Characteristics and Unidimensionality of Non-Suicidal Self-Injury in a Community Sample of Spanish Adolescents

  1. Sandra Pérez 1
  2. Joaquín García-Alandete 1
  3. Blanca Gallego 1
  4. Jose H. Marco 2
  1. 1 Universidad Católica de Valencia San Vicente Mártir
    info

    Universidad Católica de Valencia San Vicente Mártir

    Valencia, España

    ROR https://ror.org/03d7a9c68

  2. 2 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

Revista:
Psicothema

ISSN: 0214-9915,  1886-144X

Año de publicación: 2021

Volumen: 33

Número: 2

Páginas: 251-258

Tipo: Artículo

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Otras publicaciones en: Psicothema

Resumen

Antecedentes: muy pocos estudios han explorado la prevalencia y la estructura unidimensional de las autolesiones no suicidas (ANS) –ISAS-I– en adolescentes españoles. Método: en este estudio, estimamos la prevalencia, tipos y funciones de las ANS en 1.733 adolescentes españoles y probamos la estructura factorial unidimensional de las ANS. Resultados: un 24,6% de los adolescentes refirieron haberse autolesionado al menos una vez en su vida, y un 12,7% se autolesionaron utilizando métodos más graves. Los tipos más frecuentes de ANS fueron interferir en la curación de heridas (14,6%), rascarse (12,5%) y golpearse (11,7%). No encontramos diferencias por género en la frecuencia de las ANS. La mayoría de los participantes que se autolesionaron refirieron funciones intrapersonales. El análisis factorial confirmatorio para la estructura de los tipos de ANS mostró un factor único con 10 ítems, apoyando así la unidimensional del constructo de ANS. Conclusiones: las ANS reflejan dificultades para regular las emociones o manejar las relaciones interpersonales en los jóvenes españoles y estos comportamientos parecen constituir una dimensión única y latente. Por lo tanto, es necesaria la existencia de programas de intervención enfocados en el manejo de problemas de regulación emocional y de conductas autolesivas no suicidas en este tipo de población.

Referencias bibliográficas

  • American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Ed.) (DSM- 5). American Psychiatric Publishing.
  • Bildik, T., Somer, O., Basay, B., Basay, Ö., & Özbaran, B. (2013). The validity and reliability of the Turkish version of the inventory of statements about self-injury. Turkish Journal of Psychiatry, 24(1), 49-57. https://doi.org/10.5080/u6901
  • Bjärehed, J., Wångby-Lundh, M., & Lundh, L. G. (2012). Nonsuicidal self-injury in a community sample of adolescents: Subgroups, stability, and associations with psychological difficulties. Journal of Research on Adolescence, 22(4), 678-693. https://doi.org/10.1111/j.1532-7795.2012.00817.x
  • Calvete, E., Orue, I., Aizpuru, L., & Brotherton, H. (2015). Prevalence and functions of non-suicidal self-injury in Spanish adolescents. Psicothema, 27(3), 223-228. https://doi.org/10.7334/psicothema2014.262
  • Dahlström, Ö., Zetterqvist, M., Lundh, L. G., & Svedin, C. G. (2015). Functions of nonsuicidal self-injury: Exploratory and confirmatory factor analyses in a large community sample of adolescents. Psychological Assessment, 27(1), 302. https://doi.org/10.1037/pas0000034
  • Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2010). Multivariate data analysis (Vol. 7). Prentice Hall.
  • Crumbaugh, J. C., & Maholick, L. T. (1969/1981). Manual of instructions for the purpose in life test. Viktor Frankl Institute of Logotherapy.
  • Evans, C.M., & Simms L.J. (2019). The latent structure of self-harm. Journal of Abnormal Psychology, 128(1), 12-24. https://doi.org/10.1037/abn0000398
  • Fox, K. R., Franklin, J. C., Ribeiro, J. D., Kleiman, E. M., Bentley, K. H., & Nock, M. K. (2015). Meta-analysis of risk factors for nonsuicidal self-injury. Clinical Psychology Review, 42, 156-167. https://doi.org/10.1016/j.cpr.2015.09.002
  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the diffi culties in emotion regulation scale. Journal of Psychopathological Behavior, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Gratz, K. L., Conrad, S. D., & Roemer, L. (2002). Risk factors for deliberate self-harm among college students. American Journal of Orthopsychiatry, 72(1), 128-140. https://doi.org/10.1037/0002-9432.72.1.128
  • Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (2006). Multivariate Data Analysis (6th. ed.). Pearson Prentice Hall.
  • Hervás, G., & Jódar, R. (2008). Adaptación al castellano de la Escala de Dificultades en la Regulación Emocional [Spanish adaptation of the Difficulties in Emotion Regulation Scale]. Clínica y Salud, 19(2), 139-156.
  • Hilt, L. M., Nock, M. K., Lloyd-Richardson, E. E., & Prinstein, M. J. (2008). Longitudinal study of non-suicidal self-injury among young adolescents: Rates, correlates, and preliminary test of an interpersonal model. Journal of Early Adolescence, 28(3), 455-469. https://doi.org/10.1177/0272431608316604
  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
  • JASP Team. (2020). JASP (Version 0.14). [Computer software]. https://jasp-stats.org/download/
  • Joiner, T. (2005). Why people die by suicide. Harvard University Press.
  • Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of nonsuicidal self-injury: Psychometric properties of the Inventory of Statements about Self-injury (ISAS). Journal of Psychopathological Behavior, 31(3), 215-219. https://doi.org/10.1007/s10862-008-9107-z
  • Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples. Journal of Abnormal Psychology, 122(1), 231. https://doi.org/10.1037/a0030278
  • Klonsky, E. D., & Olino, T. (2008). Identifying clinically distinct subgroups of self-injurers among young adults: A latent class analysis. Journal of Consulting and Clinical Psychology, 76(1), 22-27. https://doi.org/10.1037/0022-006X.76.1.22
  • Klonsky, E. D., Muehlenkamp, J. J., Lewis, S. P., & Walsh, B. (2011). Nonsuicidal self-injury. Hogrefe.
  • Larsson, B., & Sund, A.M. (2008). Prevalence, course, incidence and 1-year prediction of deliberate self-harm and suicide attempts in early adolescents. Suicide and Life-Threatening Behaviour, 38(2), 152-165. https://doi.org/10.1521/suli.2008.38.2.152
  • Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37(8), 1183-1192. https://doi.org/10.1017/S
  • Madge, N., Hewitt, A., Hawton, K., De Wilde, E. J., Corcoran, P., Fekete, S., van Heeringen, K., De Leo, D., & Ystgaard, M. (2008). Deliberate self-harm within an international community sample of young people: Comparative findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Journal of Child Psychology and Psychiatry, 49(6), 667-677. https://doi.org/10.1111/j.1469-7610.2008.01879.x
  • Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of non-suicidal self-injury and deliberate selfharm. Child and Adolescent Psychiatry and Mental Health, 6(1), 1-10. https://doi.org/10.1186/1753-2000-6-10
  • Muehlenkamp, J. J., Suzuki, T., Brausch, A. M., & Peyerl, N. (2019). Behavioral functions underlying NSSI and eating disorder behaviors. Journal of Clinical Psychology, 75(7), 1219-1232. https://doi.org/10.1002/jclp.22745
  • Muthen, L. K., & Muthen, B. O. (2007). Mplus statistical software. Muthén & Muthén.
  • Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72(5), 885. https://doi. org/10.1037/0022-006X.72.5.885
  • Nunnally, J. C. (1967). Psychometric theory. McGraw-Hill.
  • Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric Theory (McGrawHill Series in Psychology. Vol. 3). McGraw-Hill.
  • O’Connor, R. C., Rasmussen, S., & Hawton, K. (2009). Predicting deliberate self-harm in adolescents: A six month prospective study. Suicide and Life-Threatening Behavior, 39(4), 364-375. https://doi.org/10.1521/suli.2009.39.4.364
  • O’Connor, R. C., Rasmussen, S., & Hawton, K. (2012). Distinguishing adolescents who think about self-harm from those who engage in self-harm. British Journal of Psychiatry, 200(4), 330-335. https://doi.org/10.1192/bjp.bp.111.097808
  • Olfson, M., Gameroff, M. J., Marcus, S. C., Greenberg, T., & Shaffer, D. (2005). Emergency treatment of young people following deliberate self-harm. Archives of General Psychiatry, 62(10), 1122-1128. https://doi.org/10.1001/archpsyc.62.10.1122
  • Pérez, S., García-Alandete, J., Cañabate, M., & Marco, J.H. (2020). Confirmatory factor analysis of the Inventory of Statements about Selfinjury in a Spanish clinical sample. Journal of Clinical Psychology, 76(1), 102-117. https://doi.org/10.1002/jclp.22844
  • Pérez, S., Ros, M. C., Folgado, J. E., & Marco, J. H. (2019). Non-suicidal Self-injury Differentiates Suicide Ideators and Attempters and Predicts Future Suicide Attempts in Patients with Eating Disorders. Suicide and Life-Threatening Behavior, 49(5), 1220-1231. https://doi.org/10.1111/sltb.12521
  • Plener, P. L., Schumacher, T. S., Munz, L. M., & Groschwitz, R. C. (2015). The longitudinal course of non-suicidal self-injury and deliberate selfharm: A systematic review of the literature. Borderline Personality Disorder and Emotional Dysregulation, 2, 1-11. https://doi.org/10.1186/s40479-014-0024-3
  • Preston, C.C., & Colman, A.M. (2000). Optimal number of response categories in rating scales: Reliability, validity, discriminating power, and respondent preferences. Acta Psychologica, 104(1), 1-15. https://doi.org/10.1016/s0001-6918(99)00050-5
  • Rassmussen, S., Hawton, K., Philpott-Morgan, S., & O’connor, R. C. (2016). Why do adolescents self-harm? Crisis, 37(3), 173-186. https://doi.org/10.1027/0227-5910/a000369
  • Schermellech-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74.
  • Scott, L. N., Pilkonis, P. A., Hipwell, A. E., Keenan, K., & Stepp, S. D. (2015). Non-suicidal self-injury and suicidal ideation as predictors of suicide attempts in adolescent girls: A multi-wave prospective study. Comprehensive Psychiatry, 58, 1-10. https://doi.org/10.1016/j.comppsych.2014.12. 011
  • Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St. John, N. J. (2014). Prevalence of nonsuicidal self-injury in nonclinical samples: Systematic review, meta-analysis and meta-regression. Suicide and Life-Threatening Behavior, 44(3), 273-303. https://doi. org/10.1111/sltb.12070
  • World Health Organization (2003). Adolescent friendly health services: An agenda for change. World Health Organization. https://apps.who.int/iris/handle/10665/67923
  • Zetterqvist, M., Lundh, L. G., Dahlström, Ö., & Svedin, C. G. (2013). 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. Journal of Abnormal Child Psychology, 41(5), 759-773. https://doi.org/10.1007/s10802-013-9712-5
Fuente de los datos: Dialnet