Interoception, Self‐Injury and Suicidal Ideation in Female Adolescents With Restrictive Eating Disorders and Co‐Morbid Borderline Personality Disorder
Fuente:
Wiley Open Access
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Artículo Open Access |
| Published: |
Wiley
2025
|
| Subjects: | |
| Online Access: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1867004318221074432 |
|---|---|
| author | Anna Riva Carlo Panarella Gabriele Arienti Simona Di Guardo Eleonora Brasola Renata Nacinovich Andrea Eugenio Cavanna |
| author_facet | Anna Riva Carlo Panarella Gabriele Arienti Simona Di Guardo Eleonora Brasola Renata Nacinovich Andrea Eugenio Cavanna Anna Riva Carlo Panarella Gabriele Arienti Simona Di Guardo Eleonora Brasola Renata Nacinovich Andrea Eugenio Cavanna |
| collection | Wiley Open Access |
| contents | Interoception, Self‐Injury and Suicidal Ideation in Female Adolescents With Restrictive Eating Disorders and Co‐Morbid Borderline Personality Disorder Anna Riva Carlo Panarella Gabriele Arienti Simona Di Guardo Eleonora Brasola Renata Nacinovich Andrea Eugenio Cavanna Clinical Psychology & Psychotherapy ABSTRACT Aims Both restrictive eating disorders (REDs) and borderline personality disorder (BPD) are characterised by a higher risk of self‐injury and suicidal ideation; however, the possible role of altered interoception in modulating such risk is poorly understood. We set out to conduct a clinical study to explore the relationship between interoception, self‐injury and suicidal ideation in patients with REDs and BPD. Methods We recruited a sample of 75 female adolescents affected by REDs, of whom 21 had co‐morbid BPD. In addition to collecting comprehensive demographic and clinical data, we administered the Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA‐2) to all patients. Results The risk of nonsuicidal self‐injury was predicted by co‐morbid BPD ( p < 0.001), lower scores on the MAIA‐2 ‘trusting’ subscale ( p = 0.033) and higher scores on the ‘not‐distracting’ subscale ( p = 0.027). The risk of suicidal ideation was predicted by co‐morbid BPD ( p < 0.001), lower scores on the MAIA‐2 ‘trusting’ subscale ( p = 0.039), and higher scores on the ‘not‐distracting’ ( p = 0.005) and ‘self‐regulation’ ( p = 0.011) subscales. Conclusions The presence of co‐morbid BPD, together with mistrust in body sensations and heightened emotional reaction and attentional response to interoceptive sensations, can increase the risk for both self‐injury and suicidal ideation in female adolescents with REDs. Higher awareness of mind–body integration appears to further increase the risk for suicidal ideation only. 10.1002/cpp.70134 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/cpp.70134 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_cpp_70134 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Interoception, Self‐Injury and Suicidal Ideation in Female Adolescents With Restrictive Eating Disorders and Co‐Morbid Borderline Personality Disorder Anna Riva Carlo Panarella Gabriele Arienti Simona Di Guardo Eleonora Brasola Renata Nacinovich Andrea Eugenio Cavanna Clinical Psychology & Psychotherapy Interoception, Self‐Injury and Suicidal Ideation in Female Adolescents With Restrictive Eating Disorders and Co‐Morbid Borderline Personality Disorder Anna Riva Carlo Panarella Gabriele Arienti Simona Di Guardo Eleonora Brasola Renata Nacinovich Andrea Eugenio Cavanna Clinical Psychology & Psychotherapy ABSTRACT Aims Both restrictive eating disorders (REDs) and borderline personality disorder (BPD) are characterised by a higher risk of self‐injury and suicidal ideation; however, the possible role of altered interoception in modulating such risk is poorly understood. We set out to conduct a clinical study to explore the relationship between interoception, self‐injury and suicidal ideation in patients with REDs and BPD. Methods We recruited a sample of 75 female adolescents affected by REDs, of whom 21 had co‐morbid BPD. In addition to collecting comprehensive demographic and clinical data, we administered the Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA‐2) to all patients. Results The risk of nonsuicidal self‐injury was predicted by co‐morbid BPD ( p < 0.001), lower scores on the MAIA‐2 ‘trusting’ subscale ( p = 0.033) and higher scores on the ‘not‐distracting’ subscale ( p = 0.027). The risk of suicidal ideation was predicted by co‐morbid BPD ( p < 0.001), lower scores on the MAIA‐2 ‘trusting’ subscale ( p = 0.039), and higher scores on the ‘not‐distracting’ ( p = 0.005) and ‘self‐regulation’ ( p = 0.011) subscales. Conclusions The presence of co‐morbid BPD, together with mistrust in body sensations and heightened emotional reaction and attentional response to interoceptive sensations, can increase the risk for both self‐injury and suicidal ideation in female adolescents with REDs. Higher awareness of mind–body integration appears to further increase the risk for suicidal ideation only. 10.1002/cpp.70134 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Interoception, Self‐Injury and Suicidal Ideation in Female Adolescents With Restrictive Eating Disorders and Co‐Morbid Borderline Personality Disorder |
| topic | Clinical Psychology & Psychotherapy |
| url | https://onlinelibrary.wiley.com/doi/10.1002/cpp.70134 |