Skip to main content
Top
Gepubliceerd in: Mindfulness 8/2021

05-06-2021 | ORIGINAL PAPER

The Relation of Anxiety to Nonsuicidal Self Injury Is Indirect Through Mindfulness

Auteurs: Rachel C. Bock, Christopher R. Berghoff, Lucas D. Baker, Matthew T. Tull, Kim L. Gratz

Gepubliceerd in: Mindfulness | Uitgave 8/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Extant research indicates a robust association between anxiety and nonsuicidal self-injury (NSSI). However, research identifying factors that may account for this relation is lacking. Mindfulness is one candidate construct that may account for the relation of anxiety to NSSI. The objective of the present study was to examine the indirect relation of anxiety to recurrent NSSI and NSSI versatility (i.e., the number of different NSSI methods used) through overall and specific facets of mindfulness while controlling for participant sex and depression symptoms.

Methods

Undergraduates (N = 339; Female = 76.4%), of whom approximately 14% reported recurrent NSSI behavior, completed the Deliberate Self-Harm Inventory, Depression Anxiety Stress Scales-21, and Five Facet Mindfulness Questionnaire. Four path-analytic regression analyses were conducted.

Results

Results revealed significant positive indirect relations of anxiety to recurrent NSSI and NSSI versatility through low total mindfulness, [95% CIs [0.001, 0.024] and [0.001, 0.008], respectively. Examination of mindfulness facets indicated significant positive indirect relations of anxiety to recurrent NSSI and NSSI versatility through nonjudging only, 95% CIs [0.001, 0.033] and [0.0001, 0.012], respectively.

Conclusions

Mindfulness partially accounts for NSSI behavior among individuals struggling with anxiety.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association
go back to reference Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., Benjet, C., Caldas-de-Almeida, J. M., Demyttenaera, K., … & Bruffaerts, R. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological Medicine, 46(14), 2955-2970. https://doi.org/10.1017/S0033291716001665 Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., Benjet, C., Caldas-de-Almeida, J. M., Demyttenaera, K., … & Bruffaerts, R. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological Medicine, 46(14), 2955-2970. https://​doi.​org/​10.​1017/​S003329171600166​5
go back to reference Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., Hasking, P., Murray, E., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Stein, D. J., Vilagut, G., Zaslavsky, A. M., Kessler, R. C., & WHOWMH-ICS Collaborators. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623–638. https://doi.org/10.1037/abn0000362CrossRefPubMedPubMedCentral Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., Hasking, P., Murray, E., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Stein, D. J., Vilagut, G., Zaslavsky, A. M., Kessler, R. C., & WHOWMH-ICS Collaborators. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623–638. https://​doi.​org/​10.​1037/​abn0000362CrossRefPubMedPubMedCentral
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077CrossRef Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://​doi.​org/​10.​1093/​clipsy.​bph077CrossRef
go back to reference Dixon, L. J., Cohen, R. T., Baer, M. M., Gratz, K. L., & Tull, M. T. (2019). Relations of anxiety sensitivity dimensions to nonsuicidal self-injury frequency and versatility among patients with substance use disorders. Journal of Clinical Psychology, 75(9), 1613–1625. https://doi.org/10.1002/jclp.22784CrossRefPubMed Dixon, L. J., Cohen, R. T., Baer, M. M., Gratz, K. L., & Tull, M. T. (2019). Relations of anxiety sensitivity dimensions to nonsuicidal self-injury frequency and versatility among patients with substance use disorders. Journal of Clinical Psychology, 75(9), 1613–1625. https://​doi.​org/​10.​1002/​jclp.​22784CrossRefPubMed
go back to reference Fulwiler, C., Forbes, C., Santangelo, S. L., & Folstein, M. (1997). Self-mutilation and suicide attempt: distinguishing features in prisoners. Journal of the American Academy of Psychiatry and the Law Online, 25(1), 69–77. Fulwiler, C., Forbes, C., Santangelo, S. L., & Folstein, M. (1997). Self-mutilation and suicide attempt: distinguishing features in prisoners. Journal of the American Academy of Psychiatry and the Law Online, 25(1), 69–77.
go back to reference Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis. The Guilford Press. Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis. The Guilford Press.
go back to reference Hughes, C. D., King, A. M., Kranzler, A., Fehling, K., Miller, A., Lindqvist, J., & Selby, E. A. (2019). Anxious and overwhelming affects and repetitive negative thinking as ecological predictors of self-injurious thoughts and behaviors. Cognitive Therapy and Research, 43(1), 88–101. https://doi.org/10.1007/s10608-019-09996-9CrossRef Hughes, C. D., King, A. M., Kranzler, A., Fehling, K., Miller, A., Lindqvist, J., & Selby, E. A. (2019). Anxious and overwhelming affects and repetitive negative thinking as ecological predictors of self-injurious thoughts and behaviors. Cognitive Therapy and Research, 43(1), 88–101. https://​doi.​org/​10.​1007/​s10608-019-09996-9CrossRef
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your mind and body to face stress, pain, and illness. Bantam Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your mind and body to face stress, pain, and illness. Bantam
go back to reference Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. The Guilford Press. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. The Guilford Press.
go back to reference Lovibond, S. H. & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Psychology Foundation Lovibond, S. H. & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Psychology Foundation
go back to reference Reiss, S., & McNally, R. J. (1985). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical Issues in Behavior Therapy (pp. 107–121). Academic Press. Reiss, S., & McNally, R. J. (1985). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical Issues in Behavior Therapy (pp. 107–121). Academic Press.
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression (2nd ed.). Guilford Press Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression (2nd ed.). Guilford Press
go back to reference Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Pearson. Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Pearson.
go back to reference Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., Abramowitz, J. S., Holaway, R. M., Sandin, B., Stewart, S. H., Coles, M., Eng, W., Daly, E. S., Arrindell, W. A., Bouvard, M., & Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176–188. https://doi.org/10.1037/1040-3590.19.2.176CrossRefPubMed Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., Abramowitz, J. S., Holaway, R. M., Sandin, B., Stewart, S. H., Coles, M., Eng, W., Daly, E. S., Arrindell, W. A., Bouvard, M., & Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176–188. https://​doi.​org/​10.​1037/​1040-3590.​19.​2.​176CrossRefPubMed
Metagegevens
Titel
The Relation of Anxiety to Nonsuicidal Self Injury Is Indirect Through Mindfulness
Auteurs
Rachel C. Bock
Christopher R. Berghoff
Lucas D. Baker
Matthew T. Tull
Kim L. Gratz
Publicatiedatum
05-06-2021
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 8/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-021-01660-2

Andere artikelen Uitgave 8/2021

Mindfulness 8/2021 Naar de uitgave