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Behavioral measures of impulsivity and compulsivity in adolescents with nonsuicidal self-injury.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Chamberlain, Samuel R  ORCID logo  https://orcid.org/0000-0001-7014-8121
Goodyer, Ian M 
Bhardwaj, Anupam 
Sahakian, Barbara J 

Abstract

BACKGROUND: Nonsuicidal self-injury (NSSI) is prevalent among adolescents and research is needed to clarify the mechanisms which contribute to the behavior. Here, the authors relate behavioral neurocognitive measures of impulsivity and compulsivity to repetitive and sporadic NSSI in a community sample of adolescents. METHODS: Computerized laboratory tasks (Affective Go/No-Go, Cambridge Gambling Task, and Probabilistic Reversal Task) were used to evaluate cognitive performance. Participants were adolescents aged 15 to 17 with (n = 50) and without (n = 190) NSSI history, sampled from the ROOTS project which recruited adolescents from secondary schools in Cambridgeshire, UK. NSSI was categorized as sporadic (1-3 instances per year) or repetitive (4 or more instances per year). Analyses were carried out in a series of linear and negative binomial regressions, controlling for age, gender, intelligence, and recent depressive symptoms. RESULTS: Adolescents with lifetime NSSI, and repetitive NSSI specifically, made significantly more perseverative errors on the Probabilistic Reversal Task and exhibited significantly lower quality of decision making on the Cambridge Gambling Task compared to no-NSSI controls. Those with sporadic NSSI did not significantly differ from no-NSSI controls on task performance. NSSI was not associated with behavioral measures of impulsivity. CONCLUSIONS: Repetitive NSSI is associated with increased behavioral compulsivity and disadvantageous decision making, but not with behavioral impulsivity. Future research should continue to investigate how neurocognitive phenotypes contribute to the onset and maintenance of NSSI, and determine whether compulsivity and addictive features of NSSI are potential targets for treatment.

Description

Keywords

Compulsivity, NSSI, adolescent, cognitive, decision making, impulsivity, self-harm, self-injury, Humans, Self-Injurious Behavior, Impulsive Behavior, Gambling

Journal Title

CNS Spectr

Conference Name

Journal ISSN

1092-8529
2165-6509

Volume Title

Publisher

Cambridge University Press (CUP)

Rights

All rights reserved
Sponsorship
Wellcome Trust (074296/Z/04/Z)
Wellcome Trust (095844/Z/11/Z)
Wellcome Trust (110049/Z/15/Z)
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