Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Comparing Ruminative and Distracting Responses and Emotion Regulation Difficulties in Early Community Adolescents With and Without Self-Harm

  • Yeontaek Oh (Department of Psychiatry, Gongju National Hospital) ;
  • Cheolgyu Shin (Department of Child and Adolescent Psychiatry, Gongju National Hospital) ;
  • Jonggook Lee (Department of Psychiatry, Gongju National Hospital) ;
  • Keun Oh (Department of Psychiatry, Gongju National Hospital) ;
  • Heeyoung Seo (Department of Psychiatry, Gongju National Hospital) ;
  • Seungwon Chung (Department of Psychiatry, Chungbuk National University Hospital) ;
  • Je Jung Lee (Department of Psychiatry, Gongju National Hospital)
  • Received : 2023.10.24
  • Accepted : 2023.12.26
  • Published : 2024.04.01
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Abstract

Objectives: This study aimed to compare the demographic characteristics, responses to negative emotions, and difficulties in emotion regulation between self-harming adolescents and control individuals aged 12-14 years from the community. Methods: Data were collected from adolescents in Chungcheong Province, South Korea, between September 2021 and November 2022. Demographic characteristics and responses to the Depressed Mood Questionnaire and Difficulties in Emotion Regulation Scale-16 (DERS-16) were compared between the self-harm and control groups. Results: The self-harm group exhibited a higher prevalence of child abuse (odds ratio [OR]=4.787, 95% confidence interval [CI]=1.591-14.409, p=0.005) and school bullying victimization (OR=4.495, 95% CI=2.353-8.588, p<0.001) than those in the control group. The self-harm group displayed higher levels of rumination (t=7.88, p<0.001) and reduced distraction responses (reverse score t=2.25, p=0.025) than those of the control group. Additionally, the self-harm group scored higher on all subscales and the total DERS-16 score (t=7.61, p<0.001). Conclusion: Interventions for self-harming adolescents should address child abuse and bullying victimization. Prevention programs for self-harming adolescents should focus on reducing rumination responses, increasing distractive responses, and addressing difficulties in emotion regulation using dialectical behavior therapy-skill training.

Keywords

Acknowledgement

We would like to express our gratitude to the Child and Adolescent Mental Health Center staff at the Gongju National Hospital, as well as the students and teachers from elementary and middle schools in the Chungcheong region who contributed to this research.

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