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The effects of motivation on the severity of non-suicidal self-injury in a community sample of adults

성인의 비자살적 자해의 심각도에 영향을 미치는 요인: 자해 동기를 중심으로

  • Kwon, Ho-In (Department of Counseling Psychology, Jeonju University) ;
  • Choi, Sang-Eun (Department of Counseling Psychology, Jeonju University) ;
  • Kim, Cho-Won (Department of Counseling Psychology, Jeonju University)
  • 권호인 (전주대학교 상담심리학과) ;
  • 최상은 (전주대학교 상담심리학과) ;
  • 김초원 (전주대학교 상담심리학과)
  • Received : 2021.11.30
  • Accepted : 2022.02.20
  • Published : 2022.02.28

Abstract

The purpose of this study is to investigate factors influencing the severity of non-suicidal self-injury in an adult community sample. Participants with recent and repeated NSSI(N=54) completed self-reported questionnaire assessing frequency, method, and motivation of self-injury and the emotional regulation of cognitive reappraisal. Results indicated that intrapersonal motivations were endorsed more than interpersonal motivations, and were significantly related with NSSI severity. Also earlier onset was significantly related to NSSI severity. These findings support the emotional regulation model of NSSI and highlight the importance of intervention focusing on emotional regulations.

본 논문은 지역사회 성인 표본을 대상으로 비자살적 자해의 심각도에 영향을 미치는 요인을 탐색하고자 하였다. 본 연구의 대상은 지난 1년간 비자살적 자해행동을 1회 이상 한 적이 있는 54명의 성인으로, 이들을 대상으로 자해 빈도와 방법, 자해 동기, 인지적 재평가에 대한 자기보고식 설문을 실시하였다. 그 결과 정서 조절을 주요 목적으로 하는 개인 내적 동기가 사회적 동기에 비해 빈번하게 보고되었다. 회귀분석 결과 이른 나이에 자해를 시작하는 것이 자해의 심각도와 관련 있었다. 또한 개인 내적 동기가 자해의 심각도에 유의한 영향을 주는 것으로 나타났다. 이러한 결과는 자해의 정서조절 모형을 지지하며, 정서조절을 향상시키는데 초점을 둔 개입이 중요하다는 것을 시사한다.

Keywords

Acknowledgement

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2019S1A5A8034714).

References

  1. M. K. Nock. (2009). Understanding non suicidal self-injury: Origins, assessment, and treatment, Washington. D.C. : American Psychological Association.
  2. J. Briere & E. Gil. (1998). Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68(4), 609-620. https://doi.org/10.1037/h0080369
  3. J. H. Lee, Y. Y. Jo & J. Y. Jeon. (2018). 70,000 middle and high school students, "Self-harm experience"...You don't care about my child?. https://www.hani.co.kr/
  4. E. J. Chu & Y. H. Lee. (2018). Validation of KoreanVersion of Self-injury Inventory(ISAS). Korean Journal of Youth Studies, 25(11), 95-124. https://doi.org/10.21509/kjys.2018.11.25.11.95
  5. H. J. Kwon & S. M. Kwon. (2017). Validation Study of the Korean Version of the Functional Assessment of Self-Mutilation(FASM). Clinical Psychology in Korea: Research and Practice, 3(1), 187-205.
  6. D. G. Lee, K. A. Ham, & B. H. Bae. (2016). Adolescents' Self-Injurious Behaviors:Suicidal Self-Injury and Non-Suicidal Self-Injury in Female Middle School Students. THE KOREAN JOURNAL OF COUNSELING AND PSYCHOTHERAPY, 28(4), 1171-1192. https://doi.org/10.23844/kjcp.2016.11.28.4.1171
  7. A. C. Tan, M. C. Rehfuss, E. C. Suarez, & A. Parks-Savage. (2014). Non suicidal self-injury in an adolescent population in Singapore. Clinical Child Psychology and Psychiatry, 19(1), 58-76. https://doi.org/10.1177/1359104512467273
  8. 1st J. D. Ribeiro et al. (2016). Self-injurious thoughts and behaviors as risk factors for future suicide ideation. attempts. and death: a meta-analysis of longitudinal studies. Psychological Medicine. 46(2), 225-236. https://doi.org/10.1017/S0033291715001804
  9. American Psychiatric Association. (2015). Diagnostic and Statistical Manual of Mental Disorders (5thed.). Washington. D.C.: American Psychiatric Association.
  10. M. F. Armey, J. H. Crowther, & I. W. Miller. (2011). Changes in ecological momentary assessment reported affect associated with episodes of non suicidal self-injury. Behavior Therapy, 42(4), 579-588. https://doi.org/10.1016/j.beth.2011.01.002
  11. E. D. Klonsky & J. J. Muehlenkamp. (2007). Self injury: A research review for the practitioner. Journal of Clinical Psychology, 63(11), 1045-1056. https://doi.org/10.1002/jclp.20412
  12. E. D. Klonsky & C. R. Glenn. (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. https://doi.org/10.1007/s10862-008-9107-z
  13. E. D. Klonsky, C. R. Glenn, D. M. Styer, T. M. Olino, & J. J. Washburn. (2015). The functions of non suicidal self-injury: converging evidence for a two-factor structure. Child and Adolescent Psychiatry and Mental Health. 9(1), 1-9. https://doi.org/10.1186/s13034-015-0033-z
  14. M. J. Gu, S. J. Lim, J. Y. Kim, & D. H. Lee. (2019). Non-Suicidal Self-Injury(NSSI) of Korean Adults: Gender Differences in Types and Functions of NSSI. Korean Journal of Counseling, 20(5), 41-62. https://doi.org/10.15703/kjc.20.5.201910.41
  15. B. A. Ammerman, R. Jacobucci, E. M. Kleiman, L. L. Uyeji, & M. S. McCloskey. (2018). The Relationship Between Non suicidal Self-Injury Age of Onset and Severity of Self-Harm. Suicide & life-threatening behavior, 48(1), 31-37. https://doi.org/10.1111/sltb.12330
  16. L. Campbell-Sills, & D. H. Barlow. (2007). Incorporating Emotion Regulation into Conceptualizations and Treatments of Anxiety and Mood Disorders. In J. J. Gross (Ed.), Handbook of emotion regulation, 542-559. New York, NY: The Guilford Press.
  17. H. J. Koo, S. B. Woo, & J. S. Lee. (2015). The Mediation Effects of Maladaptive Cognitive Emotion Regulation and Moderating Effects of Adaptive Cognitive Emotion Regulation in the Link Between Traumatic Life Events and Self-Harm: focused on Gender Difference. Korean Journal of Clinical Psychology, 34(1), 73-198.
  18. R. Tatnell, P. Hasking, L. Newman, J. Taffe, & G. Martin. (2017). Attachment, Emotion Regulation, Childhood Abuse and Assault: Examining Predictors of NSSI Among Adolescents. Arch Suicide Res, 21(4), 610-620. https://doi.org/10.1080/13811118.2016.1246267
  19. M. K. Nock, E. B. Holmberg, V. I. Photos, & B. D. Michel. (2007). Self-Injurious Thoughts and Behaviors Interview: Development, Reliability, and Validity in an Adolescent Sample. Psychological Association, 19(3), 309-317.
  20. J. Woo & H. I. Kwon. (2021). Exploration of Non-suicidal Self-injury based on Ecological Momentary Assessment(EMA). The Journal of the Korea Contents Association, 21(3), 720-729. https://doi.org/10.5392/JKCA.2021.21.03.720
  21. E. E. Lloyd. M. L. Kelley & T. Hope. (1997). Self-mutilation in a community sample of adolescents: Descriptive characteristics and provisional prevalence rates. In annual meeting of the Society for Behavioral Medicine. New Orleans.
  22. M. S. Park, Y. S. Seo, & H. Y. An. (2020). Parenting Behavior and Non-suicidal Self-injury in Male Adolescents: The Sequential Mediation Effect of the Motivation for Self-injury. The Journal of Learner-Centered Curriculum and Instruction, 20(22), 833-859.
  23. J. J. Gross & O. P. John. (2003). Individual Differences in Two Emotion Regulation Processes: Implications for Affect. Relationships. and Well-Being. Journal of Personality and Social Psychology, 85(2), 348-362. https://doi.org/10.1037/0022-3514.85.2.348
  24. J. M. Shon. (2005). Individual differences in two regulation strategies : cognitive re appraiser vs. emotion suppressor. Master's dissertation. Seoul National University. Seoul.
  25. E. D. Klonsky & J. J. Muehlenkamp. (2007). Self-injury: A research review for the practitioner. Journal of Clinical Psychology, 63(11), 1045-1056. https://doi.org/10.1002/jclp.20412
  26. A. L. Chapman, K. L. Gratz, & M. Z. Brown. (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
  27. J. Y. Kim. (2019). Relationship between risk factors and psychological and behavioral problems and latent class type of adult's non-suicidal self injury. Doctoral dissertation. Sungkyunkwan University, Seoul.
  28. P. L. Plener, M. Allroggen, N. D. Kapusta, E. Brahler, J. M. Fegert & R. C. Groschwitz (2016). The prevalence of Non suicidal Self-Injury (NSSI) in a representative sample of the German population. BMC psychiatry, 16(1), 353. https://doi.org/10.1186/s12888-016-1060-x
  29. J. J. Muehlenkamp. (2014). Distinguishing between suicidal and non suicidal self-injury. In M. K. Nock (Ed.). The Oxford handbook of suicide and self-injury. New York. NY: Oxford University Press.