Citation

Psychol. Assess. 2015; 27(3): 954.

Copyright

(Copyright © 2015, American Psychological Association)

DOI

10.1037/pas0000167

PMID

25961138

Abstract

Reports an error in "Assessing DSM-5 nonsuicidal self-injury disorder in a clinical sample" by Jason J. Washburn, Lauren M. Potthoff, K. R. Juzwin and Denise M. Styer (Psychological Assessment, 2015[Mar], Vol 27[1], 31-41). In the Method section, in the subsection Alexian Brothers Assessment of Self-Injury (ABASI), the first sentence of the third paragraph should read: "Examination of the specific NSI disorder criteria indicates the prominence of the first symptom in Criterion C. Symptom C-1, which evaluates the experience of interpersonal difficulties or negative thoughts or feelings immediately prior to engaging in selfinjury, was the most endorsed symptom of NSI disorder; 100% of those meeting criteria for NSI Disorder endorsed Symptom C-1 on the ABASI." (The following abstract of the original article appeared in record 2014-40800-001.) The entry for nonsuicidal self-injury (NSI) disorder in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides a criterion-based definition of clinically relevant NSI. NSI disorder is currently classified in the DSM-5 as a condition requiring further study. The present study aimed to examine the reliability, validity, and clinical utility of a self-report measure of NSI disorder, the Alexian Brothers Assessment of Self-Injury (ABASI). The sample included 511 patients admitted to an acute care treatment program designed to treat NSI. Patients were administered the ABASI as part of a clinical assessment and routine outcome evaluation. The sample included a broad age range, as well as sufficient numbers of males and Hispanics to examine sociodemographic differences. The ABASI demonstrated adequate internal consistency and test-retest reliability, and the factor structure reflects NSI disorder criteria. Among patients being treated for NSI, 74% met criteria for NSI disorder. No differences in the rate of NSI disorder were observed by sex, ethnicity, or age. Although NSI disorder is associated with a worse presentation of self-injurious behavior, NSI disorder provides limited clinical utility as a dichotomous diagnosis, at least when compared with common NSI characteristics such as number of methods of NSI and the urge to self-injure. Instead, findings support a dimensional approach to NSI disorder. Analyses of specific symptoms of NSI disorder indicate concerns with Criterion B as currently defined by the DSM-5. Recommendations for a more parsimonious revision of NSI disorder are discussed. (PsycINFO Database Record

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