Differentiating Adolescent Self-Injury from Adolescent Depression: Possible Implications for Borderline Personality Development

Autor/inn/en	Crowell, Sheila E.; Beauchaine, Theodore P.; Hsiao, Ray C.; Vasilev, Christina A.; Yaptangco, Mona; Linehan, Marsha M.; McCauley, Elizabeth
Titel	Differentiating Adolescent Self-Injury from Adolescent Depression: Possible Implications for Borderline Personality Development
Quelle	In: Journal of Abnormal Child Psychology, 40 (2012) 1, S.45-57 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0091-0627
DOI	10.1007/s10802-011-9578-3
Schlagwörter	Self Destructive Behavior; Personality Problems; Females; Injuries; Suicide; Psychopathology; Adolescents; Etiology; Depression (Psychology); Personality Development; Comparative Analysis; Mothers; Emotional Response; Diagnostic Tests + Suchen Sie Ihr Suchwort? Self destrucive behaviour; Selbstzerstörung; Weibliches Geschlecht; Selbstmord; Psychopathologie; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Ätiologie; Personalilty development; Persönlichkeitsbildung; Persönlichkeitsentwicklung; Mother; Mutter; Emotionales Verhalten; Diagnostic test; Diagnostischer Test
Abstract	Self-inflicted injury (SII) in adolescence marks heightened risk for suicide attempts, completed suicide, and adult psychopathology. Although several studies have revealed elevated rates of depression among adolescents who self injure, no one has compared adolescent self injury with adolescent depression on biological, self-, and informant-report markers of vulnerability and risk. Such a comparison may have important implications for treatment, prevention, and developmental models of self injury and borderline personality disorder. We used a multi-method, multi-informant approach to examine how adolescent SII differs from adolescent depression. Self-injuring, depressed, and typical adolescent females (n = 25 per group) and their mothers completed measures of psychopathology and emotion regulation, among others. In addition, we assessed electrodermal responding (EDR), a peripheral biomarker of trait impulsivity. Participants in the SII group (a) scored higher than depressed adolescents on measures of both externalizing psychopathology and emotion dysregulation, and (b) exhibited attenuated EDR, similar to patterns observed among impulsive, externalizing males. Self-injuring adolescents also scored higher on measures of borderline pathology. These findings reveal a coherent pattern of differences between self-injuring and depressed adolescent girls, consistent with theories that SII differs from depression in etiology and developmental course. (As Provided).
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Update	2017/4/10