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  • 1 ELTE Eötvös Loránd Tudományegyetem Pszichológiai Intézet, Budapest
  • | 2 Zuglói Egészségügyi Szolgálat, Gyermek-, és Serdülőpszichiátria, Budapest
  • | 3 ELTE Eötvös Loránd Tudományegyetem Pszichológiai Doktori Iskola, Budapest
  • | 4 SE-NAP 2 Genetikai Agyi Képalkotó Migrén Kutatócsoport, MTA, Semmelweis Egyetem, Budapest
  • | 5 Semmelweis Egyetem, Gyógyszerhatástani Intézet, Budapest
Open access

Elméleti háttér

A nem öngyilkossági szándékkal történő önsértő viselkedés (pl. a saját test szándékos megvágása, megütése, megharapása) egyre növekvő mértékű magatartási és egészségügyi probléma a serdülők körében. Felmérésére többféle mérőeszköz született, de kevés olyan létezik, amely a jelenséget annak komplexitásában ragadja meg.

Cél

Vizsgálatunk célja a különböző önsértő viselkedésformákat több szempontból (pl. attitüdinális komponensek, kapcsolódó érzelmek, a háttérben meghúzódó okok) felmérő Kezelésközpontú Önsértés Kérdőív (Self-Injury Questionnaire-Treatment Related; SIQ-TR) bevezetése a hazai tesztállományba.

Módszerek

A mérőeszköz pszichometriai jellemzőit egy speciális populációban, 14 és 20 év közötti (átlagéletkor = 16,99 év; SD = 1,28 év) fiatal fogvatartottak körében mértük be. A 244 fős javítóintézeti minta 92,6%-a (n = 226) fiú volt. Az önsértéssel összefüggésben a negatív életeseményeket (Serdülő Életesemény Kérdőív) és az elkerülés-fókuszú érzelemregulációs mechanizmusokat (Tapasztalati Elkerülés Kérdőív; Serdülő Disszociatív Tapasztalatok Skála) is feltártuk.

Eredmények

A javítóintézeti fiatalok 26,2%-a (n = 64) aktuálisan is végez önsértő viselkedést, 34,4%-uk (n = 84) esetében az önsértés az egy hónapnál korábbi élettörténetben jelent meg, a fennmaradó 39,3% (n = 96) saját bevallása szerint sohasem folytatott önsértést. Eredményeink szerint a kar- moláshoz és az ütéshez asszociálódik a legtöbb negatív érzelem, e két mód esetében a legerőteljesebb az arra irányuló figyelem, illetve azt követően a sebekről való öngondoskodás mértéke. Továbbá a karmolás és az ütés az a két önsértési mód, amelynek legjellemzőbb célja a negatív érzelmi állapotok csökkentése. A mintában a jelenleg és a korábban önsértők szignifikánsan több negatív életeseményt éltek át a megelőző fél évben a sohasem önsértőkhöz képest (F(2) = 9,16; p < 0,0001). Az aktuálisan önsértők jellemezhetők továbbá a legmagasabb disszociatív élményszinttel (F(2) = 7,82; p = 0,001) és kognitív inflexibilitással (F(2) = 6,58; p = 0,002). Következtetések: A Kezelésközpontú Önsértés Kérdőív magyar nyelvű változata (SIQ-TR-HU) hatékony eszköze a nem öngyilkossági szándékkal történő önsértés összetett vizsgálatának, ezzel összefüggésben célzott terápiás intervenciók megalapozását támogathatja.

  • Abela, J.R.Z., & Hankin, B.L. (2011). Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: A multiwave longitudinal study. Journal of Abnormal Psychology, 120, 259-271.

    • Search Google Scholar
    • Export Citation
  • American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders - Text Revision (DSM-IV-TR). Washington DC: Americal Psychiatric Association American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington DC: Americal Psychiatric Association.

    • Search Google Scholar
  • Andover, M.S., & Gibb, B.E. (2010). Nonsuicidal self-injury, attempted suicide, and suicidal intent among psychiatric inpatients. Psychiatry Research, 178, 101-105.

    • Search Google Scholar
    • Export Citation
  • Andover, M.S., & Morris, B.W. (2014). Expanding and clarifying the role of emotionregulation in nonsuicidal self-injury. Canadian Journal of Psychiatry, 59(11), 569-575.

    • Search Google Scholar
    • Export Citation
  • Armstrong, J., Putnam, F.W., Carlson, E., Libero, D., & Smith, S. (1997). Development and validation of a measure of adolescent dissociation. The Adolescent Dissociative Experience Scale. Journal of Nervous and Mental Disease, 185, 491-497.

    • Search Google Scholar
    • Export Citation
  • Black, E.B., & Mildred, H. (2014). A cross-sectional examination of non-suicidal self-injury, disordered eating, impulsivity, and compulsivity in a sample of adult women. Eating Behaviors, 15, 578-581.

    • Search Google Scholar
    • Export Citation
  • Brackman, E.H., & Andover, A.S. (2017). Non-suicidal self-injury. In D. McKay, D.S. Abramowitz, & E.A. Storch (Eds.), Treatments for psychological problems and syndromes (1st ed., 328-344). Wiley Blackwell.

    • Search Google Scholar
    • Export Citation
  • Braga, C., & Gonçalves, S. (2014). Non-suicidal self injury, psychopathology and attachment: A study with university students. Spanish Journal of Psychology, 17, e66, 1-7.

    • Search Google Scholar
    • Export Citation
  • Braude, S. (2009). The conceptual unity of dissociation: A philosophical argument. In P. Dell, & J. O'Neil (Eds.), Dissociation and the dissociative disorders: DSM-V and beyond (27-36). New York: Routledge.

    • Search Google Scholar
    • Export Citation
  • Brereton, A., & McGlinchey, E. (2019). Self-harm, emotion regulation, and experiential avoidance: A systematic review. Archives of Suicide Research, Article ID 30636566. Doi: .

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Briere, J., & Gil, E. (1998). Self-mutiliation in clinical and general population samples: Prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68, 609-620.

    • Search Google Scholar
    • Export Citation
  • Brown, M.Z., Comtois, K.A., & Linehan, M.M. (2002). Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111, 198-202.

    • Search Google Scholar
    • Export Citation
  • Chapman, A.L., Gratz, K.L., & Brown, M.Z. (2006). Solving the puzzle of deliberate self- harm: The experiential avoidance model. Behaviour Research and Therapy, 44, 371-394.

    • Search Google Scholar
    • Export Citation
  • Claes, L., & Vandereycken, W. (2007a). Self-injurious behavior: Differential diagnosis and functional differentiation. Comprehensive Psychiatry, 48, 137-144.

    • Search Google Scholar
    • Export Citation
  • Claes, L., & Vandereycken, W. (2007b). The Self-Injury Questionnaire-Treatment Related (SIQ-TR): Construction, reliabilty, and validity in a sample of female eating disorder patients. In P.M. Goldfarb (Ed.), Psychological tests and testing research trends (111-139). New York: Nova Science Publishers.

    • Search Google Scholar
    • Export Citation
  • Claes, L., & Muehlenkamp, J. (2013). The relationship between the UPSS-P impulsivity dimensions and nonsuicidal self-injury characteristics in male and female high-school students. Psychiatry Journal, Article ID 654847. Doi: .

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Davey, A., Arcelus, J., Meyer, C., & Bouman, W.P. (2016). Self-injury among trans individuals and matched controls: Prevalence and associated factors. Health and Social Care in the Community, 24(4), 485-494.

    • Search Google Scholar
    • Export Citation
  • Dixon-Gordon, K., Harrison, N., & Roesch, R. (2012). Non-suicidal self-injury within offender populations: A systematic review. International Journal of Forensic Mental Health, 11, 33-50.

    • Search Google Scholar
    • Export Citation
  • Farrington, A., Waller, G., Smerden, J., & Faupel, A.W. (2001). The Adolescent Dissociative Experiences Scale: Psychometric properties and difference in scores across age groups. The Journal of Nervous and Mental Disease, 189, 722-727.

    • Search Google Scholar
    • Export Citation
  • Favazza, A. (1986). Self-harm behavior survey. Columbia, MI: Author.

  • Favazza, A., Rosenthal, R.J. (1993). Diagnostic issues in self-mutilation. Hospital and Community Psychiatry, 44(2), 134-140.

  • Garnefski, N., & Kraaij, V. (2006). Cognitive emotion regulation questionnaire - development of a short 18-item version (CERQ-short). Personality and Individual Differences, 41, 10451053.

    • Search Google Scholar
    • Export Citation
  • Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation, and emotional problems. Personality and Individual Differences, 30, 1311-1327.

    • Search Google Scholar
    • Export Citation
  • Glenn, J.J., Michel, B.D., Franklin, J.C., Hooley, J.M., & Nock, M.K. (2014). Pain analgesia among adolescent self-injurers. Psychiatry Research, 220(3), 921-926.

    • Search Google Scholar
    • Export Citation
  • Gratz, K.L. (2001). Measurement of deliberate self-harm: preliminary data on the Deliberate Self-Harm Inventory. Journal ofPsychopathology and Behavioral Assessment, 23(4), 253-263.

    • Search Google Scholar
    • Export Citation
  • Greco, L.A., Lambert, W., & Baer, R.A. (2008). Psychological Inflexibility in Childhood and Adolescence: Development and Evaluation of the Avoidance and Fusion Questionnaire for Youth. Psychological Assessment, 20(2), 93-102.

    • Search Google Scholar
    • Export Citation
  • Hamza, C.A., Stewart, S.L., Willoughby, T. (2012). Examining the link between nonsuicidal self-injury and suicidal behavior: A review of the literature and an integrated model. Clinical Psychology Review, 32, 482-495.

    • Search Google Scholar
    • Export Citation
  • Hankin, B.L., & Abramson, L.Y. (2002). Measuring cognitive vulnerability to depression in adolescence: Reliability, validity, and gender differences. Journal of Clinical Child and Adolescent Psychology, 31, 491-504.

    • Search Google Scholar
    • Export Citation
  • Hankin, B.L., Stone, L.B., & Wright, P.A. (2010). Co-rumination, interpersonal stress generation, and internalizing symptoms: Sex differences and transactional influences in a multi-wave study of adolescents. Development and Psychopathology, 22, 217-235.

    • Search Google Scholar
    • Export Citation
  • Herpertz, S. (1995). Self-injurious behaviour: Psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatrica Scandinavica, 91, 57-68.

    • Search Google Scholar
    • Export Citation
  • Hooley, J.M. & St. Germain, S.A. (2014). Nonsuicidal self-injury, pain, and self-criticism: Does changing self-worth change pain endurance in people who engage in self-injury? Clinical Psychological Science, 2(3), 297-305.

    • Search Google Scholar
    • Export Citation
  • Houben, M., Claes, L., Vansteelandt, K., Berens, A., Sleuwaegen, E. & Kuppens, P. (2017). The emotion regulation function of nonsuicidal self-injury: A momentary assessment study in inpatients with borderline personality disorder features. Journal of Abnormal Psychology, 126(1), 89-95.

    • Search Google Scholar
    • Export Citation
  • Albon, T., Ruf, C. & Schmid, M. (2013). Proposed diagnostic criteria for the DSM-5 of nonsuicidal self-injury in female adolescents: Diagnostic and clinical correlates. Psychiatry Journal, Article ID 159208. Doi: .

    • Crossref
    • Search Google Scholar
  • Kenny, D.T., Lennings, C.J., & Munn, O.A. (2008). Risk factors for self-harm and suicide in incarcerated young offenders: implications for policy and practice. Journal of Forensic Psychology Practice, 8(4), 358-382.

    • Search Google Scholar
    • Export Citation
  • Kisiel, C.L., & Lyons, J.S. (2001) Dissociation as a mediator of psychopathology among sexually abused children and adolescents. American Journal of Psychiatry, 158, 1034-1039.

    • Search Google Scholar
    • Export Citation
  • Klonsky, E.D. (2011). Non-suicidal self-injury in United States adults: Prevalence, sociodemographics, topography and functions. Psychological Medicine, 41, 1981-1986.

    • Search Google Scholar
    • Export Citation
  • Klonsky, E.D., Oltmanns, T.F., & Tukrheimer, E. (2003). Deliberate self-harm in a nonclinical population: Prevalence and psychological correlates. American Journal of Psychiatry, 160, 1501-1508.

    • Search Google Scholar
    • Export Citation
  • Knight, B., Coid, J., & Ullrich, S. (2017). Non-suicidal self-injury in UK prisoners. International Journal of Forensic Mental Health, 16(2), 172-182.

    • Search Google Scholar
    • Export Citation
  • KSH (Központi Statisztikai Hivatal) (2014). A javítóintézeti nevelésről. Statisztikai Tükör, 99, 1-7.

    • Search Google Scholar
  • KSH (Központi Statisztikai Hivatal) (2019). Javítóintézetben elhelyezettek (2015-). Letöltve: 2019. 12. 23-án: https://www.ksh.hu/docs/hun/xstadat/xstadat_eves/i_fsg014.html

    • Search Google Scholar
  • Liu, R.T., Frazier, E.A., Cataldo, A.M., Simon, V.A., Spirito, A., & Prinstein, M.J. (2014). Negative life events and non-suicidal self-injury in an adolescent inpatient sample. Archives of Suicide Research, 18, 251-258.

    • Search Google Scholar
    • Export Citation
  • 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, 1183-1192.

    • Search Google Scholar
    • Export Citation
  • Miklósi, M., Martos, T., Kocsis-Bogár, K., & Perczel-Forintos, D. (2011). A Kognitív ÉrzelemReguláció Kérdőív magyar változatának pszichometriai jellemzői. Psychiatria Hungari- ca, 26(2), 102-111.

    • Search Google Scholar
    • Export Citation
  • Morales, J.M., & Guarnero, P.A. (2014). Non-suicidal self-injury among adult males in a correctional setting. Issues in Mental Health Nursing, 35, 628-634.

    • Search Google Scholar
    • Export Citation
  • Muris, P., Merckelbach, H., & Peeters, E. (2003). The links between the Adolescent Dissociative Experiences Scale (A-DES), fantasy proneness, and anxiety symptoms. The Journal of Nervous and Mental Disease, 191, 18-24.

    • Search Google Scholar
    • Export Citation
  • Nock, M.K., & Prinstein, M.J. (2004). A functional approach to the assessment of self- mutilative behavior. Journal of Consulting and Clinical Psychology, 72, 885-890.

    • Search Google Scholar
    • Export Citation
  • Nock, M.K., & Prinstein, M.J. (2005). Contextual features and behavioral functions of self- mutilation among adolescents. Journal of Abnormal Psychology, 114, 140-146.

    • Search Google Scholar
    • Export Citation
  • Nock, M.K., Joiner, T.E., Gordon, K.H., Lloyd-Richardson, E., & Prinstein, M.J. (2006). Non- suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144, 65-72.

    • Search Google Scholar
    • Export Citation
  • Nock, M.K., Prinstein, M.J., & Sterba, S.K. (2009). Revealing the form and function of self- injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults. Journal of Abnormal Psychology, 118, 816-827.

    • Search Google Scholar
    • Export Citation
  • Pattison, E.M., & Kahan, J. (1983). The Deliberate Self-Harm Syndrome. American Journal of Psychiatry, 140(7), 867-872.

  • Pierce, C.A., Block, C.A., & Aguinis, H. (2004). Cautionary note on reporting eta-squared values from multifactor anova designs. Educational and Psychological Measurement, 64(6), 916-924.

    • Search Google Scholar
    • Export Citation
  • Power, J., Smith, H.P., & Beaudette, J.N. (2016). Examining Nock and Prinstein's Four- Function Model with offenders who self-injure. Personality Disorders: Theory, Research, and Treatment, 7(3), 309-314.

    • Search Google Scholar
    • Export Citation
  • Renshaw, T.L. (2016). Screening for psychological inflexibility: Initial validation of the Avoidance and Fusion Questionnaire for Youth as a school mental health screener. Journal of Psychoeducational Assessment, 1-12. Doi: .

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rossouw, T., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1304-1313.

    • Search Google Scholar
    • Export Citation
  • Saraff, P.D., & Pepper, C.M. (2014). Functions, lifetime frequency, and variety of methods of non-suicidal self-injury among college students. Psychiatry Research, 219(2), 298-304.

    • Search Google Scholar
    • Export Citation
  • Sansone, R.A., & Sansone, L.A. (2010). Measuring self-harm behavior with the Self-Harm Inventory. Psychiatry, 7(4), 16-20.

  • Suyemoto, K.L. (1998). The functions of self-mutilation. Clinical Psychology Review, 18, 531-554.

  • Szemenyei, E., Reinhardt, M., Szabó, E., Szabó, K. G., Urbán, R., Harvey, S.T., et al. (2018). Measuring psychological inflexibility in children and adolescents: Evaluating the Avoidance and Fusion Questionnaire for Youth. Assessment, 1-11, Article ID 30198319. Doi: .

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Vanderlinden, J., & Vandereycken, W. (1997). Trauma, dissociation, and impulse dyscontrol in eating disorders. New York: Brunner-Mazel.

  • Veague, H.B., Collins, C., & Levitt, P. (2008). Cutting and self-harm. New York: Infobase Publishing.

  • Victor, S.E., & Klonsky, E.D. (2014). Correlates of suicide attempts among self-injurers: A meta-analysis. Clinical Psychology Review, 34, 282-297.

    • Search Google Scholar
    • Export Citation
  • Washburn, J.J., Potthoff, L.M., Juzwin, K.R., & Styer, D.M. (2015). Assessing DSM-5 nonsuicidal self-injury disorder in a clinical sample. Psychological Assessment, 27(1), 31-41.

    • Search Google Scholar
    • Export Citation
  • Whiteside, S.P., & Lynam, D.R. (2001). The Five Factor Model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30(4), 669-689.

    • Search Google Scholar
    • Export Citation
  • World Health Organization (WHO) (2001). Declaration of Helsinki. Bulletin of the World Health Organization, 79(4), 373-374.

  • Zetterqvist, M. (2015). The DSM-5 diagnosis of nonsuicidal self-injury disorder: A review of the empirical literature. Child and Adolescent Psychiatry and Mental Health, 9:31.

    • Search Google Scholar
    • Export Citation
  • Zelkowitz, R.L., Porter, A.C., Heiman, E.R., & Cole, D.A. (2017). Social exposure and emotion dysregulation: Main effects in relation to nonsuicidal self-injury. Journal of Adolescence, 60, 94-103.

    • Search Google Scholar
    • Export Citation
  • 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, 759-773.

    • Search Google Scholar
    • Export Citation

 

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Senior editors

Editor(s)-in-Chief: Adrienne STAUDER

Editor(s): Edit CZEGLÉDI

Editorial Board

  • László Csaba DÉGI (Babeş-Bolyai Tudományegyetem, Kolozsvár, Románia)
  • Zsolt DEMETROVICS (Eötvös Loránd University, Budapest)
  • Barna KONKOLŸ THEGE (Waypoint Centre for Mental Health Care, Penetanguishene, Canada)
  • Karolina KÓSA (University of Debrecen, Debrecen)
  • Márta NOVÁK (University of Toronto, University Health Network, Toronto, Canada)
  • Bettina PIKÓ (University of Szeged, Szeged)
  • József RÁCZ (Semmelweis University, Budapest; Eötvös University, Budapest)
  • István TIRINGER (University of Pécs, Pécs)

Editorial Correspondence: Czeglédi, Edit
Institute of Behavioural Sciences
Semmelweis University
Nagyvárad tér 4.
H-1089 Budapest, Hungary
Phone: (36 1) 210 2930 ext. 56151 ---- Fax: (36 1) 210 2955
E-mail: mentalhigiene.pszichoszomatika@gmail.com

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2020  
Scimago
H-index
11
Scimago
Journal Rank
0,15
Scimago
Quartile Score
Neuropsychology and Physiological Psychology Q4
Psychiatry and Mental Health Q4
Scopus
Cite Score
23/67=0,3
Scopus
Cite Score Rank
Neuropsychology and Physiological Psychology 57/60 (Q4)
Psychiatry and Mental Health 452/502 (Q4)
Scopus
SNIP
0,24
Scopus
Cites
77
Scopus
Documents
14
Days from submission to acceptance 140
Days from acceptance to publication 90

 

2019  
Scimago
H-index
10
Scimago
Journal Rank
0,127
Scimago
Quartile Score
Neuropsychology and Physiological Psychology Q4
Psychiatry and Mental Health Q4
Scopus
Cite Score
26/70=0,4
Scopus
Cite Score Rank
Neuropsychology and Physiological Psychology 59/61 (Q4)
Psychiatry and Mental Health 442/506 (Q4)
Scopus
SNIP
0,135
Scopus
Cites
67
Scopus
Documents
18

 

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Mentálhigiéné és Pszichoszomatika
Language English
Hungarian
Size B5
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2000
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Founder Végeken Egézséglélektani Alapítvány
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