Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder

Jakob Scheunemann; Simone Kühn; Sarah V Biedermann; Michael Lipp; Judith Peth; Jürgen Gallinat; Lena Jelinek

doi:10.1016/j.jbtep.2023.101836

Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder

Standard

Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder. / Scheunemann, Jakob ; Kühn, Simone ; Biedermann, Sarah V; Lipp, Michael; Peth, Judith ; Gallinat, Jürgen ; Jelinek, Lena.

in: J BEHAV THER EXP PSY, Jahrgang 79, Nr. 1018369, 06.2023, S. 1018369.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Scheunemann, J , Kühn, S , Biedermann, SV, Lipp, M, Peth, J , Gallinat, J & Jelinek, L 2023, 'Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder', J BEHAV THER EXP PSY, Jg. 79, Nr. 1018369, S. 1018369. https://doi.org/10.1016/j.jbtep.2023.101836

APA

Scheunemann, J., Kühn, S., Biedermann, S. V., Lipp, M., Peth, J., Gallinat, J., & Jelinek, L. (2023). Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder. J BEHAV THER EXP PSY, 79(1018369), 1018369. https://doi.org/10.1016/j.jbtep.2023.101836

Vancouver

Scheunemann J , Kühn S , Biedermann SV, Lipp M, Peth J , Gallinat J et al. Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder. J BEHAV THER EXP PSY. 2023 Jun;79(1018369):1018369. https://doi.org/10.1016/j.jbtep.2023.101836

Bibtex

@article{9165f6f023c14959ac2370d615110d72,

title = "Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder",

abstract = "BACKGROUND AND OBJECTIVES: Performance on implicit measures of suicidality has been associated with suicidal and nonsuicidal self-injury. Despite the high prevalence of self-harm in patients with borderline personality disorder (BPD), no previous study has assessed implicit measures in this patient group.METHODS: Forty patients with BPD and 25 healthy controls completed three implicit association tests (IATs) (Death words - Me/Others words, Self-Harm pictures - Me/Others, and Self-Harm pictures - Good/Bad words) and a subliminal priming task (effect of the primes {"}dying{"}/{"}growing{"} on the categorization speed of positive/negative adjectives) as well as measures of psychopathology (suicidal ideation, previous nonsuicidal self-injury, borderline symptomatology, depression, and hopelessness).RESULTS: Patients with BPD had higher scores on all three IATs than healthy controls. The subliminal priming procedure did not reveal group differences. Correlations between implicit measures and psychopathology among patients with BPD were mostly weak and nonsignificant with a few exceptions: Positive correlations were observed between IAT Self-Harm - Good/Bad and lifetime frequency of nonsuicidal self-injury, between IAT Self-Harm - Me/Others and depression, and between IAT Death - Me/Others and depression. Correlations between implicit measures were weak to moderate.LIMITATIONS: The study was cross-sectional only, and the study had reduced power as the sample size was limited.CONCLUSIONS: As expected, patients with BPD had higher scores than healthy controls on the IATs, which indicates higher implicit self-identification with self-harm and death as well as stronger implicit positive attitudes towards self-harm. The mostly weak correlations between implicit and explicit measures speak against the discriminative value of IATs in patients with BPD.",

keywords = "Humans, Suicidal Ideation, Borderline Personality Disorder, Cross-Sectional Studies, Self-Injurious Behavior, Cognition",

author = "Jakob Scheunemann and Simone K{\"u}hn and Biedermann, {Sarah V} and Michael Lipp and Judith Peth and J{\"u}rgen Gallinat and Lena Jelinek",

year = "2023",

month = jun,

doi = "10.1016/j.jbtep.2023.101836",

language = "English",

volume = "79",

pages = "1018369",

journal = "J BEHAV THER EXP PSY",

issn = "0005-7916",

publisher = "Elsevier Limited",

number = "1018369",

}

RIS

TY - JOUR

T1 - Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder

AU - Scheunemann, Jakob

AU - Kühn, Simone

AU - Biedermann, Sarah V

AU - Lipp, Michael

AU - Peth, Judith

AU - Gallinat, Jürgen

AU - Jelinek, Lena

PY - 2023/6

Y1 - 2023/6

N2 - BACKGROUND AND OBJECTIVES: Performance on implicit measures of suicidality has been associated with suicidal and nonsuicidal self-injury. Despite the high prevalence of self-harm in patients with borderline personality disorder (BPD), no previous study has assessed implicit measures in this patient group.METHODS: Forty patients with BPD and 25 healthy controls completed three implicit association tests (IATs) (Death words - Me/Others words, Self-Harm pictures - Me/Others, and Self-Harm pictures - Good/Bad words) and a subliminal priming task (effect of the primes "dying"/"growing" on the categorization speed of positive/negative adjectives) as well as measures of psychopathology (suicidal ideation, previous nonsuicidal self-injury, borderline symptomatology, depression, and hopelessness).RESULTS: Patients with BPD had higher scores on all three IATs than healthy controls. The subliminal priming procedure did not reveal group differences. Correlations between implicit measures and psychopathology among patients with BPD were mostly weak and nonsignificant with a few exceptions: Positive correlations were observed between IAT Self-Harm - Good/Bad and lifetime frequency of nonsuicidal self-injury, between IAT Self-Harm - Me/Others and depression, and between IAT Death - Me/Others and depression. Correlations between implicit measures were weak to moderate.LIMITATIONS: The study was cross-sectional only, and the study had reduced power as the sample size was limited.CONCLUSIONS: As expected, patients with BPD had higher scores than healthy controls on the IATs, which indicates higher implicit self-identification with self-harm and death as well as stronger implicit positive attitudes towards self-harm. The mostly weak correlations between implicit and explicit measures speak against the discriminative value of IATs in patients with BPD.

AB - BACKGROUND AND OBJECTIVES: Performance on implicit measures of suicidality has been associated with suicidal and nonsuicidal self-injury. Despite the high prevalence of self-harm in patients with borderline personality disorder (BPD), no previous study has assessed implicit measures in this patient group.METHODS: Forty patients with BPD and 25 healthy controls completed three implicit association tests (IATs) (Death words - Me/Others words, Self-Harm pictures - Me/Others, and Self-Harm pictures - Good/Bad words) and a subliminal priming task (effect of the primes "dying"/"growing" on the categorization speed of positive/negative adjectives) as well as measures of psychopathology (suicidal ideation, previous nonsuicidal self-injury, borderline symptomatology, depression, and hopelessness).RESULTS: Patients with BPD had higher scores on all three IATs than healthy controls. The subliminal priming procedure did not reveal group differences. Correlations between implicit measures and psychopathology among patients with BPD were mostly weak and nonsignificant with a few exceptions: Positive correlations were observed between IAT Self-Harm - Good/Bad and lifetime frequency of nonsuicidal self-injury, between IAT Self-Harm - Me/Others and depression, and between IAT Death - Me/Others and depression. Correlations between implicit measures were weak to moderate.LIMITATIONS: The study was cross-sectional only, and the study had reduced power as the sample size was limited.CONCLUSIONS: As expected, patients with BPD had higher scores than healthy controls on the IATs, which indicates higher implicit self-identification with self-harm and death as well as stronger implicit positive attitudes towards self-harm. The mostly weak correlations between implicit and explicit measures speak against the discriminative value of IATs in patients with BPD.

KW - Humans

KW - Suicidal Ideation

KW - Borderline Personality Disorder

KW - Cross-Sectional Studies

KW - Self-Injurious Behavior

KW - Cognition

U2 - 10.1016/j.jbtep.2023.101836

DO - 10.1016/j.jbtep.2023.101836

M3 - SCORING: Journal article

C2 - 36709601

VL - 79

SP - 1018369

JO - J BEHAV THER EXP PSY

JF - J BEHAV THER EXP PSY

SN - 0005-7916

IS - 1018369

ER -