Alterations in the neuroendocrinological stress response to acute psychosocial stress in adolescents engaging in nonsuicidal self-injury

Kaess, Michael; Hille, Markus; Parzer, Peter; Maser-Gluth, Christiane; Resch, Franz; Brunner, Romuald

doi:10.1016/j.psyneuen.2011.05.009

Cited by 152 publications

(132 citation statements)

References 17 publications

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…It is also possible that because our measure of negative interpersonal interactions did not assess the source of the conflict (e.g., romantic partner or close friend versus acquaintance), we were not able to distinguish the particular interactions that are most likely to provoke intense negative affect in this population. It should also be noted that although some laboratory studies have found greater physiological arousal in response to a frustrating (non-interpersonal) task among youth with (vs. without) a history of NSSI (Nock & Mendes, 2008), others have found attenuated cortisol responses during stressful interpersonal tasks among women with (vs. without) NSSI (Kaess et al, 2012). Further work is needed to clarify the nature and intensity of emotional responses to interpersonal stressors in populations with and without NSSI.…”

Section: Discussionmentioning

confidence: 99%

Characterizing Interpersonal Difficulties Among Young Adults Who Engage in Nonsuicidal Self-Injury Using a Daily Diary

et al. 2017

View full text Add to dashboard Cite

Compared to people who have never engaged in nonsuicidal self-injury (NSSI), people with a history of NSSI report multiple interpersonal problems. Theories propose that these interpersonal difficulties play a role in prompting and maintaining NSSI. The cross-sectional nature of most studies in this area limits our understanding of how day-to-day interpersonal experiences relate to the global interpersonal impairments observed among individuals with NSSI, and vice versa. This study compared young adults with (n = 60) and without (n = 56) recent, repeated NSSI on baseline and daily measures of interpersonal functioning during a 14-day daily diary study. Groups differed in baseline social anxiety, excessive reassurance seeking, and use of support seeking relative to other coping strategies, but did not differ in self-perceived interpersonal competence. In terms of day-to-day functioning, participants with (vs. without) NSSI had significantly less contact with their families and friends, perceived less support following interactions with friends, and were less likely to seek support to cope, regardless of level of negative affect. With the exception of contact with family members, these group differences in daily interpersonal functioning were accounted for by baseline levels of social anxiety and use of support seeking. Contrary to expectations, participants with NSSI had more frequent contact with their romantic partners, did not differ in perceptions of support in romantic relationships, and did not report more intense negative affect following negative interpersonal interactions. This study provides a novel test of recent interpersonal theories of NSSI using daily reports.Keywords nonsuicidal self-injury; self-harm; social support; experience sampling; daily diary Address correspondence to Brianna J. Turner, Ph.D., Department of Psychology, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada, V5A 1S6; briannat@sfu.ca. Conflict of Interest StatementThe authors declare that there are no conflicts of interest.Behav Ther. Author manuscript; available in PMC 2017 July 11. CIHR Author Manuscript CIHR Author Manuscript CIHR Author ManuscriptAlthough nonsuicidal self-injury (NSSI) has been recognized for decades as a serious clinical problem due to its associations with psychopathology, suicidality, and functional impairment (Glenn & Klonsky, 2013;Selby, Bender, Gordon, Nock, & Joiner, 2011), recent evidence suggests that NSSI is also associated with impairments in interpersonal functioning. Compared to individuals without a history of NSSI, those with NSSI report pervasive interpersonal problems, including poorer quality relationships with peers and caregivers (Claes, Houben, Vandereycken, Bijttebier, & Muehlenkamp, 2010;Gratz, Conrad, & Roemer, 2002;Hilt, Nock, Lloyd-Richardson, & Prinstein, 2008;Hoff & Muehlenkamp, 2009), greater loneliness (Giletta, Scholte, Engels, Ciairano, & Prinstein, 2012;Glenn & Klonsky, 2013;Guertin, Lloyd-Richardson, Spirito, Donaldson, & Boergers, 2001), higher rate...

show abstract

Section: Discussionmentioning

confidence: 99%

Characterizing Interpersonal Difficulties Among Young Adults Who Engage in Nonsuicidal Self-Injury Using a Daily Diary

et al. 2017

View full text Add to dashboard Cite

show abstract

“…59 Adults with BPD show an attenuated cortisol response to acute stress, 60 and this has also been found in adolescents engaging in repetitive NSSI. 61 More numerous self-harm behaviors in adolescents with BPD were associated with increased pituitary volumes, 62 suggesting greater basal activation of the HPAA. Given these findings, it is possible that prolonged activation of the HPAA in BPD individuals might induce HPAA hyporesponsiveness.…”

Section: Neurobiological Findingsmentioning

confidence: 98%

Borderline Personality Disorder in Adolescence

2014

Self Cite

View full text Add to dashboard Cite

This is the 4th in our series on Adolescent Health. abstract Borderline personality disorder (BPD) is a common and severe mental disorder that is associated with severe functional impairment and a high suicide rate. BPD is usually associated with other psychiatric and personality disorders, high burden on families and carers, continuing resource utilization, and high treatment costs. BPD has been a controversial diagnosis in adolescents, but this is no longer justified. Recent evidence demonstrates that BPD is as reliable and valid among adolescents as it is in adults and that adolescents with BPD can benefit from early intervention. Consequently, adolescent BPD is now recognized in psychiatric classification systems and in national treatment guidelines. This review aims to inform practitioners in the field of adolescent health about the nature of BPD in adolescence and the benefits of early detection and intervention. BPD diagnosis and treatment should be considered part of routine practice in adolescent mental health to improve these individuals' well-being and long-term prognosis.

show abstract

“…A case study showed a pattern involving NSSI and cortisol levels - over 3 months, when cortisol excretion increased above a certain threshold, the individual engaged in NSSI and cortisol dropped down again [115]. A recent study found that the hypothalamic-pituitary-adrenal axis is hyporesponsive in adolescents with NSSI, with the resulting hypothesis that reduced secretion of cortisol could lead to maladaptive stress responses such as NSSI [116]. …”

Section: Underlying Mechanismsmentioning

confidence: 99%

Nonsuicidal Self-Injury: An Emotion Regulation Perspective

2014

View full text Add to dashboard Cite

Background: Nonsuicidal self-injury (NSSI) is widely thought to serve an emotion-regulatory function. Method: The focus of the present paper is to provide a conceptual framework for understanding how NSSI might modify a person's emotions. Results: Drawing upon the process model of emotion regulation, we argue that 5 families of emotion regulation strategies may be engaged by NSSI. Individuals may engage in NSSI as an alternative to more distressing situations. They also may use NSSI to modify their social environment. Individuals may shift their attention away from unpleasant emotions or thoughts via NSSI. NSSI may change cognitions about the self via self-punishment or transformation of the self from higher-order to lower-order awareness. NSSI may also bring about various physiological effects, such as changes in endogenous opioids or parasympathetic nervous system activation, as a way of modulating emotional responses. Conclusion: Simply labeling NSSI as ‘emotion regulatory' does not tell us precisely what is going on. This is because at any given moment, NSSI can serve to regulate emotions in many different ways. One key challenge is to clarify the precise functions NSSI may be serving for a given individual in a particular context.

show abstract

Alterations in the neuroendocrinological stress response to acute psychosocial stress in adolescents engaging in nonsuicidal self-injury

Cited by 152 publications

References 17 publications

Characterizing Interpersonal Difficulties Among Young Adults Who Engage in Nonsuicidal Self-Injury Using a Daily Diary

Characterizing Interpersonal Difficulties Among Young Adults Who Engage in Nonsuicidal Self-Injury Using a Daily Diary

Borderline Personality Disorder in Adolescence

Nonsuicidal Self-Injury: An Emotion Regulation Perspective

Contact Info

Product

Resources

About