ArticleEuropean journal of investigation in health, psychology and education2025
Cutting into the Mirror: Association of Body Image Concerns with Non-Suicidal Self-Injury in Adolescents and Young Adults with Eating Disorders.
Article in European journal of investigation in health, psychology and education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Non-suicidal self-injury (NSSI) is a transdiagnostic behavior often found in patients with eating disorders (EDs). Both conditions plateau in adolescence and share psychopathological traits. Our study focuses on body image concerns, a complex psychopathological construct associated with both NSSI and ED, as a shared risk factor between the two. This study included 73 participants aged 14-24 recruited from the Eating Disorders Day Hospital, University Hospital of Bari, Italy, divided into two groups: those with an ED and NSSI (ED + NSSI) and those with an ED without NSSI (ED-only). Using standardized assessments such as clinical and demographical data, the Body Uneasiness Test (BUT-a), and the Eating Disorder Inventory (EDI-2), this study found that the ED + NSSI group exhibited significantly higher body image concerns in all main scales and subscales of BUT-a and EDI-2. Moreover, the ED + NSSI group presented higher scores on psychopathological traits associated with a more severe ED, namely Ineffectiveness, Social Insecurity, and Asceticism. Finally, patients in the ED + NSSI group were diagnosed with a higher degree of depressive disorders. These findings highlight significant associations between body image concerns and NSSI in patients with an ED, also showing a higher risk of psychiatric comorbidities and a more severe ED profile in these patients.
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