The Interplay of Chronic Interpersonal Stress and Rumination on Nonsuicidal Self-Injury in Youth

Li, Yue‐Tian; Schweizer, Tina H.; Young, Jami F.; Hankin, Benjamin L.

doi:10.1007/s10802-021-00820-1

Cited by 5 publications

(7 citation statements)

References 63 publications

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“…Three out of the four studies investigating depressive rumination or brooding found no significant relationship with NSSI history when adjusting for other variables. However, Li, Schweizer, Young, and Hankin (2021) found that depressive rumination at time 2 significantly predicted engagement in NSSI between times 2 and 3, when controlling for covariates (OR = 1.06). When available, score ranges for the rumination scales are provided in Table 4.…”

Section: Resultsmentioning

confidence: 98%

“…Thirteen studies included in the review used a longitudinal or ESM design, examining the relationship between rumination and NSSI over time. The results from some studies suggest that higher levels of rumination may predict engagement in and frequency of NSSI (Barrocas et al., 2015; Gromatsky et al., 2020; Hughes et al., 2019; Li et al., 2021; Selby, Franklin, Carson‐Wong, & Rizvi, 2013). However, although Barrocas et al.…”

Section: Resultsmentioning

confidence: 99%

“…Narrative synthesis: longitudinal studies Thirteen studies included in the review used a longitudinal or ESM design, examining the relationship between rumination and NSSI over time. The results from some studies suggest that higher levels of rumination may predict engagement in and frequency of NSSI (Barrocas et al, 2015;Gromatsky et al, 2020;Hughes et al, 2019;Li et al, 2021;Selby, Franklin, Carson-Wong, & Rizvi, 2013). However, although Barrocas et al (2015) reported that rumination is associated with generally greater frequency of NSSI during the followup period, the authors found no association between rumination and how NSSI changed over time.…”

Section: Publication Biasmentioning

confidence: 99%

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The relationship between rumination and NSSI: A systematic review and meta‐analysis

Coleman

Dunlop

Hartley

et al. 2021

British J Clinic Psychol

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Background Rumination is a cognitive process that has been implicated in the onset and maintenance of a variety of psychological difficulties. The purpose of this review and meta‐analysis was to examine the nature and strength of the relationship between rumination and non‐suicidal self‐injury (NSSI). Methods The protocol for this review was pre‐registered (CRD42019148186). A literature search of electronic databases PsycINFO, CINAHL, MEDLINE, and Web of Science was performed from the earliest date available to March 2020. Thirty‐nine eligible papers were identified. An additional seven papers were identified from a search conducted in September 2021, resulting in a total of 46 papers. Separate meta‐analyses were undertaken for NSSI frequency and NSSI history, with studies grouped by rumination type (depressive, transdiagnostic, anger, brooding, reflection, catastrophising, overall). Moderator analyses were also conducted along with a narrative synthesis of adjusted associations and longitudinal studies. Results Rumination had a positive small association with NSSI frequency and a positive moderate association with NSSI history. The adjusted associations yielded mixed findings and most longitudinal research found rumination to be associated with prospective NSSI. Limitations Most included studies had a moderate risk of bias and used a student sample. A limitation of this review was that only English language papers were included. Conclusions Findings indicate that rumination is associated with NSSI, but more so the likelihood of engaging in NSSI overall than the frequency. Rumination‐focused techniques for NSSI may therefore be of benefit. Further research is needed to understand this association, particularly with longitudinal studies that focus on state rumination rather than stable trait rumination. Practitioner points Rumination was found to have a small to moderate association with NSSI. Some individuals who engage in NSSI may benefit from psychological techniques that target rumination. Most of the studies included had a moderate risk of bias.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Publication Biasmentioning

confidence: 99%

See 1 more Smart Citation

The relationship between rumination and NSSI: A systematic review and meta‐analysis

Coleman

Dunlop

Hartley

et al. 2021

British J Clinic Psychol

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“…Those with a history of NSSI have been found to score lower on measures of cognitive reappraisal and higher on rumination, catastrophizing, and self‐blame cognitions than peers without a history of NSSI (Kruzan et al, 2022; Wolff et al, 2019). Low cognitive reappraisal and heightened rumination have also been found to prospectively predict NSSI (Li et al, 2021; Tatnell et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Body regard disrupts emotional cascade processes in nonsuicidal self‐injury

Myntti

Muehlenkamp

2023

J Clin Psychol

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Objectives This study sought to empirically examine the Emotional Cascade Model of nonsuicidal self‐injury (NSSI), and to examine if body regard mitigates these variables' impact on NSSI in college students. We tested a three‐way interaction between emotional reactivity, maladaptive cognitive regulation strategies, and body regard predicting NSSI frequency. Methods Two thousand sixty‐six undergraduate students (Mage = 20.38; 72.4% identified as female; 91.7% White; 22.7% with NSSI) completed measures of emotion reactivity, maladaptive cognitive regulation strategies, body regard, and lifetime NSSI frequency. Results The three‐way interaction between emotion reactivity, maladaptive cognitive regulation strategies, and body regard was significant. The interaction effect of emotional reactivity and maladaptive cognitive regulation strategies on NSSI was significant when body regard was low but not significant at average and high levels of body regard. The highest NSSI frequency was reported by those high in emotion reactivity and maladaptive cognitive regulation strategies, and low in body regard. Conclusion These results support the emotional cascade theory of NSSI, and support assertions that body regard might act as a protective barrier against NSSI in the context of heightened emotion reactivity and maladaptive cognitive regulation strategies.

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“…Most people have a natural aversion to pain and injuries. Despite this, prevalence rates of nonsuicidal selfinjury (NSSI), or the deliberate destruction of bodily tissue in the absence of suicidal motives, are high, with studies finding that approximately 22% of children and adolescents, almost 39% of university students, and 5.5% of adults have engaged in NSSI at least once in their lifetime (Cipriano et al, 2017 ; Lim et al, 2019 ; Swannell et al, 2014 ). NSSI is associated with several negative outcomes including increased risk for suicide (Anestis et al, 2013 ; Turner et al, 2013 ) and possible scarring, which can result in social stigma (Burke et al, 2017 ).…”

mentioning

confidence: 99%

Nonsuicidal self‐injury and rumination: A meta‐analysis

2022

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Trait rumination is the tendency to overthink and focus on negative emotions and events and is related to a number of psychological disorders and maladaptive behaviors including nonsuicidal self-injury (NSSI). The purpose of this study was to conduct a meta-analysis of the relationship between trait rumination and NSSI behaviors. Results from 60 samples showed small effect sizes between trait rumination and NSSI engagement, NSSI frequency, and the number of methods used to self-injure in cross-sectional samples.Results from 13 samples showed small effect sizes between trait rumination and NSSI engagement and NSSI frequency in longitudinal samples. Moderator analyses indicated that this relationship is similar whether the type of rumination is depressive or not and is generally consistent across different ages, genders, and ethnicities. These results help clarify the role of trait rumination as a risk factor for NSSI.

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The Interplay of Chronic Interpersonal Stress and Rumination on Nonsuicidal Self-Injury in Youth

Cited by 5 publications

References 63 publications

The relationship between rumination and NSSI: A systematic review and meta‐analysis

The relationship between rumination and NSSI: A systematic review and meta‐analysis

Body regard disrupts emotional cascade processes in nonsuicidal self‐injury

Nonsuicidal self‐injury and rumination: A meta‐analysis

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