PMID- 34193286
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240402
IS  - 2051-6673 (Print)
IS  - 2051-6673 (Electronic)
IS  - 2051-6673 (Linking)
VI  - 8
IP  - 1
DP  - 2021 Jul 1
TI  - Psychosocial functioning in adolescents with non-suicidal self-injury: the roles 
      of childhood maltreatment, borderline personality disorder and depression.
PG  - 21
LID - 10.1186/s40479-021-00161-x [doi]
LID - 21
AB  - BACKGROUND: There is a lack of studies examining psychosocial functioning in 
      patients with non-suicidal self-injury (NSSI), especially in adolescents, and 
      rates of impaired functioning in existing literature vary considerably. These 
      variations may be attributable to further risk factors that influence 
      psychosocial functioning. Thus, the aim of the study was to examine whether 
      adolescent NSSI patients with childhood maltreatment (CM), a known risk factor 
      for lower psychosocial functioning, may differ from adolescent NSSI patients 
      without CM, and whether these differences may be explained by the severity of 
      comorbid disorders. Specifically, we examined whether severity of borderline 
      personality disorder (BPD), depression and posttraumatic stress disorder may 
      explain differences in psychosocial functioning in NSSI patients with and without 
      CM. METHODS: Data of 368 adolescents with NSSI disorder from an outpatient clinic 
      were analyzed using structural equation modeling. Clinicans' rating of the Global 
      Assessment of Functioning Scale (GAF) was collected, in addition to clinical 
      interviews. RESULTS: Results indicate that GAF scores were lower among NSSI 
      patients with CM and that the difference in psychosocial functioning between 
      these groups was explained by BPD and depression severity. CONCLUSIONS: 
      Psychosocial functioning in NSSI patients varies depending on whether they have 
      experienced CM or not. Specifically, these differences seem to be attributable to 
      higher BPD and depression severity in adolescent NSSI patients with CM. 
      Clinicians should ensure to assess CM and focus on BPD and depression severity in 
      this population. Treatment of BPD and depression may notably reduce psychosocial 
      impairment in NSSI patients with CM.
FAU - Ghinea, Denisa
AU  - Ghinea D
AD  - Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, 
      University of Heidelberg, Heidelberg, Germany.
FAU - Fuchs, Anna
AU  - Fuchs A
AD  - Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, 
      University of Heidelberg, Heidelberg, Germany.
FAU - Parzer, Peter
AU  - Parzer P
AD  - Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, 
      University of Heidelberg, Heidelberg, Germany.
FAU - Koenig, Julian
AU  - Koenig J
AD  - Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, 
      University of Heidelberg, Heidelberg, Germany.
AD  - University Hospital of Child and Adolescent Psychiatry and Psychotherapy, 
      University of Bern, Bern, Switzerland.
FAU - Resch, Franz
AU  - Resch F
AD  - Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, 
      University of Heidelberg, Heidelberg, Germany.
FAU - Kaess, Michael
AU  - Kaess M
AD  - Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, 
      University of Heidelberg, Heidelberg, Germany. michael.kaess@upd.ch.
AD  - University Hospital of Child and Adolescent Psychiatry and Psychotherapy, 
      University of Bern, Bern, Switzerland. michael.kaess@upd.ch.
LA  - eng
GR  - 23011121/Dietmar Hopp Stiftung (DE)/
PT  - Journal Article
DEP - 20210701
PL  - England
TA  - Borderline Personal Disord Emot Dysregul
JT  - Borderline personality disorder and emotion dysregulation
JID - 101650634
PMC - PMC8246665
OTO - NOTNLM
OT  - Borderline personality disorder
OT  - Childhood maltreatment
OT  - Depression
OT  - Psychosocial functioning
OT  - Structural equation model
COIS- The authors were independent of the funders in all aspects of study design, data 
      analysis, and writing of this manuscript and have no competing of interest to 
      declare.
EDAT- 2021/07/02 06:00
MHDA- 2021/07/02 06:01
PMCR- 2021/07/01
CRDT- 2021/07/01 05:53
PHST- 2020/11/09 00:00 [received]
PHST- 2021/05/31 00:00 [accepted]
PHST- 2021/07/01 05:53 [entrez]
PHST- 2021/07/02 06:00 [pubmed]
PHST- 2021/07/02 06:01 [medline]
PHST- 2021/07/01 00:00 [pmc-release]
AID - 10.1186/s40479-021-00161-x [pii]
AID - 161 [pii]
AID - 10.1186/s40479-021-00161-x [doi]
PST - epublish
SO  - Borderline Personal Disord Emot Dysregul. 2021 Jul 1;8(1):21. doi: 
      10.1186/s40479-021-00161-x.