2006;61(5):629-35. doi: 10.1016/j.jpsychores.2006.04.013. [PubMed: 17084140].
  • 43. Franz M, Popp K, Schaefer R, Sitte W, Schneider C, Hardt J, et al. Alexithymia in the German general population. Soc Psychiatry Psychiatr Epidemiol. 2008;43(1):54-62. doi: 10.1007/s00127-007-0265-1. [PubMed: 17934682].
  • 44. Tolmunen T, Heliste M, Lehto SM, Hintikka J, Honkalampi K, Kauhanen J. Stability of alexithymia in the general population: an 11-year follow-up. Compr Psychiatry. 2011;52(5):536-41. doi: 10.1016/j.comppsych.2010.09.007. [PubMed: 21081227].
  • 45. Grabe HJ, Spitzer C, Freyberger HJ. Alexithymia and the temperament and character model of personality. Psychother Psychosom. 2001;70(5):261-7. doi: 10.1159/000056264. [PubMed: 11509896].
  • 46. Domes G, Grabe HJ, Czieschnek D, Heinrichs M, Herpertz SC. Alexithymic traits and facial emotion recognition in borderline personality disorder. Psychother Psychosom. 2011;80(6):383-5. doi: 10.1159/000325828. [PubMed: 21968640].
  • 47. Joyce AS, Fujiwara E, Cristall M, Ruddy C, Ogrodniczuk JS. Clinical correlates of alexithymia among patients with personality disorder. Psychother Res. 2013;23(6):690-704. doi: 10.1080/10503307.2013.803628. [PubMed: 23731378].
  • 48. New AS, aan het Rot M, Ripoll LH, Perez-Rodriguez MM, Lazarus S, Zipursky E, et al. Empathy and alexithymia in borderline personality disorder: clinical and laboratory measures. J Pers Disord. 2012;26(5):660-75. doi: 10.1521/pedi.2012.26.5.660. [PubMed: 23013336].
  • 49. Rufer M, Albrecht R, Zaum J, Schnyder U, Mueller-Pfeiffer C, Hand I, et al. Impact of alexithymia on treatment outcome: a naturalistic study of short-term cognitive-behavioral group therapy for panic disorder. Psychopathology. 2010;43(3):170-9. doi: 10.1159/000288639. [PubMed: 20197710].
  • 50. Steinweg DL, Dallas AP, Rea WS. Fibromyalgia: unspeakable suffering, a prevalence study of alexithymia. Psychosomatics. 2011;52(3):255-62. doi: 10.1016/j.psym.2010.12.022. [PubMed: 21565597].
  • 51. Nowakowski ME, McFarlane T, Cassin S. Alexithymia and eating disorders: a critical review of the literature. J Eat Disord. 2013;1:21. doi: 10.1186/2050-2974-1-21. [PubMed: 24999402].
  • 52. Aricak OT, Ozbay A. Investigation of the relationship between cyberbullying, cybervictimization, alexithymia and anger expression styles among adolescents. Computer Human Behavior. 2016;55:278-85.
  • 53. Norman H, Borrill J. The relationship between self-harm and alexithymia. Scand J Psychol. 2015;56(4):405-19. doi: 10.1111/sjop.12217. [PubMed: 26011069].
  • 54. Zlotnick C, Shea MT, Pearlstein T, Simpson E, Costello E, Begin A. The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse, and self-mutilation. Comprehensiv Psychiat. 1996;37(1):12-6.
  • 55. Paivio SC, McCulloch CR. Alexithymia as a mediator between childhood trauma and self-injurious behaviors. Child Abuse Negl. 2004;28(3):339-54. doi: 10.1016/j.chiabu.2003.11.018. [PubMed: 15066350].
  • 56. Gratz KL. Measurement of deliberate self-harm: Preliminary data on the Deliberate Self-Harm Inventory. J Psychopathol Behavior Assess. 2001;23(4):253-63.
  • 57. Fliege H, Kocalevent RD, Walter OB, Beck S, Gratz KL, Gutierrez PM, et al. Three assessment tools for deliberate self-harm and suicide behavior: evaluation and psychopathological correlates. J Psychosom Res. 2006;61(1):113-21. doi: 10.1016/j.jpsychores.2005.10.006. [PubMed: 16813853].
  • 58. Cerutti R, Manca M, Presaghi F, Gratz KL. Prevalence and clinical correlates of deliberate self-harm among a community sample of Italian adolescents. J Adolesc. 2011;34(2):337-47. doi: 10.1016/j.adolescence.2010.04.004. [PubMed: 20471075].
  • 59. Jackson M, Claridge G. Reliability and validity of a psychotic traits questionnaire (STQ). Br J Clin Psychol. 1991;30 ( Pt 4):311-23. [PubMed: 1777753].
  • 60. Rawlings D, Claridge G, Freeman JL. Principal components analysis of the schizotypal personality scale (STA) and the borderline personality scale (STB). Personalit Individual Differ. 2001;31(3):409-19.
  • 61. Shankar R. Borderline personality disorder and the psychosis spectrum: a personality and divided visual field study. University of Oxford; 1998.
  • 62. Mohammadzadeh A, Goodarzi M, Taghavi M, Mollazadeh M. The Study of Factor structure, Validity, reliability and Standardization of borderline personality scale in Shiraz university students. J Fund Ment Heal. 2005:27-8.
  • 63. Bagby RM, Taylor GJ, Parker JD. The twenty-item Toronto Alexithymia Scale—II. Convergent, discriminant, and concurrent validity. J Psychosomat Res. 1994;38(1):33-40.
  • 64. Besharat MA. Reliability and factorial validity of a Farsi version of the 20-item Toronto Alexithymia Scale with a sample of Iranian students. Psychol Rep. 2007;101(1):209-20. doi: 10.2466/pr0.101.1.209-220. [PubMed: 17958129].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiation Alert
via Google Reader

Readers' Comments