Attachment to parents in adolescent patients with non-suicidal self-injurious behavior / Nessma Khalaf Mansour Abdelhafez ; Supervised Azza Ahmed Elbakry , Walaa Amin Fakher

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neuropsychiatry

Background: Adolescents endorsing non-suicidal self-injury (NSSI) have become the focus of research because of their greatly increased risk of suicide. On the other hand, only a paucity of studies focused on its potential association with family risk factors. Aim: To study the relation of attachment to parents and NSSI in adolescent patients with different psychiatric disorders. Method: Two groups of adolescent patients were recruited along a period of 6 months. The first consisted of patients with NSSI (n=30) and were recruited from Kasr Al-Ainy psychiatry outpatient clinic and the second consisted of non-psychiatric patients (n=30) recruited from other outpatient clinics. Semi-structured psychiatric interview, SCID-I and II were used to assess for psychiatric disorders. Subsequent assessments were done by using Brief Non-Suicidal Self-Injury Assessment tool (BNSSI-AT), Inventory of Parent & Peer Attachment (IPPA), Parental Bonding Instrument (PBI) and Childhood Trauma Questionnaire (CTQ). Results: Among patients with NSSI, 16.7% gave history of attempted suicide and the majority was diagnosed with depressive disorders and borderline personality disorder. Most of patients with NSSI showed less secure attachment to their parents and perceived the parental relationship as less caring and more controlling. Conclusion: Patients with NSSI showed less secure adolescentparent attachment. They perceived the parental bonding as affectionless control with low care being offered to them and high control being exerted upon them

Issued also as CD