Effects of Rumination and Emotional Regulation on Non-Suicidal Self-Injury Behaviors in Depressed Adolescents in China: A Multicenter Study.

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL Psychology Research and Behavior Management Pub Date : 2025-02-04 eCollection Date: 2025-01-01 DOI:10.2147/PRBM.S483267

Kongliang He, Lu Chen, Hongbin Fan, Lingmin Sun, Tingting Yang, Huanzhong Liu, Kai Wang

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Abstract

Objective: Emotion dysregulation is one of the core causes of non-suicidal self-injury (NSSI). However, little is known about the effects of emotion regulation and rumination on NSSI behaviors in adolescents with depressive disorder.

Methods: In total, 1782 depressed adolescents (1464 females and 318 males) completed questionnaires on rumination, emotion regulation, and NSSI, with an average age of 14.85. Participants were recruited from the outpatient and inpatient wards of 14 hospitals across the country.

Results: NSSI behavior frequency was positively correlated with rumination and negatively correlated with emotion regulation. Cognitive reappraisal and expression inhibition play a significant mediating role in the relationship between rumination and NSSI.

Conclusion: Among adolescents with depression, rumination has an impact on the frequency of NSSI behavior, and the relationship between the two is mediated by emotional regulation. The results indicate that intervention with adaptive emotion regulation strategies in adolescent depression patients may reduce the frequency of NSSI, especially in adjusting cognitive evaluation.

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反刍和情绪调节对中国抑郁青少年非自杀自伤行为的影响：一项多中心研究

目的：情绪失调是导致非自杀性自伤的核心原因之一。然而，情绪调节和反刍对青少年抑郁障碍自伤行为的影响尚不清楚。方法：共对1782名抑郁青少年（女性1464人，男性318人）进行了反刍、情绪调节和自伤问卷调查，平均年龄14.85岁。参与者是从全国14家医院的门诊和住院病房招募的。结果：自伤行为频率与反刍行为呈正相关，与情绪调节负相关。认知重评价和表达抑制在反刍与自伤的关系中起显著中介作用。结论：青少年抑郁症患者的反刍行为对自伤行为发生频率有影响，二者之间的关系是通过情绪调节来调节的。结果表明，采用适应性情绪调节策略干预青少年抑郁症患者可以降低自伤发生率，尤其是在调节认知评价方面。

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来源期刊

Psychology Research and Behavior Management Multiple-

CiteScore

4.50

自引率

4.70%

发文量

341

审稿时长

16 weeks

期刊介绍： Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.