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Self-Injury and Externalizing Pathology: A Systematic Literature Review

Show simple item record Meszaros, G., Horvath, L. O., & Balazs, J. 2017-06-02T15:57:33Z 2017-06-02T15:57:33Z 2017
dc.identifier.citation Meszaros, G., Horvath, L. O., & Balazs, J. (2017). Self-injury and externalizing pathology: a systematic literature review. BMC psychiatry, 17(1), 160. en_US
dc.description.abstract Background: During the last decade there is a growing scientific interest in nonsuicidal self-injury (NSSI). The aim of the current paper was to review systematically the literature with a special focus on the associations between self-injurious behaviours and externalizing psychopathology. An additional aim was to review terminology and measurements of self-injurious behaviour and the connection between self-injurious behaviours and suicide in the included publications. Methods: A systematic literature search was conducted on 31st December 2016 in five databases (PubMed, OVID Medline, OVID PsycINFO, Scopus, Web of Science) with two categories of search terms (1. nonsuicidal self-injury, non-suicidal self-injury, NSSI, self-injurious behaviour, SIB, deliberate self-harm, DSH, self-injury; 2. externalizing disorder, attention deficit hyperactivity disorder, ADHD, conduct disorder, CD, oppositional defiant disorder, OD, ODD). Results: Finally 35 papers were included. Eleven different terms were found for describing self-injurious behaviours and 20 methods for measuring it. NSSI has the clearest definition. All the examined externalizing psychopathologies had strong associations with self-injurious behaviours according to: higher prevalence rates in externalizing groups than in control groups, higher externalizing scores on the externalizing scales of questionnaires, higher symptom severity in self-injurious groups. Eight studies investigated the relationship between suicide and self-injurious behaviours and found high overlap between the two phenomena and similar risk factors. Conclusions: Based on the current findings the association between externalizing psychopathology and self-injurious behaviours has been proven by the scientific literature. Similarly to other reviews on self-injurious behaviours the confusion in terminology and methodology was noticed. NSSI is suggested for use as a distinct term. Further studies should investigate the role of comorbid conditions in NSSI, especially when internalizing and externalizing pathologies are both presented. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher BMC Psychiatry en_US
dc.subject child abuse en_US
dc.subject psychological effects en_US
dc.subject self-harm en_US
dc.subject self-mutilation en_US
dc.subject self-inflicted injury en_US
dc.subject literature review en_US
dc.title Self-Injury and Externalizing Pathology: A Systematic Literature Review en_US
dc.type Article en_US

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