Non-suicidal self-injury in adolescents with mood disorders and the roles of self-compassion and emotional regulation
ObjectiveWe aimed to investigate the characteristics and psychological mechanism of non-suicidal self-injury (NSSI) in adolescents with mood disorders. We examined how self-compassion and emotional regulation affected NSSI and tested the mediating role of self-compassion in the link between emotiona...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1214192/full |
| _version_ | 1797384297501425664 |
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| author | Jing Liu Jing Liu Jia-ting Li Jia-ting Li Man Zhou Man Zhou Hui-feng Liu Hui-feng Liu Yang-yang Fan Si Mi Si Mi Yi-lang Tang Yi-lang Tang |
| author_facet | Jing Liu Jing Liu Jia-ting Li Jia-ting Li Man Zhou Man Zhou Hui-feng Liu Hui-feng Liu Yang-yang Fan Si Mi Si Mi Yi-lang Tang Yi-lang Tang |
| author_sort | Jing Liu |
| collection | DOAJ |
| description | ObjectiveWe aimed to investigate the characteristics and psychological mechanism of non-suicidal self-injury (NSSI) in adolescents with mood disorders. We examined how self-compassion and emotional regulation affected NSSI and tested the mediating role of self-compassion in the link between emotional regulation and NSSI.MethodWe recruited outpatient and inpatient adolescent patients with bipolar and related disorders or depressive disorders (DSM-5), with a focus on NSSI. We also recruited healthy controls from the community. We collected demographic and clinical data. The Adolescent Self-injury Questionnaire, Self-compassion Scale (SCS), and Emotion Regulation Questionnaire (ERQ) were used to assess the frequency and severity of NSSI, level of self-compassion, and emotional regulation.ResultsIn total, we recruited 248 adolescent patients with mood disorders (N = 196 with NSSI, and 52 without NSSI) and 212 healthy controls. NSSI was significantly associated with the female sex, lower levels of education and less use of cognitive reappraisal strategies, lower levels of self-warmth, and higher levels of self-coldness. Multivariate analysis of variance showed that there were significant differences in the scores of ERQ, cognitive reassessment score, and the scores of SCS among the three groups, but no statistical differences in expressive suppression score among the three groups. Self-warmth had a mediating effect between cognitive reappraisal and NSSI behavior.ConclusionNSSI is prevalent among adolescent patients with mood disorders in clinical settings, especially among girls and those with lower levels of education and less cognitive reappraisal strategies. More clinical attention is needed. Self-compassion and its factors may mediate the association between emotional regulation and NSSI. Clinical implications and future research directions were discussed. |
| first_indexed | 2024-03-08T21:33:27Z |
| format | Article |
| id | doaj.art-ac1ff1230bd545e488aeca1b76d7d013 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-08T21:33:27Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-ac1ff1230bd545e488aeca1b76d7d0132023-12-21T04:23:55ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-12-011410.3389/fpsyt.2023.12141921214192Non-suicidal self-injury in adolescents with mood disorders and the roles of self-compassion and emotional regulationJing Liu0Jing Liu1Jia-ting Li2Jia-ting Li3Man Zhou4Man Zhou5Hui-feng Liu6Hui-feng Liu7Yang-yang Fan8Si Mi9Si Mi10Yi-lang Tang11Yi-lang Tang12Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaFaculty of Economics and Management, East China Normal University, Shanghai, ChinaBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United StatesMental Health Service Line, Atlanta VA Medical Center, Decatur, GA, United StatesObjectiveWe aimed to investigate the characteristics and psychological mechanism of non-suicidal self-injury (NSSI) in adolescents with mood disorders. We examined how self-compassion and emotional regulation affected NSSI and tested the mediating role of self-compassion in the link between emotional regulation and NSSI.MethodWe recruited outpatient and inpatient adolescent patients with bipolar and related disorders or depressive disorders (DSM-5), with a focus on NSSI. We also recruited healthy controls from the community. We collected demographic and clinical data. The Adolescent Self-injury Questionnaire, Self-compassion Scale (SCS), and Emotion Regulation Questionnaire (ERQ) were used to assess the frequency and severity of NSSI, level of self-compassion, and emotional regulation.ResultsIn total, we recruited 248 adolescent patients with mood disorders (N = 196 with NSSI, and 52 without NSSI) and 212 healthy controls. NSSI was significantly associated with the female sex, lower levels of education and less use of cognitive reappraisal strategies, lower levels of self-warmth, and higher levels of self-coldness. Multivariate analysis of variance showed that there were significant differences in the scores of ERQ, cognitive reassessment score, and the scores of SCS among the three groups, but no statistical differences in expressive suppression score among the three groups. Self-warmth had a mediating effect between cognitive reappraisal and NSSI behavior.ConclusionNSSI is prevalent among adolescent patients with mood disorders in clinical settings, especially among girls and those with lower levels of education and less cognitive reappraisal strategies. More clinical attention is needed. Self-compassion and its factors may mediate the association between emotional regulation and NSSI. Clinical implications and future research directions were discussed.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1214192/fulladolescentsnon-suicidal self-injuryself-compassionemotional regulationmood disorder |
| spellingShingle | Jing Liu Jing Liu Jia-ting Li Jia-ting Li Man Zhou Man Zhou Hui-feng Liu Hui-feng Liu Yang-yang Fan Si Mi Si Mi Yi-lang Tang Yi-lang Tang Non-suicidal self-injury in adolescents with mood disorders and the roles of self-compassion and emotional regulation Frontiers in Psychiatry adolescents non-suicidal self-injury self-compassion emotional regulation mood disorder |
| title | Non-suicidal self-injury in adolescents with mood disorders and the roles of self-compassion and emotional regulation |
| title_full | Non-suicidal self-injury in adolescents with mood disorders and the roles of self-compassion and emotional regulation |
| title_fullStr | Non-suicidal self-injury in adolescents with mood disorders and the roles of self-compassion and emotional regulation |
| title_full_unstemmed | Non-suicidal self-injury in adolescents with mood disorders and the roles of self-compassion and emotional regulation |
| title_short | Non-suicidal self-injury in adolescents with mood disorders and the roles of self-compassion and emotional regulation |
| title_sort | non suicidal self injury in adolescents with mood disorders and the roles of self compassion and emotional regulation |
| topic | adolescents non-suicidal self-injury self-compassion emotional regulation mood disorder |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1214192/full |
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