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Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders

Journal of Korean Academy of Nursing 2009³â 39±Ç 4È£ p.459 ~ 468
KMID : 0806120090390040459
°ø¼º¼÷ ( Kong Seong-Sook ) - ¼øõÇâ´ëÇб³ °£È£Çаú

Abstract

Purpose: The purpose of the study was to investigate psychological factors such as eating psychopathology, depression, and obsessive-compulsion that might influence self-harm behavior in patients with eating disorders.

Methods: Patients with eating disorders (n=135) who visited ¡°M¡± clinic for eating disorders participated in the study. Data were collected from March to August 2007 using the Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Self-Harm Inventory (SHI).

Results: The participants scored high on self-harm as well as on depression and obsessive-compulsion. On the SHI, a high frequency of self harm behavior such as ¡®torturing self with self-defeating thoughts¡¯, ¡®abused alcohol¡¯, ¡®hit self¡¯, and ¡®suicide attempt¡¯ were found for the participants. There were significant correlations between most eating psychopathology variables, depression, obsessive-compulsion, and self-harm behavior. ¡®Interoceptive awareness¡¯ (eating psychopathology), depression, and ¡®checking¡¯ (obsessive-compulsion) were significant predictors of self-harm behavior.

Conclusion: Future interventions for patients with eating disorders should focus on assessing the possibility of self-harm and suicidal attempts, especially in those patients with high levels of eating psychopathology, depression, or obsessive-compulsion. Early intervention for depression and obsessive-compulsion could contribute to preventing self-harm and suicide in patients with eating disorders.
KeyWords
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Eating disorders, Depression, Obsessive-compulsive, Self-harm
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