The Interplay of Chronic Interpersonal Stress and Rumination on Nonsuicidal Self-Injury in Youth.
The Interplay of Chronic Interpersonal Stress and Rumination on Nonsuicidal Self-Injury in Youth.
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慢性人际压力和沉思对青少年非自杀性自残的相互作用。
DOI：
10.1007/s10802-021-00820-1
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发表时间：
2021
影响因子：
2.5
通讯作者：
Hankin,BenjaminL
中科院分区：
文献类型：
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作者：
Li,Yuetian;Schweizer,TinaH;Young,JamiF;Hankin,BenjaminL
非自杀性自伤 (NSSI) 是指没有死亡意图的故意自我毁灭行为。人们对哪些因素会导致 NSSI（尤其是青少年）知之甚少。目前的研究测试了两个概念模型，以了解慢性人际压力和沉思如何在 18 个月的社区青少年样本中促进 NSSI 参与：(1) 基于情绪级联模型的中介路径（即压力促进沉思，然后导致随后的 NSSI）；(2) 基于认知脆弱性-压力框架的调节模型（即沉思调节压力与 NSSI 之间的关系）。 516 名 7-16 岁青少年（法师= 12.0；56% 女性；90% 非西班牙裔或非拉丁裔）通过青年生活压力访谈、儿童反应风格问卷（T1 和 18 个月后， T2），以及通过自残想法和行为访谈从 18 到 36 个月（T2-T3）每六个月进行一次 NSSI 参与。人际压力预测较晚的沉思（b= .43，p< .01），沉思预测较晚的NSSI发生（OR= 1.06，p< .01），并且通过人际压力通过沉思对NSSI产生显着的间接影响来支持中介作用（b= .03，95％CI= .01，.07）。沉思并没有显着调节压力和 NSSI 之间的关系。慢性人际压力和 NSSI 参与度之间的预期关系部分是通过沉思来解释的，这与情绪级联模型的预测一致，即沉思会导致 NSSI。青少年可以进行 NSSI 来打断因长期人际压力引起的沉思。
Nonsuicidal self-injury (NSSI) describes deliberate self-destructive behaviors without the intention to die. Little is known about what factors contribute to NSSI especially among youth. The current study tested two conceptual models for how chronic interpersonal stress and rumination may contribute to NSSI engagement across 18 months in a community sample of youth: (1) a mediation pathway based on the Emotional Cascade Model (i.e., stress contributes to rumination and then to subsequent NSSI), and (2) a moderation model based on the cognitive vulnerability-stress framework (i.e., rumination moderates the relation between stress and NSSI). 516 youth aged 7–16(Mage= 12.0; 56% female; 90% Non-Hispanic or Non-Latinx) reported on ongoing interpersonal stress occurring between T1-T2 (every 6 months from T1 to 12 months) via the Youth Life Stress Interview, rumination via the Children’s Response Styles Questionnaire (at T1 and 18 months later, T2), and NSSI engagement every six months from 18 to 36 months (T2-T3) via the Self-Injurious Thoughts and Behaviors Interview. Interpersonal stress predicted later rumination (b= .43, p< .01), rumination forecasted later NSSI occurrence (OR= 1.06,p< .01), and mediation was supported via a significant indirect effect of interpersonal stress on NSSI through rumination (b= .03,95% CI= .01, .07). Rumination did not significantly moderate the relation between stress and NSSI. The prospective relation between chronic interpersonal stress and NSSI engagement was partly explained by rumination, aligning with the Emotional Cascade Model’s prediction that rumination contributes to NSSI. Youth may conduct NSSI to interrupt rumination elicited by chronic interpersonal stress.