medigraphic.com
ISSN 0185-3325 (Print)
Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2021, Number 2

<< Back Next >>

Salud Mental 2021; 44 (2)

Quality of attachment, trauma, psychopathology, and frequency of non-suicidal self-injury in Mexican adolescents suffering from psychosocial vulnerability: Description of a risk profile

Marín-Tejeda M, Martínez-Martínez KI, Santillán Torres-Torija C

Language: English
References: 53
Page: 53-63
PDF size: 213.40 Kb.


ABSTRACT

Introduction. Suffering from psychosocial vulnerability, particularly during adolescence, increases the likelihood of experiencing adverse life circumstances, psychiatric conditions, and non-suicidal self-injury (NSSI). Objective. We studied: 1. record-based demographic and clinical characteristics, as well as the frequency of NSSI in adolescents, beneficiaries of services for vulnerable population of one of six Non-Governmental Organizations (NGO’s), we compared by beneficiary type: internal (IB) versus external (EB); 2. predictive relationship of NSSI with depression, difficulties in emotion regulation (DER) and suicidal ideation (administered measures); 3. Comparison of average scores on measures by: quality of attachment (QOA) and presence/ absence of NSSI. Method. A convenience sample of 255 adolescents (45.5% women, ages 11-15) answered instruments in institutional facilities (Mexico City and Puebla), where 181 (71%) resided as IB and 74 (29%) resided in family home (EB). The mental health staff of each NGO specified according to the record: demographics, psychiatric diagnoses, history of trauma, and QOA between the minor and his attachment figure. Results. 42% denied NSSI episodes, 16.9% indicated a non-significant pattern, and 35.6% reported a significant and recent pattern. IB presented higher scores in all measurements, higher report of interpersonal trauma, depressive, anxiety, and behavior disorders. Minors with positive QOA obtained significantly lower scores. Discussion and conclusion. Compared to EB’s, adolescents residing in NGOs have a higher risk profile, particularly those without a positive QOA, a fact that is associated with a greater presence of psychopathology and significant and recent NSSI.


REFERENCES

  1. Ainsworth, M. S. (1979). Infant–mother attachment. American Psychologist, 34(10), 932-937. doi: 10.1037/0003-066X.34.10.932

  2. Albores-Gallo, L., Méndez-Santos, J. L., García Luna, A. X., Delgadillo-González, Y., Chávez-Flores, C. I., & Martínez, O. L. (2014). Nonsuicidal self-injury in a community sample of older children and adolescents of Mexico City. Actas Españolas de Psiquiatría, 42(4), 159-168.

  3. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Publishing. doi: 10.1176/appi. books.9780890425596

  4. Ammerman, B. A., Jacobucci, R., & McCloskey, M. S. (2018). Using exploratory data mining to identify important correlates of nonsuicidal self-injury frequency. Psychology of Violence, 8(4), 515-525. doi: 10.1037/vio0000146

  5. Auerbach, R. P., Kim, J. C., Chango, J. M., Spiro, W. J., Cha, C., Gold, J., ... Nock, M. K. (2014). Adolescent nonsuicidal self-injury: Examining the role of child abuse, comorbidity, and disinhibition. Psychiatry Research, 220(1-2), 579-584. doi: 10.1016/j.psychres.2014.07.027

  6. Baiden, P., Stewart, S. L., & Fallon, B. (2017). The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings. Child Abuse & Neglect, 69, 163-176. doi: 10.1016/j.chiabu.2017.04.011

  7. Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77-100. doi: 10.1016/0272-7358(88)90050-5

  8. Bowlby, J. (1970). Attachment and loss (vol. 1). Random House.

  9. Bruffaerts, R., Demyttenaere, K., Borges, G., Haro, J. M., Chiu, W. T., Hwang, I., ... Nock, M. K. (2010). Childhood adversities as risk factors for onset and persistence of suicidal behavior. British Journal of Psychiatry, 197(1), 20-27. doi: 10.1192/bjp.bp.109.074716

  10. Castro Silva, E., Benjet, C., Juárez García, F., Jurado Cárdenas, S., Gómez-Maqueo, M. E., & Valencia-Cruz, A. (2017). Non-suicidal self-injuries in a sample of Mexican university students. Salud Mental, 40(5), 191-199. doi: 10.17711/ SM.0185-3325.2017.025

  11. Charuvastra, A., & Cloitre, M. (2008). Social Bonds and Posttraumatic Stress Disorder. Annual Review of Psychology, 59, 301-328. doi: 10.1146/annurev. psych.58.110405.085650

  12. Christoffersen, M. N., Møhl, B., DePanfilis, D., & Vammen, K. S. (2015). Non- Suicidal Self-Injury‒Does social support a difference? An epidemiological investigation of a Danish national sample. Child Abuse & Neglect, 44, 106-116. doi: 10.1016/j.chiabu.2014.10.023

  13. Cipriano, A., Cella, S., & Cotrufo, P. (2017). Nonsuicidal Self-injury: A Systematic Review. Frontiers in Psychology, 8, 1946, 1-14. doi: 10.3389/fpsyg.2017.01946

  14. Claes, L., Vandereycken, W., & Vertommen, H. (2007). Self-injury in female versus male psychiatric patients: A comparison of characteristics, psychopathology and aggression regulation. Personality and Individual Differences, 42(4), 611-621. doi: 10.1016/j.paid.2006.07.021

  15. Córdova-Osnaya, M., & Rosales-Pérez, J. C., (2016). Ideación suicida: treinta años de investigación en estudiantes universitarios mexicanos [Suicidal ideation: thirty years of research in Mexican university students]. Psicología y Salud, 26(2), 233-243.

  16. Di Pierro, R., Sarno, I., Perego, S., Gallucci, M., & Madeddu, F. (2012). Adolescent nonsuicidal self-injury: the effects of personality traits, family relationships and maltreatment on the presence and severity of behaviours. European Child & Adolescent Psychiatry, 21(9), 511-520. doi: 10.1007/s00787-012-0289-2

  17. Font, S. A., & Berger, L. M. (2015). Child Maltreatment and Children’s developmental trajectories in early to middle childhood. Child Development, 86(2), 536-556. doi: 10.1111/cdev.12322

  18. Ford, J. D., & Gómez, J. M. (2015). The Relationship of Psychological Trauma and Dissociative and Posttraumatic Stress Disorders to Nonsuicidal Self-Injury and Suicidality: A Review. Journal of Trauma & Dissociation, 16(3), 232-271. doi: 10.1080/15299732.2015.989563

  19. Gandhi, A., Luyckx, K., Molenberghs, G., Baetens, I., Goossens, L. Maitra, S., & Claes, L. (2019). Maternal and peer attachment, identity formation, and non suicidal self injury: a longitudinal mediation study. Child and Adolescent Psychiatry Mental Health, 13(7). doi: 10.1186/s13034-019-0267-2

  20. García-Jauregui, R. (2020). Prácticas parentales y autolesión no suicida en adolescentes escolarizados [Parenting practices and non-suicidal selfinjury in schooled adolescents] (Master Thesis). Universidad Autónoma de Aguascalientes, Aguascalientes, México. Retrieved from http://posgrados.dgip. uaa.mx/programas/mip/index.php/estudiantes/2-generacion

  21. Glenn, C. R., Lanzillo, E. C., Esposito, E. C., Santee, A. C., Nock, M. K., & Auerbach, R. P. (2017). Examining the Course of Suicidal and Nonsuicidal Self-Injurious Thoughts and Behaviors in Outpatient and Inpatient Adolescents. Journal of Abnormal Child Psychology, 45(5), 971-983. doi: 10.1007/s10802-016-0214-0

  22. González, D. A., Reséndiz Rodríguez, A., & Reyes-Lagunes, I. (2015). Adaptation of the BDI-II in Mexico. Salud Mental, 38(4), 237-244. doi: 10.17711/SM.0185- 3325.2015.033

  23. Gratz, K. L., & Roemer, L. (2004). Multidimensional Assessment of emotion regulation and dysregulation: Development, factor structure and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. doi: 10.1023/B:JO BA.0000007455.08539.94

  24. Hernández Sampieri, R., Fernández-Collado, C., & Baptista Lucio, P. (2014). Metodología de la investigación [Research methodology] (Sexta edición). México, D.F.: McGraw Hill.

  25. Hom, M. A., Rogers, M. L., Schneider, M. E., Chiurliza, B., Doerfler, L. A., Walsh, B. W., & Joiner, T. E. (2018). Atypical and Severe Nonsuicidal Self-Injury as an Indicator of Severe Psychopathology: Findings From a Sample of High- Risk Community Mental Health Clients. The Journal of Nervous and Mental Disease, 206(8), 582-588. doi: 10.1097/NMD.0000000000000865

  26. Hossain, S. A., & Alam, A. (2016). Socio-Economic Status of the Street Children in Bangladesh. International Journal of Social Work, 3(1), 42-49. doi: 10.5296/ ijsw.v3i1.8668

  27. Jiang, Y., You, J., Zheng, X., & Lin, M. (2017). The qualities of attachment with significant others and self-compassion protect adolescents from non suicidal self-injury. School Psychology Quarterly, 32(2), 143-155. doi: 10.1037/ spq0000187

  28. Kaess, M., Parzer, P., Mattern, M., Plener, P. L., Bifulco, A., Resch, F., & Brunner, R. (2013). Adverse childhood experiences and their impact on frequency, severity, and the individual function of nonsuicidal self-injury in youth. Psychiatry Research, 206(2-3), 265-272. doi: 10.1016/j.psychres.2012.10.012

  29. Kagan, R. (2006). Real Life Heroes. Practitioners Manual. Taylor & Francis Group.

  30. Kagan, R., Henry, J., Richardson, M., Trinkle, J., & LaFrenier, A. (2014). Evaluation of Real Life Heroes treatment for children with complex PTSD. Psychological Trauma: Theory, Research, Practice, and Policy, 6(5), 588-596. doi: 10.1037/ a0035879

  31. Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of non-suicidal selfinjury: Psychometric properties of the Inventory of Statements About Selfinjury (ISAS). Journal of Psychopathology and Behavioral Assessment, 31(3), 215-219. doi: 10.1007/s10862-008-9107-z

  32. Klonsky, E. D., & Olino, T. M. (2008). Identifying clinically distinct subgroups of self-injurers among young adults: A latent class analysis. Journal of Consulting and Clinical Psychology, 76(1), 22-27. doi: 10.1037/0022-006X.76.1.22

  33. Linehan, M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. The Guilford Press.

  34. Liu, R. T., Scopelliti, K. M., Pittman, S. K., & Zamora, A. S. (2018). Childhood maltreatment and non-suicidal self-injury: a systematic review and metaanalysis. Lancet Psychiatry, 5(1), P51-64. doi: 10.1016/S2215-0366(17)30469- 8

  35. Marín-Tejeda, M. (2017, September). Autolesiones no suicidas en adolescentes [Non-sucidal Self-Injury in adolescents; Conference Session]. México: Clínica Psicológica Cuéntame A.C.

  36. Marín-Tejeda, M. I. (2013). Desarrollo y evaluación de una terapia cognitivo conductual para adolescentes que se autolesionan [Development and evaluation of a cognitive behavior therapy for adolescents who self-injure]. México: Ciencia Nueva - Doctorados UNAM. doi: 10.22201/dgpyfe.9786070253263e.2013

  37. Marín-Tejeda, M., Robles García, R., González-Forteza, C., & Andrade-Palos, P. (2012). Propiedades psicométricas de la escala “Dificultades en la Regulación Emocional” en español (DERS-E) para adolescentes mexicanos. Salud Mental, 35(6), 521-526. Retrieved from http://www.revistasaludmental.mx/index.php/ salud_mental/article/view/1510/1508

  38. Martin, J., Bureau, J. F., Yurkowski, K., Fournier, T. R., Lafontaine, M. F., & Cloutier, P. (2016). Family-based risk factors for non-suicidal self-injury: Considering influences of maltreatment, adverse family-life experiences, and parentchild relational risk. Journal of Adolescence, 49, 170-180. doi: 10.1016/j. adolescence.2016.03.015

  39. Molaie, A. M., Chiu, C.-Y., Habib, Z., Galynker, I., Briggs, J., Rosenfield, P. J., ... Yaseen, Z. S. (2019). Emotional Pain Mediates the Link Between Preoccupied Attachment and Non-suicidal Self-Injury in High Suicide Risk Psychiatric Inpatients. Frontiers in Psychology, 10, 289. doi: 10.3389/fpsyg.2019.00289

  40. Mortier, P., Cuijpers, P., Kiekens, G., Auerbach, R. P., Demyttenaere, K., Green, J. G., … Bruffaerts, R. (2017). The prevalence of suicidal thoughts and behaviors among college students: a meta-analysis. Psychological Medicine, 48(4), 554- 565. doi: 10.1017/S0033291717002215

  41. Muehlenkamp, J. J., Claes, L., Havertape, L., & Plener, P. L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6(1), 13. doi: 10.1186/1753- 2000-6-10

  42. Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6(1), 339- 363. doi: 10.1146/annurev.clinpsy.121208.131258

  43. Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72(5), 885-890. doi: 10.1037/0022-006X.72.5.885

  44. Perry, B. D., Pollard, R. A., Blakley, T. L., Baker, W. L., & Vigilante, D. (1995). Childhood trauma, the neurobiology of adaptation, and “use-dependent” development of the brain: How “states” become “traits”. Infant Mental Health Journal, 16(4), 271-291. doi: 10.1002/1097-0355(199524)16:4<271::AIDIMHJ2280160404> 3.0.CO;2-B

  45. Raymond, I. J., Iasiello, M., Jarden, A., & Kelly, D. M. (2018). Resilient futures: An individual and system-level approach to improve the well-being and resilience of disadvantaged young Australians. Translational Issues in Psychological Science, 4(3), 228-244. doi: 10.1037/tps0000169

  46. Roberts, R. E., & Chen, Y.-W. (1995). Depressive symptoms and suicidal ideation among Mexican-origin and Anglo adolescents. Journal of American Academy of Child & Adolescent Psychiatry, 34(1), P81-90. doi: 10.1097/00004583- 199501000-00018

  47. Rosales-Pérez, J. C., Córdova-Osnaya, M., & Cortés-Granados, R. (2016). Confiabilidad y validez de la Escala de Ideación Suicida de Roberts. Journal of Behavior, Health & Social Issues, 7(2), 31-41. doi: 10.5460/jbhsi.v7.2.44302 47. Shein-Szydlo, J., Sukhodolsky, D. G., Kon, D. S., Marín-Tejeda, M., Ramirez, E., & Ruchkin, V. (2016). A randomized controlled study of cognitive behavioral therapy for posttraumatic stress in street children in Mexico City. Journal of Traumatic Stress, 29(5), 406-414. doi: 10.1002/jts.22124

  48. Smith, N., Kouros, C. D., & Meuret, A. E. (2013). The Role of Trauma Symptoms in Nonsuicidal Self-Injury. Trauma Violence & Abuse, 15(1), 41-56. doi: 10.1177/1524838013496332

  49. Spinazzola, J., Hodgdon, H., Liang, L.-J., Ford, J. D., Layne, C. M., Pynoos, R., … Kisiel, C. (2014). Unseen wounds: The contribution of psychological maltreatment to child and adolescent mental health and risk outcomes. Psychological Trauma: Theory, Research, Practice, and Policy, 6(Suppl 1), S18-S28. doi: 10.1037/a0037766

  50. Taliaferro, L. A., & Muehlenkamp, J. J. (2014). Risk and protective factors that distinguish adolescents who attempt suicide from those who only consider suicide in the past year. Suicide and Life-Threatening Behavior, 44(1), 6-22. doi: 10.1111/sltb.12046

  51. Trujillo, N. P., & Servaty-Seib, H. (2017). Parental Absence and Non-Suicidal Self- Injury: Social Support, Social Constraints and Sense-Making. Journal of Child and Family Studies, 27(5), 1449-1459. doi: 10.1007/s10826-017-0976-1

  52. Tschan, T., Schmid, M., & In-Albon, T. (2015). Parenting behavior in families of female adolescents with nonsuicidal self-injury in comparison to a clinical and nonclinical group. Child and Adolescent Psychiatry and Mental Health, 9(17), 1-9. doi: 10.1186/s13034-015-0051-x

  53. Ulloa-Flores, R. E., Contreras Hernández, C., Paniagua Navarrete, K., & Victoria Figueroa, G. (2013). Frecuencia de autolesiones y características clínicas asociadas en adolescentes que acudieron a un hospital psiquiátrico infantil [Frequency of self-injury and associated clinical characteristics in adolescents who attended a childrenʼs psychiatric hospital]. Salud Mental, 36(5), 417-420.




2020     |     www.medigraphic.com