想象自我伤害:将闪回心理想象作为非自杀性自伤的近端和可调节的驱动因素进行研究。

IF 2.7 3区 医学 Q2 PSYCHIATRY
Suicide and Life-Threatening Behavior Pub Date : 2024-08-01 Epub Date: 2024-04-10 DOI:10.1111/sltb.13081
Julie L Ji, Michael Kyron, Lisa Saulsman, Rodrigo Becerra, Ashleigh Lin, Penelope Hasking, Emily A Holmes
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引用次数: 0

摘要

目的:据推测,非自杀性自残(NSSI)会因其情绪后果而得到强化。据报道,非自杀性自残的心理意象通常发生在非自杀性自残之前。基于预期心理意象作为情绪和动机放大器的已知功能特性,本研究调查了NSSI心理意象是否构成NSSI风险的近端动态机制:方法:进行了一项密集的生态瞬间评估(EMA)研究,以跟踪自然环境中 NSSI 心理想象的发生和特征,以及 NSSI 冲动和行为。样本为 N = 43 名年龄在 17 到 24 岁之间、有重复性 NSSI 史的人,他们在 14 天内每天完成七次 EMA 调查:结果发现,当 NSSI 冲动较高时,会出现 NSSI 心理想象形式的心理先入为主,对 NSSI 的行为、身体感觉和情感益处进行闪回,而当 NSSI 冲动较低时则不会出现这种情况。重要的是,客观的跨小组分析表明,NSSI意象出现的频率越高,预示着未来NSSI冲动越大,对冲动采取行动的可能性越大,超过了当前的冲动:对 NSSI 的心理想象并不仅仅是 NSSI 冲动的副产品,它可能是一种动态的、近距离的新型干预目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Picturing self-harm: Investigating flash-forward mental imagery as a proximal and modifiable driver of non-suicidal self-injury.

Objectives: Non-suicidal self-injury (NSSI) is theorized to be reinforced by its emotional consequences. Mental images of NSSI are commonly reported as occurring prior to NSSI. Based on the known functional properties of anticipatory mental imagery as an emotional and motivational amplifier, this study investigated whether NSSI mental imagery constitutes a proximal and dynamic mechanism underpinning NSSI risk.

Method: An intensive ecological momentary assessment (EMA) study was conducted to track the occurrence and characteristics of NSSI mental imagery alongside NSSI urge and behavior in naturalistic settings. A sample of N = 43 individuals aged 17 to 24 with a history of repetitive NSSI completed EMA surveys seven times a day for 14 days.

Results: Mental preoccupation in the form of NSSI mental imagery-based flash-forwards to the actions, bodily sensations, and emotional benefits of NSSI was found to occur when NSSI urge was high but not when urge was low. Critically, objective cross-panel analyses showed that higher frequencies of NSSI imagery occurrence predicted greater future NSSI urge and increased likelihood of acting on urge, over and above current urge.

Conclusions: Mental imagery of NSSI is not simply an epiphenomenal by-product of NSSI urge and may constitute a dynamic and proximal novel intervention target.

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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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