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首页> 外文期刊>Journal of Eating Disorders >Self-injurious behaviour in patients with anorexia nervosa: a quantitative study
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Self-injurious behaviour in patients with anorexia nervosa: a quantitative study

机译：神经性厌食症患者的自残行为：定量研究

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Background Many patients with an eating disorder report difficulties in regulating their emotions and show a high prevalence of self-injurious behaviour. Several studies have stated that both eating disorder and self-injurious behaviour help emotion regulation, and are thus used as coping mechanisms for these patients. We aimed to determine the prevalence of self-injurious behaviour, its characteristics and its emotion-regulation function in patients with anorexia nervosa or an eating disorder not otherwise specified ( n =?136). Methods A cross-sectional design using a self-report questionnaire. Mann–Whitney U -tests were conducted to compare the background and clinical variables between patients with self-injurious behaviour and patients without this type of behaviour. Changes in emotional state before and after self-injurious behaviour were tested by Wilcoxon signed rank tests. Results Our results showed a 41% prevalence of self-injurious behaviour in the previous month. Patients who performed self-injurious behaviour had a statistically significant longer treatment history for their eating disorder than those who did not. Whereas 55% of self-injuring patients had a secondary psychiatric diagnosis, only 21% of participants without self-injurious behaviour did. Regarding the impact of self-injurious behaviour, our results showed a significant increase in “feeling relieved” and a significant decrease in “feeling angry at myself”, “feeling anxious” and “feeling angry at others”. This indicates that self-injurious behaviour can be regarded as an emotion-regulation behaviour. Participants were usually aware of the causes of their self-injurious behaviour acts. Conclusions Professionals should systematically assess the occurrence of self-injurious behaviour in eating disorder patients, pay special attention to patients with more severe and comorbid psychopathology, and those with a long treatment history. This assessment should be followed by a functional analysis of the self-injurious behaviour and by effective therapeutic interventions alongside the eating disorder treatment.
机译：背景许多饮食失调的患者报告说，他们难以调节情绪，自残行为的患病率很高。多项研究表明，饮食失调和自残行为均有助于情绪调节，因此被用作这些患者的应对机制。我们的目的是确定神经性厌食症或进食障碍患者的自残行为患病率，特征和情绪调节功能（n = 136）。方法使用自我报告调查表进行横断面设计。进行了Mann-Whitney U检验，以比较具有自残行为的患者和没有这种行为的患者的背景和临床变量。自我伤害行为前后的情绪状态变化通过Wilcoxon签署等级检验进行检验。结果我们的结果显示，前一个月自残行为的发生率为41％。进行自我伤害行为的患者与没有饮食行为的患者相比，饮食失调的治疗历史长于统计学。 55％的自我伤害患者接受了二级精神病学诊断，而只有21％的没有自我伤害行为的参与者进行了诊断。关于自残行为的影响，我们的结果表明，“缓解感”显着增加，“对自己生气”，“焦虑”和“对他人生气”的显着减少。这表明自残行为可以被视为一种情绪调节行为。参与者通常知道其自残行为的原因。结论专业人员应系统地评估饮食失调患者的自我伤害行为的发生，特别注意精神病学较重和合并症的患者以及治疗时间较长的患者。在评估之后，应该对自我伤害行为进行功能分析，并采取有效的饮食干预措施以及进食障碍治疗方法。

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