ArticleJournal of behavioral addictions2022
The potential addictive mechanism involved in repetitive nonsuicidal self-injury: The roles of emotion dysregulation and impulsivity in adolescents.
Article in Journal of behavioral addictions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Scars, screens, and stakes: Link between non-suicidal self-injury and problem gambling, problem gaming, and problematic internet use - A systematic review.Journal of behavioral addictions · 2025Pooled it
- Trends in non-suicidal self-injury among adolescents: A global cross-temporal meta-analysis, 2007-2023.Psychological medicine · 2025Pooled it
- Correlations between non-suicidal self-injury and problematic internet use among Chinese adolescents: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- High-Intensity Transcranial Alternating Current Stimulation for Emotion Regulation and Attentional Bias in Adolescents With Nonsuicidal Self-Injury: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Anxiety influences the addictive feature of non-suicidal self-injury behavior via somatic symptom in adolescents with major depressive disorder.Molecular psychiatry · 2026Article
- Associational pathway analyses of depression and impulsivity in the relationship between internet addiction and non-suicidal self-injury among adolescents: a cross-sectional case-control study.Annals of general psychiatry · 2026Article
- Impulsivity in adolescents with MDD and non-suicidal self-injury: a multimodal assessment using psychometric, behavioral, and neurophysiological measures.Child and adolescent psychiatry and mental health · 2026Article
- Network structure of non-suicidal self-injury, alcohol and food addiction, and motivation in bus drivers.Frontiers in psychiatry · 2026Article
- How left-behind experience moderates the impact of impulsivity on non-suicidal self-injury among Chinese senior high school students: the mediating role of self-control.Frontiers in public health · 2026Article
- Structural-functional connectivity decoupling reveals neural differences associated with subtypes of nonsuicidal self-injury among female depressive adolescents.Frontiers in psychiatry · 2026Article
- The relationship between impulsivity and non-suicidal self-injury in adolescents: the chain-mediated effects of parenting style and distress tolerance.Frontiers in psychiatry · 2026Article
- Non-suicidal self-injury links with multidimensional cognitive dysfunctions in adolescents with depression.BMC psychiatry · 2025Article
- Non-Suicidal Self-Injury: Pain Addiction Mechanisms, Neurophysiological Signatures, and Therapeutic Advances.Journal of clinical medicine research · 2025Review
- Profiles and transitions of non-suicidal self-injury with addictive features in adolescents: Predictive role of maladaptive cognitive schemas.Journal of behavioral addictions · 2025Article
- "My entire life has moulded the person that I am": Narrations of non-suicidal self-injury and complex trauma in individuals with complex posttraumatic stress experiences.Psychology and psychotherapy · 2025Article
- Addiction profile is associated with suicidal behavior and repetition of non-suicidal self injury: a latent profile analysis study in a schooled adolescents.European child & adolescent psychiatry · 2025Article
- Current interpretations of the I-PACE model of behavioral addictions.Journal of behavioral addictions · 2025Review
- Do residents in proximity to blue spaces exhibit lower emotion-related impulsivity? The mediating role of perceived crowdedness.BMC psychology · 2025Article
- Gender-Specific Trajectories of Non-Suicidal Self-Injury among Adolescents: Predictive Roles of Distal and Proximal Risk Factors.Journal of youth and adolescence · 2025Article
- Parental harsh parenting and non-suicidal self-injury among Chinese adolescents: the role of emotional uncontrollability, deviant peer affiliation, school disengagement, and self-control.Frontiers in psychiatry · 2025Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and aims: Nonsuicidal self-injury (NSSI) is highly prevalent in adolescents and is associated with various mental health problems. Repetitive NSSI (R-NSSI), as an extreme manifestation of NSSI, is a growing concern and has been proposed as a behavioral addiction. However, little is known about the potential addictive mechanisms of NSSI. This study aimed to examine the mediating effect of emotion dysregulation and the moderating effect of impulsivity using the Interaction of Person-Affect-Cognition-Execution (I-PACE) model in adolescents who repeatedly engage in NSSI. Methods: A total of 3,915 adolescents (mean age = 13.21 years, SD = 0.87, 57.6% male) were recruited from three middle schools. Relevant questionnaires were used to evaluate childhood maltreatment, emotion dysregulation, impulsivity, and NSSI. Mediation and moderated mediation analyses were conducted separately for adolescents with occasional NSSI (O-NSSI) and R-NSSI to assess the relationship between childhood maltreatment, emotion dysregulation, impulsivity, and NSSI frequency. Results: Our study found that childhood maltreatment was directly related to NSSI and indirectly related to NSSI through emotion dysregulation in both the R-NSSI and O-NSSI groups. Furthermore, impulsivity played a moderating role in the relationship between emotion dysregulation and NSSI in the R-NSSI group but not in the O-NSSI group. Discussion and conclusions: The findings suggest that a high level of impulsivity and a high level of emotion dysregulation may be important risk addictive factors of NSSI through childhood maltreatment. Strengthening the emotion regulation skills and inhibitory control of adolescents with NSSI would be helpful to reduce their self-injury behaviors and maintain their mental health. This finding also supports the validity of the I-PACE model for evaluating R-NSSI.
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