BackgroundNonsuicidal self-injury (NSSI) is often accompanied by dysfunctional familial relationships. Problems within the family are also frequent triggers for NSSI.MethodsThe current study investigated the parenting behavior in families of 45 female adolescents with NSSI disorder, 27 adolescents with other mental disorders (clinical controls, CCs), and 44 adolescents without mental disorders (nonclinical controls, NCs). The adolescents and their parents (92 mothers, 24 fathers) were surveyed using self-report measures. The parenting dimensions warmth and support, psychological control, and behavioral control (demands, rules, and discipline), as well as parental psychopathology and parental satisfaction were assessed.ResultsAdolescents with NSSI disorder reported significantly less maternal warmth and support than NCs (d = .64); this group difference was not evident in mothers’ reports. No group differences emerged regarding adolescent-reported paternal parenting behavior. Mothers of adolescents with NSSI reported higher depression, anxiety, and stress scores than mothers in the NC group and less parental satisfaction than mothers in both control groups (CC and NC).ConclusionsGiven the association between NSSI, low levels of adolescent-reported maternal warmth and support and low levels of mother-reported parental satisfaction, clinical interventions for adolescents with NSSI should focus on improving family communication and interaction.
BackgroundTemperament and character traits of adolescents with nonsuicidal self-injury disorder (NSSI) might differentiate those- with and without comorbid borderline personality disorder (BPD).MethodsParticipants were 57 female adolescents with NSSI disorder without BPD (NSSI − BPD), 14 adolescents with NSSI disorder and BPD (NSSI + BPD), 32 clinical controls (CC), and 64 nonclinical controls (NC). Temperament and character traits were assessed with the Junior Temperament and Character Inventory, and impulsivity with the Barratt Impulsiveness Scale and a Go/NoGo task.ResultsAdolescents with NSSI disorder scored significantly higher on novelty seeking and harm avoidance and lower on persistence, self-directedness, and cooperativeness than CC. The NSSI + BPD group scored even higher than the NSSI − BPD group on novelty seeking and harm avoidance and lower on persistence and cooperativeness (d ≥ 0.72). Adolescents with NSSI reported higher levels of impulsivity than the CC and NC group. However, this difference was not found in a Go/NoGo task.ConclusionsThe results provide further evidence for a distinct diagnostic entity of NSSI disorder.
BackgroundAdolescents’ nonsuicidal self-injury (NSSI) leads to distress that affects the whole family system, and siblings are reported to suffer from disrupted family communication and functioning. So far, no studies have examined the quality of relationships between adolescents with NSSI and their siblings. The aim of the present study was to examine the sibling relationship quality of adolescents with NSSI, adolescents with other mental disorders without NSSI (clinical controls, CC), and adolescents without current or past experience of mental disorders (nonclinical controls, NC).Methods139 female adolescents aged 13–20 years (mean age = 16.18 years, SD = 1.62, NSSI: n = 56, CC: n = 33, NC: n = 50) and 73 siblings aged 10–28 years (mean age = 16.88 years, SD = 4.02, 60.3% female) participated. Self-report measures were used to assess psychopathology and sibling relationship quality.ResultsSiblings reported a wide range of negative emotional and familial consequences, such as feeling left alone with their sister’s issues or a distressing family situation, as a result of their sister’s NSSI. Siblings of adolescents with NSSI experienced significantly more coercion in the relationship with their sister compared to CC (d = 1.08) and NC (d = 0.67) siblings, indicating an imbalance of dominance and control in their relationship. Further, adolescents with NSSI reported significantly less warmth and empathy in the sibling relationship and higher rivalry scores between their siblings and themselves than NC adolescents, suggesting higher levels of parental favoritism among parents of adolescents with NSSI compared to NC parents (d = 0.93). Among siblings of adolescents with NSSI, high levels of warmth, conflict, and empathy were significantly associated with internalizing problems. For adolescents with NSSI a significant association was found between internalizing problems and coercion and externalizing problems and similarity.ConclusionsGiven the negative impact of NSSI on siblings’ emotional well-being and family life, efforts should be made to offer siblings psychoeducation and support to help them cope with the emotional and familial consequences of their sister’s NSSI. Given adequate support, siblings can in turn be a source of emotional support for their sister.
Nonsuicidal self-injury (NSSI) is a prevalent and impairing condition that was newly included in DSM-5 in the section III criteria for further research. Difficulties in emotion regulation play an important role in the development and maintenance of NSSI. This study investigated the emotion regulation in female adolescents with NSSI according to DSM-5 (n=55), clinical control adolescents with mental disorders without NSSI (n=30), and nonclinical control adolescents (n=58) using self-report questionnaires and interviews. As expected, results indicated that adolescents with NSSI have significantly more difficulties in emotion regulation compared to healthy controls. In addition, adolescents with NSSI reported also significantly more difficulties in impulse control, lack of emotional clarity, difficulties engaging in goal-directed behavior, and limited access to emotion regulation strategies compared to nonclinical and clinical controls. Adolescents with NSSI felt significantly more often sadness compared to clinical controls (d=0.66) and compared to other emotions. Adolescents with NSSI indicated significantly less often happiness compared to nonclinical controls (d=1.83). Results support that adolescents with NSSI have difficulties in emotion regulation and that these difficulties are even more pronounced than in adolescents with other mental disorders. Clinical implications will be discussed.
<b><i>Theoretischer Hintergrund:</i></b> Betrachtet man die hohen Prävalenzahlen psychischer Störungen im Kindes- und Jugendalter und die damit verbundene Belastung und Beeinträchtigung der Betroffenen, so ist die Notwendigkeit von Prävention offensichtlich. Trotzdem fehlen häufig Ressourcen zur Durchführung von Präventionsmaßnahmen. <b><i>Methode:</i></b> Ziel war die Entwicklung und Implementierung so wie Evaluation eines modularisierten Präventionskonzepts zur emotionalen Kompetenz (3–5 Doppelstunden), welches im Rahmen eines Service-Learning-Konzeptes durchgeführt wurde. 1’195 Schüler im Alter von 7–16 Jahren (M = 11,5, SD = 2,42; Jungenanteil = 53%), 38 Lehrpersonen (M = 45,76 Jahre, SD = 9,49) und 188 Gruppenleiter (M = 23,38 Jahre, SD = 2,61) nahmen an der Evaluation der Präventionsmaßnahme teil. Erhoben wurden die Akzeptanz, der Wissenszuwachs und die Effektivität anhand der Evaluation von Stressbewältigungsstrategien, Emotionsregulationsstrategien und Selbstwirksamkeit im Prä-Post-Design. <b><i>Ergebnisse:</i></b> In der Gesamtstichprobe zeigte sich eine hohe Akzeptanz der Präventionsmaßnahme mit Weiterempfehlungsraten zwischen 82 und 93%. Es zeigte sich ein kleiner Effekt beim Anstieg der konstruktiv-palliativen Emotionsregulation (<i>t</i>(97) = 2,62, <i>p</i> = 0,025, <i>d</i> = 0,29). In allen weiteren Outcome-Maßen zeigten sich keine signifikanten Veränderungen. <b><i>Schlussfolgerung:</i></b> Insgesamt zeigt sich eine erfolgreiche Implementierung des Präventionskonzepts an den Kooperationsschulen. Die modularisierte Konzeption der Präventionsmaßnahme geht zulasten der internen Validität, wo hingegen das naturalistische Studiendesign eine Stärke darstellt.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.