Maladaptive behaviours in adolescence and their associations with personality traits, emotion dysregulation and other clinical features in a sample of Italian students: a cross-sectional study.
Adolescents
Borderline personality disorder
Depression
Emotion dysregulation
Maladaptive behaviours
Journal
Borderline personality disorder and emotion dysregulation
ISSN: 2051-6673
Titre abrégé: Borderline Personal Disord Emot Dysregul
Pays: England
ID NLM: 101650634
Informations de publication
Date de publication:
04 May 2021
04 May 2021
Historique:
received:
15
09
2020
accepted:
08
04
2021
entrez:
4
5
2021
pubmed:
5
5
2021
medline:
5
5
2021
Statut:
epublish
Résumé
Emotion Dysregulation (ED), childhood trauma and personality are linked to the occurrence of maladaptive behaviours in adolescence which, in turn, may be related to increased risk for psychopathology in the life course. We sought to explore the relationship among the occurrence of different clusters of maladaptive behaviours and ED, clinical features (i.e. impulsivity, childhood maltreatment, anxiety, depressive symptoms) and personality traits that have been found to be associated to Borderline Personality Disorder (BPD), in a sample of 179 adolescent students. Multiple Correspondence Analysis (MCA) was applied to detect clustered types of maladaptive behaviours and groups of students were defined as individuals engaging in these clustered behaviours (non-suicidal self-injury-NSSI, binge eating, binge drinking, cannabis use, and sexual risk behaviours). Logistic models were used to evaluate the association among clinical scales, and student groups. Mediation analysis was used to evaluate whether clinical features affected the association between personality traits and student groups. MCA analysis allowed to identify three student groups: NSSI/binge eating (NSSI-BE) behaviours, other maladaptive behaviours and "none". Higher scores in ED, impulsivity, childhood maltreatment, anxiety and depressive symptoms increased the risk of belonging to the cluster of NSSI-BE behaviours compared to the other two groups. ED, depression and anxiety symptoms were found to be mediators of the relationship between specific personality traits, mainly pertaining to the negative affectivity construct, and NSSI/BE. Individuals engaging in NSSI-BE behaviours represent a vulnerable adolescent population. ED, depression and anxiety were mediators of the relationship between a variety of personality traits related to BPD and NSSI and binge eating behaviours. Findings have important clinical implications in terms of prevention and interventions among adolescents engaging in self-damaging behaviours.
Sections du résumé
BACKGROUND
BACKGROUND
Emotion Dysregulation (ED), childhood trauma and personality are linked to the occurrence of maladaptive behaviours in adolescence which, in turn, may be related to increased risk for psychopathology in the life course. We sought to explore the relationship among the occurrence of different clusters of maladaptive behaviours and ED, clinical features (i.e. impulsivity, childhood maltreatment, anxiety, depressive symptoms) and personality traits that have been found to be associated to Borderline Personality Disorder (BPD), in a sample of 179 adolescent students.
METHODS
METHODS
Multiple Correspondence Analysis (MCA) was applied to detect clustered types of maladaptive behaviours and groups of students were defined as individuals engaging in these clustered behaviours (non-suicidal self-injury-NSSI, binge eating, binge drinking, cannabis use, and sexual risk behaviours). Logistic models were used to evaluate the association among clinical scales, and student groups. Mediation analysis was used to evaluate whether clinical features affected the association between personality traits and student groups.
RESULTS
RESULTS
MCA analysis allowed to identify three student groups: NSSI/binge eating (NSSI-BE) behaviours, other maladaptive behaviours and "none". Higher scores in ED, impulsivity, childhood maltreatment, anxiety and depressive symptoms increased the risk of belonging to the cluster of NSSI-BE behaviours compared to the other two groups. ED, depression and anxiety symptoms were found to be mediators of the relationship between specific personality traits, mainly pertaining to the negative affectivity construct, and NSSI/BE.
CONCLUSIONS
CONCLUSIONS
Individuals engaging in NSSI-BE behaviours represent a vulnerable adolescent population. ED, depression and anxiety were mediators of the relationship between a variety of personality traits related to BPD and NSSI and binge eating behaviours. Findings have important clinical implications in terms of prevention and interventions among adolescents engaging in self-damaging behaviours.
Identifiants
pubmed: 33941285
doi: 10.1186/s40479-021-00154-w
pii: 10.1186/s40479-021-00154-w
pmc: PMC8094601
doi:
Types de publication
Journal Article
Langues
eng
Pagination
14Références
Cogn Behav Ther. 2008;37(1):14-25
pubmed: 18365795
Br J Psychiatry. 2018 Apr;212(4):222-226
pubmed: 29514726
JAMA. 1999 Nov 10;282(18):1737-44
pubmed: 10568646
J Nerv Ment Dis. 2016 Dec;204(12):939-949
pubmed: 27660996
Psychiatr Q. 2017 Dec;88(4):807-825
pubmed: 28194549
Harv Rev Psychiatry. 2014 May-Jun;22(3):149-61
pubmed: 24704784
Personal Ment Health. 2017 Feb;11(1):23-32
pubmed: 27910261
Borderline Personal Disord Emot Dysregul. 2017 Jun 18;4:12
pubmed: 28638621
Psychol Med. 2012 Sep;42(9):1879-90
pubmed: 22153017
Am J Orthopsychiatry. 2012 Jul;82(3):298-308
pubmed: 22880968
Am J Orthopsychiatry. 2012 Jul;82(3):328-37
pubmed: 22880971
J Pers Soc Psychol. 2003 Aug;85(2):348-62
pubmed: 12916575
Psychiatry Res. 2006 Sep 30;144(1):65-72
pubmed: 16887199
Dev Cogn Neurosci. 2015 Oct;15:11-25
pubmed: 26340451
Behav Ther. 2015 Jan;46(1):125-38
pubmed: 25526840
Eur Psychiatry. 2015 Sep;30(6):743-9
pubmed: 26260264
Suicide Life Threat Behav. 2012 Aug;42(4):416-25
pubmed: 22646483
Death Stud. 2016 Jul;40(6):358-66
pubmed: 26808092
F1000Res. 2019 Jun 20;8:890
pubmed: 32148757
Eur Psychiatry. 2016 Sep;37:22-7
pubmed: 27442979
Curr Opin Psychol. 2015 Jun 1;3:22-29
pubmed: 25705711
J Abnorm Child Psychol. 2011 Apr;39(3):389-400
pubmed: 20953828
Z Kinder Jugendpsychiatr Psychother. 2006 Jan;34(1):15-25; quiz 26-7
pubmed: 16485610
J Pers. 2000 Dec;68(6):967-98
pubmed: 11130741
Psychol Med. 2012 Nov;42(11):2405-20
pubmed: 22475090
Behav Res Ther. 2011 Sep;49(9):544-54
pubmed: 21718967
Child Abuse Negl. 2012 Jan;36(1):32-9
pubmed: 22265934
J Child Psychol Psychiatry. 2014 Apr;55(4):337-48
pubmed: 24215434
Aust N Z J Psychiatry. 2014 Apr;48(4):325-32
pubmed: 24253360
Clin Psychol Psychother. 2019 May;26(3):328-338
pubmed: 30690804
J Psychiatr Res. 2017 Jan;84:105-112
pubmed: 27716512
Psychiatry Res. 2009 Aug 30;169(1):28-32
pubmed: 19616308
Curr Psychiatry Rep. 2020 Oct 10;22(12):68
pubmed: 33037934
Psychiatry Res. 2019 Mar;273:127-133
pubmed: 30641342
Dev Psychopathol. 2012 Feb;24(1):251-65
pubmed: 22293008
J Am Acad Child Adolesc Psychiatry. 2006 Jan;45(1):8-25
pubmed: 16327577
Arch Suicide Res. 2007;11(2):129-47
pubmed: 17453692
Child Abuse Negl. 2003 Feb;27(2):169-90
pubmed: 12615092
Child Abuse Negl. 2018 Aug;82:92-101
pubmed: 29879586
J Am Acad Child Adolesc Psychiatry. 1997 Apr;36(4):545-53
pubmed: 9100430
Lancet. 2011 Jan 1;377(9759):74-84
pubmed: 21195251
J Clin Psychol. 1995 Nov;51(6):768-74
pubmed: 8778124
Clin Psychol Rev. 2017 Nov;57:141-163
pubmed: 28941927
Ann Ist Super Sanita. 2020 Jul-Sep;56(3):303-314
pubmed: 32959796
Psychol Med. 2020 Aug;50(11):1783-1794
pubmed: 31379310
Lancet. 2007 Apr 14;369(9569):1302-1313
pubmed: 17434406
Child Abuse Negl. 2017 May;67:383-390
pubmed: 28371647