The relationship between self-injurious behavior and self-disclosure in adolescents with eating disorders

  • Anat Brunstein KlomekEmail author
  • Rachel Lev-Wiesel
  • Evia Shellac
  • Arik Hadas
  • Uri Berger
  • Mira Horwitz
  • Silvana Fennig
Original Article



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.


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)


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.


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.


Eating disoders Self injurious behavior Self disclosure 


Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Anat Brunstein Klomek
    • 1
    • 2
    Email author
  • Rachel Lev-Wiesel
    • 3
  • Evia Shellac
    • 1
    • 3
  • Arik Hadas
    • 1
  • Uri Berger
    • 4
  • Mira Horwitz
    • 1
  • Silvana Fennig
    • 1
    • 5
  1. 1.Psychological MedicineSchneider Children’s Medical Center of IsraelPetach TikvaIsrael
  2. 2.School of PsychologyInterdisciplinary Center HerzlyiaHerzliyaIsrael
  3. 3.Faculty of Social Welfare and Health Sciences, School of Creative Arts TherapiesHaifa UniversityHaifaIsrael
  4. 4.Psychology DepartmentBar Ilan UniversityRamat GanIsrael
  5. 5.Faculty of MedicineTel Aviv UniversityTel AvivIsrael

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