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Updated: May 5, 2026

Visualizing Scar Development Using SCAD Assay - An Ex-situ Skin Scarring Assay
Published on: April 28, 2022
Body image and noticeable self-inflicted scars
Anne Dyer1, Linda Hennrich, Elisabeth Borgmann
1*Department of Psychology, School of Social Sciences, and †Otto-Selz-Institut, University of Mannheim, Mannheim, Germany.
Scars from self-harm, specifically nonsuicidal self-injuries (NSSIs), are linked to more negative body image than scars from other causes. Early intervention for NSSI may improve body image by reducing scarring.
Area of Science:
- Psychology
- Dermatology
- Psychiatry
Background:
- Scars, particularly from burns, negatively impact body image.
- Patients with borderline symptoms and nonsuicidal self-injuries (NSSIs) often experience body image disturbances due to scarring.
Purpose of the Study:
- To investigate the association between the origin and characteristics of scars and body image.
- To compare body image in individuals with NSSI-related scars versus scars from other origins.
Main Methods:
- 125 female participants completed multidimensional body image questionnaires.
- 65 participants had scars resulting from NSSI, while 60 had scars from other causes.
- Regression analyses were used to control for scar characteristics, body mass index, and borderline symptoms.
Main Results:
- Participants with NSSI-related scars reported significantly more negative body image across most subscales compared to those with scars from other origins.
- The negative impact of NSSI-related scars on body image remained significant even after accounting for scar characteristics.
- A significant correlation between scar origin and body image was observed, even after controlling for body mass index and borderline symptoms.
Conclusions:
- Self-inflicted scars, associated with NSSI, appear to have a more adverse effect on body image than scars from other causes.
- Addressing NSSI early in treatment could potentially mitigate scarification and improve body image disturbances.
- Understanding the origin of scars is crucial for addressing body image issues in patients with NSSI.
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