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2015 ; 52
(1
): 8-14
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The Relationship between Childhood Maltreatment and Emotional Dysregulation in
Self Mutilation: An Investigation among Substance Dependent Patients
#MMPMID28360668
Karagöz B
; Da? ?
Noro Psikiyatr Ars
2015[Mar]; 52
(1
): 8-14
PMID28360668
show ga
INTRODUCTION: The present study aims to examine the role of emotion dysregulation
and childhood maltreatment in self mutilation (SM) of substance dependent
patients. Specifically, the present study examined whether emotion dysregulation
and its dimensions, and childhood maltreatment and its dimensions were associated
with SM. The relationship between emotion dysregulation and childhood
maltreatment was also investigated. METHODS: The sample of study consisted of 55
alcohol dependent and 24 opiate dependent patients (n=79). Substance dependence
was diagnosed by means of the Structured Clinical Interview for DSM-IV-TR
(SCID-I), Turkish version. Childhood Trauma Questionnaire (CTQ) and Difficulties
in Emotion Regulation Scale (DERS) were used. RESULTS: Findings indicated that
substance dependents with SM and without SM were differentiated in terms of
overall emotion dysregulation. Results also suggest the relevance of three
specific dimensions of emotion dysregulation to SM: Difficulties engaging in
goal-directed behaviors when experiencing negative emotions, difficulties
controlling impulsive behaviors when experiencing negative emotions, and limited
access to effective emotion regulation strategies. These dimensions were
predicted from childhood emotional maltreatment and neglect. It is also revealed
that substance dependents with SM had higher points than those without SM on
emotional childhood maltreatment and neglect, physical childhood maltreatment.
CONCLUSION: Results were supported by the literature suggested that
self-mutilation functions as a emotional regulation strategy. Findings also
suggested that self- mutilation is related to early relationships take place in
family environment in which individuals grow up.