The Effect of Emotion Regulation on Non-Suicidal Self-Injury Among Adolescents: The Mediating Roles of Sleep, Exercise, and Social Support

Lan, Zhensong; Pau, Kee; Yusof, Hapsah Md; Huang, Xuefang

doi:10.2147/prbm.s363433

Cited by 15 publications

(16 citation statements)

References 54 publications

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“…Incorporate a diverse range of age-appropriate aerobic, strength, and flexibility exercises into a weekly routine and school-based P.E. classes to improve overall physical and mental health [ 23 ] 5. Ensure daily consumption of a nutrient-dense breakfast, comprising whole grains, fruits, and protein, which has been linked to enhanced cognitive function, mood regulation, and reduced impulsivity [ 37 , 41 ] 6.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Association between patterns of biological rhythm and self-harm: evidence from the baoxing youth mental health (BYMH) cohort

Shan,

Wang,

Tousey-Pfarrer

et al. 2024

Child Adolesc Psychiatry Ment Health

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Background Self-harm, a severe mental health concern among children and adolescents, has varying global prevalence rates. Previous studies have suggested potential associations between specific behavioral aspects of biological rhythm and self-harm risk in these populations. Objective Our study aimed to elucidate the relationship between biological rhythm patterns and the propensity of self-harm among Chinese children and adolescents using the Baoxing Youth Mental Health (BYMH) cohort. Methods We included 1883 Chinese children and adolescents from the BYMH cohort. The self-report questions used to assess biological rhythm and self-harm. We applied Principal Component Analysis (PCA) to distinguish patterns of biological rhythms. Logistic regression models were conducted to estimate the associations between biological rhythm, as well as biological rhythm patterns and risk of self-harm. Results Of the participants, 35.0% reported experiencing lifetime self-harm. PCA revealed six significantly predominant biological rhythm patterns. Elevated risks of self-harm were linked with unhealthy eating practices, daytime tiredness, and unhealthy bedtime snacking. Conversely, patterns emphasizing physical exercise, family meals for breakfast, and nutritious diet exhibited decreased self-harm propensities. These trends persisted across varied self-harm attributes, including type, recency, and frequency of self-harm. Conclusions This study underscores the critical impact of biological rhythms on self-harm risks among Chinese youth. Targeted lifestyle interventions, focusing on improved sleep and dietary habits, could serve as potent preventive measures. Our findings lay the groundwork for future longitudinal studies to further probe these associations, fostering the creation of tailored interventions to curb self-harm and enhance mental well-being in younger populations.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Association between patterns of biological rhythm and self-harm: evidence from the baoxing youth mental health (BYMH) cohort

Shan,

Wang,

Tousey-Pfarrer

et al. 2024

Child Adolesc Psychiatry Ment Health

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“…Among the most prevalent mental health problems among adolescents is non-suicidal self-injury (NSSI), which has been shown to be strongly related to difficulties in ER [23][24][25]. NSSI is defined as "the deliberate, non-fatal self-infliction of body tissue damage without suicidal intent" [26], and is associated with adverse outcomes, including diminished academic performance, peer-related difficulties, and an elevated risk of suicidal behaviors [27][28][29].…”

Section: Introductionmentioning

confidence: 99%

A Comparative Analysis of Emotional Regulation and Maladaptive Symptoms in Adolescents: Insights from Iran and Belgium

Vatandoost,

Baetens,

Erjaee

et al. 2024

Healthcare

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(1) Background: Emotional regulation is a critical determinant of adaptive functioning during adolescence, exerting a profound influence on psychological well-being. This study seeks to deepen our understanding of the intricate interplay between emotional regulation and maladaptive psychological symptoms, examining these dynamics through a cross-country comparison. (2) Methods: A total of 224 adolescents, aged 13 to 21 years, from both Iran and Belgium, participated in a cross-sectional comparative study. The study aimed to elucidate the relationship between emotional regulation and mental health functioning, assessing internalizing symptoms, externalizing symptoms, and self-injury. A demographic questionnaire, the Emotion Regulation Inventory, the Strengths and Difficulties Questionnaire, and the Self-Harm Inventory, were administered. Data analysis incorporated correlation assessments, multivariate analysis of variance, and structured equation modeling. (3) Results: The findings revealed a positive association between emotional dysregulation and psychological symptoms across the entire sample. Conversely, emotional suppression, more prevalent in Iran, showed no significant link with maladaptive symptoms but was associated with self-harm in the Belgian sample. Cultural disparities were evident, with internalizing problems more prevalent in Iran and externalizing issues more common in Belgium. (4) Conclusions: Emotional dysregulation emerged as a common factor compromising mental health. It emphasizes the necessity of considering cultural nuances when developing interventional and preventative programs and calls for further research in this field.

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“…In particular, poor sleep quality may damage adolescent emotional regulation, increase the risk of depression, and further increase the risk of NSSI [18]. Multiple studies have demonstrated that poor sleep quality significantly predicts adolescent NSSI [19][20][21]. Moreover, some studies have indicated that sleep quality acts as a mediator in the relationship between stressful experiences and suicidality [22,23].…”

Section: Introductionmentioning

confidence: 99%

Stressful Life Events, Sleep Quality and Non-Suicidal Self-Injury in Chinese Adolescents: The Moderating Effect of Sensation Seeking

Ye,

Wang,

Liao

et al. 2024

Behavioral Sciences

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Despite the growing evidence that stressful life events are associated with adolescent non-suicidal self-injury (NSSI), few studies have investigated the mediating and moderating mechanisms underlying this link. The current study examined whether sleep quality mediated the link between stressful life events and NSSI and whether this mediating process was moderated by adolescent sensation seeking. The participants were 1006 Chinese adolescents (48.21% boys; mean age = 13.16 years, SD = 0.67). They completed the Life Events Checklist, Pittsburgh Sleep Quality Index, UPPS-P Impulsive Behavior Scale, and NSSI Questionnaire. The PROCESS macro for SPSS was used to examine the hypothesized moderated mediation model. The results showed that sleep quality significantly mediated the positive association between stressful life events and adolescent NSSI. Moreover, this mediating pathway was moderated by sensation seeking. Specifically, the risk impact of stressful life events on NSSI through sleep quality was significant only among adolescents with high-level sensation seeking but not among those with low-level sensation seeking. These findings provide intervention insights to reduce the risk of adolescent NSSI.

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The Effect of Emotion Regulation on Non-Suicidal Self-Injury Among Adolescents: The Mediating Roles of Sleep, Exercise, and Social Support

Cited by 15 publications

References 54 publications

Association between patterns of biological rhythm and self-harm: evidence from the baoxing youth mental health (BYMH) cohort

Association between patterns of biological rhythm and self-harm: evidence from the baoxing youth mental health (BYMH) cohort

A Comparative Analysis of Emotional Regulation and Maladaptive Symptoms in Adolescents: Insights from Iran and Belgium

Stressful Life Events, Sleep Quality and Non-Suicidal Self-Injury in Chinese Adolescents: The Moderating Effect of Sensation Seeking

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