Borderline personality traits mediate the relationship between low perceived social support and non-suicidal self-injury in a clinical sample of adolescents
Por:
Mendez I, Sintes A, Pascual JC, Puntí J, Lara A, Briones-Buixassa L, Nicolaou S, Schmidt C, Romero S, Fernández M, Carmona I Farrés C, Soler J, Santamarina-Perez P and Vega D
Publicada:
1 abr 2022
Ahead of Print:
1 feb 2022
Resumen:
Background: Non-suicidal self-injury (NSSI) is a serious public health concern among adolescents, especially in clinical settings. Social support plays a critical role in the onset and maintenance of NSSI in adolescence. NSSI is closely associated with borderline personality disorder (BPD), yet no previous work has analyzed the mediating role of borderline traits in the relationship between perceived social support (PSS) and NSSI. This study aimed to address this gap. Methods: Participants were 228 adolescent patients (12 to 18 years old), who completed a clinical interview and self-report measures of BPD-traits, current psychological distress, emotion dysregulation and PSS. They were grouped based on the presence (vs. absence) of NSSI. Univariate and multivariate logistic regression analyses were used to identify risk factors of NSSI, and a mediation analysis was conducted to examine the intermediary role of borderline traits in the relationship between PSS and NSSI. Results: NSSI was highly prevalent in our sample (58%) and was associated with higher clinical severity. Low PSS predicted NSSI in univariate, but not multivariate regression. Mediation analyses showed that borderline traits fully accounted for the relationship between low PSS and NSSI, even when controlling for current psychological distress and gender. Limitations: Cross-sectional design through self-report assessment. Conclusions: Findings suggest that adolescents with low PSS are especially vulnerable for developing NSSI due to elevated BPD traits. In clinical settings, interventions aimed to reduce borderline symptoms may be a promising treatment option for adolescents with NSSI and low PSS.
Filiaciones:
Mendez I:
Department of Child and Adolescent Psychiatry and Psychology, 2017SGR88, Institute of Neuroscience, Hospital Clínic de Barcelona, Barcelona, Spain
Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Sintes A:
Servicio de Psiquiatría y Psicología, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain
Pascual JC:
Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
Department of Psychiatry, Hospital de La Santa Creu I Sant Pau, Institut D'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), Barcelona, Spain
Department of Psychiatry and Forensic Medicine, Institute of Neurosciences, School of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
Puntí J:
Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
Hospital de Dia de Adolescentes. Servicio de Salud Mental. Consorci Corporació Sanitària Parc Taulí, Sabadell, Barcelona, Spain
Departamento de Psicología Clínica y de la Salud, Universitat Autònoma de Barcelona, Barcelona, Spain
Lara A:
Servicio de Psiquiatría y Psicología, ALTHAIA, Xarxa Assistencial i Universitària de Manresa, Manresa, Barcelona, Spain
Briones-Buixassa L:
Mental Health and Social Innovation Research Group and Centre for Health and Social Care Research, Universitat de Vic - Universitat Central de Catalunya, Catalonia, Spain
Nicolaou S:
PhD Programme in Biomedicine, University of Barcelona, Spain
Psychiatry and Mental Health Department, Hospital Universitari d'Igualada. Consorci Sanitari de l'Anoia & Fundació Sanitària d'Igualada, Barcelona, Spain
Schmidt C:
Psychiatry and Mental Health Department, Hospital Universitari d'Igualada. Consorci Sanitari de l'Anoia & Fundació Sanitària d'Igualada, Barcelona, Spain
Romero S:
Department of Child and Adolescent Psychiatry and Psychology, 2017SGR88, Institute of Neuroscience, Hospital Clínic de Barcelona, Barcelona, Spain
Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Fernández M:
Servicio de Psiquiatría y Psicología, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain
Carmona I Farrés C:
Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
Department of Psychiatry, Hospital de La Santa Creu I Sant Pau, Institut D'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), Barcelona, Spain
Department of Psychiatry and Forensic Medicine, Institute of Neurosciences, School of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
Soler J:
Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
Department of Psychiatry, Hospital de La Santa Creu I Sant Pau, Institut D'Investigació Biomèdica-Sant Pau (IIB-Sant Pau), Barcelona, Spain
Department of Psychiatry and Forensic Medicine, Institute of Neurosciences, School of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
Santamarina-Perez P:
Department of Child and Adolescent Psychiatry and Psychology, 2017SGR88, Institute of Neuroscience, Hospital Clínic de Barcelona, Barcelona, Spain
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Vega D:
Department of Psychiatry and Forensic Medicine, Institute of Neurosciences, School of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
Psychiatry and Mental Health Department, Hospital Universitari d'Igualada. Consorci Sanitari de l'Anoia & Fundació Sanitària d'Igualada, Barcelona, Spain
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