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The British journal of clinical psychology. 2024 Oct 7. doi: 10.1111/bjc.12506 Q13.12025

Implicit associations with non-suicidal self-injury: Examination in a clinical sample by borderline personality symptomatology

非自杀性自我伤害的联想认知:临床样本中边缘型人格症状学的考察 翻译改进

Stephanie Jarvi Steele  1, Nigel M Jaffe  2, Claire A Kelly  1, Thröstur Björgvinsson  2, Lance P Swenson  3

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  • 1 Smith College, Northampton, Massachusetts, USA.
  • 2 McLean Hospital/Harvard Medical School, Belmont, Massachusetts, USA.
  • 3 Suffolk University, Boston, Massachusetts, USA.
  • DOI: 10.1111/bjc.12506 PMID: 39373222

    摘要 中英对照阅读

    Objectives: We examine correlates and predictors for implicit associations with non-suicidal self-injury (NSSI) with the Self-Injury Implicit Association Test (SI-IAT) in a treatment-seeking sample. We also examine group differences in the SI-IAT among those with low/none, moderate and high/clinically significant borderline personality disorder (BPD) symptomatology in a treatment-seeking sample.

    Methods: Participants (N = 111; 58% female; 89% White; Mage = 30.25) completed the SI-IAT and self-report measures at two time points.

    Results: Higher BPD symptom scores were significantly, positively correlated with implicit identification with NSSI, and predicted NSSI identity when controlling for depression indices, history of NSSI and other covariates. With Time 1 SI-IAT scores entered as a covariate, BPD scores no longer significantly predicted Time 2 SI-IAT scores. Individuals with moderate and high/clinically significant symptom counts of BPD had higher/stronger implicit associations with NSSI identity than those with no/low BPD symptoms.

    Conclusions: Individuals with symptoms of BPD may implicitly identify with NSSI more than other clinical groups; examination of implicit assessments in BPD in future research is needed to further explore implicit identification with NSSI in this patient group to further understand both cross-sectional and prospective relations.

    Keywords: borderline personality disorder; implicit identity; non‐suicidal self‐injury; self‐injury implicit association test.

    Keywords:non-suicidal self-injury

    目标: 我们使用自我伤害隐性关联测试(SI-IAT)在寻求治疗的样本中研究与非自杀性自伤(NSSI)的隐性关联的相关因素和预测因子。我们还研究了具有低/无、中等以及高/临床显著边缘型人格障碍(BPD)症状个体之间的SI-IAT差异,同样是在一个寻求治疗的样本中进行。

    方法: 参与者(N = 111;58%为女性;89%为白人;平均年龄Mage = 30.25)在两个时间点完成了SI-IAT和自陈量表。

    结果: BPD症状得分较高,与隐性认同NSSI显著正相关,并且在控制抑郁指标、NSSI历史和其他协变量的情况下预测了NSSI身份。将Time 1的SI-IAT分数作为协变量输入后,BPD得分不再显著预测Time 2的SI-IAT分数。具有中等和高/临床显著症状计数的BPD个体与NSSI身份的隐性关联比无或低BPD症状的个体更高更强。

    结论: 患有边缘型人格障碍的人可能比其他临床组更隐性地认同自我伤害;未来研究需要进一步探讨该患者群体中的隐性识别,以更好地理解横断面和前瞻性关系。

    关键词: 边缘型人格障碍;隐性身份;非自杀性自伤;自我伤害隐性关联测试。

    关键词:非自杀性自我伤害; 边缘型人格症状

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    期刊名:British journal of clinical psychology

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    ISSN:0144-6657

    e-ISSN:2044-8260

    IF/分区:3.1/Q1

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