Top

Gepubliceerd in:

16-12-2016 | ORIGINAL PAPER

Mindless Suffering: the Relationship Between Mindfulness and Non-Suicidal Self-Injury

Auteurs: Giuseppina Caltabiano, Graham Martin

Gepubliceerd in: Mindfulness | Uitgave 3/2017

Abstract

Non-suicidal self-injury is a complex behaviour, disturbingly prevalent, difficult to treat and with possible adverse outcomes in the long term. Previous research has shown individuals most commonly self-injure to cope with overwhelming negative emotions. Mindfulness has been shown to be associated with emotion regulation, and mindfulness-based interventions have shown effectiveness in a wide range of psychological disorders. This research explored whether lack of mindfulness or problems in mindfulness are involved in self-injury. A non-clinical sample of 263 participants (17–65 years) completed an online survey measuring self-injurious behaviours and mindfulness. Differences in levels of mindfulness between individuals with and without a history of self-injury were investigated. Analysis of variance indicated mindfulness (overall and in terms of specific facets “act with awareness”, “non-judge” and “non-react”) was significantly lower in individuals with a history of self-injury compared to those without. Pairwise comparisons revealed current self-injurers reported significantly lower mindfulness than past self-injurers and non-self-injurers, with medium effect sizes of d = 0.51 and d = 0.77, respectively. In logistic regression, low mindfulness significantly predicted self-injury (B = 0.04, p < .001). These findings have clinical implications, suggesting that mindfulness-based interventions may assist individuals to give up self-injurious behaviours and may be an important part of prevention strategies.

vorige artikel A Comparison of Two Brief Present Moment Awareness Training Paradigms in High Worriers

volgende artikel Potential Moderators of the Effects of a School-Based Mindfulness Program on Symptoms of Depression in Adolescents

Arch, J. J., & Craske, M. G. (2010). Laboratory stressors in clinically anxious and non-anxious individuals: the moderating role of mindfulness. Behaviour Research and Therapy, 48(6), 495–505. doi:10.1016/j.brat.2010.02.005.PubMedCrossRef

Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. doi:10.1093/clipsy/bpg015.

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. doi:10.1177/1073191105283504.PubMedCrossRef

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S. J., & Williams, J. M. G. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. doi:10.1177/1073191107313003.PubMedCrossRef

Bennett, D. A. (2001). How can I deal with missing data in my study? Australian and New Zealand Journal of Public Health, 25, 464–469. doi:10.1111/j.1467-842X.2001.tb00294.x.PubMedCrossRef

Bergomi, C., Tschacher, W., & Kupper, K. (2013). The assessment of mindfulness with self-report measures: existing scales and open issues. Mindfulness, 4(3), 191–202. doi:10.1007/s12671-012-0110-9.CrossRef

Binks, C. A., Fenton, M., McCarthy, L., Lee, T., Adams, C. E., & Duggan, C. (2006). Pharmacological interventions for people with borderline personality disorder. Cochrane Database of Systemic Reviews.

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi:10.1093/clipsy.bph077.

Briere, J., & Gil, E. (1998). Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68(4), 609–620. doi:10.1037/h0080369.PubMedCrossRef

Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111(1), 198–202. doi:10.1037/0021-843X.111.1.198.PubMedCrossRef

Creswell, J. D., Way, B. M., Eisenberger, N. I., & Lieberman, M. D. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine, 69(6), 560–565. doi:10.1097/PSY.0b013e3180f6171f.PubMedCrossRef

Crouch, W., & Wright, J. (2004). Deliberate self-harm at an adolescent unit: a qualitative investigation. Clinical Child Psychology and Psychiatry, 9(2), 185–204. doi:10.1177/1359104504041918.CrossRef

Erisman, S. M., & Roemer, L. (2010). A preliminary investigation of the effects of experimentally induced mindfulness on emotional responding to film clips. Emotion, 10(1), 72–82. doi:10.1037/a0017162.PubMedPubMedCentralCrossRef

Favazza, A. R., DeRosear, L., & Conterio, K. (1989). Self-mutilation and eating disorders. Suicide and Life-threatening Behavior, 19(4), 352–361. doi:10.1111/j.1943-278X.1989.tb00566.x.PubMed

Fjorback, L. O., Arendt, M., Ornbøl, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124(2), 102–119.PubMedCrossRef

Gratz, K. L. (2001). Measurement of deliberate self-harm: preliminary data on the deliberate self-harm inventory. Journal of Psychopathology and Behavioral Assessment, 23(4), 253–263. doi:10.1023/A:1012779403943.CrossRef

Gratz, K. L. (2003). Risk factors for and functions of deliberate self-harm: an empirical and conceptual review. Clinical Psychology: Science and Practice, 10(2), 192–205. doi:10.1093/clipsy/bpg022.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. doi:10.1023/B:JOBA.0000007455.08539.94.CrossRef

Grossman, P. (2008). On measuring mindfulness in psychosomatic and psychological research. Journal of Psychosomatic Research, 64, 1034–1040. doi:10.1016/j.jpsychores.2008.02.001.CrossRef

Grossman, P. (2011). Defining mindfulness by “how poorly I think I pay attention during everyday awareness” and other intractable problems for psychology’s (re)invention of mindfulness. Psychological Assessment, 23, 1034–1040. doi:10.1037/a0022713.PubMedCrossRef

Hamza, C. A., Stewart, S. L., & Willoughby, T. (2012). Examining the link between nonsuicidal self-injury and suicidal behavior: a review of the literature and an integrated model. Clinical Psychology Review, 32(6), 482–495. doi:10.1016/j.cpr.2012.05.003.PubMedCrossRef

Hawton, K., Witt, K., Taylor Salisbury, T., Arensman, E., Gunnell, D., et al. (2016). Psychosocial interventions for self-harm in adults. The Cochrane Database of Systematic Reviews, 5(5), CD012189. doi:10.1002/14651858.CD012189.

Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11, 255–262. doi:10.1093/clipsy.bph080.

Herbert, J. D., & Forman, E. M. (2012). Dialectical behavior therapy. In C. J. Robins & M. Z. Rosenthal (Eds.), Acceptance and mindfulness in cognitive behavior therapy: understanding and applying the new therapies. New York: Wiley and Sons, Inc. Published Online: 16 MAR 2012. doi:10.1002/9781118001851.ch7.

Kabat-Zinn, J. (1990). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditiation. New York: Hyperion.

Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. doi:10.1093/clipsy/bpg016.

Keng, S., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychological Review, 31, 1041–1056. doi:10.1016/j.cpr.2011.04.006.CrossRef

Klainin-Yobas, P., Cho, M. A., & Creedy, D. (2012). Efficacy of mindfulness-based interventions on depressive symptoms among people with mental disorders: a meta-analysis. International Journal of Nursing Studies, 49(1), 109–121. doi:10.1016/j.ijnurstu.2011.08.014.PubMedCrossRef

Kliem, S., Kroger, C., & Kosfelder, J. (2010). Dialectical behavior therapy for borderline personality disorder: a meta-analysis using mixed-effects modeling. Journal of Consulting and Clinical Psychology, 78(6), 936–951. doi:10.1037/a0021015.PubMedCrossRef

Klonsky, E. D. (2007). The functions of deliberate self-injury: a review of the evidence. Clinical Psychological Review, 27, 226–239. doi:10.1016/j.cpr.2006.08.002.CrossRef

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. doi:10.1016/j.psychres.2008.02.008.PubMedPubMedCentralCrossRef

Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of non-suicidal self-injury: psychometric properties of the Inventory of Statements About Self-injury (ISAS). Journal of Psychopathology and Behavioral Assessment, 31(3), 215–219. doi:10.1007/s10862-008-9107-z.CrossRef

Klonsky, E. D., & Muehlenkamp, J. J. (2007). Self-injury: a research review for the practitioner. Journal of Clinical Psychology, 63(11), 1045–1056. doi:10.1002/jclp.20412.PubMedCrossRef

Klonsky, E. D., & Olino, T. M. (2008). Identifying clinically distinct subgroups of self-injurers among young adults: a latent class analysis. Journal of Consulting and Clinical Psychology, 76(1), 22–27. doi:10.1037/0022-006X.76.1.22.PubMedCrossRef

Levy, K. N., Yeomans, F. E., & Diamond, D. (2007). Psychodynamic treatments of self-injury. Journal of Clinical Psychology, 63(11), 1105–1120. doi:10.1002/jclp.20418.PubMedCrossRef

Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.

Linehan, M., Korslund, K., Harned, M., Gallop, R., Lungu, A., Neacsiu, A., et al. (2015). (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: a randomized clinical trial and component analysis. JAMA Psychiatry., 72(5), 475–482. doi:10.1001/jamapsychiatry.2014.3039.PubMedCrossRef

Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202.CrossRef

Lundh, L., Karim, J., & Quilisch, E. (2007). Deliberate self-harm in 15-year-old adolescents: a pilot study with a modified version of the deliberate self-harm inventory. Scandinavian Journal of Psychology, 48(1), 33–41. doi:10.1111/j.1467-9450.2007.00567.x.PubMedCrossRef

Lynch, T. R., & Cozza, C. (2009). Behavior therapy for nonsuicidal self-injury in understanding nonsuicidal self-injury: origins, assessment, and treatment (pp. 211–250). Washington, DC: American Psychological Association.CrossRef

Martin, G., Swannell, S., Hazell, P., Harrison, J., & Taylor, A. (2010). Self-injury in Australia: a community survey. Medical Journal of Australia, 193(9), 506–510.PubMed

Martin, S., Martin, G., Lequertier, B., Swannell, S., Follent, A., & Choe, F. (2013). Voice movement therapy: evaluation of a group-based expressive therapy for non-suicidal self-injury in young adults. Music and Medicine, 5(1), 31–38. doi:10.1177/1943862112467649.CrossRef

Muehlenkamp, J. J. (2006). Empirically supported treatments and general therapy guidelines for non-suicidal self-injury. Journal of Mental Health Counseling, 28(2), 166–185.CrossRef

Newman, C. G. (Ed.) (2009). Cognitive therapy for nonsuicidal self-injury. Washington, DC: American Psychological Association.

Nock, M. K. (2009). Why do people hurt themselves? New insights into the nature and function of self-injury. Current Directions in Psychological Science, 18, 78–83. doi:10.1111/j.1467-8721.2009.01613.x.PubMedPubMedCentralCrossRef

Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339–363. doi:10.1146/annurev.clinpsy.121208.131258.PubMedCrossRef

Nock, M. K., & Favazza, A. R. (Eds.) (2009). Nonsuicidal self-injury: definition and classification (Vol. xiii). Washington, DC: American Psychological Association.

Nock, M. K., Joiner Jr., T. E., Gordon, K. H., Lloyd-Richardson, E., & Prinstein, M. J. (2006). Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144(1), 65–72. doi:10.1016/j.psychres.2006.05.010.PubMedCrossRef

Ospina, M. B., Bond, T. K., Karkhaneh, M., Tjosvold, L., Vandermeer, B., Liang, Y., et al. (2007). Meditation practices for health: state of the research. Evidence Report/Technology Assessment, 155, 1–263 http://archive.ahrq.gov/downloads/pub/evidence/pdf/meditation/medit.pdf.

Ost, L. (2008). Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis. Behavior Research & Therapy, 46(3), 296–321. doi:10.1016/brat.2007.12005.CrossRef

Pasieczny, N., & Connor, J. (2011). The effectiveness of dialectical behaviour therapy in routine public mental health settings: an Australian controlled trial. Behaviour Research and Therapy, 49, 4–10.PubMedCrossRef

Penrose-Wall, J., Farris, Z., & Berkery, P. (2009). Self-harm: Australian treatment guide for consumers and carers from https://www.ranzcp.org/Files/ranzcp-attachments/Resources/Publications/CPG/Australian_Versions/AUS_Self_harm-pdf.aspx.

Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28(4), 433–455. doi:10.1023/B:COTR.0000045557.15923.96.CrossRef

Ryle, A. (2004). The contribution of cognitive analytic therapy to the treatment of borderline personality disorder. Journal of Personality Disorders, 18, 3–35. doi:10.1521/pedi.18.1.3.32773.

Sauer, S. J., Wittmann, M., Mochty, U., Lemke, J., Walach, H., & Kohls, N. (2012). How long is “now” for meditators? Personality and Individual Differences, 52, 750–754. doi:10.1016/j.paid.2011.12.026.CrossRef

Schlomer, G. L., Bauman, S., & Card, N. A. (2010). Best practices for missing data management in counseling psychology. Journal of Counseling Psychology, 57(1), 1–10. doi:10.1037/a0018082.PubMedCrossRef

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York, NY: Guildford Press.

Swannell, S., Martin, G., Page, A., Hasking, P., & St John, N. (2014). Prevalence of non-suicidal self-injury (NSSI) in non-clinical samples; systematic review, meta-analysis and meta-regression. Suicide & Life-Threatening Behaviors., 44(3), 273–303.CrossRef

Tan, L., & Martin, G. (2012). Mind full or mindful: a report on mindfulness and psychological health in healthy adolescents. International Journal of Adolescence and Youth., 21, 1–11. doi:10.1080/02673843.2012.709174.

Tan, L. & Martin, G. (2014). Taming the adolescent mind: a randomised controlled trial examining clinical efficacy of an adolescent mindfulness-based group program. Child and Adolescent Mental Health, 19. DOI: 10.1111/camh.12057.

Townsend, E., Hawton, K., Altman, G., Arensman, E., Gunnell, D., Hazel, P., et al. (2001). The efficacy of problem-solving treatments after deliberate self-harm: meta-analysis of randomized controlled trials with respect to depression, hopelessness and improvement in problems. Psychological Medicine, 31(6), 979–988.PubMedCrossRef

Van Dam, N., Earleywine, M., & Danoff-Burg, S. (2009). Differential item function across meditators and non-meditators on the Five Facet Mindfulness Questionnaire. Personality and Individual Differences, 47, 516–521. doi:10.1016/j.paid.2009.05.005.CrossRef

Wupperman, P., Fickling, M., Klemanski, D. H., Berking, M., & Whitman, J. B. (2013). Borderline personality features and harmful dysregulated behavior: the mediational effect of mindfulness. Journal of Clinical Psychology, 69(9), 903–911. doi:10.1002/jclp.21969.PubMedCrossRef

You, J., Leung, F., Fu, K., & Lai, C. M. (2011). The prevalence of nonsuicidal self-injury and different subgroups of self-injurers in Chinese adolescents. Archives of Suicide Research, 15(1), 75–86. doi:10.1080/13811118.2011.540211.PubMedCrossRef

Titel: Mindless Suffering: the Relationship Between Mindfulness and Non-Suicidal Self-Injury
Auteurs: Giuseppina Caltabiano
Graham Martin
Publicatiedatum: 16-12-2016
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 3/2017
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-016-0657-y

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2017

Does Loving-Kindness Meditation Reduce Anxiety? Results from a Randomized Controlled Trial

Mindfulness in Daily Life: a Multidimensional Approach

Potential Moderators of the Effects of a School-Based Mindfulness Program on Symptoms of Depression in Adolescents

Mindfulness-Based Therapies for Sexual Dysfunction: a Review of Potential Theory-Based Mechanisms of Change

Effectiveness of Mindfulness-Based Intervention on Perceived Stress, Anxiety, and Depression Among Parents of Children with Autism Spectrum Disorder

The Differential Moderating Roles of Self-Compassion and Mindfulness in Self-Stigma and Well-Being Among People Living with Mental Illness or HIV