Skip to main content
Log in

Daily Peer Hassles and Non-Suicidal Self-Injury in Adolescence: Gender Differences in Avoidance-Focused Emotion Regulation Processes

  • Original Paper
  • Published:
Journal of Child and Family Studies Aims and scope Submit manuscript

Abstract

This study aimed to examine the mediating role of rumination, experiential avoidance, dissociation and depressive symptoms in the association between daily peer hassles and non-suicidal self-injury among adolescents. Additionally, this study explored gender differences in these associations and tested whether the proposed model was invariant across genders. The sample consisted of 776 adolescents, of them 369 are males (47.6%) and 407 are females (52.4%), aged between 12 and 18 years old from middle and high schools in Portugal. Participants completed self-report questionnaires to assess daily peer hassles, rumination in its severe component (i.e., brooding), experiential avoidance, dissociation, depressive symptoms and non-suicidal self-injury. Path analysis showed that daily peer hassles indirectly impact on non-suicidal self-injury through increased levels of brooding, experiential avoidance, dissociation, and depressive symptoms. Results indicated significant gender differences in mean scores and path analysis. Male adolescents were more likely to engage in brooding and experiential avoidance in response to external distress (particularly, daily peer hassles), whereas female adolescents were more likely to engage in non-suicidal self-injury in response to internal distress (particularly, depressive symptoms). These findings suggest relevant preventive and intervention actions to address emotion dysregulation in adolescence, by teaching them acceptance and mindfulness skills as a way of coping with stressful experiences and internal distress.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Abela, J. R., & Hankin, B. L. (2011). Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: A multiwave longitudinal study. Journal of Abnormal Psychology, 120, 259–271. https://doi.org/10.1037/a0022796.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

  • Armstrong, J., Putnam, F. W., Carlson, E., Libero, D., & Smith, S. (1997). Development and validation of a measure of adolescent dissociation: The adolescent dissociative experience scale. Journal of Nervous and Mental Disease, 185, 491–497. https://doi.org/10.1097/00005053-199708000-00003.

    Article  PubMed  Google Scholar 

  • Bailey, S. J., & Covell, K. (2011). Pathways among abuse, daily hassles, depression, and substance use in adolescents. The New School Psychology Bulletin, 8, 4–14.

    Google Scholar 

  • Biglan, A., Gau, J. M., Jones, L. B., Hinds, E., Rusby, J. C., Cody, C., & Sprague, J. (2015). The role of experiential avoidance in the relationship between family conflict and depression among early adolescents. Journal of Contextual Behavioral Science, 4, 30–36. https://doi.org/10.1016/j.jcbs.2014.12.001.

    Article  Google Scholar 

  • Biglan, A., Hayes, S. C., & Pistorello, J. (2008). Acceptance and commitment: Implications for prevention science. Prevention Science, 9, 139–152. https://doi.org/10.1007/s11121-008-0099-4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Boulanger, J. L., Hayes, S. C., & Pistorello, J. (2010). Experiential avoidance as a functional contextual concept. A. Kring & D. Sloan (eds.) Emotion regulation and psychopathology: A transdiagnostic approach to etiology. (pp. 107–136). New York, NY: Guilford Press.

  • Bresin, K., & Schoenleber, M. (2015). Gender differences in the prevalence of nonsuicidal self-injury: A meta-analysis. Clinical Psychology Review, 38, 55–64. https://doi.org/10.1016/j.cpr.2015.02.009.

    Article  PubMed  Google Scholar 

  • Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: A preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19, 133–144. https://doi.org/10.1007/s10826-009-9282-x.

    Article  Google Scholar 

  • Byrne, B. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2nd ed.). New York: Routledge, Taylor & Francis Group.

    Google Scholar 

  • Carvalho, S., Dinis, A., Pinto-Gouveia, J., & Estanqueiro, C. (2015). Memories of shame experiences with others and depression symptoms: The mediating role of experiential avoidance. Clinical Psychology and Psychotherapy, 22, 32–44. https://doi.org/10.1002/cpp.1862.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.

    Google Scholar 

  • Cunha, M., & Santos, A. M. (2011). Avaliação da Inflexibilidade Psicológica em Adolescentes: Estudo das qualidades psicométricas da versão portuguesa do Avoidance and Fusion Questionnaire for Youth (AFQ-Y) [Assessment of the Psychological Inflexibility among adolescents: Study of the psychometric properties of the Portuguese version of the AFQ-Y]. Laboratório de Psicologia, 9, 133–146.

    Google Scholar 

  • Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006). Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy, 44, 371–394. https://doi.org/10.1016/j.brat.2005.03.005.

    Article  PubMed  Google Scholar 

  • Espirito-Santo, H., Lopes, M., Simões, S., Cunha, M., & Lemos, L. (2014, March). Psychometrics and correlates of the Adolescent Dissociative Experiences Scale in psychological disturbed and normal Portuguese adolescents. Poster session presented at the meeting of the 22nd European Congress of Psychiatry (EPA), Munich, Germany.

  • Field, A. (2013). Discovering Statistics using IBM SPSS Statistics (4th ed.). London: SAGE Publication Lda.

    Google Scholar 

  • Garnefski, N., Boon, S., & Kraaij, V. (2003). Relationships between cognitive strategies of adolescents and depressive symptomatology across different types of life event. Journal of Youth and Adolescence, 32, 401–408. https://doi.org/10.1023/A:1025994200559.

    Article  Google Scholar 

  • Giorgio, J. M., Sanflippo, J., Kleiman, E., Reilly, D., Bender, R. E., & Wagner, C. A., et al. (2010). An experiential avoidance conceptualization of depressive rumination: Three tests of the model. Behaviour Research and Therapy, 48, 1021–1031. https://doi.org/10.1016/j.brat.2010.07.004.

    Article  PubMed  PubMed Central  Google Scholar 

  • Greco, L. A., Lambert, W., & Baer, R. A. (2008). Psychological inflexibility in childhood and adolescence: Development and evaluation of the Avoidance and Fusion Questionnaire for Youth. Psychological Assessment, 20, 93–102. https://doi.org/10.1037/1040-3590.20.2.93.

    Article  PubMed  Google Scholar 

  • Guerry, J. D., & Prinstein, M. J. (2009). Longitudinal prediction of adolescent nonsuicidal self-injury: Examination of a cognitive vulnerability-stress model. Journal of Clinical Child and Adolescent Psychology, 39, 77–89. https://doi.org/10.1080/15374410903401195.

    Article  Google Scholar 

  • Hankin, B. L., & Abela, J. R. (2011). Nonsuicidal self-injury in adolescence: Prospective rates and risk factors in a 2½ year longitudinal study. Psychiatry Research, 186, 65–70. https://doi.org/10.1016/j.psychres.2010.07.056.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hayes, A. F., & Preacher, K. J. (2010). Quantifying and testing indirect effects in simple mediation models when the constituent paths are nonlinear. Multivariate Behavioral Research, 45, 627–660. https://doi.org/10.1080/00273171.2010.498290.

    Article  PubMed  Google Scholar 

  • Hayes, L. L., & Ciarrochi, J. (2015). The Thriving Adolescent: Using Acceptance and Commitment Therapy and Positive Psychology to Help Teens Manage Emotions, Achieve Goals, and Build Connection. Oakland, CA: New Harbinger Publications.

  • Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168. https://doi.org/10.1037/0022-006X.64.6.1152.

    Article  PubMed  Google Scholar 

  • Hilt, L. M., Cha, C. B., & Nolen-Hoeksema, S. (2008). Nonsuicidal self-injury in young adolescent girls: Moderators of the distress-function relationship. Journal of Consulting and Clinical Psychology, 76, 63–71. https://doi.org/10.1037/0022-006X.76.1.63.

    Article  PubMed  Google Scholar 

  • Hoff, E. R., & Muehlenkamp, J. J. (2009). Nonsuicidal self‐injury in college students: The role of perfectionism and rumination. Suicide and Life-Threatening Behavior, 39, 576–587. https://doi.org/10.1521/suli.2009.39.6.576.

    Article  PubMed  Google Scholar 

  • Howe-Martin, L. S., Murrell, A. R., & Guarnaccia, C. A. (2012). Repetitive nonsuicidal self-injury as experiential avoidance among a community sample of adolescents. Journal of Clinical Psychology, 68, 809–829. https://doi.org/10.1002/jclp.21868.

    Article  PubMed  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. https://doi.org/10.1080/10705519909540118.

    Article  Google Scholar 

  • Jutengren, G., Kerr, M., & Stattin, H. (2011). Adolescents’ deliberate self-harm, interpersonal stress, and the moderating effects of self-regulation: A two-wave longitudinal analysis. Journal of School Psychology, 49, 249–264. https://doi.org/10.1016/j.jsp.2010.11.001.

    Article  PubMed  Google Scholar 

  • Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behaviour Research and Therapy, 44, 1301–1320. https://doi.org/10.1016/j.brat.2005.10.003.

    Article  PubMed  Google Scholar 

  • Kline, R. B. (2005). Principles and Practice of Structural Equation Modeling (2nd ed.). New York, NY: Guilford.

    Google Scholar 

  • Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27, 226–239. https://doi.org/10.1016/j.cpr.2006.08.002.

    Article  PubMed  Google Scholar 

  • Klonsky, E. D., May, A. M., & Glenn, C. R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples. Journal of Abnormal Psychology, 122, 231–237. https://doi.org/10.1037/a0030278.

    Article  PubMed  Google Scholar 

  • Klonsky, E. D., Muehlenkamp, J. J., Lewis, S., & Walsh, B. (2011). Non-suicidal self-injury. Advances in psychotherapy: Evidence-based practice. Hogrefe, Cambridge, MA.

  • Liu, R. T., Frazier, E. A., Cataldo, A. M., Simon, V. A., Spirito, A., & Prinstein, M. J. (2014). Negative life events and non-suicidal self-injury in an adolescent inpatient sample. Archives of suicide research, 18, 251–258. https://doi.org/10.1080/13811118.2013.824835.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343. https://doi.org/10.1016/0005-7967(94)00075-U.

    Article  PubMed  Google Scholar 

  • Mazza, J. J., & Reynolds, W. M. (1998). A longitudinal investigation of depression, hopelessness, social support, and major and minor life events and their relation to suicidal ideation in adolescents. Suicide and Life-Threatening Behavior, 28, 358–374. https://doi.org/10.1111/j.1943-278X.1998.tb00972.x.

    PubMed  Google Scholar 

  • Marx, B. P., & Sloan, D. M. (2005). Peritraumatic dissociation and experiential avoidance as predictors of posttraumatic stress symptomatology. Behaviour Research and Therapy, 43, 569–583. https://doi.org/10.1016/j.brat.2004.04.004.

    Article  PubMed  Google Scholar 

  • Nock, M. K. (2010). Self-injury. Annual review of clinical psychology, 6, 339–363. https://doi.org/10.1146/annurev.clinpsy.121208.131258.

    Article  PubMed  Google Scholar 

  • Nock, M. K., & Mendes, W. B. (2008). Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers. Journal of Consulting and Clinical Psychology, 76, 28–38. https://doi.org/10.1037/0022-006X.76.1.28.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582. https://doi.org/10.1037/0021-843X.100.4.569.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S. (2001). Gender differences in depression. Current Directions in Psychological Science, 10, 173–176. https://doi.org/10.1111/1467-8721.00142.

    Article  Google Scholar 

  • Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology, 8, 161–187. https://doi.org/10.1146/annurev-clinpsy-032511-143109.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400–424.

    Article  PubMed  Google Scholar 

  • Ozdemir, O., Boysan, M., Ozdemir, P. G., & Yilmaz, E. (2015). Relationships between posttraumatic stress disorder (PTSD), dissociation, quality of life, hopelessness, and suicidal ideation among earthquake survivors. Psychiatry Research, 228, 598–605. https://doi.org/10.1016/j.psychres.2015.05.045.

    Article  PubMed  Google Scholar 

  • Pais-Ribeiro, J. L., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa das escalas de ansiedade, depressão e stress (EADS) de 21 itens de Lovibond e Lovibond. [Contribution to the adaptation study of the Portuguese adaptation of the Lovibond and Lovibond depression anxiety stress scales (EADS) with 21items]. Psicologia, Saúde & Doenças, 5, 229-239.

  • Paiva, A. (2009). Temperament and Life Events as risk factors of Depression in Adolescence. Portugal: University of Coimbra. Unpublished Master’s Thesis.

    Google Scholar 

  • Pinquart, M. (2009). Moderating effects of dispositional resilience on associations between hassles and psychological distress. Journal of Applied Developmental Psychology, 30, 53–60. https://doi.org/10.1016/j.appdev.2008.10.005.

    Article  Google Scholar 

  • Putnam, F. W. (1996). Child development and dissociation. Child and Adolescent Psychiatric Clinics of North America, 5, 285–301.

    Google Scholar 

  • Rallis, B. A., Deming, C. A., Glenn, J. J., & Nock, M. K. (2012). What is the role of dissociation and emptiness in the occurrence of nonsuicidal self-injury? Journal of Cognitive Psychotherapy, 26, 287–298. https://doi.org/10.1891/0889-8391.26.4.287.

    Article  Google Scholar 

  • Seidman, E Allen, L Aber, J. L Mitchell, C Feinman, J Yoshikawa, H et al. (1995). Development and validation of adolescent-perceived microsystem scales: Social support, daily hassles, and involvement. American Journal of Community Psychology, 23, 355–388. https://doi.org/10.1007/BF02506949.

    Article  PubMed  Google Scholar 

  • Selby, E. A., Connell, L. D., & Joiner, T. E. (2010). The pernicious blend of rumination and fearlessness in non-suicidal self-injury. Cognitive Therapy and Research, 34, 421–428. https://doi.org/10.1007/s10608-009-9260-z.

    Article  Google Scholar 

  • Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177. https://doi.org/10.1037/1082-989X.7.2.147.

    Article  PubMed  Google Scholar 

  • Sharp, C., Kalpakci, A., Mellick, W., Venta, A., & Temple, J. R. (2015). First evidence of a prospective relation between avoidance of internal states and borderline personality disorder features in adolescents. European Child & Adolescent Psychiatry, 24, 283–290. https://doi.org/10.1007/s00787-014-0574-3.

    Article  Google Scholar 

  • Shenk, C. E., Putnam, F. W., & Noll, J. G. (2012). Experiential avoidance and the relationship between child maltreatment and PTSD symptoms: Preliminary evidence. Child Abuse & Neglect, 36, 118–126. https://doi.org/10.1016/j.chiabu.2011.09.012.

    Article  Google Scholar 

  • Smith, J. M., & Alloy, L. B. (2009). A roadmap to rumination: A review of the definition, assessment, and conceptualization of this multifaceted construct. Clinical Psychology Review, 29, 116–128. https://doi.org/10.1016/j.cpr.2008.10.003.

    Article  PubMed  Google Scholar 

  • Steinberg, L., & Morris, A. S. (2001). Adolescent development. Annual Review of Psychology, 52, 83–110. https://doi.org/10.1146/annurev.psych.52.1.83.

    Article  PubMed  Google Scholar 

  • Swannell, S., Martin, G., Page, A., Hasking, P., Hazell, P., Taylor, A., & Protani, M. (2012). Child maltreatment, subsequent non-suicidal self-injury and the mediating roles of dissociation, alexithymia and self-blame. Child Abuse & Neglect, 36, 572–584. https://doi.org/10.1016/j.chiabu.2012.05.005.

    Article  Google Scholar 

  • Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27, 247–259.

    Article  Google Scholar 

  • Voon, D., Hasking, P., & Martin, G. (2014). The roles of emotion regulation and ruminative thoughts in non‐suicidal self‐injury. British Journal of Clinical Psychology, 53, 95–113. https://doi.org/10.1111/bjc.12030.

    Article  PubMed  Google Scholar 

  • Vrouva, I., Fonagy, P., Fearon, P. R., & Roussow, T. (2010). The risk-taking and self-harm inventory for adolescents: Development and psychometric evaluation. Psychological Assessment, 22, 852–865. https://doi.org/10.1037/a0020583.

    Article  PubMed  Google Scholar 

  • Xavier, A., Cunha, M., & Pinto-Gouveia, J. (2016a). The indirect effect of early experiences on deliberate self-harm in adolescence: Mediation by negative emotional states and moderation by daily peer hassles. Journal of Child and Family Studies., 25, 1451–1460. https://doi.org/10.1007/s10826-015-0345-x.

    Article  Google Scholar 

  • Xavier, A., Cunha, M., & Pinto-Gouveia, J. (2016b). Rumination in adolescence: The distinctive impact of brooding and reflection on psychopathology. The Spanish Journal of Psychology, 19, 1–11. https://doi.org/10.1017/sjp.2016.41.

    Google Scholar 

  • Xavier, A., Cunha, M., Pinto-Gouveia, J., & Paiva, C. (2013). Exploratory study of the Portuguese version of the risk-taking and self-harm inventory for adolescents. Atención Primaria, 45, Especial Congreso I (I World Congress of Children and Youth Health Behaviors/ IV National Congress on Health Education), 165.

  • Xavier, A., Pinto-Gouveia, J., & Cunha, M. (2015, July). The role of psychological inflexibility in the relationship between life hassles and depressive symptoms in adolescence. Poster session presented at the meeting of the ACBS Annual World Conference, Berlin, Germany.

  • Xavier, A., Pinto-Gouveia, J., & Cunha, M. (2016). Non-suicidal self-injury in adolescence: The role of shame, self-criticism and fear of self-compassion. Child and Youth Care Forum, 45, 571–586. https://doi.org/10.1007/s10566-016-9346-1.

    Article  Google Scholar 

Download references

Acknowledgements

This research has been supported by the first author, Ana Xavier, Ph.D. Grant (grant number: SFRH/BD/77375/2011), sponsored by the Portuguese Foundation for Science and Technology (FCT) and the European Social Fund (POPH).

Author Contributions

A.X. executed the study, collected the data, conducted the data analyses, and wrote the manuscript. M.C. assisted with the study and data analyses, discussed the results and critically reviewed the manuscript. J.P.G. designed the study, discussed the results and critically reviewed the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ana Xavier.

Ethics declarations

Conflict of Interest

The authors declare that they have no competing interests.

Ethical Approval

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 standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

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

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Xavier, A., Cunha, M. & Pinto-Gouveia, J. Daily Peer Hassles and Non-Suicidal Self-Injury in Adolescence: Gender Differences in Avoidance-Focused Emotion Regulation Processes. J Child Fam Stud 27, 59–68 (2018). https://doi.org/10.1007/s10826-017-0871-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10826-017-0871-9

Keywords

Navigation