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Pensamentos auto-lesivos não suicidas em adultos com história de auto-lesão não suicida: Caracterização e processo de resistência
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Orientador(es)
Resumo(s)
Diversos indivíduos que realizam auto-lesão não suicida (ALNS), relatam a presença de pensamentos auto-lesivos não suicidas (PALNS) previamente ao ato ou no quotidiano, identificando-os como precursores importantes dos comportamentos, sendo estes complicados de resistir. Diversas vezes, as características destes pensamentos, como a frequência e a intensidade, podem influenciar a ALNS. O presente estudo teve como objetivo caracterizar os PALNS em adultos com história de ALNS e analisar a sua relação com diferentes dimensões dos comportamentos. Paralelamente, explorou-se o processo de resistência aos PALNS, incluindo intenção, capacidade percebida, estratégias utilizadas e sentimentos associados. Participaram 126 adultos, que responderam ao Inventário de Comportamentos Auto-lesivos – Versão Expandida (ICAL+) e a perguntas formuladas pelos investigadores, seguindo uma metodologia mista, agrupando tanto uma abordagem quantitativa como qualitativa. Os resultados mostraram que a frequência e a intensidade dos PALNS se associam significativamente à frequência da ALNS e à diversidade de métodos, enquanto apenas a frequência se relacionou com a severidade. Já a duração e o intervalo de tempo entre pensamento e comportamentos não se revelaram tão relevantes. Quanto à resistência, a intensidade dos PALNS correlacionou-se negativamente com a capacidade de resistir, porém positivamente com a intenção de tal. Ainda, foram identificadas estratégias de resistência utilizadas pelos participantes, como o evitamento, e sentimentos positivos e negativos associados aos episódios de resistência. Por fim, o estudo apresenta implicações clínicas, limitações e sugestões para pesquisas futuras.
Several individuals who engage in Non-suicidal Self Injury (NSSI) report experiencing NSSI related thoughts (NSSI-T) prior to the act or in daily life, identifying them as important precursors of the behaviors and hard to resist. Often, these thoughts’ characteristics, such as frequency and intensity, can influence the NSSI. The present study aimed to characterize NSSI-T in adults with a history of NSSI and to examine their relationship with different dimensions of the behaviors. Additionally, the study explored the process of resisting these thoughts, including intention, perceived capacity, strategies used and associated feelings. A total of 126 participants met the criteria and responded to the Inventário de Comportamentos Auto-Lesivos – Versão Expandida (ICAL+) and to investigator-developed questions, following a mixed-methods design, utilizing both quantitative and qualitative methods. The results showed that the frequency and intensity of NSSI-T were significantly associated with the frequency of NSSI and the diversity of methods, while the intensity of the thoughts was related to severity, whereas the duration of thoughts and the temporal space between thought and action were not as relevant. Regarding resistance, the intensity of these thoughts was negatively correlated with perceived capacity to resist but positively correlated with the intention to do so. Resistance strategies used by the participants, such as avoidance, were identified, as well as both negative and positive feelings associated with episodes of resistance. The study also discusses clinical implications, limitations and suggestions for future research.
Several individuals who engage in Non-suicidal Self Injury (NSSI) report experiencing NSSI related thoughts (NSSI-T) prior to the act or in daily life, identifying them as important precursors of the behaviors and hard to resist. Often, these thoughts’ characteristics, such as frequency and intensity, can influence the NSSI. The present study aimed to characterize NSSI-T in adults with a history of NSSI and to examine their relationship with different dimensions of the behaviors. Additionally, the study explored the process of resisting these thoughts, including intention, perceived capacity, strategies used and associated feelings. A total of 126 participants met the criteria and responded to the Inventário de Comportamentos Auto-Lesivos – Versão Expandida (ICAL+) and to investigator-developed questions, following a mixed-methods design, utilizing both quantitative and qualitative methods. The results showed that the frequency and intensity of NSSI-T were significantly associated with the frequency of NSSI and the diversity of methods, while the intensity of the thoughts was related to severity, whereas the duration of thoughts and the temporal space between thought and action were not as relevant. Regarding resistance, the intensity of these thoughts was negatively correlated with perceived capacity to resist but positively correlated with the intention to do so. Resistance strategies used by the participants, such as avoidance, were identified, as well as both negative and positive feelings associated with episodes of resistance. The study also discusses clinical implications, limitations and suggestions for future research.
Descrição
Dissertação de Mestrado apresentada no ISPA – Instituto Universitário, para obtenção de grau de Mestre na especialidade de Psicologia Clínica.
Palavras-chave
Auto-Lesão Não Suicida Pensamentos Auto-lesivos Não Suicidas Resistência Intenção de resistir Non-suicidal self injury Non-suicidal self injury thoughts Resistance Intension of resisting