ArticleChild and adolescent psychiatry and mental health2022
Mediating role of depression in the association between alexithymia and nonsuicidal self-injury in a representative sample of adolescents in Taiwan.
Article in Child and adolescent psychiatry and mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Pooled it
- The effect of alexithymia on depression: evidence from meta-analysis.Frontiers in psychology · 2025Pooled it
- Cognitive insight in patients with depression and non-suicidal self-injury.Frontiers in psychology · 2026Article
- Childhood maltreatment and non-suicidal self-injury in college students:Frontiers in psychology · 2026Article
- Adverse childhood experiences and non-suicidal self-injury in adolescents: the roles of depressive symptoms and teacher care.Frontiers in psychiatry · 2026Article
- A novel approach to exploring youth non-suicidal self-injury heterogeneity: individual differential psychopathology network analysis.Annals of general psychiatry · 2025Article
- Alexithymia and self-injury functions as mediators between childhood maltreatment and nonsuicidal self-injury in adolescents with major depressive disorder.Scientific reports · 2025Article
- The association between family function and adolescents' non-suicidal self-injury behaviors-is Chinese culture involved?Frontiers in psychiatry · 2025Article
- The effect of perceived parental rejection on depression in high school students: the chain mediating role of rumination and alexithymia.Frontiers in psychology · 2025Article
- The impact of alexithymia, anxiety, social pressure, and academic burnout on depression in Chinese university students: an analysis based on SEM.BMC psychology · 2024Article
- The mediating effect of internet addiction and the moderating effect of physical activity on the relationship between alexithymia and depression.Scientific reports · 2024Article
- The impact of depressive and anxious symptoms on non-suicidal self-injury behavior in adolescents: a network analysis.BMC psychiatry · 2024Article
- The Effect of Bullying Victimization on Adolescent Non-Suicidal Self-Injury: The Mediating Roles of Alexithymia and Self-Esteem.Psychology research and behavior management · 2024Article
- Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment.Frontiers in psychology · 2024Article
- Heterogeneity of non-suicidal self-injury behavior in adolescents with depression: latent class analysis.BMC psychiatry · 2023Article
- Does the need for uniqueness lead to non-suicidal self-injury? The mediation of depression and the moderation of gender.Frontiers in public health · 2023Article
- Potential mechanisms of non-suicidal self-injury (NSSI) in major depressive disorder: a systematic review.General psychiatry · 2023Article
- Peer victimization, depression, and non-suicidal self-injury among Chinese adolescents: the moderating role of the 5-HTR2A gene rs6313 polymorphism.Child and adolescent psychiatry and mental health · 2022Article
- The Role of Alexithymia, Borderline Personality Traits and Resilience in Suicidal and Nonsuicidal Self-Harm Behaviours Among Adolescents With Major Depressive Disorder.Clinical psychology & psychotherapyArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundNock's (2009) integrated theoretical model suggests that specific intrapersonal vulnerability factors caused by distal risk factors contribute to the development of nonsuicidal self-injury (NSSI). Alexithymia and depression have been found to predict NSSI. Based on Nock's model, alexithymia plays a distal risk factor role to increase the risk of depression-an intrapersonal vulnerability factor-and further increase the risk of NSSI. However, small or unrepresentative samples in past studies limit the generalizability of the results. This study examined the roles of depression and alexithymia in predicting NSSI, as well as the mediating effect of depression in the relation between alexithymia and NSSI in a large representative sample of adolescents in Taiwan.
methodsUsing a cross-sectional study design, a large representative sample of 2,170 senior high school students in Taiwan was assessed by self-report measures of alexithymia, depression, and NSSI. Mediation analyses were performed to examine whether the relation between alexithymia and NSSI was mediated by depression. The questionnaires were administered in classrooms.
resultsResults showed that alexithymia positively predicted NSSI (β = 0.23, p < .001) and depression can also positively predict NSSI (β = 0.41, p < .001). Additionally, the association between alexithymia and NSSI was fully mediated by depression.
conclusionsThis study data provided evidence for the mediating role of depression between alexithymia and NSSI, which can be explained by Nock's (2009) integrated theoretical model. The implications of the findings for future research and intervention were discussed.
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