Nightmares and nonsuicidal self-injury: The mediating role of emotional dysregulation

Ennis, Chelsea R.; Short, Nicole A.; Moltisanti, Allison J.; Smith, Caitlin E.; Joiner, Thomas E.; Taylor, Jeanette

doi:10.1016/j.comppsych.2017.04.003

Cited by 35 publications

(39 citation statements)

References 48 publications

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“…One study utilised actigraphy in combination with a sleep diary (60). Nightmares were also assessed by several authors (21, 45,53,57,60,61,63) and nightmare distress was measured in one investigation (57) There was heterogeneity in the assessment of suicide risk with six validated measurement tools being employed across the studies. Two studies assessed suicide risk using single item measures.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Two studies assessed suicide risk using single item measures. Two studies from the same author measured self-harm more broadly (with and without suicidal intent) (43,61) and one assessed non-suicidal self-injury (defined as the deliberate destruction of one's own body tissue in the absence of suicidal intent) (53) Eight (42.1%)investigations also examined potential psychological processes (44,48,52,53,57,61,63,64) with different psychological factors studied (i.e. hopelessness, social problem solving, fatigue, thwarted belongingness, perceived burdensomeness, rumination, negative affect and emotional dysregulation).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One study examined the link between sleep disturbance and non-suicidal self-injury (NSSI). Ennis et al (53) investigated whether insomnia and nightmares were related to NSSI in a sample of undergraduate psychology students. Validated measures were employed throughout and whilst nightmares were associated with NSSI, independent of severity of depression, this was not found to be the case for insomnia symptoms.…”

Section: What Psychological Mechanisms Could Be Driving the Relationsmentioning

confidence: 99%

See 2 more Smart Citations

Sleep problem, suicide and self-harm in university students: A systematic review

Russell

Allan

Beattie

et al. 2019

Sleep Medicine Reviews

117

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: What Psychological Mechanisms Could Be Driving the Relationsmentioning

confidence: 99%

See 1 more Smart Citation

Sleep problem, suicide and self-harm in university students: A systematic review

Russell

Allan

Beattie

et al. 2019

Sleep Medicine Reviews

117

View full text Add to dashboard Cite

show abstract

“…Additionally, recent findings from Ennis et al. () have shown the relationship between nightmares and nonsuicidal self‐injury to be fully mediated by emotion dysregulation.…”

mentioning

confidence: 98%

“…Nightmares have been uni directionally linked to an increased risk of self-harm engagement (regardless of suicidal intent), with this relationship being partially mediated by postsleep negative affect in a student sample (Hochard, Heym, & Townsend, 2015). Additionally, recent findings from Ennis et al (2017) have shown the relationship between nightmares and nonsuicidal self-injury to be fully mediated by emotion dysregulation.…”

mentioning

confidence: 99%

Exploring Thematic Nightmare Content and Associated Self‐Harm Risk

Hochard

Ashcroft

Carroll

et al. 2017

Suicide & Life Threat Behav

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Nightmares have been shown to be robust predictors of self-harm risk, beyond depressive symptoms and hopelessness at times. However, few studies have investigated associations between nightmare content and increased self-harm risk. This study explored associations of thematic nightmare content with history of self-harm, and risk of self-harm phenomena the morning following a nightmare. A mixed-method diary study was performed. Prospective nightmare reports were obtained from 72 participants. A total of 47 nightmare reports met inclusion criteria and were analyzed for themes using inductive thematic analysis. Chi-square and bootstrap Pearson's correlation tests were performed to assess the associations between nightmare themes and self-harm history, and risk of self-harm phenomena following a nightmare. "Powerlessness to Change Behavior" was associated with a history of self-harm engagement, whereas "Financial Hardship" indicated reduced risk. Themes were not significantly associated with increased risk of self-harm phenomena following a nightmare. Content may be of use in detecting lifetime history of self-harm engagement, particularly in populations where disclosure is seen as taboo. However, nightmare symptom severity remains a better indicator of risk. Evidence for the utility of nightmare content in assessing immediate self-harm risk is presently lacking. Replication with increased power is recommended.

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The role of sleep disturbance in the associations of borderline personality disorder symptom severity to nonsuicidal self‐injury and suicide risk among patients with substance use disorders

Scamaldo

Tull

Gratz

2021

Personality & Mental Health

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This study sought to examine the explanatory role of sleep disturbance in the associations of borderline personality disorder (BPD) symptom severity to nonsuicidal self-injury (NSSI) and suicide risk within an at-risk sample of patients with substance use disorders (SUDs), as well as whether emotion regulation (ER) difficulties account for significant variance in the relations of sleep disturbance to NSSI and suicide risk. Patients in a residential SUD treatment facility (N = 166) completed a diagnostic interview and questionnaires. Results revealed significant indirect relations of BPD symptom severity to both NSSI frequency and suicide risk through sleep disturbance. In addition, ER difficulties accounted for significant variance in the relation of sleep disturbance to NSSI frequency (but not suicide risk). Findings highlight the relevance of sleep disturbance to the association between BPD symptoms and both suicidal and nonsuicidal self-injury and suggest the potential utility of interventions aimed at improving sleep quality among individuals with BPD pathology.

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Nightmares and nonsuicidal self-injury: The mediating role of emotional dysregulation

Cited by 35 publications

References 48 publications

Sleep problem, suicide and self-harm in university students: A systematic review

Sleep problem, suicide and self-harm in university students: A systematic review

Exploring Thematic Nightmare Content and Associated Self‐Harm Risk

The role of sleep disturbance in the associations of borderline personality disorder symptom severity to nonsuicidal self‐injury and suicide risk among patients with substance use disorders

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