TY  - JOUR
PY  - 2019//
TI  - What is the relationship between dissociation and self-harming behaviour in adolescents?
JO  - Clinical psychology and psychotherapy
A1  - Cernis, Emma
A1  - Chan, Carmen
A1  - Cooper, Myra
SP  - 328
EP  - 338
VL  - 26
IS  - 3
N2  - Deliberate self-harm in adolescents is an increasing clinical problem, but there is a limited understanding of the mechanisms causing or maintaining this behaviour. One proposed mechanism is that of dissociation. However, the role this mechanism may play is unclear: whilst some suggest that adolescents engage in self-harm to end the aversive experience of dissociation, others propose that self-harm is used to purposefully trigger a dissociative state to avoid emotional pain. This systematic review is the first to evaluate the available evidence regarding the relationship between dissociation and deliberate self-harm in adolescents (aged 18 or younger). Nineteen relevant studies were identified. These studies were limited by cross-sectional design and poor methods of measurement, but some important conclusions could be drawn. The majority of studies found a positive correlation between the severity of dissociation and the severity and frequency of deliberate self-harm in adolescents, and a small number of results suggest that dissociation mediates the relationship between childhood trauma and adolescent self-harm.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1063-3995
UR  - http://dx.doi.org/10.1002/cpp.2354
ID  - ref1
ER  -