title: The relationship between self-injurious behavior and self-disclosure in adolescents with eating disorders.
abstract: OBJECTIVE
  The aim of the current study is to examine the association between self disclosure and self-injurious behaviors among adolescent patients diagnosed with an eating disorder.
  
  
  METHODS
  Sixty three female patients who fulfilled the DSM-IV diagnostic criteria of eating disorders were included (i.e. anorexia, bulimia, binge eating disorder and eating disorders not otherwise specified). Participants' age ranged from 11.5 to 20 years (M = 15.42, SD = 1.82). Participants completed self- report questionnaires about eating disorders, self-disclosure, self-injurious behaviors (FASM) and depression (BDI-II) RESULTS: 82.5% of the sample endorsed severe self-injurious behaviors. A moderate negative relationship was found between general disclosure to parents and self-injurious behaviors indicating that patients who generally self-disclose to their parents (on different topics, apart from suicidal ideation) engage less frequently in self-injurious behaviors. In addition, the more patients self-disclose their suicidal ideation to others, the more they tend to self-injure.
  
  
  CONCLUSIONS
  Self-disclosure to parents on any topic may buffer against self-injurious behaviors and therefore it is important to work with adolescents suffering from eating disorders on effective self disclosure. In addition, self-disclosure about suicidal ideation to others by adolescents suffering from eating disorders should always be taken seriously, since it may be related to self-injurious behaviors.
authors.affiliation: Psychological Medicine, Schneider Children's Medical Center of Israel, Petach Tikva, Israel, bkanat@idc.ac.il.
authors.forename: Anat Brunstein
authors.initials: AB
authors.lastname: Klomek
authors.forename: Rachel
authors.initials: R
authors.lastname: Lev-Wiesel
authors.forename: Evia
authors.initials: E
authors.lastname: Shellac
authors.forename: Arik
authors.initials: A
authors.lastname: Hadas
authors.forename: Uri
authors.initials: U
authors.lastname: Berger
authors.forename: Mira
authors.initials: M
authors.lastname: Horwitz
authors.forename: Silvana
authors.initials: S
authors.lastname: Fennig
mesh_terms: D000293:Adolescent; D002648:Child; D001068:Feeding and Eating Disorders / Q000150:complications / Q000523:psychology*; D005260:Female; D006801:Humans; D012650:Self Disclosure; D016728:Self-Injurious Behavior / Q000150:complications / Q000523:psychology*; D055815:Young Adult
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