Experiencing stress impact on adolescent repetitive nonsuicidal self-injury: The Mediating role of emotion dysregulation and maladaptive cognitive schemas

Liu, Jinmeng; Wang, Yumeng; Liu, Xia; Li, Jinwen; Xing, Shufen

doi:10.1016/j.jad.2023.07.074

Cited by 6 publications

(2 citation statements)

References 55 publications

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“…Moreover, the NSSI behavioral addiction traits scores exhibited a positive correlation with the depression scale scores. Research has shown that poor emotional regulation is associated with the long-term maintenance of NSSI behaviors (40) and that emotional dysregulation is closely linked to NSSI addiction characteristics (41). In the mediation model, depression played a partial mediating role between cognitive impulsiveness and NSSI behavioral addiction characteristics.…”

Section: Discussionmentioning

confidence: 97%

Effects of Decision Making and Impulsivity on the addictive Characteristics of Non-Suicidal Self-Injurious Behavior in Adolescents with Depressive Disorders

Jiang,

Yu,

Zheng

et al. 2024

Preprint

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Objective Non-suicidal self-injurious (NSSI) behaviors pose a significant threat to the physical and psychological well-being of adolescents. This study investigated the addictive nature of NSSI behaviors and their association with impulsivity and decision-making, aiming to provide evidence-based insights for the development of multiple effective treatment interventions for adolescents with depressive disorders exhibiting addictive characteristics in their NSSI behaviors. Methods A total of 126 adolescent outpatients and inpatients diagnosed with depressive disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria were selected and categorized into three groups: depression without NSSI (n = 42), depression with NSSI without addictive characteristics (n = 44), and depression with NSSI and addictive characteristics (n = 40). The present study employed the Hamilton Depression Scale (HAMD-24), Chinese Revised Barratt Impulsiveness Scale Version 11 (BIS-11), Ottawa Self-Injury Inventory (OSI), and the Adolescent Non-Suicidal Self-Injury Questionnaire (ANSSIQ). Cognitive decision-making abilities were assessed using the Iowa Gambling Task (IGT). Results There were no significant differences observed in blocks 1 and 2 of the IGT among the three groups. However, the depression with NSSI addictive characteristics group exhibited significantly lower net scores in blocks 3, 4, and 5 of the IGT compared to both the depression without NSSI group and the depression with NSSI non-addictive characteristics group. The addictive characteristics of NSSI behaviors were positively correlated with the severity of NSSI behaviors, depression, and cognitive impulsiveness, and negatively correlated with the total net score of the IGT. In the mediation model, depression played a partial mediating role between cognitive impulsiveness and NSSI behavioral addiction characteristics. Conclusion Adolescents with depressive disorders exhibiting addictive NSSI behaviors demonstrate heightened cognitive impulsivity and exhibit poorer decision-making when presented with choices. Timely modulation of depressive symptoms can be effective in reducing the occurrence of the addictive characteristics of NSSI behaviors.

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Section: Discussionmentioning

confidence: 97%

Effects of Decision Making and Impulsivity on the addictive Characteristics of Non-Suicidal Self-Injurious Behavior in Adolescents with Depressive Disorders

Jiang,

Yu,

Zheng

et al. 2024

Preprint

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“…One study reported that the experience of childhood maltreatment and stressful life events showed a significant indirect effect on NSSI through adaptive cognitive emotion regulation strategies (14). It was revealed that in the repetitive NSSI group, the effect of stress on NSSI frequency was mediated by emotion dysregulation, and the effect of stress on NSSI addictive features was mediated by both emotion dysregulation and maladaptive cognitive schemas in another research (15). However, it remains unclear whether these cognitive strategies moderate the mediating role of emotion dysregulation in the relationship between psychosocial factors and NSSI.…”

Section: Introductionmentioning

confidence: 95%

Maladaptive cognitive regulation moderates the mediating role of emotion dysregulation on the association between psychosocial factors and non-suicidal self-injury in depression

Ge,

Xiao,

et al. 2023

Front. Psychiatry

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IntroductionNon-suicidal self-injury (NSSI) is highly prevalent in depression, and is associated with psychosocial factors, emotion dysregulation, and strategies of cognitive emotion regulation. However, the internal combination and interactions of these risk factors in depression remain unclear.MethodsData from 122 patients with depression, including 56 with NSSI and 66 without NSSI, were analyzed. Self-rating scales were used to assess psychosocial factors, emotion dysregulation, and cognitive regulation strategies. Sparse partial least squares discriminant analysis (sPLS-DA) was employed to explore internal combinations in each profile. A moderated mediation model was applied to examine their interactional relationship.ResultsThe results identified an NSSI-related psychosocial profile characterized by high neuroticism, childhood trauma, poor family functioning, and low psychological resilience. Emotion dysregulation, including high levels of alexithymia, anhedonia, and emotion regulation difficulties, mediated the association between this psychosocial profile and NSSI. The mediated effect was further moderated by maladaptive cognitive regulation strategies.LimitationsLack of sufficient information on NSSI frequency and severity. Relatively small sample size for discussing the impact of gender and age of depressive patients with NSSI.ConclusionThese findings hold important implications for the prevention, treatment, and rehabilitation of NSSI.

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Mechanisms and intervention strategies of emotional dysregulation in individuals with nonsuicidal self-injury

Li,

2023

Interdisciplinary Nursing Research

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Non-suicidal self-injury (NSSI) is a deliberate, direct, socially unacceptable, and nonsuicidal form of self-hurt, with a high incidence rate among adolescents. NSSI harms people’s bodies and minds, dampening their social function and increasing the risk of suicide. The Benefit and Barrier Model of NSSI proposes that the core benefit of NSSI is emotional gain, in other words, the emotion regulation effect of the NSSI behaviors. The purpose of this study was to elucidate the relationship between NSSI and emotional dysregulation, analyze the possible behavioral and neural mechanisms underlying emotional dysregulation in NSSI, and summarize the application of emotion regulation strategies in the intervention for NSSI. This review provides evidence and implications for further research on the mechanisms and interventions related to emotional dysregulation in people with NSSI.

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Experiencing stress impact on adolescent repetitive nonsuicidal self-injury: The Mediating role of emotion dysregulation and maladaptive cognitive schemas

Cited by 6 publications

References 55 publications

Effects of Decision Making and Impulsivity on the addictive Characteristics of Non-Suicidal Self-Injurious Behavior in Adolescents with Depressive Disorders

Effects of Decision Making and Impulsivity on the addictive Characteristics of Non-Suicidal Self-Injurious Behavior in Adolescents with Depressive Disorders

Maladaptive cognitive regulation moderates the mediating role of emotion dysregulation on the association between psychosocial factors and non-suicidal self-injury in depression

Mechanisms and intervention strategies of emotional dysregulation in individuals with nonsuicidal self-injury

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