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Co-occurrence of non-suicidal self-injury and impulsivity in extreme weight conditions
Authors:Laurence Claes  Fernando Fernández-Aranda  Susana Jimenez-Murcia  Cristina Botella  Felipe F Casanueva  Rafael de la Torre  José M Fernández-Real  Gema Frühbeck  Francisco J Tinahones  Nuria Vilarrasa  Mónica Montserrat-Gil de Bernabé  Roser Granero  Zaida Agüera  Carolina Sancho  Jennifer Muehlenkamp  José M Menchón
Institution:1. Department of Psychology, Catholic University of Leuven, Leuven, Belgium;2. Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain;3. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain;4. Department of Clinical Sciences, School of Medicine, University of Barcelona, Spain;5. Department of Basic Psychology, Clinic and Psychobiology of the University Jaume I, Castellón, Spain;6. Laboratory of Molecular and Cellular Endocrinology, Research Area, Complejo Hospitalario Universitario de Santiago de Compostela, Spain;g Human Pharmacology and Clinical Neurosciences Research Group, Neuroscience Research Program, IMIM-Hospital del Mar Research Institute, Parc de Salut Mar, Barcelona, Spain;h Unit of Diabetes, Endocrinology and Nutrition, Institut d’Investigació Biomèdica de Girona (IdlBGi) Hospital Dr. Josep Trueta, Girona, Spain;i Department of Endocrinology, University of Navarra, Pamplona, Spain;j Unit of Diabetes, Endocrinology and Nutrition, Hospital Clínico Universitario Virgen de Victoria, Málaga, Spain;k Endocrinology and Nutrition Department, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain;l Dietetics Unit, University Hospital of Bellvitge, Barcelona, Spain;m Laboratori d’Estadistica Aplicada, Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona, Spain;n Department of Psychology, University of Wisconsin-Eau Claire, Eau Claire, WI, USA;o CIBER Salud Mental (CIBERSAM), Instituto Salud Carlos III, Barcelona, Spain
Abstract:The aims of the present study were to determine the prevalence of non-suicidal self-injury (NSSI) in different eating disorder (ED) groups and morbid obesity, and to investigate whether NSSI in different ED/obesity groups co-occur with impulsivity. We assessed 535 individuals (365 ED and 170 obese patients) by means of a single item assessing lifetime NSSI and the Barratt Impulsivity Scale, which measures different dimensions of impulsivity. The results showed that 19.1% of the ED patients engaged in at least one act of NSSI during their life-time. NSSI was more prevalent in Bulimia Nervosa, Binge Eating Disorder, Eating Disorder Not Otherwise Specified compared to Anorexia Nervosa, Restrictive type and morbid obesity. Finally, ED/obese patients who engaged in NSSI scored significantly higher on the attentional, motor and non-planning subscales than patients without NSSI. The implications of these findings for the treatment of NSSI in binge/purging ED patients are discussed.
Keywords:Non-suicidal self-injury  Eating disorders  Obesity  Impulsivity
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