scholarly journals Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis

2019 ◽  
Vol 59 ◽  
pp. 25-36 ◽  
Author(s):  
Jennifer C. Wolff ◽  
Elizabeth Thompson ◽  
Sarah A. Thomas ◽  
Jacqueline Nesi ◽  
Alexandra H. Bettis ◽  
...  
Keyword(s):  
Impulse Control ◽  
Emotion Dysregulation ◽  
Meta Analysis ◽  
Emotional Awareness ◽  
Treatment Target ◽  
The Past ◽  
Self Injury ◽  
Analytic Review ◽  
Regulation Strategies ◽  
Goal Directed Behavior

AbstractBackground:Over the past several years there has been considerable interest in the relation between emotion dysregulation and non-suicidal self-injury (NSSI), particularly given that rates of NSSI have been increasing and NSSI is a critical risk factor for suicidal behavior. To date, however, no synthesis of empirical findings exists.Methods:The present study presents a comprehensive meta-analytic review of the literature on the association between NSSI and emotion dysregulation. A total of 48 publications, including 49 independent samples, were included in this analysis.Results:Overall, a significant association was found between emotion dysregulation and NSSI (pooled OR = 3.03 [95% CI = 2.56–3.59]). This association was reduced but remained significant (OR = 2.40 [95% CI = 2.01–2.86]) after adjustment for publication bias. Emotion dysregulation subscales most strongly associated with NSSI included limited access to regulation strategies, non-acceptance of emotional responses, impulse control difficulties, and difficulties engaging goal-directed behavior. Lack of emotional awareness/clarity and cognitive aspects of dysregulation yielded weaker, yet significant, positive associations with NSSI.Conclusions:Findings support the notion that greater emotion dysregulation is associated with higher risk for NSSI among individuals across settings, regardless of age or sex. Furthermore, findings reveal facets of dysregulation that may have unique implications for NSSI. This meta-analysis highlights the importance of better understanding emotion dysregulation as a treatment target for preventing NSSI.

scholarly journals Association between Emotion Dysregulation and Distinct Groups of Non-Suicidal Self-Injury in Taiwanese Female Adolescents

2019 ◽  
Vol 16 (18) ◽  
pp. 3361
Author(s):  
Chen ◽  
Chun
Keyword(s):  
Emotion Regulation ◽  
Negative Affect ◽  
Impulse Control ◽  
Emotion Dysregulation ◽  
Female Adolescent ◽  
Self Report ◽  
Female Adolescents ◽  
Emotion Regulation Strategies ◽  
Self Injury ◽  
Regulation Strategies

Background: Previous studies revealed that female adolescents are more likely than males to engage in non-suicidal self-injury (NSSI) to regulate negative emotions; however, the dimensions of emotion regulation that are associated with NSSI behavior in adolescents require further examination. The present study aimed to identify Taiwanese female adolescent clusters with NSSI engagement frequency and to evaluate the association of specific forms of emotion dysregulation with NSSI. Methods: The participants were 438 female adolescents (mean age = 15.23 years, SD = 1.24, range between 13 and 18) recruited from 11 high schools. Self-report questionnaires assessing NSSI, difficulties in emotion regulation, and positive and negative affect were administered, and 37% of respondents reported a history of NSSI. Results: The analysis of NSSI frequency yielded three groups: severe, moderate, and non-NSSI. High negative affect, low positive affect, and difficulties in all aspects of emotion regulation differentiated female adolescents in the severe NSSI group from their counterparts in the non-NSSI group. The moderate and severe NSSI groups were further distinguished by age of onset, negative affect, emotion regulation strategies, and impulse control. Adolescents classified in the severe group reported earlier onset of NSSI, higher negative affect, less emotion regulation strategies, and more difficulty with impulse control. Conclusions: The results indicate that assessments of NSSI and emotion regulation should be incorporated in youth mental health screening. The clinical implications of NSSI behavior intervention require further discussion.

Rumination in Borderline Personality Disorder: Meta-Analysis

2018 ◽  
Author(s):  
Mara J. Richman ◽  
Zsolt Unoka ◽  
Robert Dudas ◽  
Zsolt Demetrovics
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotion Dysregulation ◽  
Meta Analysis ◽  
Borderline Personality ◽  
Therapeutic Interventions ◽  
Sample Type ◽  
Moderator Variables ◽  
Analytic Review ◽  
Self Harm

Borderline personality disorder (BPD) is characterized by deficits in emotion regulation and affective liability. Of this domain, ruminative behaviors have been considered a core feature of emotion dysregulation difficulties. Despite this, inconsistencies have existed in the literature regarding which rumination type is most prominent in those with BPD symptoms. Moreover, no meta-analytic review has been performed to date on rumination in BPD. Taking this into consideration, a meta-analysis was performed to assess how BPD symptoms correlate with rumination, while also considering clinical moderator variables (i.e., BPD symptom domain, co-morbidities, GAF score) and demographic moderator variables (i.e., age, gender, sample type, and education level). Analysis of correlation across rumination domains for the entire sample revealed a medium overall correlation between BPD symptoms and rumination. When assessing types of rumination, the largest correlation was among pain rumination followed by anger, depressive, and anxious rumination. Among BPD symptom domain, affective instability had the strongest correlation with increased rumination, followed by unstable relationships, identity disturbance, and self-harm/ impulsivity, respectively. Demographic variables showed no significance. Clinical implications are considered and further therapeutic interventions are discussed in the context of rumination.

The Model of Goal-Directed Behavior in Tourism and Hospitality: A Meta-analytic Structural Equation Modeling Approach

2021 ◽  
pp. 004728752199124
Author(s):  
Weisheng Chiu ◽  
Heetae Cho
Keyword(s):  
Structural Equation Modeling ◽  
Cultural Differences ◽  
Structural Equation ◽  
Meta Analysis ◽  
Equation Modeling ◽  
Causal Relationships ◽  
Eastern Culture ◽  
Analytic Review ◽  
Tourism And Hospitality ◽  
Goal Directed Behavior

The model of goal-directed behavior (MGB) has been widely utilized to explore consumer behavior in the fields of tourism and hospitality. However, prior studies have demonstrated inconsistent findings with respect to the causal relationships of the MGB variables. To address this issue, we conducted a meta-analytic review based on studies that had previously applied MGB. Moreover, we compared the cultural differences that emerged within MGB. By reviewing and analyzing 37 studies with 39 samples ( N = 14,581), this study found that among the causal relationships within MGB, positive anticipated emotion was the most influential determinant in the formation of consumer desire. In addition, different patterns of causal relationships between Eastern culture and Western culture were identified within MGB. This article is the first meta-analysis to address the application of MGB in tourism and hospitality and, thus, contributes to the theoretical advancement of MGB.

scholarly journals The role of emotion regulation in eating disorders: a network meta-analysis approach

2021 ◽  
Author(s):  
Jenni Leppanen ◽  
Dalia Brown ◽  
Hannah McLinden ◽  
Kate Tchanturia ◽  
Steven Williams
Keyword(s):  
Emotion Regulation ◽  
Emotion Dysregulation ◽  
Meta Analysis ◽  
Theoretical Models ◽  
Emotion Regulation Strategies ◽  
Target Emotion ◽  
Specific Emotion ◽  
Low Bmi ◽  
Regulation Strategies

Background: Previous theoretical models and reviews have documented a strong connection between emotion dysregulation eating disorder (ED) psychopathology among the general and clinical populations. The aim of this review was to build on this previous work by conducting a network meta-analysis to explore associations between specific emotion regulation strategies and ED psychopathology trans-diagnostically across the ED spectrum to identify areas of emotion dysregulation that have the strongest association with symptomatology.Methodology: A total of 105 studies were included in the meta-analysis and correlation coefficient representing the associations between specific emotion regulation strategies and ED symptomatology were extracted. We ran a Bayesian random effects network meta-analysis and the initial network was well connected with each emotion regulation strategy being linked to at least one other strategy. We also conducted a network meta-regression to explore whether between-study differences in body mass index (BMI), age, and whether the sample consisted of solely female participants explained any possible network inconsistency. Results: The network meta-analysis revealed that ruminations and non-acceptance of emotions were most closely associated with ED psychopathology. There was no significant network inconsistency but two comparisons approached significance and thus meta-regressions were conducted. The meta-regressions revealed a significant effect of BMI such that the associations between different emotion regulation strategies and ED symptomatology were weaker among those with low BMI. Discussion: The present findings build on previous work and highlight the role of rumination and difficulties with accepting emotions as key emotion regulation difficulties in EDs. Additionally, the finding that the associations were weaker among ED patients with low BMI may point towards a complex relationship between ED behaviours and emotion regulation. Taken together, our findings call for interventions that target emotion regulation, specifically rumination and difficulties accepting emotions, in the treatment of EDs.

scholarly journals P055 Mechanisms Underlying Sleep Disturbance in Young People with Borderline Personality Disorder Features

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A39-A39
Author(s):  
C Jenkins ◽  
K Thompson ◽  
C Nicholas ◽  
A Chanen
Keyword(s):  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Young People ◽  
Impulse Control ◽  
Emotional Awareness ◽  
Borderline Personality ◽  
Emotion Regulation Strategies ◽  
Subjective Sleep ◽  
Regulation Strategies

Abstract Introduction Sleep problems are common in young people (aged 15–25 years) with features of borderline personality disorder (BPD). Yet the mechanisms underlying this relationship remain largely unknown. This study explored the indirect roles of emotion regulation difficulties, depression, anxiety and stress in the relationship between BPD features and sleep disturbance in young people. Method Sleep was measured subjectively (self-report) and objectively (10 days wrist actigraphy) in 40 young people with BPD features (36 females, Mage = 19.77, SD = 2.51) and 38 healthy young people (34 females, Mage = 20.06, SD = 2.52). Participants also completed the Difficulties in Emotion Regulation Scale and the Depression, Anxiety and Stress Scale. Results Mediation analyses revealed that impulse control difficulties, limited access to emotion regulation strategies, and anxiety played an indirect role in subjective sleep disturbances in young people with BPD features. Lack of emotional awareness and anxiety indirectly contributed to associations between BPD features and objectively longer time in bed and bedtime variability, respectively. Discussion Targeting impulse control difficulties, emotion regulation strategies and anxiety through improving impulse control, improving emotion regulation skills and reducing pre-sleep arousal might be beneficial for improving subjective sleep in this population. Similarly, improving emotional awareness and reducing anxiety might help to normalise objective sleep patterns. Overall, these findings help to guide the development of targeted sleep-improvement strategies that might serve as useful adjuncts to current interventions for young people with BPD features.

scholarly journals Sex and Emotion Regulation Difficulties Contribute to Depression in Young Adults With Attention-Deficit/Hyperactivity Disorder

2020 ◽  
pp. 003329412091880
Author(s):  
Janelle Welkie ◽  
Dara E. Babinski ◽  
Kristina A. Neely
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Young Adults ◽  
Emotion Regulation ◽  
Attention Deficit ◽  
Emotional Awareness ◽  
Emotion Regulation Strategies ◽  
Limited Access ◽  
Hyperactivity Disorder ◽  
Regulation Strategies ◽  
Goal Directed Behavior

Many young adults with attention-deficit/hyperactivity disorder (ADHD) are at risk for depression. Yet, questions remain about factors associated with the development of depression in young adults with ADHD. This study examined the effects of sex and emotion regulation difficulties on depression in a sample of young adults with ( n =  172) and without ( n =  730) ADHD. Two aspects of emotion regulation difficulties were examined—impairments in emotional insight (i.e., lack of emotional awareness, nonacceptance of emotion, and lack of emotional clarity) and impairments in behavioral response to emotion (i.e., impulse control difficulties, difficulties engaging in goal-directed behavior, and limited access to emotion regulation strategies). Significant correlations between ADHD and all indices of emotion regulation difficulty emerged. Sex moderated the association between ADHD and lack of emotional awareness, difficulties engaging in goal-directed behavior, and limited access to emotion regulation strategies. Specifically, ADHD was significantly associated with limited emotion regulation awareness for women but not men, while ADHD was associated with greater difficulties engaging in goal-directed behavior and limited access to emotion regulation strategies for women compared to men. These three areas of emotion regulation dysfunction simultaneously mediated the association between ADHD and depression. The findings indicate the importance of considering emotion regulation and sex in understanding depression in young adults with ADHD.

scholarly journals Self-injury and Smartphone Addiction: Age and gender differences in a community sample of adolescents presenting self-injurious behavior

2021 ◽  
Vol 8 (2) ◽  
pp. 205510292110388
Author(s):  
Elisa Mancinelli ◽  
Ona Sharka ◽  
Tatiana Lai ◽  
Eleonora Sgaravatti ◽  
Silvia Salcuni
Keyword(s):  
Gender Differences ◽  
Emotion Dysregulation ◽  
Self Control ◽  
Smartphone Addiction ◽  
Emotion Regulation Strategies ◽  
Age And Gender ◽  
Self Injury ◽  
Age And Gender Differences ◽  
Regulation Strategies ◽  
And Gender

This study aimed to identify the variables (i.e., internalizing, and externalizing problems, self-control, emotion dysregulation, and alexithymia) relevant for Smartphone Addiction and non-suicidal self-injury (NSSI), conceptualized as emotion-regulation strategies, also assessing age and gender differences. Based on power analysis, N = 78 Italian adolescents (11–19 years; Mage = 14.24; SD = 1.56; 73.1% females) were considered. Step-wise multivariate linear regressions evidence a mutual association between NSSI and Smartphone Addiction, particularly relevant in pre-adolescence. Low self-control is significantly associated with the Smartphone Addiction, while emotion dysregulation and alexithymia with NSSI. This study supports NSSI and Smartphone Addiction conceptualization as emotion-regulation strategies and the importance of prevention interventions.

Exploring Particular Facets of Cognitive Emotion Regulation and Their Relationships With Nonsuicidal Self-Injury Among Adolescents

Crisis ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 280-286 ◽  
Author(s):  
Nir Madjar ◽  
Nicole Segal ◽  
Gilad Eger ◽  
Gal Shoval
Keyword(s):  
Emotion Regulation ◽  
High School Students ◽  
Analysis Of Covariance ◽  
Depression Symptoms ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
School Students ◽  
Self Injury ◽  
Regulation Strategies ◽  
Nonsuicidal Self Injury

Abstract. Background: Nonsuicidal self-injury (NSSI) has been found to be associated with poor emotion regulation. Aims: The goal of this study was to examine the association of multidimensional cognitive emotion regulation strategies with NSSI among adolescents and compare the different patterns of NSSI. Method: A sample of 594 high-school students (54.4% boys; mean age = 14.96 years), from five regional schools across Israel, were assessed for five facets of cognitive emotion regulation strategies (acceptance, refocus on planning, positive refocusing, putting into perspective, and positive reappraisal) and NSSI behaviors using validated scales. Participants were allocated into three groups: repetitive NSSI (more than six occasions of NSSI; 7.1%), occasional NSSI (at least one incident but less than six; 8.3%), and no NSSI (84.6%). Results: Analysis of covariance, controlling for gender and depression symptoms, revealed that students with NSSI reported higher levels of acceptance, but lower levels of refocus on planning and putting into perspective. Limitations: The study used a cross-sectional design, which was a limitation. Conclusion: These findings demonstrate that particular cognitive emotion regulation strategies differ substantially in their relationship with NSSI. Adolescents who focus on planning and putting stressful situations into perspective may have increased resilience, whereas adolescents who are accepting of negative events that have happened may be more prone to maladaptive coping behaviors.

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