High-frequency ecological momentary assessment of emotional and interpersonal states preceding and following self-injury in female adolescents

Non-suicidal self-injury (NSSI) is a considerable health problem among adolescents. Affect regulation by means of self-injury may promote the maintenance of NSSI. However, existing findings have limited ecological validity. The present study aimed to assess emotional and interpersonal states precedi...

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Vydáno v:European child & adolescent psychiatry Ročník 30; číslo 8; s. 1299 - 1308
Hlavní autoři: Koenig, Julian, Klier, Julia, Parzer, Peter, Santangelo, Philip, Resch, Franz, Ebner-Priemer, Ulrich, Kaess, Michael
Médium: Journal Article
Jazyk:angličtina
Vydáno: Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2021
Springer Nature B.V
Témata:
Adolescent girls
Adolescents
Adults
Attachment
Child & adolescent psychiatry
Child and Adolescent Psychiatry
Ecological momentary assessment
Emotional behavior
Emotional regulation
Emotions
Evaluation
Females
Health problems
Injuries
Medicine
Medicine & Public Health
Negative emotions
Original Contribution
Psychiatry
Self control
Self destructive behavior
Self evaluation
Self injury
Teenagers
Ecological momentary assessment
Self-injury
Adolescents
Negative affect
ISSN:1018-8827, 1435-165X, 1435-165X
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Shrnutí:Non-suicidal self-injury (NSSI) is a considerable health problem among adolescents. Affect regulation by means of self-injury may promote the maintenance of NSSI. However, existing findings have limited ecological validity. The present study aimed to assess emotional and interpersonal states preceding and following incidents of NSSI in female adolescents. Adolescents with NSSI-disorder completed ecological momentary assessments of affective and interpersonal states on an hourly basis for multiple days. Multilevel mixed-effect regression analyses were conducted to assess antecedences and consequences of acts of self-injury. Data from n  = 73 female adolescents covering a total of 52 acts of self-injury were available for analyses. The urge to self-injure on the between subject-level and negative affect on the within-level were best predictors of self-injury. Surprisingly, self-injury increased negative affect and decreased feelings of attachment (mother only) in the following hour. In line with findings in adults, results illustrate the important association between negative affect and self-injury in female adolescents. However, the occurrence of NSSI itself was related to concurrent increases in negative affect, and even prospectively predicted a consecutive increase in negative affect. Therefore, improvements of negative affect following (or during) self-injury, as previously reported, are at best short-lived (< 1 h).
Bibliografie:ObjectType-Article-1
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ISSN:1018-8827
1435-165X
1435-165X
DOI:10.1007/s00787-020-01626-0