Is non-suicidal self-injury related to impulsivity in anorexia nervosa? Results from self-report and performance-based tasks

Eur Eat Disord Rev. 2015 Jan;23(1):28-33. doi: 10.1002/erv.2329. Epub 2014 Oct 21.

Abstract

The present study investigates the association between non-suicidal self-injury (NSSI) and impulsivity in anorexia nervosa (AN) patients by means of self-report and behavioural tasks. In total, 60 female AN patients were included in the study, filled out the Barratt Impulsiveness Scale-11 (BIS-11) and performed three performance-based tasks to assess different facets of impulsivity. Overall, 30% of the AN patients engaged in at least one form of NSSI during their lifetime. AN patients with and without NSSI did not significantly differ on the BIS-11 impulsiveness scale. On the performance-based measures, few differences emerged between AN patients with and without NSSI. Patients with NSSI showed more perseverations and perseveration errors (p < .05). The associations between self-report and performance-based measures were rather low, except for the association between the BIS-11 and Wisconsin Card Sorting Task perseveration responses and errors (correlations |r| range between .32 and .42). The implications for theory and treatment of AN patients with and without NSSI will be discussed.

Keywords: anorexia nervosa; impulsivity; neuropsychology; non-suicidal self-injury.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anorexia Nervosa / psychology*
  • Female
  • Humans
  • Impulsive Behavior*
  • Neuropsychological Tests / statistics & numerical data
  • Self Report
  • Self-Injurious Behavior / psychology*
  • Suicidal Ideation*