Emotion dysregulation mediates the influence of relationship difficulties on non-suicidal self-injury behavior in young adults

Yurkowski, Kim; Martin, Jodi; Lévesque, Christine; Bureau, Jean‐François; Lafontaine, Marie‐France; Cloutier, Paula

doi:10.1016/j.psychres.2015.05.006

Cited by 35 publications

(37 citation statements)

References 36 publications

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“…Some of the research on college students has found relations between NSSI and different psychological variables. Yurkowski et al (2015) found that the quality of parent-child relationships had a more relevant impact on prediction of NSSI than the quality of peer relations, and that the feelings of alienation of both parents and peers had indirect effects on NSSI through deficits of emotion regulation. Another study in university students found that there is a continuum between NSSI and suicidal self-injury, and the differences are in degree rather than in kind (Orlando, Broman-Fulks, Whitlock, Curtin, & Michael, 2015).…”

Section: Introductionmentioning

confidence: 93%

“…It has also been hypothesized that the brain structures involved in processing the cognitive and emotional components of pain are altered in those that engage in NSSI indicated by an anomaly in the integration of pain as a conscious experience conceived of as unpleasant (Mendoza & Pellicer, 2002). Most research in this area has been conducted with adolescents (Jutengren, Kerr, & Stattin, 2011;Whitlock, Eckenrode, & Silverman, 2006;You, Leung, & Fu, 2011) and university students (Tsypes, Lane, Paul, & Whitlock, 2016;Whitlock et al, 2011;Yurkowski et al, 2015). The international prevalence in young adults (from Asia, Australia/New Zealand, Canada, Europe, United Kingdom, and the USA) is 13.4% (Swannell, Martin, Page, Hasking, & St John, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Non-suicidal self-injuries in a sample of Mexican university students

Silva

Benjet

García

et al. 2017

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Introduction. Non-suicidal self-injuries (NSSI) are a worldwide health problem that affects principally young people, and can impact negatively the mental and physical health of those that self-injure. Objective. To examine the frequency of NSSI in 564 undergraduate students (132 male, 432 female) from Mexico City and the association of NSSI with depressive symptoms, anxiety, impulsivity, self-efficacy, and emotion regulation. Method. A convenience sample of 564 undergraduate students (aged 17-26 years) from eight universities in the Mexico City metropolitan area completed a survey in their classrooms. Results. Of the total sample, 30.9% had experimented at some point in their lifetime with NSSI on one to four occasions, while 26.9% had recurrent NSSI (i.e., five or more occasions). Nearly eleven percent self-injured in the prior 12 months. The NSSI most often reported among those who self-injured was cutting oneself (48.0%). Recurrent self-injurers reported higher levels of depression and impulsivity, and less self-efficacy than those who had experimented with such behaviors or without any lifetime NSSI. While 54.4% perceived the need for professional help, only 18.1% sought professional services. Discussion and conclusion. NSSI is a hidden problem in the college population in Mexico City which needs to be addressed by university administrators and mental health professionals. Depressive symptomatology, impulsivity, and self-efficacy are factors that should be considered when developing preventive intervention strategies.

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Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Non-suicidal self-injuries in a sample of Mexican university students

Silva

Benjet

García

et al. 2017

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“…Although we found that the link between emotional dysregulation and NSSI was robust across participants from various countries, such as the United States [42,51], Canada [59][60][61], Italy [52], Germany [55][56], New Zealand [62][63], and the Netherland [57], these countries are all western countries and participants in these studies were predominantly identified as Caucasian. Only two studies being reviewed involved non-western samples: one involved Turkish [38], and the other Japanese [64].…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Emotional Dysregulation and Nonsuicidal Self-Injury: A Meta-Analytic Review

You¹,

Ren²,

Zhang³

et al. 2018

Neuropsychiatry

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Emotion dysregulation is generally agreed to be an important risk factor for non-suicidal self-injury (NSSI). It is not clear, however, which aspects of emotional dysregulation are more strongly related to NSSI. This article aimed to present a meta-analytic review of the associations between the different dimensions of emotional dysregulation and NSSI. In total, 42 studies with 46 samples were included in the meta-analyses. Results showed that higher levels of emotional dysregulation in all eight dimensions (i.e., lack of emotional awareness, lack of emotional clarity, non-acceptance of emotional responses, limited access to effective emotional regulation strategies, difficulties controlling impulses when experiencing negative emotions, difficulties engaging in goal-directed behaviors when experiencing negative emotions, inability to express emotions, and emotional reactivity) were associated with increased risk of NSSI, with the strength of the associations between emotional reactivity and limited access to effective emotional regulation strategies and NSSI being the strongest. Moreover, NSSI measure type significantly moderated the association between limited access to emotional regulation strategies and NSSI. Findings of this review highlight some limitations of the existing literature, such as the use of cross-sectional designs, the inclusion of predominantly individuals from western countries, and the lack of examination of the mechanisms underlying the emotional regulation function of NSSI. These limitations represent important directions for future research.

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“…Although this initial evidence hints at an association, no study to date has examined escalation in NSSI vulnerability associated with early cannabis use. Furthermore, mechanisms underlying this association have not been examined, but may include (a) shared genetic influences, as genetic factors have been shown to influence both cannabis use (Verweij et al, 2010) and NSSI (Maciejewski et al, 2014); (b) shared environmental influences (e.g., familial environment); (c) shared individual-specific risk factors, such as emotion dysregulation (Dorard et al, 2008;Yurkowski et al, 2015) or childhood sexual abuse (Klonsky & Moyer, 2008;Sartor et al, 2013); or (d) causal mechanisms, whereby early initiation of cannabis directly increases the likelihood of NSSI or vice versa.…”

mentioning

confidence: 99%

Cannabis Involvement and Nonsuicidal Self-Injury: A Discordant Twin Approach

Few

Grant

Nelson

et al. 2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Cannabis use, particularly at an early age, has been linked to suicidal thoughts and behavior, but minimal work has examined the association between cannabis use and lifetime nonsuicidal self-injury (NSSI). The current study aims to characterize the overlap between lifetime and early cannabis use and NSSI and to examine genetic and environmental mechanisms of this association. Method: Adult male and female twins from the Australian Twin Registry (N = 9,583) were used to examine the odds of NSSI associated with lifetime cannabis use and early cannabis use (i.e., <17 years of age). These associations were also examined within monozygotic (MZ) twins discordant for cannabis use and MZ twins discordant for early cannabis use. Analyses were replicated in an independent sample of female twins (n = 3,787) accounting for the age at onset of cannabis use and NSSI. Conclusions:Results suggest that NSSI is associated with cannabis involvement via differing mechanisms. For lifetime cannabis use, the lack of association in discordant pairs suggests the role of shared genes and family environment. However, in addition to such shared familial influences, person-specific and putatively causal factors contribute to the relationship between early cannabis use and NSSI. Therefore, delaying the onset of cannabis use may reduce exposure to influences that exacerbate vulnerabilities to NSSI. (J. Stud. Alcohol Drugs, 77, 873-880, 2016)

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Emotion dysregulation mediates the influence of relationship difficulties on non-suicidal self-injury behavior in young adults

Cited by 35 publications

References 36 publications

Non-suicidal self-injuries in a sample of Mexican university students

Non-suicidal self-injuries in a sample of Mexican university students

Emotional Dysregulation and Nonsuicidal Self-Injury: A Meta-Analytic Review

Cannabis Involvement and Nonsuicidal Self-Injury: A Discordant Twin Approach

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