Browse > Article
http://dx.doi.org/10.15434/kssh.2017.30.3.295

Effects of Mindfulness-based Emotion Management Training on Preventing Self-harming Behaviors in Adolescents  

Lee, Woo Kyeong (Department of Counseling Psychology, Seoul Cyber University)
Publication Information
Journal of the Korean Society of School Health / v.30, no.3, 2017 , pp. 295-305 More about this Journal
Abstract
Purpose: This study was conducted to evaluate the effect of Mindfulness-based Emotion Management Training for adolescents immersed in self-harm behaviors. Methods: The participants were 61 middle school students located in Seoul. Thirty students were assigned to the Mindfulness-based Emotion Management Training (M-EMT) group and the other 31 students were assigned to the waitlist group. The students in the M-EMT group participated in a total of 12 sessions, twice a week, for 6 weeks. The modules of the program comprised of mindfulness for emotion, mindfulness for behavior/impulse, mindfulness for thought, and coping with self-harming behavior. The Distress Tolerance Scale, Deliberate Self-Harm Inventory, Cognitive Emotion Regulation Questionnaire, and Scale Suicidal Ideation were assessed at baseline and post-intervention. Results: Compared to the waitlist group, the intervention group exhibited a statistically significant improvement in distress tolerance and cognitive emotion regulation and a statistically significant reduction in self-harming behaviors and suicidal ideation. Conclusion: These results support the hypothesis that mindfulness-based emotional management training has a positive effect on reducing self-harming behaviors and enhancing distress tolerance and cognitive emotional regulation.
Keywords
Adolescents; Self-harm; Mindfulness; Emotion management; Distress tolerance;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Madge N, Hewitt A, Hawton K, de Wilde EJ, Corcoran P, Fekete S, et al. Deliberate self-harm within an international community sample of young people: Comparative findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Journal of Child Psychology and Psychiatry and Allied Disciplines. 2008;49(6):667-677. https://doi.org/10.1111/j.1469-7610.2008.01879.x   DOI
2 Laurence C, Koen L, Patricia B. Non-suicidal self-injury in adolescents: Prevalence and associations with identity formation above and beyond depression. Personality and Individual differences. 2014;61:101-104. https://doi.org/10.1016/j.paid.2013.12.019.
3 Chapman AL, Gratz KL, Brown MZ. Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behavior Research and Therapy. 2006;44:371-394. https://doi.org/10.1016/j.brat.2005.03.005.   DOI
4 Muehlenkamp JJ, Gutierrez PM. Risk for suicide attempts among adolescents who engage in non-suicidal self-injury. Archive Suicide Research. 2007;11:69-82. https://doi.org/10.1080/13811110600992902   DOI
5 Muehlenkamp JJ, Swenson LP, Batejan KL, Jarvi SM. Emotional and behavioural effects of participating in an online study of non-suicidal self-injury: An experimental analysis. Clinical Psychology Science. 2015;3:26-37. https://doi.org/10.1177/2167702614531579   DOI
6 Nock MK, Favazza AR. Nonsuicidal self-injury: Definition and classification. In: Nock, M.K. (Ed.), Understanding nonsuicidal self-injury: Origins, assessment, and treatment. American Psychological Association: Washington; 2009. p. 9-18.
7 Cuneyt E, Ozgul C, Bilge E, Selime C. Relationship of self-mutilative behaviour with severity of borderline personality, childhood trauma and impulsivity in male substance-dependent inpatients. Psychiatry Research. 2012;200(1):20-25. https://doi.org/10.1016/j.psychres.2012.03.017   DOI
8 Jacobson CM, Gould M. The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: A critical review of the literature. Archive Suicide Research. 2007;11:129-147. https://doi.org/10.1080/13811110701247602.   DOI
9 Baetens I, Claes L, Muehlenkamp JJ, Grietens H, Onghena P. Differences in psychological symptoms and self-competencies in non-suicidal self-injurious flemish adolescents. Journal of Adolescence. 2012;35:753-759. https://doi.org/10.1080/13811118.2011.540467.   DOI
10 Chapman AL, Gratz KL, Brown MZ. Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behavior Research and Therapy. 2006;44:371-394. https://doi.org/10.1016/j.brat.2005.03.005   DOI
11 Ougrin D, Tranah T, Stahl D, Moran P, Asarnow JR. Therapeutic interventions for suicide attempts and self-harm in adolescents: Systematic review and meta-analysis. Journal of the American Academy Child Adolescent Psychiatry. 2015;54:97-107. https://doi.org/10. 1016/j.jaac.2014.10.009. e2   DOI
12 Klein DA, Miller AL. Dialectical behavior therapy for suicidal adolescents with borderline personality disorder. Child Adolescent Psychiatric Clinic North America. 2011;20:205-216. https://doi.org/10.1016/j.chc.2011.01.001   DOI
13 Baetens I, Claes L, Onghena P, Grietens H, Leeuwen KV, Ciska P, et al. Non-suicidal self-injury in adolescence: A longitudinal study of the relationship between NSSI, psychological distress and perceived parenting. Journal of Adolescence. 2014;37:817-826. https://doi.org/10.1016/j.adolescence.2014.05.010   DOI
14 Welch SS, Linehan MM, Sylvers P, Chittams J, Rizvi SL. Emotional responses to self-injury imagery among adults with borderline personality disorder. Journal of Consulting and Clinical Psychology. 2008;76:45-51. https://doi.org/10.1037/0022-006X.76.1.45   DOI
15 Edmondson AJ, Brennan CA, House, AO. Non-suicidal reasons for self-harm: A systematic review of self-reported accounts Journal of Affective Disorders. 2016;191:109-117. https://doi.org/10.1016/j.jad.2015.11.043   DOI
16 Jacobson CM, Muehlenkamp JJ, Miller AL, Turner JB. Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. Journal of Clinical Child and Adolescent Psychology. 2008;37:363-375. https://doi.org/10.1080/15374410801955771   DOI
17 Nock MK, Joiner TE, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research. 2006;144:65-72. https://doi.org/10.1016/j.psychres.2006.05.010   DOI
18 Linehan MM. Skills training manual for treating borderline personality disorder. New York: Guilford Press; 1993. p. 15-19.
19 Simons JS, Gaher RM. The distress tolerance scale: Development and validation of a self-report measure. Motivation and Emotion. 2005;29(2):83-102. https://doi.org/10.1007/s11031-005-7955-3   DOI
20 Chanen AM, Jackson HJ, McCutcheon LK, Jovev M, Dudgeon P, Yuen HP, et al. Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: Randomized controlled trial. British Journal of Psychiatry. 2008;193:477-484. https://doi.org/10.1192/bjp.bp.107.048934   DOI
21 Park SA. Fear of emotions and distress tolerance in young adults with borderline personality disorder features. Korea: Seoul National University; 2010. 21 p.
22 Gratz KL. Measurement of deliberate self-harm: Preliminary data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment. 2001;23(4):253-263.   DOI
23 Park KB, Shin MS. Perceived stress and suicidal ideation of high school students. Journal of Korean Clinical Psychology. 1991;10(1):298-314.
24 Anestis MD, Kleiman EM, Lavender JM, Tull MT, Gratz KL. The pursuit of death versus escape from negative affect: An examination of the nature of the relationship between emotion dysregulation and both suicidal behavior and non-suicidal self-injury. Comprehensive Psychiatry. 2014;55(8);1820-1830. https://doi.org/10.1016/j.comppsych.2014.07.007   DOI
25 Kim SH. A Study on relationships among the stressful events, cognitive emotion regulation strategies and psychological wellbeing. Journal of Student Guidance and Counseling. 2008;26:5-29.
26 Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology. 1979;47:343-352.   DOI
27 Cassels M, Wilkinson P. Non-suicidal self-injury in adolescence. Paediatrics and Child Health. 2016;26(12):554-558. https://doi.org/10.1016/j.paed.2016.08.006   DOI
28 Statistics Korea. 2016 Suicide ideation of Korean adolescents [Internet]. Seoul: Author; [cited 2016 June 8]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=402&tblId=DT_ES2016_008&vw_cd=MT_OTITLE&list_id=402_siew6548_A1_F1_F02&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1
29 Nock MK. Self-injury. Annual Review of Clinical Psychology. 2010;6:339-363. https://doi.org/10.1146/annurev.clinpsy.121208.131258   DOI
30 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Arlington: American Psychiatric Publishing; 2013. p. 803-805.