Evidence map›Paper›PMID 29477705›Full record

ArticleComprehensive psychiatry2018

Restrictive eating and nonsuicidal self-injury in a nonclinical sample: Co-occurrence and associations with emotion dysregulation and interpersonal problems.

Shirley B Wang, Emily M Pisetsky, Julie M Skutch, Alan E Fruzzetti, Ann F Haynos

Open access · greenAbstract read
In one paragraph

Article in Comprehensive psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Discrimination and Disordered Eating in Economically Disadvantaged Adults: A Multilevel, Longitudinal Study.Clinical psychological science : a journal of the Association for Psychological Science · 2026
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  12. A nonhuman primate model of human non-suicidal self-injury: serotonin-transporter genotype-mediated typologies.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Shirley B WangDepartment of Psychology, Harvard University, Cambridge, MA, United States. Electronic address: shirleywang@g.harvard.edu.
Emily M PisetskyDepartment of Psychiatry, University of Minnesota, Minneapolis, MN, United States.
Julie M SkutchDepartment of Psychology, University of Nevada, Reno, NV, United States.
Alan E FruzzettiDepartment of Psychology, University of Nevada, Reno, NV, United States; Department of Psychiatry, Harvard University, Cambridge, MA, United States.
Ann F HaynosDepartment of Psychiatry, University of Minnesota, Minneapolis, MN, United States.
Harvard University · USUniversity of Minnesota · USUniversity of Nevada, Reno · US

Funding

Regional Postdoctoral Training Grant in Eating Disorders ResearchT32MH082761 · NIMH · UNIVERSITY OF MINNESOTA · PI CAROL B. PETERSON · 2009 to 2026
$6.2M
Neural Correlates of Reward and Symptom Expression in Anorexia NervosaK23MH112867 · NIMH · UNIVERSITY OF MINNESOTA · PI HAYNOS, ANN FRANCES · 2017 to 2021
$878k
NIMH NIH HHS K23 MH112867NIMH NIH HHS T32 MH082761
6 · The paper itself

Abstract

Disordered eating frequently co-occurs with nonsuicidal self-injury (NSSI), and evidence suggests that the co-occurrence of these behaviors is associated with heightened emotion dysregulation. However, little is known about the relationship between restrictive eating and NSSI, and the significance of their co-occurrence. This study examined cross-sectional associations between self-reported restrictive eating, NSSI, and putative mechanisms of emotion regulation and interpersonal problems in a non-clinical sample of undergraduate students (N = 98, 80.6% female), using the Dietary Restriction Screener (Haynos & Fruzzetti, 2015), Deliberate Self-Harm Inventory (Gratz, 2001), Difficulties in Emotion Regulation Scale (Gratz & Roemer, 2006), and Inventory of Interpersonal Problems-Personality Disorders-25 (Kim & Pilkonis, 1999). Hierarchical logistic regression analyses indicated that restrictive eating was associated with NSSI above and beyond the influence of binge eating, purging, and relevant covariates (B = 2.04, p < 0.001). In addition, multivariate analyses of variance revealed that the co-occurrence of restrictive eating and NSSI was associated with greater difficulties accessing and implementing effective, rather than impulsive, emotion regulation strategies when distressed than either behavior alone (p < 0.001). Findings highlight the seriousness of restrictive eating even within a nonclinical sample, as it is associated with heightened probability of NSSI and clinical severity among those who engage in co-morbid NSSI. Healthcare providers are encouraged to screen for NSSI among individuals with restrictive eating. In addition, a focus on improving emotion regulation and interpersonal skills may enhance prevention and intervention efforts for individuals with co-occurring restrictive eating and NSSI behaviors.

Indexed as

Interpersonal RelationsAdolescentAdultAffective SymptomsComorbidityCross-Sectional StudiesEmotionsFeeding and Eating DisordersFemaleHumansMaleSelf-Injurious BehaviorSelf ReportStudentsYoung Adult

Identifiers

PMID29477705
PMCPMC6167742
OpenAlexW2789531025

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.