Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression
Abstract Objective This study was performed to explore the effect of childhood trauma on nonsuicidal self‐injury (NSSI) in adolescents with bipolar II (BD II) depression. Methods Based on the diagnostic criteria of the DSM‐5 and structured interviews to assess the presence or absence of NSSI, 184 ad...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-11-01
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| Series: | Brain and Behavior |
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| Online Access: | https://doi.org/10.1002/brb3.2771 |
| _version_ | 1798006524437594112 |
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| author | Yanyan Zhang Zhizhong Hu Maorong Hu Zihang Lu Huijuan Yu Xin Yuan |
| author_facet | Yanyan Zhang Zhizhong Hu Maorong Hu Zihang Lu Huijuan Yu Xin Yuan |
| author_sort | Yanyan Zhang |
| collection | DOAJ |
| description | Abstract Objective This study was performed to explore the effect of childhood trauma on nonsuicidal self‐injury (NSSI) in adolescents with bipolar II (BD II) depression. Methods Based on the diagnostic criteria of the DSM‐5 and structured interviews to assess the presence or absence of NSSI, 184 adolescent patients with BD II depression were divided into the NSSI (n = 112) and non‐NSSI (n = 72) groups. The Adolescent Nonsuicidal Self‐Injury Assessment Questionnaire (ANSAQ), Childhood Trauma Questionnaire‑Short Form (CTQ‐SF), Toronto Alexithymia Scale (TAS‐20), Hamilton Depression Scale (HAMD), and Hamilton Anxiety Scale (HAMA) were used to assess the subjects. Result The CTQ‐SF, HAMD, HAMA, and TAS‐20 scores were significantly higher in the NSSI group than in the non‐NSSI group (p < .01). Logistic regression analysis showed emotional abuse (p = .028, OR = 1.14, 95% CI = 1.01–1.28) and age of onset (p = .009) as risk factors for NSSI. Adolescents with onset age 12–13 years (OR = 6.30, 95% CI = 1.72–23.10) and 14–15 years (OR = 2.24, 95% CI = 1.04–4.84) had a higher risk of self‐injury relative to adolescents aged 16–18 years. Conclusion Childhood trauma and alexithymia were important influencing factors in adolescent patients with BD II depression. Emotional abuse and age of onset as risk factors for NSSI, and difficulties in emotion recognition were positively associated with the patients’ NSSI. |
| first_indexed | 2024-04-11T12:57:23Z |
| format | Article |
| id | doaj.art-8469584600ce49819f4eb035e7fcd660 |
| institution | Directory Open Access Journal |
| issn | 2162-3279 |
| language | English |
| last_indexed | 2024-04-11T12:57:23Z |
| publishDate | 2022-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj.art-8469584600ce49819f4eb035e7fcd6602022-12-22T04:23:03ZengWileyBrain and Behavior2162-32792022-11-011211n/an/a10.1002/brb3.2771Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depressionYanyan Zhang0Zhizhong Hu1Maorong Hu2Zihang Lu3Huijuan Yu4Xin Yuan5Department of Psychosomatic Medicine The First Affiliated Hospital of Nanchang University Nanchang Jiangxi Province ChinaDepartment of Psychosomatic Medicine The First Affiliated Hospital of Nanchang University Nanchang Jiangxi Province ChinaDepartment of Psychosomatic Medicine The First Affiliated Hospital of Nanchang University Nanchang Jiangxi Province ChinaDepartment of Psychosomatic Medicine The First Affiliated Hospital of Nanchang University Nanchang Jiangxi Province ChinaDepartment of Psychosomatic Medicine The First Affiliated Hospital of Nanchang University Nanchang Jiangxi Province ChinaDepartment of Psychosomatic Medicine The First Affiliated Hospital of Nanchang University Nanchang Jiangxi Province ChinaAbstract Objective This study was performed to explore the effect of childhood trauma on nonsuicidal self‐injury (NSSI) in adolescents with bipolar II (BD II) depression. Methods Based on the diagnostic criteria of the DSM‐5 and structured interviews to assess the presence or absence of NSSI, 184 adolescent patients with BD II depression were divided into the NSSI (n = 112) and non‐NSSI (n = 72) groups. The Adolescent Nonsuicidal Self‐Injury Assessment Questionnaire (ANSAQ), Childhood Trauma Questionnaire‑Short Form (CTQ‐SF), Toronto Alexithymia Scale (TAS‐20), Hamilton Depression Scale (HAMD), and Hamilton Anxiety Scale (HAMA) were used to assess the subjects. Result The CTQ‐SF, HAMD, HAMA, and TAS‐20 scores were significantly higher in the NSSI group than in the non‐NSSI group (p < .01). Logistic regression analysis showed emotional abuse (p = .028, OR = 1.14, 95% CI = 1.01–1.28) and age of onset (p = .009) as risk factors for NSSI. Adolescents with onset age 12–13 years (OR = 6.30, 95% CI = 1.72–23.10) and 14–15 years (OR = 2.24, 95% CI = 1.04–4.84) had a higher risk of self‐injury relative to adolescents aged 16–18 years. Conclusion Childhood trauma and alexithymia were important influencing factors in adolescent patients with BD II depression. Emotional abuse and age of onset as risk factors for NSSI, and difficulties in emotion recognition were positively associated with the patients’ NSSI.https://doi.org/10.1002/brb3.2771alexithymiabipolar disorderchildhood traumanonsuicidal self‐injury |
| spellingShingle | Yanyan Zhang Zhizhong Hu Maorong Hu Zihang Lu Huijuan Yu Xin Yuan Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression Brain and Behavior alexithymia bipolar disorder childhood trauma nonsuicidal self‐injury |
| title | Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression |
| title_full | Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression |
| title_fullStr | Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression |
| title_full_unstemmed | Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression |
| title_short | Effects of childhood trauma on nonsuicidal self‐injury in adolescent patients with bipolar II depression |
| title_sort | effects of childhood trauma on nonsuicidal self injury in adolescent patients with bipolar ii depression |
| topic | alexithymia bipolar disorder childhood trauma nonsuicidal self‐injury |
| url | https://doi.org/10.1002/brb3.2771 |
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