Interoception, Self-Injury and Suicidal Ideation in Female Adolescents With Restrictive Eating Disorders and Co-Morbid Borderline Personality Disorder

IF 2.7 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-07-30 DOI:10.1002/cpp.70134

Anna Riva, Carlo Panarella, Gabriele Arienti, Simona Di Guardo, Eleonora Brasola, Renata Nacinovich, Andrea Eugenio Cavanna

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引用次数: 0

Abstract

Aims

Both restrictive eating disorders (REDs) and borderline personality disorder (BPD) are characterised by a higher risk of self-injury and suicidal ideation; however, the possible role of altered interoception in modulating such risk is poorly understood. We set out to conduct a clinical study to explore the relationship between interoception, self-injury and suicidal ideation in patients with REDs and BPD.

Methods

We recruited a sample of 75 female adolescents affected by REDs, of whom 21 had co-morbid BPD. In addition to collecting comprehensive demographic and clinical data, we administered the Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA-2) to all patients.

Results

The risk of nonsuicidal self-injury was predicted by co-morbid BPD (p < 0.001), lower scores on the MAIA-2 ‘trusting’ subscale (p = 0.033) and higher scores on the ‘not-distracting’ subscale (p = 0.027). The risk of suicidal ideation was predicted by co-morbid BPD (p < 0.001), lower scores on the MAIA-2 ‘trusting’ subscale (p = 0.039), and higher scores on the ‘not-distracting’ (p = 0.005) and ‘self-regulation’ (p = 0.011) subscales.

Conclusions

The presence of co-morbid BPD, together with mistrust in body sensations and heightened emotional reaction and attentional response to interoceptive sensations, can increase the risk for both self-injury and suicidal ideation in female adolescents with REDs. Higher awareness of mind–body integration appears to further increase the risk for suicidal ideation only.

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限制性进食障碍与边缘型人格障碍女性青少年的内感受、自伤与自杀意念

目的限制性饮食障碍（red）和边缘型人格障碍（BPD）均具有较高的自残和自杀意念风险；然而，内感受改变在调节此类风险中的可能作用尚不清楚。我们开展了一项临床研究，探讨红色和BPD患者的内感受、自伤和自杀意念之间的关系。方法我们招募了75名受红肿影响的女性青少年，其中21人患有合并的BPD。除了收集全面的人口统计和临床数据外，我们对所有患者进行了多维内感受意识评估版本2 （MAIA-2）。结果共病性BPD可预测非自杀性自伤风险（p < 0.001）， MAIA-2“信任”分量表得分较低（p = 0.033），“不分心”分量表得分较高（p = 0.027）。自杀意念的风险由共病性BPD预测（p < 0.001）， MAIA-2“信任”分量表得分较低（p = 0.039），“不分心”分量表得分较高（p = 0.005）和“自我调节”分量表得分较高（p = 0.011）。结论合并BPD、身体感觉不信任、对内感受的情绪反应和注意反应增强，可增加女性红发青少年自伤和自杀意念的风险。更高的身心融合意识似乎只会进一步增加自杀意念的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.