Ecological momentary assessment of nonsuicidal self-injury in youth with borderline personality disorder.

Andrewes, Holly; Hulbert, Carol; Cotton, Sue; Betts, Jennifer; Chanen, Andrew M

doi:10.1037/per0000205

Cited by 60 publications

(61 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Antisocial (31.8%) followed by avoidant (23.4%) and paranoid personality disorder (20.6%) were the three most commonly co‐occurring personality disorders. For further details on demographics, see Andrewes, Hulbert, Cotton, Betts, and Chanen ().…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Relationships between the frequency and severity of non‐suicidal self‐injury and suicide attempts in youth with borderline personality disorder

Andrewes

Hulbert

Cotton

et al. 2017

Early Intervention Psych

Self Cite

View full text Add to dashboard Cite

The prevalence of NSSI and suicide attempts among youth presenting for their first treatment of BPD appear to be perilously high, considerably higher than rates reported by adults with BPD. Findings suggest that clinicians should give more weight to average levels of impulsivity and depression, rather than the absolute frequency and severity of NSSI, when assessing for risk of suicide attempts. Notwithstanding this, a relative increase in the frequency and severity of NSSI appears to be predictive of a forthcoming suicide attempt.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Recall biases are unavoidable when using the SASII to identify NSSI and suicide attempts over the previous 12 months. Future studies investigating relative changes in these variables could overcome this problem by using techniques such as ecological momentary assessment (Andrewes et al, 2016).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Relationships between the frequency and severity of non‐suicidal self‐injury and suicide attempts in youth with borderline personality disorder

Andrewes

Hulbert

Cotton

et al. 2017

Early Intervention Psych

Self Cite

View full text Add to dashboard Cite

show abstract

“…Of note, more research is warranted investigating the potential utility of positive affect as a protective factor against NSSI, as evidence to date has yielded inconclusive results. While some researchers have observed a decrease in positive affect in the hours prior to engagement in NSSI (36,37), others failed to confirm such a time trend (38), and found that lower-than-usual positive affect is not prospectively predictive of NSSI (39,40). It may be that momentary lowered positive affect is more tolerable than increased negative affect, and therefore less relevant in eliciting NSSI (40).…”

Section: Affective Disturbances and Nssimentioning

confidence: 97%

“…Unfortunately, fewer studies have focused on the role of affect in determining short-term risk for NSSI at the within-person level [for an overview see (35)]. One consistent finding across studies is that negative affect increases prior to NSSI (36)(37)(38), and predicts a higher probability of NSSI in the next hours (39)(40)(41)(42). For instance, using ecological momentary assessment, Kranzler and colleagues observed that a momentary increase in negative affect positively predicted NSSI in the following 2-3 hours for adolescents and young adults (40).…”

Section: Affective Disturbances and Nssimentioning

confidence: 99%

Fluctuations in Affective States and Self-Efficacy to Resist Non-Suicidal Self-Injury as Real-Time Predictors of Non-Suicidal Self-Injurious Thoughts and Behaviors

et al. 2020

View full text Add to dashboard Cite

Introduction: Although research over the past decade has resulted in significantly increased knowledge about distal risk factors for non-suicidal self-injury (NSSI), little is known about short-term (proximal) factors that predict NSSI thoughts and behaviors. Drawing on contemporaneous theories of NSSI, as well as the concept of ideation-to-action, the present study clarifies (a) real-time factors that predict NSSI thoughts and (b) the extent to which theoretically important momentary factors (i.e., negative affect, positive affect, and selfefficacy to resist NSSI) predict NSSI behavior in daily life, beyond NSSI thoughts.Methods: Using experience sampling methodology, intensive longitudinal data was obtained from 30 young adults with frequent NSSI episodes in the last year. Participants completed assessments up to eight times per day for 12 consecutive days (signal-contingent sampling). This resulted in the collection of 2,222 assessments (median compliance = 79.2%) during which 591 NSSI thoughts and 270 NSSI behaviors were recorded. Using the dynamic structural equation modeling framework, multilevel vector autoregressive models were constructed.Results: Within the same assessment, negative affect was positively associated with NSSI thoughts, whereas positive affect and self-efficacy to resist NSSI were each negatively associated with NSSI thoughts. Across assessments, higher-than-usual negative affect and self-efficacy to resist NSSI were predictive of short-term change in NSSI thoughts. While fluctuations in both negative affect and positive affect prospectively predicted NSSI behavior, these factors became non-significant in models that controlled for the predictive effect of NSSI thoughts. In contrast, self-efficacy to resist NSSI incrementally predicted a lower probability of engaging in NSSI, above and beyond NSSI thoughts.Discussion: This study provides preliminary evidence that affective fluctuations may uniquely predict NSSI thoughts but not NSSI behaviors, and point to the role of personal belief in the ability to resist NSSI in preventing NSSI behavior. These findings illustrate the need to differentiate between the development of NSSI thoughts and the progression from NSSI thoughts to behavior, as these are likely distinct processes, with different predictors.

show abstract

“…Finally, another factor that can play a role in NSSI is intense negative affect [49], which has been associated with increased odds for NSSI [19,50]. Many studies found a decrease of negative affect after NSSI (e.g., [51]), partly in combination with increased negative affect prior to NSSI [52]; yet negative affect may also increase following NSSI [53]. Positive affect tended to decrease before and increase after acts of NSSI [54].…”

Section: Entrapment and Negative Affectmentioning

confidence: 99%

Mental images, entrapment and affect in young adults meeting criteria of nonsuicidal self-injury disorder (NSSID) – a daily diary study

Cloos

Simplicio

Hammerle

et al. 2020

bord personal disord emot dysregul

View full text Add to dashboard Cite

Background: Incidents of nonsuicidal self-injury (NSSI) are often accompanied by mental images which could be perceived as distressing and/or soothing; yet existing data is derived from participants with a history of NSSI using retrospective methods. This study investigated mental images related to NSSI ("NSSI-images"), and their relationship to the proposed Nonsuicidal Self-Injury Disorder (NSSID). Methods: An e-mail was sent to all female students of the local University providing the link to an online screening and 201 students with a history of repetitive NSSI responded. Nineteen eligible participants meeting criteria of NSSID (mean age = 25; 32% with migrant background) further completed a baseline interview and a ten-day-diary protocol.Results: Among the sample of N = 201, 83.6% reported NSSI-images. In the subsample of n = 19 diagnosed with NSSID, the frequencies of NSSI and NSSI-images were correlated; about 80% of the most significant NSSI-images were either of NSSI or of an instrument associated with NSSI (i.e., a razorblade). In the diary, 53% of the sample selfinjured. NSSI-images were reported on 94% of NSSI-days, and on days with NSSI and NSSI-images, the images almost always occurred first; the images were overall perceived as twice more distressing than comforting. Images on NSSI-days were characterized by more comfort, intrusiveness and compellingness yet less vividness, and increased subsequent positive and negative affect compared to non-NSSI days. NSSI-days were further marked by increased entrapment beliefs and increased negative yet decreased positive affect at night. These results were nonsignificant. Limitations: Due to non-significant results among a small sample size and a low rate of NSSI among the NSSIDgroup, results remain preliminary. Conclusions:The study provides information on feasibility and methodological challenges such as intervention effects of the diary. NSSI-images may be common among individuals who engage in NSSI; they may capture ambivalent (positive and negative) appraisals of NSSI and thus play a role in NSSI and possibly a disorder such as NSSID. The preoccupation with NSSI (Criterion C of NSSID in DSM-5) may as well be imagery-based. Registration: The study was retrospectively registered with the DRKS under the number DRKS00011854.

show abstract

Ecological momentary assessment of nonsuicidal self-injury in youth with borderline personality disorder.

Cited by 60 publications

References 51 publications

Relationships between the frequency and severity of non‐suicidal self‐injury and suicide attempts in youth with borderline personality disorder

Relationships between the frequency and severity of non‐suicidal self‐injury and suicide attempts in youth with borderline personality disorder

Fluctuations in Affective States and Self-Efficacy to Resist Non-Suicidal Self-Injury as Real-Time Predictors of Non-Suicidal Self-Injurious Thoughts and Behaviors

Mental images, entrapment and affect in young adults meeting criteria of nonsuicidal self-injury disorder (NSSID) – a daily diary study

Contact Info

Product

Resources

About