Affective states and nonsuicidal self-injury (NSSI): Results from an ecological momentary assessment study of veterans with NSSI disorder.

Autor: Dillon KH; Durham VA Health Care System, Durham, North Carolina, USA.; Duke University School of Medicine, Durham, North Carolina, USA., Glenn JJ; Durham VA Health Care System, Durham, North Carolina, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina, USA., Dennis PA; Durham VA Health Care System, Durham, North Carolina, USA.; Duke University School of Medicine, Durham, North Carolina, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina, USA., Mann AJ; Durham VA Health Care System, Durham, North Carolina, USA.; Duke University School of Medicine, Durham, North Carolina, USA., Deming CA; Durham VA Health Care System, Durham, North Carolina, USA., Aho N; Durham VA Health Care System, Durham, North Carolina, USA.; Duke University School of Medicine, Durham, North Carolina, USA., Hertzberg JS; Durham VA Health Care System, Durham, North Carolina, USA.; Duke University School of Medicine, Durham, North Carolina, USA., DeBeer BB; VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, Texas, USA.; Central Texas Veterans Health Care System, Temple, Texas, USA.; Texas A&M University Health Science Center, College Station, Texas, USA., Meyer EC; VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, Texas, USA.; Central Texas Veterans Health Care System, Temple, Texas, USA.; Texas A&M University Health Science Center, College Station, Texas, USA.; Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA., Morissette SB; University of Texas at San Antonio, San Antonio, Texas, USA., Gratz KL; University of Toledo, Toledo, Ohio, USA., Silvia PJ; University of North Carolina at Greensboro, Greensboro, North Carolina, USA., Calhoun PS; Durham VA Health Care System, Durham, North Carolina, USA.; Duke University School of Medicine, Durham, North Carolina, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina, USA.; Development Center of Innovation to Accelerate Discovery and Practice Transformation, VA Health Services Research, Durham, North Carolina, USA., Beckham JC; Durham VA Health Care System, Durham, North Carolina, USA.; Duke University School of Medicine, Durham, North Carolina, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina, USA., Kimbrel NA; Durham VA Health Care System, Durham, North Carolina, USA.; Duke University School of Medicine, Durham, North Carolina, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina, USA.; Development Center of Innovation to Accelerate Discovery and Practice Transformation, VA Health Services Research, Durham, North Carolina, USA.
Jazyk: angličtina
Zdroj: Suicide & life-threatening behavior [Suicide Life Threat Behav] 2022 Apr; Vol. 52 (2), pp. 256-267. Date of Electronic Publication: 2021 Dec 02.
DOI: 10.1111/sltb.12818
Abstrakt: Background: The affective states most strongly associated with nonsuicidal self-injury (NSSI) remain poorly understood, particularly among veterans. This study used ecological momentary assessment (EMA) to examine relationships between affect ratings and NSSI urges and behaviors among veterans with NSSI disorder.
Methods: Participants (N = 40) completed EMA entries via mobile phone for 28 days (3722 total entries). Entries included intensity ratings for five basic affective states, as well as NSSI urges and behaviors, during the past 4 hours.
Results: Bivariate analyses indicated that each affect variable was significantly associated with both NSSI urges and behaviors. Angry/hostile and sad were most strongly associated with both NSSI urges and behaviors. A multivariate regression revealed that angry/hostile, disgusted with self, and happy (inversely related) were contemporaneously (within the same period) associated with NSSI behaviors, whereas all five basic affective states were contemporaneously associated with NSSI urges. In a lagged model, angry/hostile and sad were associated with subsequent NSSI urges but not behaviors.
Conclusions: Findings highlight the relevance of particular affective states to NSSI and the potential utility of targeting anger in treatments for NSSI among veterans. There is a need for future EMA research study to further investigate temporal relationships between these variables.
(wileyonlinelibrary.com/journal/sltb.)
Databáze: MEDLINE
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