The Mediating Role of Self-Compassion in the Relationship of Alexithymia and Borderline Personality Symptoms with Non-Suicidal Self-Injury Behaviors in Soldiers

1. Sadri Damirchi E, Fayazi M, Mohammadi N. The Relationship between Self-efficacy and Perceived Social Support with Addiction Tendency among Soldiers. Journal Mil Med. 2017 Feb 15;18(4):316-24 2. Farsi Z, Jabari moroee M, Ebadi A. General health assessment of Army soldiers seen in a military medical outpatient clinic in Tehran. JAUMS. 2006. 4(3). 923-930. 3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fifth Edition. American Psychiatric Publishing, Arlington, VA. 2013. doi:10.1176/appi.books.9780890425596 4. Whitlock J, Muehlenkamp J, Purington A, Eckenrode J, Barreira P, Baral Abrams G, et al. Nonsuicidal self-injury in a college population: General trends and sex differences. Journal of American College Health. 2011;59(8):691-8. doi:10.1080/07448481.2010.529626 5. Zetterqvist M, Lundh LG, Dahlstrom O, Svedin CG. Prevalence and function of non-suicidal self-injury (NSSI) in a community sample of adolescents, using suggested DSM-5 criteria for a potential NSSI disorder. J Abno Child Psycho. 2013; 41: 759-773. doi:10.1007/s10802-013-9712-5 6. Swannell SV, Martin GE, Page, A., Hasking P, John, NJ. Prevalence of nonsuicidal self-injury in nonclinical samples: Systematic review, meta-analysis and meta-regression. Suicide and Life-Threatening Behavior. 2014; 44(3): 273-303. doi:10.1111/sltb.12070 7. Heath N, Schaub K, Holly S, Nixon MK. Self-injury today: review of population and clinical studies in adolescence. in: Nixon, M.K, Heath, N.L. (Eds.),Self-injury in Youth: The Essential Guide to Assessment and Intervention. Routledge Press, New York, NY, pp. 2009;9-27. 8. Kimbrel NA, DeBeer BB, Meyer EC, Gulliver SB, Morissette SB. Nonsuicidal self-injury and suicide attempts in Iraq/Afghanistan war veterans. Psychiatry research. 2016;243:232-7. doi:10.1016/j.psychres.2016.06.039 9. Bryan C, Bryan A. Nonsuicidal self‐injury among a sample of united states military personnel and veterans enrolled in college classes. Journal of clinical psychology. 2014;70(9):874-85. doi:10.1002/jclp.22075 10. Bryan CJ, Bryan AO, May AM, Klonsky ED. Trajectories of suicide ideation, nonsuicidal self‐injury, and suicide attempts in a nonclinical sample of military personnel and veterans. Suicide and Life‐Threatening Behavior. 2015;45(3):315-25. doi:10.1111/sltb.12127 11. Turner BJ, Kleiman EM, Nock MK. Non-suicidal self-injury prevalence, course, and association with suicidal thoughts and behaviors in two large, representative samples of US Army soldiers. Psychological medicine. 2019;49(9):1470-80. doi:10.1017/S0033291718002015 12. Avakh F, Mahdavi A, Ebrahimi M. The relation of self-mutilation and personality disorders among military soldiers. 2014. 13. Klonsky ED, May AM, Glenn CR. The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples. Journal of abnormal psychology. 2013;122(1):231.doi:10.1037/a0030278 14. Jiang Y, You J, Zheng X, Lin M-P. The qualities of attachment with significant others and self-compassion protect adolescents from non suicidal self-injury. School psychology quarterly. 2017;32 (2): 143.doi:10.1037/spq0000187 15. Cleare S, Gumley A, O'Connor RC. Self‐compassion, self‐forgiveness, suicidal ideation, and self‐harm: A systematic review. Clinical psychology & psychotherapy. 2019. doi:10.1002/cpp.2372 16. Hasking P, Boyes ME, Finlay-Jones A, McEvoy PM, Rees CS. Common pathways to NSSI and suicide ideation: the roles of rumination and self-compassion. Archives of Suicide Research. 2019; 23(2):24760.doi:10.1080/13811118.2018.1468836 17. Neff K. Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and identity. 2003;2(2):85-101. doi:10.1080/15298860309032 18. López A, Sanderman R, Ranchor AV, Schroevers MJ. Compassion for others and self-compassion: Levels, correlates, and relationship with psychological well-being. Mindfulness. 2018;9(1): 325-31. doi:10.1007/s12671-017-0777-z 19. Cleare S, Gumley A, O'Connor RC. Self‐compassion, self‐forgiveness, suicidal ideation, and self‐harm: A systematic review. Clinical psychology & psychotherapy. 2019. doi:10.1002/cpp.2372 20-Bluth K, Neff KD. New frontiers in understanding the benefits of self-compassion. Self and Identity. 2018;17(6):605-8. doi:10.1080/15298868.2018.1508494 21. Basharpoor S, Khanjani S, Foroghi A. Predict to self-injury behavior in men with borderline personality disorder based on their levels of distress tolerance and self-compassion. Journal of Shahrekord University of Medical Sciences. 2017; 18. 22. Mohammadi R, Khanjani S, Rajabi M. Relation of Distress Tolerance and Self-compassion with Symptoms of Borderline Personality in People with Borderline Personality Disorder Referred to one of the Military Hospitals. J Police Med. 2015; 4 (3):191-200 23. Rivera AC. Mindfulness and self-compassion in relation to Borderline Personality Disorder. Alliant International University, 2013, 108 pages; 3591048 24. Aydin A, Campus G, Kadıköy İT. An investigation of the relationship between self-compassion, humor and alexithymic characteristics of parents with autistic children. International Journal on New Trends in Education and Their Implications. 2014;5:145-59. 25. Gilbert P, McEwan K, Gibbons L, Chotai S, Duarte J, Matos M. Fears of compassion and happiness in relation to alexithymia, mindfulness, and self‐criticism. Psychology and Psychotherapy: Theory, Research and Practice. 2012;85(4):374-90.doi:10.1111/j.20448341.2011.02046.x 26. Gilbert P, McEwan K, Catarino F, Baiao R, Palmeira L. Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology. 2014;53(2):228-44. doi:10.1111/bjc.12037 27. Paivio SC, McCulloch CR. Alexithymia as a mediator between childhood trauma and self-injurious behaviors. Child abuse & neglect. 2004; 28 (3): 339-54. doi:10.1016/j.chiabu.2003.11.018 28. Norman H, Borrill J. The relationship between self‐harm and alexithymia. Scandinavian journal of psychology. 2015;56(4):405-19. doi:10.1111/sjop.12217 29. Cerutti R, Calabrese M, Valastro C. Alexithymia and personality disorders in the adolescent non-suicidal self-injury: Preliminary results. Procedia Soc. Behav. Sci. 2014;114:372-6. doi:10.1016/j.sbspro.2013.12.714 30. Glenn CR, Klonsky ED. A multimethod analysis of impulsivity in non-suicidal self-injury. Personal Disord. 2010; 1(1):67-75. doi:10.1037/a0017427 31. Muehlenkamp JJ, Erlelt T, Claes L, Miller AL. Borderline personality features differentiate nonsuicidal and suicidal self-injury in adolescent outpatients. Journal of Child Psychology and Psychiatry. 2011; 52: 148-155. doi:10.1111/j.1469-7610.2010.02305.x 32. Selby EA, Bender TW, Gordon KH, Nock MK, JoinerT E. Nonsuicidal self-injury (NSSI) disorder: A preliminary study. Personality Disorders: Theory, Research, and Treatment. 2012; 3(2): 167 doi:10.1037/a0024405 33. Pérez S, Marco JH, García-Alandete J. Comparison of clinical and demographic characteristics among borderline personality disorder patients with and without suicidal attempts and non-suicidal self-injury behaviors. Psychiatry research. 2014;220(3):935-40. doi:10.1016/j.psychres.2014.09.001 34. Nouri R, Fathi Ashtiani A, Ahmadi K, Gholam- Ali Lavasani M. Status general and mental health in basic combat training Soldiers. J military Psychology 2014; 5(18): 5-14. 35. Kline RB. Principles and practice of structural equation modeling: Guilford publications; 2015. 36- Gratz KL. Measurement of deliberate self-harm: preliminary data on the Deliberate Self-Harm Inventory. J Psychop Beh Asses 2001; 23: 253-263. doi:10.1023/A:1012779403943 37. Fliege H, Kocalevent R, Walter OB, Beck S, Gratz KL, Gutierrez P, Klapp BF. Three assessment tools for deliberate self-harm and suicide behavior: evaluation and psychopathological correlates. J Psycho Res 2006; 61: 113-121. doi:10.1016/j.jpsychores.2005.10.006 38. Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the Self-Compassion Scale. Clin Psychol Psychother. 2011;18(3):250-5. doi:10.1002/cpp.702 39. Khanjani S, Foroughi AA, Sadghi K, Bahrainian SA. [Psychometric properties of Iranian version of self-compassionscale (short form)]. Pajoohande. 2016; 21(5): 282-9. 40-Jackson M, Claridge G. Reliability and validity of a psychotic trait questionnaire [STQ]. Br J Clin Psychol 1991; 30(4):311-23. doi:10.1111/j.2044-8260.1991.tb00952.x 41. Shankar R. Borderline personality disorder and the psychosis spectrum: A personality and divided visual field study. Oxford University; 1998. [Dissertation] 42. Mohammadzadeh A, Goodarzi MA, Taghavi MR, Mollazadeh M. The study of factor structure, validity, reliability and standardization of borderline personality scale in Shiraz university students. J Fundam Mental Health. 2005;27(7):75-89. 43. Preece D, Becerra R, Robinson K, Dandy J, Allan A. The psychometric assessment of alexithymia: Development and validation of the Perth Alexithymia Questionnaire. Personality and Individual Differences. 2018;132:32-44. doi:10.1016/j.paid.2018.05.011 44. Mousavi Asl E, Mahaki B, Khanjani S, Mohammadian Y. The Assessment of Alexithymia Across Positive and Negative Emotions: The Psychometric Properties of the Iranian Version of the Perth Alexithymia Questionnaire, Iran J Psychiatry Behav Sci. Online ahead of Print; 14(4):e102317. doi:10.5812/ijpbs.102317 45. Mojahed A, Rajabi M, Khanjani S, Basharpoor S. Prediction of Self-Injury Behavior in Men with Borderline Personality Disorder Based on Their Symptoms of Borderline Personality and Alexithymia. International Journal of High Risk Behaviors and Addiction. 2018;7(3). doi:10.5812/ijhrba.67693 46. Foroughi A, Khanjani S, Mousavi Asl E. Relationship of Concern About Body Dysmorphia with External Shame, Perfectionism, and Negative Affect: The Mediating Role of Self-Compassion, Iran J Psychiatry Behav Sci. 2019; 13(2):e80186. doi:10.5812/ijpbs.80186 47. Springer KW, Sheridan J, Kuo D, Carnes M. Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and women. Child abuse & neglect. 2007;31(5):517-30. doi:10.1016/j.chiabu.2007.01.003 48. Xavier A, Pinto-Gouveia J, Cunha M. The protective role of self-compassion on risk factors for non-suicidal self-injury in adolescence. School Mental Health. 2016;8(4):476-85. doi:10.1007/s12310-016-9197-9 49. Van Vliet KJ, Kalnins GR. A compassion-focused approach to nonsuicidal self-injury. J Ment Health Couns. 2011; 33(4): 295. doi:10.17744/mehc.33.4.j7540338q223t417