با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت

نوع مقاله : علمی- پژوهشی

نویسندگان

1 گروه روان‌شناسی، واحد نیشابور، دانشگاه آزاد اسلامی، نیشابور، ایران

2 گروه روان‌شناسی، واحد نیشابور، دانشگاه آزاد اسلامی، نیشابور، ایران.

چکیده

مقدمه: خودزنی غیرخودکشی به آسیب عمدی سطح بدن بدون نیت خودکشی اشاره دارد. این رفتار یکی از نگرانی عمده متخصصان حوزه سلامت روان در جهان است و همچنین یکی از اختلال‌هایی است که نیاز به مطالعه بیشتر دارد؛ ازاین‌رو هدف پژوهش حاضر بررسی همبسته‌های بدنی و روان‌شناختی خودزنی غیرخودکشی در دانشجویان بود.
روش: پژوهش ازنظر هدف بنیادی و به لحاظ روش جمع‌آوری داده‌ها توصیفی از نوع همبستگی است. جامعه آماری شامل کلیه دانشجویان کارشناسی و کارشناسی ارشد دانشگاه آزاد اسلامی واحد نیشابور در سال تحصیلی 1402 بود. تعداد 200 نفر از دانشجویانی که به روش نمونه‌گیری در دسترس انتخاب شدند، نمونه آماری را تشکیل دادند. برای جمع‌آوری داده‌ها از پرسشنامه خود آسیب‌رسانی آگاهانه و تعمدی (گراتز، 2001)، شاخص توده بدنی، پرسشنامه نگرانی در مورد بدشکلی (اوستوزین، لمبرت و کاسل، 1998) و پرسشنامه شرم از تصویر بدن (دوارت، پینتو گوویا، فریرا و همکاران، 2015) استفاده شد. داده‌ها با روش همبستگی پیرسون و تحلیل رگرسیون گام‌به‌گام و همچنین در سطح معناداری 05/0 تحلیل شد.
یافته‌ها: یافته‌های پژوهش نشان داد که بین نگرانی درباره بدشکلی و شرم از بدن و مؤلفه‌های آن (شرم برونی شده و درونی شده) با خودزنی غیرخودکشی رابطه مثبت وجود دارد (01/0 >p). باوجوداین رابطه‌ای بین وزن و شاخص توده بدنی با خودزنی غیرخودکشی وجود ندارد (05/0 <p). نتایج نشان داد که از بین این متغیرها شرم برونی شده پیش‌بینی کننده خودزنی غیرخودکشی است.
نتیجه‌گیری: نتایج پژوهش حاضر نشان‌دهنده نقش و اهمیت عوامل روان‌شناختی ازجمله نگرانی درباره بدشکلی و شرم از بدن در خودزنی غیرخودکشی است. دراین‌بین شرم برونی شده نقش مهم‌تری در پیش‌بینی این رفتار دارد. توجه به شرم برونی می‌تواند در تدوین مدل‌های آسیب‌شناختی، آموزشی و درمانی مهم باشد

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Physical and Psychological Correlates of Non-Suicidal Self-Injury in Students

نویسندگان [English]

  • Ahmad Mansouri 1
  • Danial Joqratian 1
  • Armin Elahi 2

1 Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran

2 Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.

چکیده [English]

Objective: Non-suicidal self-injury refers to the intentional self-inflicted damage to the body surface without suicidal intent. This behavior is one of the major concerns of mental health professionals in the world and is also one of the disorders that needs more study. Many biological, psychological and social factors can be related to this behavior. However less attention has been paid to physical and psychological factors related to it. Therefore, the main aim of this study was to investigate the physical and psychological correlates of non-suicidal self-injury in students. Method: This study is fundamental in terms of purpose and descriptive-correlation in terms of method. Its statistical population of this research included all the undergraduate and graduate students of the Islamic Azad University of Neyshabur branch in the academic year of 2023. A number of 200 students who were selected by convenience sampling method formed the research sample. To collect data, deliberate self-harm inventory (Gratz, 2001), body mass index, dysmorphic concerns questionnaire (Oosthuizen, Lambert & Castle, 1998) and body image shame scale (Duarte, Pinto-Gouveia, Ferreira et al., 2015) were used. Data were analyzed by Pearson correlation, stepwise regression analysis and significance level of 0.05. Results: The mean and standard deviation of the participants' age was 25.08 and 8.39. The results showed that there are significant positive relationship between dysmorphic concern and body shame and its components (externalized and internalized shame) with non-suicidal self-injury (p < 0.01), but there is no significant relationship between weight and body mass index with non-suicidal self-injury (p <0.05). The results of stepwise regression analysis showed that weight, body mass index, dysmorphic concern and internal shame do not predict (p >0.05), but external shame predicts it (p <0.05). In other word, external shame alone explains 14% of the variance of non-suicidal self-injury. Conclusion: The results of the present study show the role and importance of psychological factors such as dysmorphic concern and body shame in non-suicidal self-injury. The psychological factors, especially external shame plays a more important role in predicting this behavior. Paying attention to this factor or perception of negative judgments about the self in the mind of others can be important in developing pathological, educational and therapeutic models. On the other hand, use of therapies that emphasize the construct of shame (compassion therapy or compassion-focused therapy) may play an important role in reducing this type of shame and subsequently reducing non-suicidal self-injury. Future researches can investigate the effectiveness of such therapeutic and educational approaches on non-suicidal self-injury.

کلیدواژه‌ها [English]

  • Body Mass Index
  • Body Shame
  • Dysmorphic Concern
  • Non-Suicidal self-Injury
  • Students
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, Fifth Edition. American Psychiatric Association.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders, Fifth Edition, Text Revision. American Psychiatric Association.
Arkenau, R., Bauer, A., Schneider, S., & Vocks, S. (2022). Gender differences in state body satisfaction, affect, and body-related attention patterns towards one’s own and a peer’s body: An eye-tracking study with women and men. Cognitive Therapy and Research, 46(4), 735–746.
Beilharz, F., Phillipou, A., Castle, D., Jenkins, Z., Cistullo, L., & Rossell, S. (2019). Dysmorphic concern in anorexia nervosa: Implications for recovery. Psychiatry research, 273, 657–661.
Black, E. B., Garratt, M., Beccaria, G., Mildred, H., & Kwan, M. (2019). Body image as a predictor of nonsuicidal self-injury in women: Alongitudinal study. Comprehensive psychiatry, 88, 83–89.
De Wit, L., Have, M. T., Cuijpers, P., & de Graaf, R. (2022). Body Mass Index and risk for onset of mood and anxiety disorders in the general population: Results from the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2). BMC psychiatry, 22(1), 522.
Duarte, C., & Ferreira, C. (2022). Body image shame in men: Confirmatory factor analysis and psychometric properties of the Body Image Shame Scale. Eating and Weight Disorders, 27(7), 2377–2385.
Duarte, C., Pinto-Gouveia, J., Ferreira, C., & Batista, D. (2015). Body image as a source of shame: A new measure for the assessment of the multifaceted nature of body image shame. Clinical Psychology & Psychotherapy, 22(6), 656–666.
Duggan, J. M., Toste, J. R., & Heath, N. L. (2013). An examination of the relationship between body image factors and non-suicidal self-injury in young adults: The mediating influence of emotion dysregulation. Psychiatry Research, 206(2-3), 256–264.
Ganson, K. T., Pang, N., Testa, A., & Nagata, J. M. (2023). Muscle dysmorphia symptomatology is prospectively associated with suicidal thoughts, suicidal behaviors, and non-suicidal self-injury among a sample of Canadian adolescents and young adults. Suicide & Life-Threatening Behavior, 53(6), 1076–1085.
Geulayov, G., Ferrey, A., Hawton, K., Hermon, C., Reeves, G. K., Green, J., Beral, V., Floud, S., & Million Women Study Collaborators. (2019). Body mass index in midlife and risk of attempted suicide and suicide: Prospective study of 1 million UK women. Psychological Medicine, 49(13), 2279–2286.
Ghaderi, M., Ahi, Q., Vaziri, S., Mansouri, A., & Shahabizadeh, F. (2020). The mediating role of self–criticism and distress tolerance in relationship between attachment styles and non-suicidal self-injury behaviors in adolescents. Journal of Research in Behavioural Sciences, 17(4), 552-537. (in Persian)
Gilbert, P. (2002). Body shame: A biopsychosocial conceptualisation and overview with treatment implications. In: Gilbert P, Miles J (eds) Body shame: Conceptualisation, research and treatment. Brunner Routledge.
Gratz, K. L. (2001). Measurement of deliberate self-harm: Preliminary data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment, 23(4), 253–263.
Hack, J., & Martin, G. (2018). Expressed emotion, shame, and non-suicidal self-injury. International Journal of Environmental Research and Public Health, 15(5), 890.
Hasanvand, M., Dabbaghi, P., & Rabiei, M. (2016). Assessment of relationship between negative emotion and non-suicidal self-injury behavior: with emphasis on the mediator role of body image and emotion regulation among soldiers. Ebnesina Journal, 18(3), 56-60. (in Persian)
Hielscher, E., Whitford, T. J., Scott, J. G., & Zopf, R. (2019). When the body is the target-Representations of one's own body and bodily sensations in self-harm: A systematic review. Neuroscience and Biobehavioral Reviews, 101, 85–112.
Hou, X., Zhong, Y., Zhao, J., Luo, J., He, J., Kang, Q., Liu, l., Li, X., Yu, L., Peng, Z., Tang, L., Yong, N., & Luo, J. (in press). Clustering analysis of risk factors for on-suicidal Self-injury (NSSI) behaviors in adolescents: A cross-sectional study of western China. Research Square.
Kazemini, M., Foroughi, A., Khanjani, S., & Mohammdi, A. (2016). Factor structure and psychometric properties of persian version of dysmorphic concern questionnaire. Navid No, 18(61), 56-65. (in Persian)
Mahtani, S., Hasking, P., & Melvin, G. A. (2019). Shame and non-suicidal self-injury: conceptualization and preliminary test of a novel developmental model among emerging adults. Journal of Youth and Adolescence, 48(4), 753–770.
Mansouri, M., Tarimoradi, A., Mansouri, A., Zam, F., & Bolghan-Abadi, M. (2022). Predicting of nonsuicidal self-injury in adolescents using stressful life events, maladaptive schema and spiritual coping. Journal of Neyshabur University of Medicen Science, 10(1), 143-155. (in Persian)
Muehlenkamp, J. J., & Brausch, A. M. (2012). Body image as a mediator of non-suicidal self-injury in adolescents. Journal of Adolescence35(1), 1–9.
Nuttall F. Q. (2015). Body mass index: Obesity, BMI, and health: A critical review. Nutrition Today, 50(3), 117–128.
Oosthuizen, P., Lambert, T., & Castle, D. J. (1998). Dysmorphic concern: prevalence and associations with clinical variables. The Australian and New Zealand Journal of Psychiatry, 32(1), 129–132.
Pérez, S., Marco, J. H., & Cañabate, M. (2018). Non-suicidal self-injury in patients with eating disorders: prevalence, forms, functions, and body image correlates. Comprehensive Psychiatry, 84, 32–38.
Polskaya, N. A., Basova, A. Y., Razvaliaeva, A. Y., Yakubovskaya, D. K., Vlasova, N. V., & Abramova, A. A. (2023). Non-suicidal self-injuries and suicide risk in adolescent girls with eating disorders: Associations with weight control, body mass index, and interpersonal sensitivity. Consortium Psychiatricum, 4(2), 65-77.
Sadeghzadeh, M., & Shameli, L (2021). Measuring body-based social shame: The psychometric properties of Body Image Shame Scale (BISS) in Iranian female and male students. Cultural Psychology, 4(2), 223-242. (in Persian)
Sadeghzadeh, M., Ramezani, M., & Khoramdel, K. (2023). The structural relationship between body image shame and forms of self-criticism/self-assurance in female students: The mediating role of dimensions of fear of compassion. Health Psychology, 12(46), 93-110. (in Persian)
Safarzadeh, S., & Sevari, K. (2022). Prediction of therapeutic daily dietary intake based on body image concern, difficulties in emotion regulation and self-concept in students. Health Psychology, 10(40), 63-76. (in Persian)
Shahani, S., & Mansouri, A. (2023). The mediating role of cognitive emotion regulation in the relationship between borderline personality traits and non-suicidal self-injury in students. Clinical Psychology and Personality, 21(1), 33-42. (in Persion)
Stephen, I. D., Sturman, D., Stevenson, R. J., Mond, J., & Brooks, K. R. (2018). Visual attention mediates the relationship between body satisfaction and susceptibility to the body size adaptation effect. PloS One, 13(1), e0189855.
Tabachnick, B., & Fidell, L. (2007). Using multivariate statistics (5thed). Allyn and Bacon.
Taylor, P. J., McDonald, J., Smith, M., Nicholson, H., & Forrester, R. (2019). Distinguishing people with current, past, and no history of non-suicidal self-injury: Shame, social comparison, and self-concept integration. Journal of Affective Disorders, 246, 182–188.
Tie, B., Tang, C., Zhu, C., & He, J. (2022). Body dissatisfaction and non-suicidal self-injury among Chinese young adults: a moderated mediation analysis. Eating and Weight Disorders, 27(6), 2051–2062.
Xavier, A., Pinto Gouveia, J., & Cunha, M. (2016). Non-suicidal self-injury in adolescence: The role of shame, self-criticism and fear of self-compassion. Child & Youth Care Forum, 45(4), 571–586.
Yosefi, K., Zargham Hajebi, M., & Saravani, S. (2021). Predicting attitude to suicidal thoughts based on psychological hardiness and perceived physical Image in MS patients. Health Psychology, 10(39), 157-170. (in Persian)