{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T09:36:52Z","timestamp":1790501812506,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01 MH59674"],"award-info":[{"award-number":["R01 MH59674"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["T32 MH082761"],"award-info":[{"award-number":["T32 MH082761"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Nonsuicidal self\u2010injury (NSSI) frequently co\u2010occurs with eating disorders, especially bulimia nervosa (BN). Theoretical models and empirical evidence show many overlapping risk factors for the onset and maintenance of NSSI and BN. However, among those with BN, it remains unclear what distinguishes those who do versus do not engage in NSSI. The primary objective of the present study was to identify factors predicting NSSI among women with BN. Specifically, we tested four domains of borderline personality disorder as mediators between childhood trauma and NSSI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Using structural equation modeling we tested a parallel mediation model to predict NSSI among women with BN (<jats:italic>N<\/jats:italic>\u00a0=\u00a0130). Childhood trauma (measured by the Childhood Trauma Questionnaire at baseline) was the independent variable. The four parallel mediators (measured at baseline via the Diagnostic Interview for Borderlines, Revised) were lifetime negative affect, impulsive actions, atypical cognitions (e.g., odd thinking, unusual perceptual experiences, quasi\u2010psychotic thinking), and interpersonal problems. The dependent variable was instances of NSSI during a subsequent two\u2010week ecological momentary assessment protocol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Childhood trauma was significantly associated with all four mediators (all <jats:italic>p<\/jats:italic> values &lt; .01), but only atypical cognitions predicted NSSI (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.03). The indirect path from childhood trauma to NSSI, through atypical cognitions was significant (path coefficient\u00a0=\u00a0.001, SE\u2009&lt;\u2009.001, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Among women with BN, childhood trauma was associated with atypical cognitions, which in turn predicted NSSI. Atypical cognitions may be a mechanism for NSSI in this population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23669","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T10:24:51Z","timestamp":1641378291000},"page":"372-381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Borderline personality disorder symptoms as mediational mechanisms linking childhood trauma and nonsuicidal <scp>self\u2010injury<\/scp> among women with bulimia nervosa"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5072-3624","authenticated-orcid":false,"given":"Dorian R.","family":"Dodd","sequence":"first","affiliation":[{"name":"Sanford Center for Biobehavioral Research  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[{"name":"Sanford Center for Biobehavioral Research  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Cao","sequence":"additional","affiliation":[{"name":"Sanford Center for Biobehavioral Research  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn H.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Sanford Center for Biobehavioral Research  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0659-153X","authenticated-orcid":false,"given":"Stephen A.","family":"Wonderlich","sequence":"additional","affiliation":[{"name":"Sanford Center for Biobehavioral Research  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029703"},{"key":"e_1_2_8_5_1","volume-title":"Childhood trauma questionnaire: A retrospective self\u2010report: Manual","author":"Bernstein D. P.","year":"1998"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-198612000-00004"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22713"},{"key":"e_1_2_8_8_1","volume-title":"Structural equation modeling with Mplus: Basic concepts, applications, and programming","author":"Byrne B. M.","year":"2012"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.01.035"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000233"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2020.1811180"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0126083"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2009.09.001"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-40107-7"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1471-0153(01)00033-2"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.510"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716000027"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2016.01.010"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2007.05.010"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029323"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2015.989646"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2016.01244"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1375"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22174"},{"key":"e_1_2_8_25_1","volume-title":"IBM SPSS statistics for windows, version 27.0","author":"IBM Corp","year":"2020"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2374"},{"key":"e_1_2_8_27_1","volume-title":"Using Mplus for structural equation modeling: A researcher's guide","author":"Kelloway E. K.","year":"2015"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-020-01191-y"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.06.033"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.12.014"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbaa037"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-016-0345-x"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299730802225680"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.12.023"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.10.011"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22745"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.ecolsys.28.1.341"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016948"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000111"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0034902"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13118"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2010.01641.x"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291715001804"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2017.00149"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.75.4.629"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2021.1891372"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.09.012"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.5640010105"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23038"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-009-9452-6"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1037\/11875-007"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.16.3.270.22538"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.147.1.57"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1989.3.1.10"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23669","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23669","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23669","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T12:23:04Z","timestamp":1693138984000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23669"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,5]]},"references-count":53,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1002\/eat.23669"],"URL":"https:\/\/doi.org\/10.1002\/eat.23669","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,5]]},"assertion":[{"value":"2021-08-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}