Exploratory Analysis of Behavioral Impulsivity, Pro-inflammatory Cytokines, and Resting-State Frontal EEG Activity Associated With Non-suicidal Self-Injury in Patients With Mood Disorder
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Introduction: Non-suicidal self-injury (NSSI) is a rapidly increasing mental health problem that requires more clinical attention. In this study, we aimed to explore the biobehavioral markers of NSSI in participants with mood disorders. Methods: A total of 45 participants with mood disorders (bipolar I, II, and major depressive disorder) were included in the study. Behavioral impulsivity was measured using the immediate memory task (IMT)/ delayed memory task (DMT) and the go-no-go (GNG) tests. Plasma levels of tumor necrosis factor- (TNF-), interleukin 1 beta (IL-1), and interleukin 6 (IL-6) and resting-state quantitative electroencephalography (qEEG) were measured. Results: The NSSI group had shorter GNG reaction time (GNG-RT) and higher TNF- levels compared to the non-NSSI group. TNF- was positively correlated with frontal theta power. In addition, GNG-RT showed a significant positive association with frontal alpha activity. Conclusion: NSSI in mood disorders was associated with increased behavioral impulsivity and greater inflammation. Increased pro-inflammatory cytokines were associated with frontal theta power and increased theta-beta ratio. Increased inflammation might change major neurotransmitter metabolism, which eventually affects frontal function and decreases response inhibition. Further studies to explore their causal relationship are warranted.
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Only very few studies have investigated the relationship between NSSI and inflammation.
“Until very recently, only very few studies investigated the relationship between NSSI and inflammation.”
From Elevated levels of monocyte-lymphocyte ratio and platelet-lymphocyte ratio in adolescents with non-suicidal self-injury (2022) · cites this paper as [10]
Results on the relationship between inflammation and NSSI are conflicting among different studies.
“However, results are conflicting among different studies.”
From Elevated levels of monocyte-lymphocyte ratio and platelet-lymphocyte ratio in adolescents with non-suicidal self-injury (2022) · cites this paper as [10]
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- Authors
- Kim, J. S., Kang, E.-S., Bahk, Y. C., Jang, S., Hong, K. S., & Baek, J. H.
- Affiliations
- Soonchunhyang University Hospital Cheonan (KR)
- Samsung Medical Center (KR)
- Samsung (South Korea) (KR)
- Corresponding author
- Baek, Ji Hyun
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2020-02-26
- Volume
- 11
- Pages
- 124-124
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC7057238
- OpenAlex
- W3008013491
- Cited by
- 46
- References
- 57
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 7 · 2023: 5 · 2022: 5 · 2021: 8 · 2020: 2
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Soonchunhyang University
- National Research Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- non-suicidal self-injury, mood disorders, bipolar disorder, major depressive disorder, behavioral impulsivity, inflammatory cytokines, TNF-α, interleukin-6, IL-1β, resting-state EEG, frontal theta power, response inhibition
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