Self‐Criticism as a Transdiagnostic Process in Nonsuicidal Self‐Injury and Disordered Eating: Systematic Review and Meta‐Analysis

Zelkowitz, Rachel L.; Cole, David A.

doi:10.1111/sltb.12436

Cited by 73 publications

(60 citation statements)

References 66 publications

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“…Therefore, self‐punishment appears to be relevant to understanding both NSSI and ED behavioral engagement. This is generally consistent with previous work suggesting that ED behaviors can be influenced by perfectionistic and self‐critical attitudes towards oneself (e.g., Kehayes, Smith, Sherry, Vidovic, & Saklofske, ) which is similar to research on NSSI (e.g., Hoff & Muehlenkamp, ; Zelkowitz & Cole, ). However, the self‐punishment items emphasize direct punishment of the self in response to being angry and unhappy with oneself rather than assessing more general aspects of perfectionism and pleasing others which is potentially more salient to ED (Kehayes et al, ).…”

Section: Discussionsupporting

confidence: 91%

Behavioral functions underlying NSSI and eating disorder behaviors

et al. 2019

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Objective This study examined whether the psychological functions motivating eating disorder (ED) and nonsuicidal self‐injury (NSSI) behaviors are similar, thereby representing shared mechanisms accounting for their high co‐occurrence. Method Self‐report data assessing NSSI, ED symptoms, and behavioral functions were collected from 676 adults with recent NSSI (past 6 months; n = 333) or disordered eating ( n = 343). Results Measurement invariance analyses revealed the same function‐factor structure for ED and NSSI behaviors for 8 out of 13 scales. Comparisons of scalar latent means showed that some functions, while relevant to both behaviors, were rated as subjectively more salient to engaging in either ED or NSSI behavior. Conclusions Similar functions have relevance to understanding engagement in NSSI and ED, but important differences exist in the subjective salience of each function. Treatments focusing on the shared functions of NSSI and ED may have greater success in simultaneously decreasing engagement in these behaviors.

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Section: Discussionsupporting

confidence: 91%

Behavioral functions underlying NSSI and eating disorder behaviors

et al. 2019

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“…Our analysis identified other novel topic areas that have not been previously described, which provide insight into factors that may contribute to the perpetuation of ED behaviors. For instance, we discovered a latent topic reflecting self-punishment as a means of motivating ED behavior, which corresponds to prior self-report research [15]. Thus, selfcriticism may be a fruitful target in future treatment.…”

Section: Discussionsupporting

confidence: 54%

Analysis of Twitter to Identify Topics Related to Eating Disorder Symptoms

Zhou

Zhao

Rizvi

et al. 2019

2019 IEEE International Conference on Healthcare Informatics (ICHI)

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Eating disorders (EDs) are serious mental illnesses associated with physical and psychiatric problems, and premature death. Examining social media communication about ED symptoms may provide insight into how to prevent and treat these disorders. This study is to explore topics on Twitter related to EDs. We applied the Correlation Explanation (CorEx) topic model on 18,288 ED-related tweets and identified 20 topics, which were further grouped into 8 categories. The top two topic categories are body image and ED consequences. We manually evaluated the relevance of tweets to their assigned topics and average accuracy is 77.86%. Our findings are consistent with another study using content analysis, and we identified additional topics, such as ED consequences, pornography, and treatment and education from these tweets.

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“…Providing support for this possibility, some people who engage in ED behaviors report high levels of self‐criticism and a desire to self‐punish via these behaviors (Svirko & Hawton, ). When separating ED behaviors from other indirect forms of self‐harm, NSSI and ED behaviors show similarly strong associations with self‐criticism (Zelkowitz & Cole, ). Moreover, substantial comorbidity between NSSI and ED behaviors, alongside evidence that ED behaviors can co‐occur with NSSI (i.e., within an episode; Shingleton et al, ; Turner, Yiu, Claes, Muehlenkamp, & Chapman, ), suggests that there may be some shared intent to harm oneself via NSSI and ED behaviors.…”

Section: Direct Versus Indirect Self‐harmmentioning

confidence: 99%

Comparing self‐harming intentions underlying eating disordered behaviors and NSSI: Evidence that distinctions are less clear than assumed

Fox

Wang

Boccagno

et al. 2019

Intl J Eating Disorders

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Objective Eating disordered (ED) behaviors (i.e., binge eating, compensatory behaviors, restrictive eating) and nonsuicidal self‐injury (NSSI; intentional and nonsuicidal self‐harm) are highly comorbid and share several similarities, including consequent pain and physical damage. However, whereas NSSI is considered direct self‐harm, ED behaviors are considered indirect self‐harm. These distinctions stem from theoretical understanding that NSSI is enacted to cause physical harm in the moment, whereas ED behaviors are enacted for other reasons, with consequent physical harm occurring downstream of the behaviors. We sought to build on these theoretically informed classifications by assessing a range of self‐harming intentions across NSSI and ED behaviors. Method Study recruitment was conducted via online forums. After screening for inclusion criteria, 151 adults reported on their intent to and knowledge of causing physical harm in the short‐ and long‐term and suicide and death related cognitions and intentions when engaging in NSSI and specific ED behaviors. Results Participants reported engaging in ED and NSSI behaviors with intent to hurt themselves physically in the moment and long‐term, alongside thoughts of suicide, and with some hope and knowledge of dying sooner due to these behaviors. Distinctions across behaviors also emerged. Participants reported greater intent to cause physical harm in the moment via NSSI and in the long‐run via restrictive eating. NSSI and restrictive eating were associated with stronger endorsement of most suicide and death‐related intentions than binge eating or compensatory behaviors. Conclusions Findings shed light on classification of self‐harming behaviors, casting doubt that firm boundaries differentiate direct and indirectly self‐harming behaviors.

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Self‐Criticism as a Transdiagnostic Process in Nonsuicidal Self‐Injury and Disordered Eating: Systematic Review and Meta‐Analysis

Cited by 73 publications

References 66 publications

Behavioral functions underlying NSSI and eating disorder behaviors

Behavioral functions underlying NSSI and eating disorder behaviors

Analysis of Twitter to Identify Topics Related to Eating Disorder Symptoms

Comparing self‐harming intentions underlying eating disordered behaviors and NSSI: Evidence that distinctions are less clear than assumed

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