Association Between Betrayal Trauma and Non-Suicidal Self-Injury Among Adolescent Offenders: Shame and Emotion Dysregulation as Mediating Factors

Polycystic Ovary Syndrome (PCOS) is an endocrine condition that has been associated with atypical emotional regulation strategy use as well as elevated levels of depression, anxiety, self-harm, and suicidal ideation. Despite the existence of clinical screening guidance for this population, there is still little to know understanding of how non-suicidal self-injury and suicidal ideation and intention manifests in women with PCOS, and how this might differ from women without PCOS. Within this cross-sectional investigation, women with and without a diagnosis of PCOS (n = 418) completed validated metrics of emotion dysregulation, rumination, and non-suicidal self-injury, as well as self-reported indices of previous suicidal ideation and future suicidal intention. Group comparisons indicated that women with, relative to those without PCOS reported significantly greater metrics across all variables. Moreover, serial mediation analyses were conducted to test the ideation-to-action framework of suicide in women with PCOS, with the positive relationship between a PCOS diagnosis and future suicidal intention being explained through the indirect pathway of increased emotion dysregulation, recent suicidal ideation, and NSSI. Our findings call to action the need for international screening for suicide intention and self-harm in women with PCOS.

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The Relationship between Expressed Emotion, and Non-Suicidal Self-Injury (NSSI) of University Students: Focusing on The Mediation Effect of Emotion Dysregulation and Self Criticism

Korean Journal of Youth Studies ◽

10.21509/kjys.2021.03.28.3.29 ◽

2021 ◽

Vol 28 (3) ◽

pp. 29-57

Author(s):

Mun-Hee Kweon ◽

Hyo-Jung Shin

Keyword(s):

University Students ◽

Emotion Dysregulation ◽

Expressed Emotion ◽

Mediation Effect ◽

Self Injury ◽

The Relationship

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

European Psychiatry ◽

10.1016/j.eurpsy.2019.03.004 ◽

2019 ◽

Vol 59 ◽

pp. 25-36 ◽

Cited By ~ 10

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.

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Testing an equifinality model of nonsuicidal self-injury among early adolescent girls

Development and Psychopathology ◽

10.1017/s0954579414000431 ◽

2014 ◽

Vol 26 (3) ◽

pp. 851-862 ◽

Cited By ~ 15

Author(s):

Kate Keenan ◽

Alison E. Hipwell ◽

Stephanie D. Stepp ◽

Kristen Wroblewski

Keyword(s):

Relational Aggression ◽

Adolescent Girls ◽

Emotion Dysregulation ◽

Community Sample ◽

Environmental Stressors ◽

Risk Scores ◽

Self Injury ◽

Risk Indices ◽

Self Harm ◽

Nonsuicidal Self Injury

AbstractNonsuicidal self-injury (NSSI) is a common behavior among females that has been shown to confer risk for continued self-injury and suicidal attempts. NSSI can be viewed conceptually as behavior that is pathognomonic with aggression and/or depression. Empirical research on concurrent correlates supports this concept: numerous and diverse factors are shown to be significantly associated with self-harm, including depression, emotion dysregulation, impulsivity, and aggression and other conduct problems, as well as environmental stressors such as bullying, harsh parenting, and negative life events. In the present study, we test hypotheses regarding developmental precursors (measured from ages 8 to 12 years) to NSSI in young adolescent girls (ages 13–14 years), specifically whether aggression, depression, and environmental stressors distinguish girls with and without self-harm, and whether there is evidence for multiple developmental pathways to NSSI. Data were derived from the longitudinal Pittsburgh Girls Study. In this community sample of girls, the prevalence of NSSI at ages 13 or 14 years of age was 6.0%. Initial levels in dimensions measured within the depression, aggression, and environmental stressor domains accounted for variance in NSSI in early adolescence. Changes over time in relational aggression and assertiveness were also significantly associated with risk for NSSI. To a large extent, adolescent NSSI was predicted by psychological deficits and stress exposure that began early in childhood. Risk indices were calculated using the 85th or 15th percentile. Close to 80% of girls who engaged in NSSI during adolescence were identified by at least one risk domain in childhood. A sizable proportion of adolescent girls who later engaged in NSSI had childhood risk scores in all three domains; the remaining girls with adolescent NSSI were relatively evenly distributed across the other risk domain profiles. The observation that multiple pathways to NSSI exist suggests that deficits underlying the behavior may vary and require different modes of prevention.

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Emotion reactivity, emotion dysregulation, and non-suicidal self-injury among at-risk adolescents: A multiple mediation analysis

10.31237/osf.io/64gwu ◽

2020 ◽

Author(s):

Paula Floyd

Keyword(s):

At Risk ◽

Emotion Dysregulation ◽

Age Of Onset ◽

Health Concern ◽

At Risk Youth ◽

Multiple Mediation ◽

Emotion Reactivity ◽

Major Health ◽

Self Injury ◽

At Risk Adolescents

Non-suicidal self-injury (NSSI) is defined as deliberate self-inflicted damage to bodily tissue without the intent to die. NSSI has been identified as a major health concern, as it is related to both poor psychosocial outcomes and increased suicide risk. NSSI is especially important to understand among adolescents, as age of onset is typically during adolescence and prevalence rates are highest among this age group. One of the most well-established correlates of NSSI is emotion dysregulation. While many studies have examined emotion dysregulation and its subcomponents in relation to self-injury, there has been far less work devoted to factors that may increase one’s likelihood of being emotionally dysregulated. Previous literature suggests that emotion dysregulation is strongly influenced by individual levels of emotion reactivity; however, no studies to date have assessed the combined effects of emotion reactivity and emotion dysregulation in terms of NSSI frequency. In addition, prior research suggests that the cognitive process of rumination may play a role in NSSI engagement. The current study sought to understand the relationships between emotion reactivity, distinct facets of emotion dysregulation, rumination, and NSSI among a sample of at-risk youth in a residential facility. Furthermore, a multiple mediation model was used to test which facets of emotion dysregulation serve as the most powerful mediators between emotion reactivity and NSSI frequency. Findings and implications are discussed.

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Assessment of Emotion Dysregulation Using Ecological Momentary Assessment

The Oxford Handbook of Emotion Dysregulation ◽

10.1093/oxfordhb/9780190689285.013.29 ◽

2019 ◽

pp. 409-426 ◽

Cited By ~ 2

Author(s):

Heather T. Schatten ◽

Kenneth J. D. Allen ◽

Michael F. Armey

Keyword(s):

Ecological Momentary Assessment ◽

Emotion Dysregulation ◽

Psychological Treatment ◽

Multiple Time ◽

Future Directions ◽

Self Injury ◽

Multiple Time Points ◽

The Moment ◽

Ecological Momentary ◽

Momentary Assessment

As emotion is a dynamic construct, ecological momentary assessment (EMA) methods, which gather data at multiple time points in individuals’ real-world environments, in the moment, are particularly well suited to measure emotion dysregulation and related constructs. EMA methods can identify contextual events that prompt or follow an emotional response. This chapter provides an overview of traditional methods of studying emotion dysregulation and how EMA can be used to capture emotion dysregulation in daily life, both within and independent of psychiatric diagnoses. It reviews the literature on emotion dysregulation and related constructs within specific diagnoses (e.g., depression, bipolar disorder, borderline personality disorder, and eating disorders) and behaviors (e.g., suicide, nonsuicidal self-injury, and alcohol use). Finally, it discusses future directions in EMA research, as well as its implications for psychological treatment.

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