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Stressful Experiences, Emotion Dysregulation, and Nonsuicidal Self-Injury among University Students

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Abstract

Developmental theory on nonsuicidal self-injury (NSSI; e.g., self-cutting without lethal intent) underscores that stressful life experiences may lead to heightened risk for NSSI, potentially by undermining individuals’ emotion coping capacities. Given that the transition to university is often accompanied by new stressors for emerging adults, it is possible that stressors experienced during the university years may lead to heightened susceptibility for NSSI during this developmental period. Cross-sectional research supports a positive association between stressful experiences and NSSI among students; however, longitudinal research is needed to examine the direction of effects and explore potential mediating factors (i.e., emotion dysregulation). In the present study, university students (N = 1132; 70.5% female; mage = 19.11) reported on their stressful experiences in university, difficulties in emotion regulation, and NSSI each year for three consecutive years. Path analysis revealed a bidirectional association between stressful experiences and NSSI. Increased stressful experiences predicted increased risk for NSSI through emotion dysregulation, and NSSI predicted increased stressful experiences through emotion dysregulation. Overall, these findings provide new insight into the processes through which NSSI may be initiated and maintained, as well as elucidate the impacts of NSSI on emotion regulation and stressful life experiences in university.

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Acknowledgements

Dr. Teena Willoughby would like to acknowledge the Social Sciences and Humanities Research Council (SSHRC) for funding this work (grant number: 435-2014-1929).

Authors’ Contributions

L.E., C.H., and T.W. were involved in the conceptualization of this study. C.H. and T.W. were involved in the acquisition of data, and all three authors were involved in data analysis and interpretation. L.E., C.H., and T.W. were involved in drafting and revising the manuscript. All authors have read and given final approval of the manuscript.

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Correspondence to Lexi Ewing.

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The authors declare that they have no conflict of interest.

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The present study involved the use of human participants. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standard.

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Informed consent was obtained from all individual participants included in the study.

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Ewing, L., Hamza, C.A. & Willoughby, T. Stressful Experiences, Emotion Dysregulation, and Nonsuicidal Self-Injury among University Students. J Youth Adolescence 48, 1379–1389 (2019). https://doi.org/10.1007/s10964-019-01025-y

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  • DOI: https://doi.org/10.1007/s10964-019-01025-y

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