Non suicidal self injury and emotional eating in sexually abused children. relation to emotion regulation and alexithymia
Bibliographic record
Abstract
Abstract Background Child abuse plays a role in non-suicidal self-injury (NSSI), and experience of sexual abuse in both childhood and adolescence would further increase risk of NSSI. It was found that the risk of NSSI increased over time, and this effect was considerably stronger for adolescents who reported sexual abuse or assault within the previous 12 months, potentially indicating a group at ‘‘high risk’’ for NSSI. Emotion dysregulation (ED), including lower levels of emotional awareness and clarity must be assessed in NSSI patients. NSSI has functions in terms of emotional regulation. The relationships between NSSI, emotional eating and alexithymia should be assessed. Objective This study aims to investigate the effects of child sexual abuse (CSA) on emotional regulation, non-suicidal self-injury and alexithymia, independent from the psychiatric disorders. Patients and Methods Between October 2018 and Feb 2019, 30 healthy adolescent volunteers and 30 victims of CSA aged 8 –24 years from both outpatient clinic & inpatient department of psychiatry Ain Shams University were subjected to Full history taking, Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I), self punishment scale, Difficulties in Emotion Regulation Scale (DERS), The Toronto Alexithymia Scale and The Eating Attitudes test. Results there was a highly significant association between Child sexual abuse and the sAlexithymia Parameters in difficulty describing feelings and externally oriented thinking. Regarding the relation between CSA and Self-punishment parameters, there was a highly significant association between CSA and physical, thinking and affective and self neglegction. Regarding the association between CSA and emotional dysregulation we found highly significant association between CSA and Impulse control difficulties, limited access to emotional regulation strategies, lack of emotional clarity and difficulty engaging in goal directed behavior and there was significant association with lack of emotional awarness. Conclusion Child sexual abuse is associated with higher grades of Alexithymia, self-punishment, emotional dysregulation and not emotional eating.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".