Non-suicidal self-injury among women hospitalised for anorexia nervosa
Introduction Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population. Methods This study was part of a larger French longit...
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05.03.2025
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| Abstract | Introduction
Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population.
Methods
This study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI.
Results
The mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI.
Discussion
ED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED.
Level of evidence
Level III, well-designed cohort or case–control analytic studies. |
|---|---|
| AbstractList | IntroductionNon-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population.MethodsThis study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI.ResultsThe mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI.DiscussionED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED.Level of evidenceLevel III, well-designed cohort or case–control analytic studies. Abstract Introduction Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population. Methods This study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI. Results The mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI. Discussion ED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED. Level of evidence Level III, well-designed cohort or case–control analytic studies. Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population. This study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI. The mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI. ED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED. Level III, well-designed cohort or case-control analytic studies. Introduction Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population. Methods This study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI. Results The mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI. Discussion ED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED. Level of evidence Level III, well-designed cohort or case–control analytic studies. Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population.INTRODUCTIONNon-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population.This study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI.METHODSThis study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI.The mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI.RESULTSThe mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI.ED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED.DISCUSSIONED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED.Level III, well-designed cohort or case-control analytic studies.LEVEL OF EVIDENCELevel III, well-designed cohort or case-control analytic studies. © The Author(s) 2025.Introduction: Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population. Methods: This study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI. Results: The mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI. Discussion: ED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED. Level of evidence: Level III, well-designed cohort or caseu2013control analytic studies. |
| ArticleNumber | 21 |
| Author | Godart, Nathalie Ali, Aminata Grandclerc, Salomé Blanchet, Corinne Hirot, France Berthoz, Sylvie Gicquel, Ludovic |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40042697$$D View this record in MEDLINE/PubMed https://hal.science/hal-05029272$$DView record in HAL |
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| Cites_doi | 10.1016/j.comppsych.2018.02.005 10.1007/s40519-021-01311-4 10.1002/eat.24043 10.1186/s40337-018-0214-2 10.1111/j.1943-278X.2012.00100.x 10.1002/jclp.23038 10.3389/fpsyt.2022.756238 10.1186/s13034-022-00446-1 10.3349/ymj.2021.62.2.159 10.1017/S0033291716000027 10.1007/s40519-021-01215-3 10.1080/10640266.2023.2196492 10.1016/j.comppsych.2019.152142 |
| ContentType | Journal Article |
| Contributor | Delattre, Maryline Venisse, Jean-Luc Vibert, Sarah Fayollet, Catherine Pommereau, Xavier Thiébaud, Marie Raphaële Prexl, Amélie Genolini, Christophe Bouvard, Manuel Ringuenet, Damien Cook, Solange Benoit, Jean-Pierre Tréluyer, Jean-Marc Roux, Hélène Delorme, Marc Gay, Aurélia Nordon, Clémentine Auger, Christelle Hubert, Tamara Blanchet, Corinne Gayet, Claire Berthoz, Sylvie Godart, Nathalie Doyen, Catherine Podlipski, Marc-Antoine Mattar, Lama Lang, François Lalanne, Christophe Faucher, Sophie Duclos, Jeanne Siméoni, Marie-Christine Mouren Chacornac, Olivier Lambert, Sylvain Placé, Ludovic Billard, Stéphane Hassler, Christine Moulopo, Nellie Moro, Marie Rose Carrot, Guy Greiner, Régine Gerardin, Priscille Bronnec, Marie Mourier-Soleillant, Virginie Bignami, Laura Courty, Annaig Bioulac, Stéphanie Doncieux, Karine Lebecq, Sylvie Lasfar, Malaika Falissard, Bruno Rousselet, Morgane Rouillon, Frédéric Carrere, Jennifer Turuban, Christelle |
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| Keywords | Mood disorders Anorexia nervosa Suicide Non-suicidal self-injury Anorexia nervosa; Mood disorders; Non-suicidal self-injury; Suicide |
| Language | English |
| License | 2025. The Author(s). Attribution - NonCommercial - NoDerivatives: http://creativecommons.org/licenses/by-nc-nd Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. |
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| PublicationTitle | Eating and weight disorders |
| PublicationTitleAbbrev | Eat Weight Disord |
| PublicationTitleAlternate | Eat Weight Disord |
| PublicationYear | 2025 |
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| References | JJ Muehlenkamp (1728_CR4) 2012; 42 J Ahn (1728_CR6) 2021; 62 L Radon (1728_CR5) 2022; 27 A Riva (1728_CR9) 2022; 27 S Arnold (1728_CR3) 2022; 16 E Sagiv (1728_CR11) 2020; 96 M Oudijn (1728_CR13) 2022; 13 SB Wang (1728_CR8) 2018; 82 S Amiri (1728_CR2) 2023; 31 L Smithuis (1728_CR12) 2018; 6 1728_CR10 A Cucchi (1728_CR1) 2016; 46 AI Vieira (1728_CR7) 2021; 77 |
| References_xml | – volume: 82 start-page: 128 year: 2018 ident: 1728_CR8 publication-title: Compr Psychiatry doi: 10.1016/j.comppsych.2018.02.005 – volume: 27 start-page: 1729 year: 2022 ident: 1728_CR9 publication-title: Eat Weight Disord doi: 10.1007/s40519-021-01311-4 – ident: 1728_CR10 doi: 10.1002/eat.24043 – volume: 6 start-page: 26 year: 2018 ident: 1728_CR12 publication-title: J Eat Disord doi: 10.1186/s40337-018-0214-2 – volume: 42 start-page: 416 year: 2012 ident: 1728_CR4 publication-title: Suicide Life-Threatening Behav doi: 10.1111/j.1943-278X.2012.00100.x – volume: 77 start-page: 607 year: 2021 ident: 1728_CR7 publication-title: J Clin Psychol doi: 10.1002/jclp.23038 – volume: 13 year: 2022 ident: 1728_CR13 publication-title: Front Psychiatry doi: 10.3389/fpsyt.2022.756238 – volume: 16 start-page: 17 year: 2022 ident: 1728_CR3 publication-title: Child Adolesc Psychiatry Ment Health doi: 10.1186/s13034-022-00446-1 – volume: 62 start-page: 159 year: 2021 ident: 1728_CR6 publication-title: Yonsei Med J doi: 10.3349/ymj.2021.62.2.159 – volume: 46 start-page: 1345 year: 2016 ident: 1728_CR1 publication-title: Psychol Med doi: 10.1017/S0033291716000027 – volume: 27 start-page: 1063 year: 2022 ident: 1728_CR5 publication-title: Eat Weight Disord doi: 10.1007/s40519-021-01215-3 – volume: 31 start-page: 487 year: 2023 ident: 1728_CR2 publication-title: Eat Disord doi: 10.1080/10640266.2023.2196492 – volume: 96 year: 2020 ident: 1728_CR11 publication-title: Compr Psychiatry doi: 10.1016/j.comppsych.2019.152142 |
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Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for... Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia... IntroductionNon-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for... © The Author(s) 2025.Introduction: Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among... Abstract Introduction Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects... |
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| SubjectTerms | Adolescent Adult Anorexia Anorexia nervosa Anorexia Nervosa - complications Anorexia Nervosa - psychology Brief Report Depressive Disorder, Major - psychology Eating disorders Female Hospitalization Humanities and Social Sciences Humans Longitudinal Studies Medicine Medicine & Public Health Mental depression Mood disorders Non-suicidal self-injury Psychiatry Psychology Risk Factors Self Concept Self destructive behavior Self-Injurious Behavior - epidemiology Self-Injurious Behavior - psychology Suicide Suicide, Attempted - psychology Suicides & suicide attempts Women Young Adult |
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| Title | Non-suicidal self-injury among women hospitalised for anorexia nervosa |
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