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Transdiagnostic study of impulsivity and self-injurious behaviour in unstable and impulsive disorders

Abstract: Introduction: High comorbidity between borderline personality disorder (BPD) and eating disorders (ED) shows the necessity of developing transdiagnostic models, where impulsivity could play a relevant role in the manifestations of self-injurious behaviour. Objectives: 1) To compare the levels of impulsivity and self-injurious behaviour among people with BPD, people with ED and controls. 2) To predict the presence of self-injurious behaviour based on impulsivity and other relevant clinical variables, such as the experience of traumatic events and sensitivity to rejection. Methods: 108 women (23 controls; 29 with a diagnosis of restrictive ACT (rED); 21 with a diagnosis of purgative ACT (pED); and 35 with a diagnosis of BPD) were assessed using the Barratt Impulsivity Scale, the Traumatic Experiences Questionnaire and the Sensitivity to Rejection Questionnaire. Information about self-injurious behaviour was collected through interview and clinical history. Results: Differences in impulsivity and self-injurious behaviour scores were found between the groups, with higher impulsivity in the BPD and pED groups, and higher rates of self-injurious behaviour in the BPD group followed by both ED groups. On the other hand, impulsivity predicted suicide attempts, and together with sensitivity to interpersonal rejection predicted nonsuicidal self-harm (NSSH). Conclusion: Impulsivity is a dimensional variable in BPD and ED, which in turn plays a relevant role in the prediction of self-injurious behaviour.

 Fuente: Actas Españolas de Psiquiatría, 2023, 51(3), 120-28

Editorial: Stm Editores

 Año de publicación: 2023

Nº de páginas: 9

Tipo de publicación: Artículo de Revista

ISSN: 1139-9287,1578-2735

Autoría

DÍAZ-MARSA, MARINA

GÁLVEZ-MERLÍN, ALEJANDRA

GUILLÉN, ANA I.

TORRE-LUQUE, ALEJANDRO DE LA

LÓPEZ-VILLATORO, JOSÉ M.

BEATO-FERNÁNDEZ, LUIS BEATO

POLO-MONTES, FILOMENA

LEÓN-VELASCO, MAGDALENA

SANTOS-CARRASCO, ISABEL

CARRASCO-DÍAZ, ÁLVARO

CARRASCO, JOSÉ L.