{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:52:16Z","timestamp":1760057536930,"version":"build-2065373602"},"reference-count":83,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T00:00:00Z","timestamp":1738972800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministero della Salute (Ricerca Corrente 2025\u20132027)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Reports"],"abstract":"<jats:p>Background\/Objectives: Adolescence is a developmental stage characterized by profound physical and psychological transformations, often leading to vulnerabilities such as body dissatisfaction, identity challenges, and the use of maladaptive coping strategies. This often leads to body-related psychopathologies, including headaches, restrictive eating disorders, and non-suicidal self-injury (NSSI). The present study aimed to describe the typical functioning and features of these conditions and the differences between the three groups, and to identify the most effective assessment for predicting these conditions. Methods: Sixty adolescent patients (51 female; mean age = 15.34 \u00b1 1.80) were divided into three groups: headaches, restrictive eating disorders, and NSSI, and assessed for differences in symptoms, cognitive performance, personality, functioning, and illness severity using semi-structured interviews, clinician-based scales, and performance-based tests like the Rorschach inkblot test, according to the Rorschach Performance Assessment System (R-PAS). Results: Individuals with headaches experienced more internalizing symptoms, had an average IQ, maintained some functioning areas, and had distorted patterns of self\u2013other relationships with the tendency to project malevolent aspects onto others. Patients with restrictive eating disorders had high levels of depressive symptoms, above-average IQ scores, negative symptoms, moderate presence of obsessive\u2013compulsive personality traits, disorganized thinking, and a tendency to interpret situations subjectively. Patients with NSSI showed the highest level of depressive symptoms and social anxiety symptoms, and a considerable presence of psychotic symptoms and perceptual distortions. Negative symptoms, borderline personality traits, and psychosis symptoms had the strongest predictivity. Conclusions: The study provides clinicians with relevant insights into the features of these conditions and highlights assessment strategies, tailored interventions, and enhanced outcomes for these vulnerable populations.<\/jats:p>","DOI":"10.3390\/pediatric17010021","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T05:53:22Z","timestamp":1739166802000},"page":"21","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Look at My Body: It Tells of Suffering\u2014Understanding Psychiatric Pathology in Patients Who Suffer from Headaches, Restrictive Eating Disorders, or Non-Suicidal Self-Injuries (NSSIs)"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3593-9789","authenticated-orcid":false,"given":"Diletta Cristina","family":"Pratile","sequence":"first","affiliation":[{"name":"Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2783-5262","authenticated-orcid":false,"given":"Marika","family":"Orlandi","sequence":"additional","affiliation":[{"name":"Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy"},{"name":"Child Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Via Mondino 2, 27100 Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Carpani","sequence":"additional","affiliation":[{"name":"Child Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Via Mondino 2, 27100 Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9583-0554","authenticated-orcid":false,"given":"Martina Maria","family":"Mensi","sequence":"additional","affiliation":[{"name":"Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy"},{"name":"Child Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Via Mondino 2, 27100 Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1258\/jrsm.2011.110221","article-title":"Development of the Social Brain in Adolescence","volume":"105","author":"Blakemore","year":"2012","journal-title":"J. R. Soc. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"272","DOI":"10.12968\/bjon.2021.30.5.272","article-title":"Adolescence: Physical Changes and Neurological Development","volume":"30","author":"Best","year":"2021","journal-title":"Br. J. Nurs."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1097\/YCO.0000000000000818","article-title":"Worldwide Prevalence of DSM-5 Eating Disorders among Young People","volume":"35","year":"2022","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s10194-023-01541-0","article-title":"Primary Headache Epidemiology in Children and Adolescents: A Systematic Review and Meta-Analysis","volume":"24","author":"Onofri","year":"2023","journal-title":"J. Headache Pain"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Cipriano, A., Cella, S., and Cotrufo, P. (2017). Nonsuicidal Self-Injury: A Systematic Review. Front. Psychol., 8.","DOI":"10.3389\/fpsyg.2017.01946"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1186\/s10194-016-0675-0","article-title":"Migraine in Childhood: Biobehavioural or Psychosomatic Disorder?","volume":"17","author":"Guidetti","year":"2016","journal-title":"J. Headache Pain"},{"key":"ref_7","first-page":"703","article-title":"Headache in Children and Adolescents","volume":"27","author":"Szperka","year":"2021","journal-title":"Continuum"},{"key":"ref_8","first-page":"83","article-title":"Body Identity Search: The Suspended Body","volume":"32","author":"Juli","year":"2020","journal-title":"Psychiatr. Danub."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e2020040279","DOI":"10.1542\/peds.2020-040279","article-title":"Committee on Adolescence Identification and Management of Eating Disorders in Children and Adolescents","volume":"147","author":"Hornberger","year":"2021","journal-title":"Pediatrics"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Mora, F., Alvarez-Mon, M.A., Fernandez-Rojo, S., Ortega, M.A., Felix-Alcantara, M.P., Morales-Gil, I., Rodriguez-Quiroga, A., Alvarez-Mon, M., and Quintero, J. (2022). Psychosocial Factors in Adolescence and Risk of Development of Eating Disorders. Nutrients, 14.","DOI":"10.3390\/nu14071481"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Feng, B., Harms, J., Chen, E., Gao, P., Xu, P., and He, Y. (2023). Current Discoveries and Future Implications of Eating Disorders. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20146325"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1111\/jcpp.12166","article-title":"Life-Time Prevalence and Psychosocial Correlates of Adolescent Direct Self-Injurious Behavior: A Comparative Study of Findings in 11 European Countries","volume":"55","author":"Brunner","year":"2014","journal-title":"J. Child. Psychol. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1002\/jcad.12459","article-title":"Examining Coping and Nonsuicidal Self-Injury among Adolescents: A Profile Analysis","volume":"101","author":"Giordano","year":"2023","journal-title":"J. Couns. Dev."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"152115","DOI":"10.1016\/j.comppsych.2019.152115","article-title":"Clinical and Personality Characteristics of Adolescents with Anorexia Nervosa with or without Non-Suicidal Self-Injurious Behavior","volume":"94","author":"Davico","year":"2019","journal-title":"Compr. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1111\/head.12710","article-title":"Migraine Headache and Risk of Self-Harm and Suicide: A Population-Based Study in Ontario, Canada","volume":"56","author":"Colman","year":"2016","journal-title":"Headache"},{"key":"ref_16","first-page":"1661","article-title":"The Presence of Migraine Symptoms Was Associated with a Higher Likelihood to Present Eating Disorders Symptoms among Teenage Students","volume":"27","author":"Ximenes","year":"2022","journal-title":"Eat. Weight. Disord."},{"key":"ref_17","unstructured":"Bornstein, R.F., and Hopwood, C.J. (2014). Multimethod Clinical Assessment: Retrospect and Prospect. Multimethod Clinical Assessment, Guilford Press."},{"key":"ref_18","unstructured":"Meyer, G.J., Viglione, D.J., Mihura, J.L., Erard, R.E., and Erdberg, P. (2011). Rorschach Performance Assessment System: Administration, Coding, Interpretation, and Technical Manual, Rorschach Performance Assessment System, LLC."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1207\/S15327752JPA7802_03","article-title":"An Examination of Interrater Reliability for Scoring the Rorschach Comprehensive System in Eight Data Sets","volume":"78","author":"Meyer","year":"2002","journal-title":"J. Pers. Assess."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1080\/00223891.2019.1677678","article-title":"Does the Rorschach Performance Assessment System (R-PAS) Differ from the Comprehensive System (CS) on Variables Relevant to Interpretation?","volume":"103","author":"Pianowski","year":"2021","journal-title":"J. Pers. Assess."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1080\/00223891.2022.2028795","article-title":"Legal Admissibility of the Rorschach and R-PAS: A Review of Research, Practice, and Case Law","volume":"104","author":"Viglione","year":"2022","journal-title":"J. Pers. Assess."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s12207-012-9130-y","article-title":"An Overview of the Rorschach Performance Assessment System (R-PAS)","volume":"5","author":"Meyer","year":"2012","journal-title":"Psychol. Inj. Law."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"World Medical Association (2025). World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Participants. JAMA, 333, 71\u201374.","DOI":"10.1001\/jama.2024.21972"},{"key":"ref_24","unstructured":"Mensi, M.M. 20240808_PSY_HRN_MMM_01 2024."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Headache Classification Committee of the International Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd Edition (Beta Version). Cephalalgia, 33, 629\u2013808.","DOI":"10.1177\/0333102413485658"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders 5th Edition: DSM-5, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_27","unstructured":"Kaufman, J., Birmaher, B., Axelson, D., Pereplitchikova, F., Brent, D., Ryan, N., Kaufman, J., Birmaher, B., Axelson, D., and Pereplitchikova, F. (2016). Schedule for Affective Disorders and Schizophrenia for School-Aged Children: Present and Lifetime Version (K-SADS-PL) DSM-5, Child and Adolescent Research and Education."},{"key":"ref_28","unstructured":"Giunti Organizzazioni Speciali (2003). Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV), Giunti Organizzazioni Speciali."},{"key":"ref_29","unstructured":"Giunti Organizzazioni Speciali (2008). Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV), Giunti Organizzazioni Speciali."},{"key":"ref_30","unstructured":"(2019). 2019 K-SADS-PL DSM-5 Intervista Diagnostica per La Valutazione Dei Disturbi Psicopatologici in Bambini e Adolescenti. Schedule for Affective Disorders and Schizophrenia for School-Aged Children: Present and Lifetime Version (K-SADS-PL) DSM-5, Erickson."},{"key":"ref_31","unstructured":"First, M., Williams, J., Karg, R., First, M.B., Williams, J.B., Karg, R.S., and Spitzer, R.L. (2015). Structured Clinical Interview for DSM-5 Disorders, Clinician Version (SCID-5-CV), American Psychiatric Association."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1080\/j.1440-1614.2005.01714.x","article-title":"Mapping the Onset of Psychosis: The Comprehensive Assessment of At-Risk Mental States","volume":"39","author":"Yung","year":"2005","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Guy, W. (1976). CGI Clinical Global Impressions, EC-DEU Assessment Manual for Psychopharmacology.","DOI":"10.1037\/t48216-000"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1001\/archpsyc.1983.01790100074010","article-title":"A Children\u2019s Global Assessment Scale (CGAS)","volume":"40","author":"Shaffer","year":"1983","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Kreutzer, J.S., DeLuca, J., and Caplan, B. (2011). Social and Occupational Functioning Assessment Scale (SOFAS). Encyclopedia of Clinical Neuropsychology, Springer.","DOI":"10.1007\/978-0-387-79948-3"},{"key":"ref_36","unstructured":"IBM Corp (2024). IBM SPSS Statistics for Windows, Version 30.0.0.0, IBM Corp."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Kroes, A.D.A., and Finley, J.R. (2023). Demystifying Omega Squared: Practical Guidance for Effect Size in Common Analysis of Variance Designs. Psychol. Methods.","DOI":"10.1037\/met0000581"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1177\/004912417400200402","article-title":"On Dummy Variable Regression Analysis: A Description and Illustration of the Method","volume":"2","author":"Miller","year":"1974","journal-title":"Sociol. Methods Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1177\/1059840518787007","article-title":"The Relationship Between Reported Pain and Depressive Symptoms Among Adolescents","volume":"36","author":"Borgman","year":"2020","journal-title":"J. Sch. Nurs."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1001\/jamapediatrics.2022.3940","article-title":"Anxiety and Depressive Symptoms and Disorders in Children and Adolescents With Migraine","volume":"176","author":"Falla","year":"2022","journal-title":"JAMA Pediatr."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Gazerani, P. (2021). Migraine and Mood in Children. Behav. Sci., 11.","DOI":"10.3390\/bs11040052"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s00787-020-01599-0","article-title":"Headache and Mental Disorders in a Nationally Representative Sample of American Youth","volume":"31","author":"Hommer","year":"2022","journal-title":"Eur. Child. Adolesc. Psychiatry"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1080\/14737175.2022.2154657","article-title":"The Influence of Anxiety and Depression on Headache in Adolescent Migraineurs: A Case-Control Study","volume":"22","author":"Jafari","year":"2022","journal-title":"Expert. Rev. Neurother."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"E617","DOI":"10.36076\/ppj.2023.26.E617","article-title":"Associations Between Headache (Migraine and Tension-Type Headache) and Psychological Symptoms (Depression and Anxiety) in Pediatrics: A Systematic Review and Meta-Analysis","volume":"26","author":"Lee","year":"2023","journal-title":"Pain. Physician"},{"key":"ref_45","first-page":"167","article-title":"Evaluation of Quality of Life and Anxiety Disorder in Children and Adolescents with Primary Headache","volume":"59","author":"Ozturk","year":"2021","journal-title":"Med. Bull. Haseki Haseki Tip. Bulteni"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1136\/jnnp-2015-312233","article-title":"Migraine and Its Psychiatric Comorbidities","volume":"87","author":"Minen","year":"2016","journal-title":"J. Neurol. Neurosurg. Psychiatry"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/head.12004","article-title":"Panic Disorder and Migraine: Comorbidity, Mechanisms, and Clinical Implications","volume":"53","author":"Smitherman","year":"2013","journal-title":"Headache J. Head. Face Pain"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1046\/j.1468-2982.2001.00144.x","article-title":"Personality Traits in Childhood and Adolescent Headache","volume":"21","author":"Lanzi","year":"2001","journal-title":"Cephalalgia"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"6685372","DOI":"10.1155\/2023\/6685372","article-title":"Personality in Chronic Headache: A Systematic Review with Meta-Analysis","volume":"2023","author":"Bottiroli","year":"2023","journal-title":"Pain Res. Manag."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"898626","DOI":"10.3389\/fneur.2022.898626","article-title":"Interictal Cognitive Performance in Children and Adolescents With Primary Headache: A Narrative Review","volume":"13","author":"Tarantino","year":"2022","journal-title":"Front. Neurol."},{"key":"ref_51","unstructured":"Exner, J.E. (2003). The Rorschach: A Comprehensive System, John Wiley & Sons Inc.. [4th ed.]."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"160","DOI":"10.3389\/fneur.2018.00160","article-title":"Rorschach Evaluation of Personality and Emotional Characteristics in Adolescents With Migraine Versus Epilepsy and Controls","volume":"9","author":"Balottin","year":"2018","journal-title":"Front. Neurol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1027\/1192-5604\/a000119","article-title":"The Value of the Rorschach Method in Clinical Assessment of Migraine Patients","volume":"41","author":"Bouteloup","year":"2020","journal-title":"Rorschachiana"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/s40337-022-00654-2","article-title":"Psychiatric and Medical Comorbidities of Eating Disorders: Findings from a Rapid Review of the Literature","volume":"10","author":"Hambleton","year":"2022","journal-title":"J. Eat. Disord."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.psychres.2016.04.045","article-title":"Psychotic-like Experiences and Disordered Eating in the English General Population","volume":"241","author":"Koyanagi","year":"2016","journal-title":"Psychiatry Res."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1080\/00223890802107982","article-title":"Changes in Defensiveness and in Affective Distress Following Inpatient Treatment of Eating Disorders: Rorschach Comprehensive System and Self-Report Measures","volume":"90","author":"Rothschild","year":"2008","journal-title":"J. Personal. Assess."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Sander, J., Moessner, M., and Bauer, S. (2021). Depression, Anxiety and Eating Disorder-Related Impairment: Moderators in Female Adolescents and Young Adults. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18052779"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1007\/s40519-020-00962-z","article-title":"Restrictive Eating Disorders in Children and Adolescents: A Comparison between Clinical and Psychopathological Profiles","volume":"26","author":"Zanna","year":"2021","journal-title":"Eat. Weight. Disord."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/1744-859X-9-40","article-title":"Estimated Intelligence Quotient in Anorexia Nervosa: A Systematic Review and Meta-Analysis of the Literature","volume":"9","author":"Lopez","year":"2010","journal-title":"Ann. Gen. Psychiatry"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"106586","DOI":"10.1016\/j.appet.2023.106586","article-title":"Perfectionism and Eating Disorders in Children and Adolescents: A Systematic Review and Meta-Analysis","volume":"187","author":"Bills","year":"2023","journal-title":"Appetite"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"e80","DOI":"10.1192\/j.eurpsy.2020.80","article-title":"Clinical Features of Adolescents Diagnosed with Eating Disorders and at Risk for Psychosis","volume":"63","author":"Mensi","year":"2020","journal-title":"Eur. Psychiatry"},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Tibon-Czopp, S., and Weiner, I.B. (2016). Rorschach Assessment of Adolescents. Theory, Research, and Practice, Springer.","DOI":"10.1007\/978-1-4939-3151-4"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1027\/1192-5604\/a000136","article-title":"Eating Disorders and the Rorschach","volume":"42","author":"Vibert","year":"2021","journal-title":"Rorschachiana"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s40337-016-0104-4","article-title":"Dimensions of Control and Their Relation to Disordered Eating Behaviours and Obsessive-Compulsive Symptoms","volume":"4","author":"Froreich","year":"2016","journal-title":"J. Eat. Disord."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1032493","DOI":"10.1080\/23311908.2015.1032493","article-title":"A Qualitative Investigation into Anorexia Nervosa: The Inner Perspective","volume":"2","author":"Marzola","year":"2015","journal-title":"Cogent Psychol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1002\/cpp.2314","article-title":"Are Family Relations Connected to the Quality of the Outcome in Adolescent Anorexia Nervosa? An Observational Study with the Lausanne Trilogue Play","volume":"25","author":"Balottin","year":"2018","journal-title":"Clin. Psychol. Psychother."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1111\/fare.12611","article-title":"Perceived and Observed Family Functioning in Adolescents Affected by Restrictive Eating Disorders","volume":"71","author":"Mensi","year":"2022","journal-title":"Fam. Relat."},{"key":"ref_68","unstructured":"Minuchin, S., Rosman, B.L., Baker, L., and Liebman, R. (2014). Psychosomatic Families, Harvard University Press."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2147\/NDT.S443454","article-title":"Understanding Comorbidity Between Non-Suicidal Self-Injury and Depressive Symptoms in a Clinical Sample of Adolescents: A Network Analysis","volume":"20","author":"Niu","year":"2024","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.schres.2020.11.019","article-title":"Can\u2019t Get You out of My Head: Persistence and Remission of Psychotic Experiences in Adolescents and Its Association with Self-Injury and Suicide Attempts","volume":"229","author":"Hielscher","year":"2021","journal-title":"Schizophr. Res."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.schres.2023.05.006","article-title":"Psychotic Experiences, Suicidality and Non-Suicidal Self-Injury in Adolescents: Independent Findings from Two Cohorts","volume":"257","author":"Steenkamp","year":"2023","journal-title":"Schizophr. Res."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1186\/s12888-023-04726-8","article-title":"Cognitive Impairment and Factors Influencing Depression in Adolescents with Suicidal and Self-Injury Behaviors: A Cross-Sectional Study","volume":"23","author":"Chen","year":"2023","journal-title":"BMC Psychiatry"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s40479-019-0100-9","article-title":"Longitudinal Associations between Non-Suicidal Self-Injury and Borderline Personality Disorder in Adolescents: A Literature Review","volume":"6","author":"Stead","year":"2019","journal-title":"Borderline Pers. Disord. Emot. Dysregulation"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1080\/13811118.2019.1691099","article-title":"Big Five Personality Clusters in Relation to Nonsuicidal Self-Injury","volume":"25","author":"Goddard","year":"2021","journal-title":"Arch. Suicide Res."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1002\/pmh.1462","article-title":"DSM-5 Personality Domains as Correlates of Non-Suicidal Self-Injury Severity in an Italian Sample of Adolescent Inpatients with Self-Destructive Behaviour","volume":"13","author":"Somma","year":"2019","journal-title":"Personal. Ment. Health"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s40479-021-00161-x","article-title":"Psychosocial Functioning in Adolescents with Non-Suicidal Self-Injury: The Roles of Childhood Maltreatment, Borderline Personality Disorder and Depression","volume":"8","author":"Ghinea","year":"2021","journal-title":"Borderline Pers. Disord. Emot. Dysregulation"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1027\/1192-5604\/a000171","article-title":"Persistence and Cessation of Nonsuicidal Self-Injury under Psychotherapy","volume":"45","author":"Aoki","year":"2024","journal-title":"Rorschachiana"},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1521\/bumc.2008.72.1.54","article-title":"Rorschach Correlates of Adolescent Self-Mutilation","volume":"72","author":"Kochinski","year":"2008","journal-title":"Bull. Menn. Clin."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"3573","DOI":"10.2147\/PRBM.S483528","article-title":"Relationship Between Loneliness, Hopelessness, Coping Style, and Mobile Phone Addiction Among Non-Suicidal Self-Injury Adolescents","volume":"17","author":"Li","year":"2024","journal-title":"Psychol. Res. Behav. 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