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The Mediating Role of Self-Criticism in the Relationship between Parental Expressed Emotion and NSSI

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Abstract

Nonsuicidal self-injury (NSSI) is found at high rates among adolescents and young adults and is associated with many negative consequences, warranting additional research. Two factors that may contribute to NSSI during this time period are one’s levels of self-criticism and perceptions of their parental relationships; however, these relationships have received limited attention. The purpose of this current study was to address this gap in the literature. Adolescents and young adults (n = 294) completed measures of perceived parental expressed emotion, self-criticism, and NSSI. Participants with a history of NSSI reported perceiving their parents as providing less emotional support, inducing more irritation, being more intrusive, and expressing more criticism compared to those without a history of NSSI. These individuals also endorsed greater self-criticism. Further, self-criticism mediated the relationship between perceived parental expressed emotion and NSSI occurrence, such that those with higher reported self-criticism and greater perceived parental expressed emotion were more likely to engage in NSSI.

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References

  • Asarnow, J. R., Tompson, M., Woo, S., & Cantwell, D. P. (2001). Is expressed emotion a specific risk factor for depression or a nonspecific correlate of psychopathology? Journal of Abnormal Child Psychology, 29, 573–583.

    Article  PubMed  Google Scholar 

  • Briere, J., & Gil, E. (1998). Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68, 609–620.

    Article  PubMed  Google Scholar 

  • Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006). Solving the puzzle of deliberate self- harm: the experiential avoidance model. Behavior Research and Therapy, 44, 371–394.

    Article  Google Scholar 

  • Claes, L., Houben, A., Vandereycken, W., Bijttebier, P., & Muehlenkamp, J. (2010). Brief report: the association between non-suicidal self-injury, self-concept and acquaintance with self-injurious peers in a sample of adolescents. Journal of Adolescence, 33, 775–778.

    Article  PubMed  Google Scholar 

  • Clarke, L., & Whittaker, M. (1998). Self-mutilation: culture, contexts and nursing responses. Journal of Clinical Nursing, 7, 129–137.

    Article  PubMed  Google Scholar 

  • Cole, J. D., & Kazarian, S. S. (1988). The level of expressed emotion scale: a new measure of expressed emotion. Journal of Clinical Psychology, 44, 392–397.

    Article  PubMed  Google Scholar 

  • Cole, J. D., & Kazarian, S. S. (1993). Predictive validity of the level of expressed emotion (LEE) scale: readmission follow-up data for 1-, 2-, and 5-year periods. Journal of Clinical Psychology, 49, 216–218.

    Article  PubMed  Google Scholar 

  • Crowell, S., Beauchaine, T., McCauley, E., Smith, C., Vasilev, C., & Stevents, A. (2008). Parent-child interactions, peripheral serotonin, and self-inflicted injury in adolescents. Journal of Counseling and Clinical Psychology, 76, 15–21.

    Article  Google Scholar 

  • Favazza, A. R., DeRosear, L., & Conterio, K. (1989). Self-mutilation and eating disorders. Suicide & Life-Threatening Behavior, 19, 352–361.

    Google Scholar 

  • Gerlsma, C. (1998). De “level of expressed emotion” schaal. Psychodiagnostisch gereedschap [the level of expressed emotion scale]. Psycholoog, 33, 503–508.

    Google Scholar 

  • Gilbert, P., Clarke, M., Hempel, S., Miles, J., & Irons, C. (2004). Criticizing and reassuring oneself: an exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology, 43, 31–50.

    Article  PubMed  Google Scholar 

  • Gilbert, P., McEwan, K., Irons, C., Bhundia, R., Christie, R., Broomhead, C., & Rockliff, H. (2010). Self-harm in a mixed clinical population: the roles of self-criticism, shame, and social rank. British Journal of Clinical Psychology, 49, 563–576.

    Article  PubMed  Google Scholar 

  • Gratz, K. (2001). Measurement of deliberate self-harm: preliminary data on the deliberate self- harm inventory. Journal of Psychopathology and Behavior Assessment, 23, 253–263.

    Article  Google Scholar 

  • Hale III, W., Raaijmakers, Q., Gerlsma, G., & Meeus, W. (2007). Does the level of expressed emotion (LEE) questionnaire have the same factor structure of adolescents as it has for adults? Social Psychiatry and Psychiatric Epidemiology, 42, 215–220.

    Article  PubMed  PubMed Central  Google Scholar 

  • Herpertz, S., Sass, H., & Favazza, A. (1997). Impulsivity in self-mutilative behavior: psychometric and biological findings. Journal of Psychiatric Research, 31, 451–465.

    Article  PubMed  Google Scholar 

  • Hilt, L. M., Nock, M. K., Lloyd-Richardson, E., & Prinstein, M. J. (2008). Longitudinal study of non-suicidal self-injury among young adolescents: rates, correlates, and preliminary test of an interpersonal model. Journal of Early Adolescence, 28, 455–469.

    Article  Google Scholar 

  • Hirshfeld, D. R., Biederman, J., Brody, L., Faraone, S. V., & Rosenbaum, J. F. (1997). Associations between expressed emotion and child behavioral inhibition and psychopathology: a pilot study. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 205–213.

    Article  Google Scholar 

  • Hooley, J. M. (1985). Expressed emotion: a review of the critical literature. Clinical Psychology Review, 4, 119–139.

    Article  Google Scholar 

  • Hooley, J. M. (2007). Expressed emotion and relapse in psychopathology. Annual Review of Clinical Psychology, 3, 329–352.

    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, 6, 1–55.

    Article  Google Scholar 

  • Irons, C., Gilbert, P., Baldwin, M. W., Bacuss, J. R., & Palmer, M. (2006). Parental recall, attachment relating and self-attacking/self-reassurance: their relationship with depression. British Journal of Psychology, 45, 297–308.

    Google Scholar 

  • Jacobson, C. M., & Gould, M. (2007). The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: a critical review of the literature. Archives of Suicide Research, 11, 129–147.

    Article  PubMed  Google Scholar 

  • Kerr, M. (1981). Cancer and the family emotional system. In J. Goldberg (Ed.), Psychotherapeutic treatment of cancer patients (pp. 273–315). New York: The Free Press.

    Google Scholar 

  • 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 

  • Klonsky, E. D. (2009). The functions of self-injury in young adults who cut themselves: clarifying the evidence for affect-regulation. Psychiatry Research, 166, 260–268.

    Article  PubMed  PubMed Central  Google Scholar 

  • Klonsky, E. D., Oltmanns, T. F., & Turkheimer, E. (2003). Deliberate self-harm in a nonclinical population: prevalence and psychological correlates. American Journal of Psychiatry, 160, 1501–1508.

    Article  PubMed  Google Scholar 

  • Laye-Gindhu, A., & Schonert-Reichl, K. A. (2005). Nonsuicidal self-harm among community adolescents: understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence, 34, 447–457.

    Article  Google Scholar 

  • Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 37, 1183–1192.

    Article  Google Scholar 

  • McCarty, C. A., & Weisz, J. R. (2002). Correlates of expressed emotion in mothers of clinically- referred youth: an examination of the five-minute speech sample. Journal of Child Psychology and Psychiatry, 43, 759–768.

    Article  PubMed  Google Scholar 

  • McCleary, L., & Sanford, M. (2002). Parental expressed emotion in depression adolescents: prediction of clinical course and relationships to comorbid disorders and social functioning. Journal of Child Psychology and Psychiatry, 43, 587–595.

    Article  PubMed  Google Scholar 

  • McCranie, E. W., & Bass, J. D. (1984). Childhood family antecedents of dependency and self- criticism: implications for depression. Journal of Abnormal Psychology, 93, 3.

    Article  PubMed  Google Scholar 

  • Muehlenkamp, J. J., & Gutierrez, P. M. (2007). Risk for suicide attempts among adolescents who engage in non-suicidal self-injury. Archives of Suicide Research, 11, 69–82.

    Article  PubMed  Google Scholar 

  • Muehlenkamp, J. J., Williams, K. L., Gutierrez, & Claes, L. (2009). Rates of non-suicidal self- injury in high school students across five years. Archives of Suicide Research, 13, 317–329.

    Article  PubMed  Google Scholar 

  • Muehlenkamp, J. J., Walsh, B. W., & McDade, M. (2010). Preventing non-suicidal self-injury in : The signs of self-injury program. Journal of Youth and Adolescence, 3, 306–314.

  • Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus user’s guide (7th ed.). Los Angeles, CA: Muthén & Muthén.

    Google Scholar 

  • Nock, M. K. (2009). Why do people hurt themselves?: new insights into the nature and functions of self-injury. Current Directions in Psychological Science, 18, 78–83.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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 

  • Nock, M. K., & Prinstein, M. J. (2005). Contextual features and behavioral functions of self- mutilation among adolescents. Journal of Abnormal Psychology, 114, 140–146.

    Article  PubMed  Google Scholar 

  • Nock, M. K., Joiner, T. E., Gordon, K. H., Lloyd-Richardson, E., & Prinstein, M. J. (2006). Nonsuicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144, 65–72.

    Article  PubMed  Google Scholar 

  • Peris, T. S., & Baker, B. L. (2000). Applications of the expressed emotion construct to young children with externalizing behavior: stability and prediction over time. Journal of Child Psychology and Psychiatry, 41, 457–462.

    Article  PubMed  Google Scholar 

  • Ross, S., & Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 311, 67–77.

    Article  Google Scholar 

  • Sachs-Ericsson, N., Verona, E., Joiner, T., & Preacher, K. J. (2006). Parental verbal abuse and the mediating role of self-criticism in adult internalizing disorders. Journal of Affective Disorders, 93, 71–78.

    Article  PubMed  Google Scholar 

  • Schwartz, R. H., Cohen, P., Hoffmann, N. G., & Meeks, J. E. (1989). Self-harm behaviors (carving) in female adolescent drug abusers. Clinical Pediatrics, 28, 340–346.

    Article  PubMed  Google Scholar 

  • Steiger, J. H. (2007). Understanding the limitations of global fit assessment in structural equation modeling. Personality and Individual Differences, 42, 893–898.

    Article  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Upper Saddle River, NJ: Pearson Education, Inc..

    Google Scholar 

  • Wedig, M., & Nock, M. (2007). Parental expressed emotion and adolescent self-injury. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 1171–1178.

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Yates, T., Tracy, A., & Luthar, S. (2008). Nonsuicidal self-injury among “privileged” youths: longitudinal and cross-sectional approaches to developmental process. Journal of Counseling and Clinical Psychology, 76, 52–62.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, Temple University, 1701 N 13th Street, Philadelphia, PA, 19122, USA

    Brooke A. Ammerman

  2. University of Northern Iowa, Cedar Falls, IA, USA

    Seth Brown

Authors
  1. Brooke A. Ammerman
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  2. Seth Brown
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Correspondence to Brooke A. Ammerman.

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Ethical Approval

All procedures performed in the current study were in accordance with the ethical standards of the Institutional Review Board of the data collection university and with the 1964 Helsinki declaration and its later amendments and comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study 18 years or older. Informed consent was obtained from all individual participant’s legal guardians and informed assent was obtain from all individual participants included in the study 17 years or younger.

Funding

Brooke A. Ammerman is supported by the National Service Award F31107156 from the National Institute of Mental Health.

Conflict of Interest

The 1st author (Ammerman) declares that she has no conflict of interest. The 2nd author (Brown) declares that he has no conflict of interest.

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Ammerman, B.A., Brown, S. The Mediating Role of Self-Criticism in the Relationship between Parental Expressed Emotion and NSSI. Curr Psychol 37, 325–333 (2018). https://doi.org/10.1007/s12144-016-9516-1

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  • DOI: https://doi.org/10.1007/s12144-016-9516-1

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