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Journal Article

Citation

Franzke I, Wabnitz P, Catani C. J. Trauma Dissociation 2015; 16(3): 286-302.

Affiliation

a Evangelisches Krankenhaus Bielefeld, Clinic for Psychotherapeutic and Psychosomatic Medicine , D-33611 Bielefeld, Germany.

Copyright

(Copyright © 2015, Informa - Taylor and Francis Group)

DOI

10.1080/15299732.2015.989646

PMID

25761222

Abstract

New theoretical models on non-suicidal self-injury (NSSI) postulate that subsequent symptoms rather than childhood maltreatment itself may lead to an engagement in NSSI. However, still little is known concerning which specific syndromes serve as an underlying mechanism. In this study we sought to examine the mediating effects of dissociative, posttraumatic and depressive symptoms, three often comorbid syndromes following childhood trauma. In addition, we aimed to assess differences between women with and without NSSI. A sample of 87 female inpatients with a history of childhood abuse and neglect was divided into two subgroups (NSSI: n = 42; no NSSI: n = 45). The assessment included measures for NSSI characteristics, adverse childhood experiences, posttraumatic, dissociative and depressive symptoms. The NSSI group reported significantly more cases of childhood maltreatment and higher levels of current dissociative, posttraumatic and depressive symptoms than patients without NSSI. The results of a path analysis showed that only dissociation mediated the relationship between a history of child maltreatment and NSSI when all three psychopathological variables where included in the model. The findings point towards a strong and rather specific association between dissociative experiences and NSSI and have therefore important implications for clinical practice.


Language: en

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