Bullying and Victimization, Depressive Mood, and Non-Suicidal Self-Injury in Adolescents: The Moderating Role of Parental Support

Abstract

We investigated the associations of bullying and victimization with non-suicidal self-injury (NSSI), as well as the mediating role of depressive mood in a sample of 785 adolescents. Further, we explored the moderating role of parental support in these associations. All participants completed questionnaires on bullying, victimization, NSSI, depressive mood, and parental support. Almost 21 % of adolescents engaged in at least one form of NSSI. Both bullying and victimization of being bullied increased the risk of engaging in NSSI. The relationships of both bullying and victimization with NSSI were partially mediated by depressive mood. Finally, the relationships of both bullying and victimization with NSSI and of depressive mood with NSSI were found to be moderated by parental support, indicating that these relationships were less pronounced in adolescents who experienced high parental support. Hence, we underscore the need to include both emotion-regulation training and family-based interventions into bully intervention programs to prevent NSSI.

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References

  1. Alfonso, M. L., & Kaur, R. (2012). Self-injury among early adolescents: Identifying segments protected and at risk. Journal of School Health, 82, 537–547.

    Article  PubMed  Google Scholar 

  2. Baetens, I., Claes, L., Onghena, P., Grietens, H., Van Leeuwen, K., Pieters, C., et al. (2014). Is non-suicidal self-injury associated with parenting and family factors? Journal of Early Adolescence, 34, 387–405.

    Article  Google Scholar 

  3. Bakken, N. W., & Gunter, W. D. (2012). Self-cutting and suicidal ideation among adolescents: Gender differences in the causes and correlates of self-injury. Deviant Behavior, 33, 339–356.

    Article  Google Scholar 

  4. Barker, E. D., Arseneault, L., Brendgen, M., Fontaine, N., & Maughan, B. (2008). Joint development of bullying and victimization in adolescence: Relations to delinquency and self-harm. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 9.

    Article  Google Scholar 

  5. Cassidy, T., & Taylor, L. (2005). Coping and psychological distress as a function of the bully victim dichotomy in older children. Social Psychology of Education, 8, 249–262.

  6. Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9, 233–255.

    Article  Google Scholar 

  7. Claes, L., Klonsky, E. D., Muehlenkamp, W., Kuppens, P., & Vandereycken, W. (2010). The affect-regulation function of non-suicidal self-injury in eating- disordered patients: which affect states are regulated? Comprehensive Psychiatry, 51, 386–392.

    Article  PubMed  Google Scholar 

  8. Claes, L., & Vandereycken, W. (2007). Self-injurious behaviour: Differential diagnosis and functional differentiation. Comprehensive Psychiatry, 48, 137–144.

    Article  PubMed  Google Scholar 

  9. Clements-Nolle, K., Marx, R., & Katz, M. (2006). Attempted suicide among transgender persons. Journal of Homosexuality, 51, 53–69.

    Article  PubMed  Google Scholar 

  10. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.

    Google Scholar 

  11. Cohen, S., & Wills, T. A. (1985). Stress, social support and the buffering hypothesis. Psychological Bulletin, 98, 310–357.

    Article  PubMed  Google Scholar 

  12. Crothers, L. M., & Levinson, E. M. (2004). Assessment of bullying: A review of methods and instruments. Journal of Counseling and Development, 82, 496–503.

    Article  Google Scholar 

  13. Davidson, L. M., & Demaray, M. K. (2007). Social support as a moderator between victimization and internalizing-externalizing distress from bullying. School Psychology Review, 36, 383–405.

    Google Scholar 

  14. De Vries, H., Engels, R., Kremers, S., Wetzels, J., & Mudde, A. (2003). Parents’ and friends’ smoking status as predictors of smoking onset: findings from six European countries. Health Education Research, 18, 627–636.

    Article  PubMed  Google Scholar 

  15. Diaz, R. M., Ayala, G., Bein, E., Henne, J., & Marin, B. (2001). The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US Cities. American Journal of Public Health, 91, 927–932.

    PubMed Central  Article  PubMed  Google Scholar 

  16. Eslea, M., Menesini, E., Morita, Y., O’Moore, M., Mora-Merchan, J. A., Pereira, B., et al. (2003). Friendship and loneliness among bullies and victims: Data from seven countries. Aggressive Behavior, 30, 71–83.

    Article  Google Scholar 

  17. Flaspohler, P. D., Elfstrom, J. L., Vanderzee, K. L., Sink, H. E., & Birchmeier, Z. (2009). Stand by me: The effects of peer and teacher support in mitigating the impact of bullying on quality of life. Psychology in the Schools, 46, 636–649.

    Article  Google Scholar 

  18. Flouri, E., & Buchanan, A. (2002). Life satisfaction in teenage boys: The moderating role of father involvement and bullying. Aggressive Behavior, 28, 126–133.

    Article  Google Scholar 

  19. Gore, P. A, Jr. (2000). Cluster analysis. In H. E. Q. Tinsley & S. D. Brown (Eds.), Handbook of applied multivariate statistics and mathematical modeling (pp. 297–321). Academic Press: San Diego.

    Google Scholar 

  20. Guerry, J. D., & Prinstein, M. J. (2010). Longitudinal prediction of adolescent nonsuicidal self-injury: Examination of a cognitive vulnerability-stress model. Journal of Clinical Child and Adolescent Psychology, 39, 77–89.

    Article  PubMed  Google Scholar 

  21. Hawker, D. S. J., & Boulton, M. J. (2000). Twenty years’ research on peer victimization and psychosocial maladjustment: A meta-analytic review of cross-sectional studies. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 441–455.

    Article  Google Scholar 

  22. Hay, C., & Meldrum, R. (2010). Bullying victimization and adolescent self-harm: Testing hypotheses from general strain theory. Journal of Youth and Adolescence, 39, 446–459.

    Article  PubMed  Google Scholar 

  23. Hilt, L. M., Nock, M. K., Lloyd-Richardson, E. E., & Prinstein, M. J. (2008). Longitudinal study of nonsuicidal self-injury among young adolescents. The Journal of Early Adolescence, 28, 455–469.

    Article  Google Scholar 

  24. Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 4, 599–610.

    Article  Google Scholar 

  25. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.

    Article  Google Scholar 

  26. Jackson, P. B. (1992). Specifying the buffering hypothesis: Support, strain and depression. Social Psychology Quarterly, 55, 363–378.

    Article  Google Scholar 

  27. Kandel, D. B., & Davies, M. (1986). Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry, 43, 255–262.

    Article  PubMed  Google Scholar 

  28. Kline, R. B. (2005). Principles and practices of structural equation modeling (2nd ed.). New York: Guilford Press.

    Google Scholar 

  29. Klomek, A. B., Marrocco, F., Kleinman, M., Schonfeld, I. S., & Gould, M. (2007). Bullying, depression, and suicidality in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 40–49.

    Article  Google Scholar 

  30. Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27, 226–239.

    Article  PubMed  Google Scholar 

  31. Klonsky, E. D. (2009). The functions of self-injury in young adults who cut themselves: Clarifying the evidence for affect-regulation. Psychiatry Research, 27, 226–239.

    Google Scholar 

  32. Kochenderfer-Ladd, B., & Wardrop, J. L. (2001). Chronicity and instability of children’s peer victimization experiences as predictors of loneliness and social satisfaction trajectories. Child Development, 72, 134–151.

    Article  PubMed  Google Scholar 

  33. Luukkonen, A. H., Räsänen, P., Hakko, H., & Riala, K. (2009). Bullying behavior is related to suicide attempts but not to self-mutilation among psychiatric inpatient adolescents. Psychopathology, 42, 131–138.

    Article  PubMed  Google Scholar 

  34. Muehlenkamp, J.J., Claes, L., Havertape, L., & Plener, P.L. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child and Adolescent Psychiatry and Mental Health, 6:10. www.capmh.com/content/6/1/10.

  35. Muehlenkamp, J. J., Claes, L., Peat, C., Smits, D., & Vandereycken, W. (2011). Non-suicidal self-injury in eating disordered patients: A test of a conceptual model. Psychiatry Research, 188, 102–108.

    Article  PubMed  Google Scholar 

  36. Nansel, T. R., Overpeck, M., Pilla, R. S., Ruan, W. J., Simons-Morton, B., & Scheidt, P. (2001). Bullying behaviors among US youth: Prevalence and association with psychosocial adjustment. Journal of the American Medical Association, 285, 2094–2210.

    PubMed Central  Article  PubMed  Google Scholar 

  37. Noble, R. N., Sornberger, M. J., Toste, J. R., Heath, N. L., & McLouth, R. (2011). Safety first: The role of trust and school safety in non-suicidal self-injury. McGill Journal of Education, 46, 422–441.

    Article  Google Scholar 

  38. Nock, M. K., & Favazza, A. R. (2009). Non-suicidal self-injury: Origins, assessment, and treatment. Washington: American Psychological Association.

    Google Scholar 

  39. Nock, M. K., Joiner, T. E, Jr, Gordon, K., Lloyd-Richardson, E., & Prinstein, M. J. (2006). Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144, 65–72.

    Article  PubMed  Google Scholar 

  40. Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72, 885–890.

    Article  PubMed  Google Scholar 

  41. O’Conner, R. C., Rasmussen, S., Miles, J., & Hawton, K. (2009). Self-harm in adolescents: self-report survey in schools in Scotland. The British Journal of Psychiatry, 194, 68–72.

    Article  Google Scholar 

  42. Olweus, D. (1991). Bully/victim problems among school children: Basic facts and effects of a school based intervention program. In D. Pepler & K. Rubin (Eds.), The development and treatment of childhood aggression. Hillsdale: Erlbaum.

    Google Scholar 

  43. Pouwelse, M., Bolman, C., Lodewijkx, H., & Spaa, M. (2011). Gender differences and social support: mediators and moderators between peer victimization and depressive feelings. Psychology in the Schools, 48, 800–814.

    Article  Google Scholar 

  44. Sansone, R. A., Wiederman, M. W., & Sansone, L. A. (1998). The Self-Harm Inventory (SHI): Development of a scale for identifying self-destructive behaviours and borderline personality disorder. Journal of Clinical Psychology, 54, 973–983.

    Article  PubMed  Google Scholar 

  45. Scholte, R. H. J., Burk, W. J., & Overbeek, G. (2013). Divergence in self- and peer-reported victimization and its association to concurrent and prospective adjustment. Journal of Youth and Adolescence, 42, 1789–1800.

    Article  PubMed  Google Scholar 

  46. Scholte, R. H. J., van Lieshout, C. F. M., & van Aken, M. A. G. (2001). Perceived relational support in adolescence: Dimensions, configurations, and adolescent adjustment. Journal of Research on Adolescence, 11, 71–94.

    Article  Google Scholar 

  47. Seals, D., & Young, J. (2003). Bullying and victimization: prevalence and relationship to gender, self-esteem, and depression. Adolescence, 38, 735–747.

    PubMed  Google Scholar 

  48. Smits, I., Soenens, B., Luyckx, K., Duriez, B., Berzonsky, M., & Goossens, L. (2008). Perceived parenting dimensions and identity styles: Exploring the socialization of adolescents’ processing of identity-relevant information. Journal of Adolescence, 31, 151–164.

    Article  PubMed  Google Scholar 

  49. Spriggs, A. L., Iannotti, R. J., Nansel, T. R., & Haynie, D. L. (2007). Adolescent bullying involvement and perceived family, peer and school relations: Communalities and differences across race/ethnicity. Journal of Adolescence Health, 41, 283–293.

    Article  Google Scholar 

  50. Tatnell, R., Kelada, L., Hasking, P., & Martin, G. (in press). Longitudinal analysis of adolescent NSSI: The role of intrapersonal and interpersonal factors. Journal of Abnormal Child Psychology. doi: 10.1007%2Fs10802-013-9837-6.

  51. Vandenberg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3, 4–70.

    Article  Google Scholar 

  52. Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117, 1939–1948.

    Article  PubMed  Google Scholar 

  53. Wolff, J. C., Frazier, E. A., Esposito-Smythers, C., Becker, S. J., Burke, T. A., Cataldo, A., & Spirito, A. (2014). Negative cognitive style and perceived social support mediate the relationship between aggression and NSSI in hospitalized adolescents. Journal of Adolescence, 37, 483–491.

    PubMed Central  Article  PubMed  Google Scholar 

  54. Zautra, A. J. (2003). Emotions, stress and health. New York: University Press.

    Google Scholar 

  55. Zetterqvist, M., Lundh, L. G., Dahlström, Ö., & Svedin, C. G. (2013). Prevalence and function of Non-Suicidal Self-Injury (NSSI) in a community sample of adolescents, using suggested DSM-5 criteria for a potential NSSI disorder. Journal fo Abnormal Child Psychology, 41, 759–773.

    Article  Google Scholar 

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Correspondence to Laurence Claes.

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Claes, L., Luyckx, K., Baetens, I. et al. Bullying and Victimization, Depressive Mood, and Non-Suicidal Self-Injury in Adolescents: The Moderating Role of Parental Support. J Child Fam Stud 24, 3363–3371 (2015). https://doi.org/10.1007/s10826-015-0138-2

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Keywords

  • Bullying
  • Victimization
  • Non-suicidal self-injury
  • Depressive mood
  • Parental support