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DOI: 10.1055/s-0038-1628477
Emotionsregulation und zwischenmenschliche Beziehungen bei Jugendlichen mit NSSV
Emotionserkennung und EmotionsausdruckEmotion regulation and interpersonal relationships in adolescents with NSSIEmotion recognition and emotion expressionPublication History
Eingegangen am:
05 June 2012
angenommen am:
17 August 2012
Publication Date:
22 January 2018 (online)

Zusammenfassung
Charakteristisch für Jugendliche mit nicht suizidalem selbstverletzendem Verhalten (NSSV) sind Emotionsregulationsschwierigkeiten. Schwierigkeiten in zwischenmenschlichen Beziehungen sind direkt und indirekt über eine inadäquate Emotionsregulation mit NSSV assoziiert. Wichtige Aspekte einer gelungenen Emotionsregulation und funktionierenden zwischenmenschlichen Beziehungen sind die Emotionserkennung und der Emotionsausdruck. Studien mit Patienten mit einer Borderline-Persönlichkeitsstörung, die oft NSSV zeigen, weisen auf Auffälligkeiten in der Emotionserkennung hin. Zudem gibt es erste Ergebnisse in Richtung eines verminderten Emotionsausdrucks bei dieser Patientengruppe. In der Therapie von Jugendlichen mit NSSV ist die Förderung von Emotionsregulationskompetenzen und sozialen Fertigkeiten wichtig. Möglicherweise könnten Übungen zur Emotionserkennung und zum adäquaten Emotionsausdruck bestehende Therapiekonzepte ergänzen.
Summary
Adolescents with non-suicidal self-injury (NSSI) are characterized by difficulties in emotion regulation. Difficulties in interpersonal relationships are directly and indirectly associated with NSSI through emotion dysregulation. Two important elements of a successful emotion regulation and functional interpersonal relationships are emotion recognition and emotion expression. Studies with patients with borderline personality disorder who often show NSSI indicate abnormalities in emotion recognition and a reduced emotion expression. In treatment programmes for adolescents with NSSI, the fostering of emotion regulation abilities and interpersonal skills are important. Trainings in emotion recognition and emotion expression might complement existing treatment concepts.
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Literatur
- 1 Nock MK, Favazza AR. Nonsuicidal self-injury: Definition and classification. In: Nock MK. (Hrsg.). Understanding nonsuicidal self-injury: Origins, assessment, and treatment. Washington: American Psychological Association; 2009: 7-18.
- 2 Nitkowski D, Petermann F. Selbstverletzendes Verhalten und komorbide psychische Störungen: Ein Überblick. Fortschr Neurolog Psychiatr 2011; 78 (01) 9-20.
- 3 Petermann F, Winkel S. Selbstverletzendes Verhalten: Erscheinungsform und Interventionsmöglichkeiten. 2. Aufl. Göttingen: Hogrefe; 2009
- 4 Plener PL, Libal G, Keller F, Fegert JM, Muehlenkamp JJ. An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychol Med 2009; 39 (09) 1549-1558.
- 5 Nock MK, Joiner TE, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal sel-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Res 2006; 144: 65-72.
- 6 Hawton K, Hall S, Simkin S, Bale L, Bond A, Codd S. et al. Deliberate self-harm in adolescents: A study of characteristics and trends in Oxford, 1990–2000. J of Child Psychol Psychiatry 2003; 44 (08) 1191-1198.
- 7 Rauber R, Hefti S, In-Albon T, Schmid M. Wie psychisch belastet fühlen sich Jugendliche mit selbstverletzendem Verhalten?. Kindheit und Entwicklung 2012; 21 (01) 23-39.
- 8 Vonderlin E, Haffner J, Behrend B, Brunner R, Parzer P, Resch F. Welche Probleme berichten Jugendliche mit selbstverletzendem Verhalten? Ergebnisse einer repräsentativen Schülerbefragung. Kindheit und Entwicklung 2011; 20 (02) 111-118.
- 9 American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fourth edition, text revision. Washington, DC: American Psychiatric Association; 2000
- 10 Zanarini MC, Frankenburg FR, Reich DB, Fitzmaurice G, Weinberg I, Gunderson JG. The 10-year course of physically self-destructive acts reported by borderline patients and axis II comparison subjects. Acta Psychiatr Scand 2008; 117 (03) 177-184.
- 11 American Psychiatric Association. DSM-5 development. Retrived from www.dsm5.org August 15, 2012.
- 12 Nock MK. Why do People Hurt Themselves? New insights into the nature and functions of self-injury. Curr Dir Psychol Sci 2009; 18 (02) 78-83.
- 13 Nock MK. Self-injury. Ann Rev of Clin Psychol 2010; 06: 339-363.
- 14 Nixon MK, Cloutier PF, Aggarwal S. Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents. J Am Acad Child Adolesc Psychiatry 2002; 41 (11) 1333-1341.
- 15 Haines J, Williams CL, Brain KL, Wilson GV. The psychophysiology of self-mutlation. J Abnorm Psychol 1995; 40 (09) 514-522.
- 16 Brain KL, Haines J, Williams CL. The psychophysiology of self-mutilation: Evidence of tension reduction. Arch Suicide Res 1995; 04 (03) 227-242.
- 17 Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004; 26 (01) 41-54.
- 18 Hankin BL, Abela JR. Nonsuicidal self-injury in adolescence: Prospective rates and risk factors in a 2 ½ year longitudinal study. Psychiatry Res 2011; 186 (01) 65-70.
- 19 Adrian M, Zeman J, Erdley C, Lisa L, Sim L. Emotion dysregulation and interpersonal difficulties as risk factors for non-suicidal self-injury in adolescent girls. J Abnorm Child Psychol 2011; 39: 389-400.
- 20 Miller PA, Eisenberg N. The relation of empathy to aggressive and externalizing antisocial behavior. Psychol Bull 1998; 103 (03) 324-344.
- 21 Mayer JD, Salovey P, Caruso DR, Sitarenios G. Emotional intelligence as a standard intelligence. Emotion 2001; 03: 232-242.
- 22 Marsh AA, Ambady N. The influence of the fear facial expression on prosocial responding. Cog and Emot 2007; 21: 225-247.
- 23 Bland AR, Williams CA, Scharer K, Manning S. Emotion processing in borderline personality disorders. Issues Ment Health Nurs 2004; 25 (07) 655-672.
- 24 Domes G, Czieschnek D, Weidler F, Berger C, Fast K, Herpertz SC. Recognition of facial affect in borderline personality disorder. J Pers Disord 2008; 22 (02) 135-147.
- 25 Levine D, Marziali E, Hood J. Emotion processing in borderline personality disorders. J Nerv Ment Dis 1997; 185 (04) 240-246.
- 26 Wagner AW, Linehan MM. Facial expression recognition ability among women with borderline personality disorder: Implications for emotion regulation?. J Pers Disord 1999; 13 (04) 329-344.
- 27 Lynch TR, Rosenthal MZ, Kosson DS, Cheavens JS, Lejuez CW, Blair RJR. Heightened sensitivity to facial expressions of emotion in borderline personality disorder. Emotion 2006; 06 (04) 647-655.
- 28 Dyck M, Habel U, Slodczyk J, Schlummer J, Backes V, Schneider F. et al. Negative bias in fast emotion discrimination in borderline personality disorder. Psychol Med 2009; 39 (05) 855-864.
- 29 Von Ceumern-Lindenstjerna IA, Brunner R, Parzer P, Frey M, Fiedler P, Resch F. Wahrnehmung und Bewertung von emotionalen Gesichtsausdrücken bei weiblichen Jugendlichen mit einer Borderline-Persönlichkeitsstörung. Z Kinder Jugendpsychiatr Psychother 2007; 35 (05) 333-340.
- 30 Minzenberg MJ, Poole JH, Vinogradov S. Socialemotion recognition in borderline personality disorder. Compr Psychiatry 2006; 47: 468-474.
- 31 Donegan NH, Sanislow CA, Blumberg HP, Fulbright RK, Lacadie C, Skudlarski P. et al. Amygdala hyperreactivity in borderline personality disorder: Implications for dmotional dysregulation. Biol Psychiatry 2003; 54 (11) 1284-1293.
- 32 Harwood NK, Hall LJ, Shinkfield AJ. Recognition of facial emotional expressions from moving and static displays by individuals with mental retardation. Am J Ment Retard 1999; 104 (03) 270-278.
- 33 Sato W, Kochiyama T, Yoshikawa S, Naito E, Matsumura M. Enhanced neural activity in response to dynamic facial expressions of emotion: An fMRI study. Brain Res Cogn Brain Res 2004; 20 (01) 81-91.
- 34 Domes G, Schulze L, Herpertz SC. Emotion recognition in borderline personality disorder: A review of the literature. J Pers Dis 2009; 23 (01) 6-19.
- 35 Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004; 26 (01) 41-54.
- 36 Gross JJ, Levenson RW. Hiding feelings: The acute effects of inhibiting negative and positive emotion. J Abnorm Psychol 1997; 106 (01) 95-103.
- 37 Blair RJ. Facial expressions, their communicatory functions and neuro-cognitive substrates. Philos Trans R Soc Lond Biol Sci 2003; 358 (1431): 561-572.
- 38 Keltner D, Kring AM. Emotion, social function, and psychopathology. Rev Gen Psychol 1998; 02 (03) 320-342.
- 39 Ekman P, Friesen W. Facial action coding system: A technique for the measurement of facial movement. Palo Alto, California: Consulting Psychologists Press; 1978
- 40 Achaibou A, Pourtois G, Schwartz S, Vuilleumier P. Simultaneous recording of EEG and facial muscle reactions during spontaneous emotional mimicry. Neuropsychologia 2008; 46 (04) 1104-1113.
- 41 Hess U, Blairy S. Facial mimicry and emotional contagion to dynamic facial expressions and their influence on decoding accuracy. Int J Psychophysiol 2001; 40: 129-141.
- 42 Lundqvist LO, Dimberg U. Facial expressions are contagious. J Psychophysiol 1995; 09: 203-211.
- 43 Moody EJ, McIntosh DN, Mann LJ, Weisser KR. More than mere mimicry? The influence of emotion on rapid facial reactions to faces. Emotion 2007; 07 (02) 447-457.
- 44 Bourgeois P, Hess U. The impact of social context on mimicry. Biol Psychol 2008; 77 (03) 343-352.
- 45 Sloan DM, Bradley MM, Dimoulas E, Lang PJ. Looking at facial expressions: Dysphoria and facial EMG. Biol Psychol 2002; 60: 79-90.
- 46 Vrana SR, Gross D. Reactions to facial expressions: Effects of social context and speech anxiety on responses to neutral, anger, and joy expressions. Biol Psychol 2004; 66 (01) 63-78.
- 47 Varcin KJ, Bailey PE, Henry JD. Empathic deficits in schizophrenia: The potential role of rapid facial mimicry. J Int Neuropsychol Soc 2010; 16 (04) 621-629.
- 48 McIntosh DN, Reichmann-Decker A, Winkielman P, Wilbarger JL. When the social mirror breaks: Deficits in automatic, but not voluntary, mimicry of emotional facial expressions in autism. Dev Sci 2006; 09 (03) 295-302.
- 49 Herpertz SC, Werth U, Lukas G, Qunaibi M, Schuerkens A, Kunert HJ. et al. Emotion in criminal offenders with psychopathy and borderline personality disorder. Arch Gen Psychiatry 2001; 58 (08) 737-745.
- 50 Renneberg B, Heyn K, Gebhard R, Bachmann S. Facial expression of emotions in borderline personality disorder and epression. J Behav Ther Exp Psychiatry 2005; 36: 183-196.
- 51 Lang PJ, Bradley MM, Cuthbert BN. International affective picture system (IAPS): Technical manual and affective ratings. Gainesville: Universtiy of Florida, Center for Research in Psychology; 1999
- 52 Dimberg U, Thunberg M, Elmehed K. Unconscious facial reactions to emotional facial expressions. Psychol Sci 2000; 11 (01) 86-89.
- 53 Klonsky The functions of self-injury in young adults who cut themselves: Clarifying the evidence for affect-regulation. Psychiatry Research 2009; 166 (2–3): 260-268.
- 54 Linehan MM. Dialektisch-behaviorale Therapie der Borderline-Persönlichkeitsstörung. München: CIP-Medien; 1996
- 55 Linehan MM, Bohus M, Lynch TR. Dialectical behavior therapy for pervasive emotion dysregulation. Theoretical and practical underpinnings. In: Gross JJ. (Eds.). Handbook of emotion regulation. New York: Guilford Press; 2007: 581-605.
- 56 Miller AL, Rathus JH, DuBose AP, Dexter ETMazza, Goldklang R. Dialectical behavior therapy for adolescents. In: Dimeff LA, Koerner K. (Hrsg.). Dialectical behavior therapy in clinical practice: Applications across disorders and settings. New York: Guilford Press; 2007: 324-344.
- 57 Fleischhaker C, Böhme R, Sixt B, Bruck C, Schneider C, Schulz E. Dialectical behavioral therapy for adolescents (DBT-A): A clinical trial for patients with suicidal and self-injurius behavior and borderline symptoms with a one-year followup. J Child Adolesc Ment Health 2011; 05 (03) 1-10.
- 58 Kernberg PF. Spiegelbilder: Der Einsatz des Spiegels in der klinischen Arbeit mit Kindern und Jugendlichen. Stuttgart: Klett-Cotta; 2008