Abuse Subtypes and Nonsuicidal Self-Injury: Preliminary Evidence of Complex Emotion Regulation Patterns

Research has identified complex relationships between abuse experiences, emotion regulation, and nonsuicidal self-injury (NSSI). Data generally indicate that individuals with an abuse experience, or those with NSSI, have difficulties with emotion regulation. However, it is unknown whether there are specific patterns of emotion regulation difficulties across abuse subtypes that are uniquely associated with engaging in NSSI. Using a sample of 2238 college students (n = 419; 18.1% with NSSI histories), the present study examined differences in emotion regulation difficulties across specific abuse types between those with and without a history of NSSI. Results indicate significantly greater difficulties with emotion regulation among abused and self-injuring participants as well as significant differences on specific emotion regulation problems between self-injuring and noninjuring participants within the physical abuse and combination physical/sexual abuse subtypes. Possible explanations and implications of these findings are discussed.

[1]  A. Dumaret,et al.  [Long-term consequences of child abuse and neglect]. , 2011, La Revue du praticien.

[2]  J. Muehlenkamp,et al.  Variation in Nonsuicidal Self-Injury: Identification and Features of Latent Classes in a College Population of Emerging Adults , 2008, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[3]  M. Cloitre,et al.  Attachment organization, emotion regulation, and expectations of support in a clinical sample of women with childhood abuse histories. , 2008, Journal of traumatic stress.

[4]  A. Moyer,et al.  Childhood sexual abuse and non-suicidal self-injury: meta-analysis , 2008, British Journal of Psychiatry.

[5]  Tuppett M. Yates,et al.  A prospective study of child maltreatment and self-injurious behavior in a community sample , 2008, Development and Psychopathology.

[6]  K. L. Gratz,et al.  The Relationship Between Emotion Dysregulation and Deliberate Self‐Harm Among Female Undergraduate Students at an Urban Commuter University , 2008, Cognitive behaviour therapy.

[7]  M. Nock,et al.  Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury. , 2008, Journal of consulting and clinical psychology.

[8]  K. L. Gratz Targeting emotion dysregulation in the treatment of self-injury. , 2007, Journal of clinical psychology.

[9]  J. Muehlenkamp,et al.  Self-injury: a research review for the practitioner. , 2007, Journal of clinical psychology.

[10]  M. Nock,et al.  Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism. , 2007, Behaviour research and therapy.

[11]  E. D. Klonsky,et al.  The functions of deliberate self-injury: a review of the evidence. , 2007, Clinical psychology review.

[12]  Matthew K Nock,et al.  Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the National Comorbidity Survey. , 2006, Journal of abnormal psychology.

[13]  K. L. Gratz Risk factors for deliberate self-harm among female college students: the role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/reactivity. , 2006, The American journal of orthopsychiatry.

[14]  R. Reading,et al.  The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology , 2006 .

[15]  C. Evren,et al.  Self-mutilation in substance-dependent patients and relationship with childhood abuse and neglect, alexithymia and temperament and character dimensions of personality. , 2005, Drug and alcohol dependence.

[16]  L. Swisher,et al.  Managing emotion in a maltreating context: a pilot study examining child neglect. , 2005, Child abuse & neglect.

[17]  S. Paivio,et al.  Alexithymia as a mediator between childhood trauma and self-injurious behaviors. , 2004, Child abuse & neglect.

[18]  Tuppett M. Yates The developmental psychopathology of self-injurious behavior: compensatory regulation in posttraumatic adaptation. , 2004, Clinical psychology review.

[19]  K. L. Gratz,et al.  Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale , 2004 .

[20]  V. Şar,et al.  Suicide attempt and self‐mutilation among Turkish high school students in relation with abuse, neglect and dissociation , 2003, Psychiatry and clinical neurosciences.

[21]  K. Tyler,et al.  Social and emotional outcomes of childhood sexual abuse: A review of recent research , 2002 .

[22]  K. L. Gratz,et al.  Measurement of Deliberate Self-Harm: Preliminary Data on the Deliberate Self-Harm Inventory , 2001 .

[23]  S. Paivio,et al.  Empathy and emotion regulation: reprocessing memories of childhood abuse. , 2001, Journal of clinical psychology.

[24]  M. Power,et al.  Childhood trauma, dissociation and self-harming behaviour: a pilot study. , 2000, The British journal of medical psychology.

[25]  J. Briere,et al.  Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. , 1998, The American journal of orthopsychiatry.

[26]  J. C. Perry,et al.  Childhood origins of self-destructive behavior. , 1991, The American journal of psychiatry.

[27]  A. Favazza,et al.  Female habitual self‐mutilators , 1989, Acta psychiatrica Scandinavica.

[28]  C. Schaffer,et al.  Family experiences of self-mutilating patients. , 1980, The American journal of psychiatry.

[29]  Tuppett M. Yates Developmental pathways from child maltreatment to nonsuicidal self-injury. , 2009 .

[30]  M. Prinstein,et al.  Contextual features and behavioral functions of self-mutilation among adolescents. , 2005, Journal of abnormal psychology.

[31]  K. Rodham,et al.  Reasons for deliberate self-harm: comparison of self-poisoners and self-cutters in a community sample of adolescents. , 2004, Journal of the American Academy of Child and Adolescent Psychiatry.

[32]  K. L. Gratz,et al.  Risk factors for deliberate self-harm among college students. , 2002, The American journal of orthopsychiatry.

[33]  C. Zlotnick,et al.  The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse, and self-mutilation. , 1996, Comprehensive psychiatry.

[34]  A. Favazza Bodies under siege : self-mutilation and body modification in culture and psychiatry , 1996 .

[35]  Mary A. Darche Psychological factors differentiating self-mutilating and non-self-mutilating adolescent inpatient females. , 1990 .