ArticleChild and adolescent psychiatry and mental health2023
Child maltreatment exposure and adolescent nonsuicidal self-injury: the mediating roles of difficulty in emotion regulation and depressive symptoms.
Article in Child and adolescent psychiatry and mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A meta-analysis on the lifetime and period prevalence of self-injury among adolescents with depression.Frontiers in public health · 2024Pooled it
- A study on the effects of combined DBT and STEPPS interventions for adolescents with non-suicidal self-injury: a randomized controlled trial.Frontiers in public health · 2026Trial
- Emotion Dysregulation as a Longitudinal Mediator between Depressive Symptoms and Non-Suicidal Self-Injury in Adolescents: Insights from a Random Intercept Cross-Lagged Panel Model.Research on child and adolescent psychopathology · 2026Article
- Childhood maltreatment and adolescent non-suicidal self-injury: cross-sectional conditional process and network analyses of depressive symptoms and physical activity.Frontiers in psychiatry · 2026Article
- Research progress on the characteristic features of non-suicidal self-injury addiction, neuroimaging correlates, and evidence-based interventions in adolescents.Frontiers in psychology · 2026Review
- Lithuanian children's trauma characteristics and correlates: comparison of clinical and non-clinical samples.Frontiers in psychiatry · 2026Article
- Childhood maltreatment and mental health: causal links to depression, anxiety, non-fatal self-harm, suicide attempts, and PTSD.European journal of psychotraumatology · 2025Article
- The mediating roles of stressful life events and negative affect in the relationship between childhood maltreatment and non-suicidal self-injury among clinical adolescents.European journal of psychotraumatology · 2025Article
- The role of difficulties in emotion regulation on non-suicidal self-injury and suicide attempts: a cross-sectional study of Chinese adolescents.Scientific reports · 2025Article
- Does war moderate the association between mental wellbeing and its predictors among children? A multi-country cross-sectional study.BMC psychiatry · 2025Article
- Childhood maltreatment, social connectedness, and depression: A prospective analysis of trajectories over time.Developmental psychology · 2025Article
- Association between childhood maltreatment and emotion dysregulation in patients with major depressive disorder and non-suicidal self-injury.General psychiatry · 2025Article
- Longitudinal Pathways From Childhood Maltreatment to NSSI in Middle School Students With Depressive Symptoms: A Latent Change Score Analysis.Depression and anxiety · 2025Article
- Latent Profiles of Childhood Maltreatment and Their Associations with Emotional Reactivity, Alexithymia, and Emotion Regulation in Chinese College Students.Psychology research and behavior management · 2025Article
- Childhood emotional maltreatment affects depression of adolescents with mood disorders: the mediating role of functions of non-suicidal self-injury.BMC psychiatry · 2024Article
- Pathway from childhood trauma to nonsuicidal self-injury in adolescents with major depressive disorder: the chain-mediated role of psychological resilience and depressive severity.European archives of psychiatry and clinical neuroscience · 2024Article
- A Multi-Mediation Analysis of the Association between Adverse Childhood Experiences and Non-Suicidal Self-Injury among South African Adolescents.International journal of environmental research and public health · 2024Article
- The association between child maltreatment, cognitive reappraisal, negative coping styles, and non-suicidal self-injury in adolescents with major depressive disorder.BMC psychiatry · 2024Article
- The Impact of Recent Life Events, Internalizing Symptoms, and Emotion Regulation on the Severity of Non-Suicidal Self-Injury in Adolescents: A Mediation Analysis.Neuropsychiatric disease and treatment · 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
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAlthough child maltreatment (CM) experiences are recognized risk factors for nonsuicidal self-injury (NSSI), the mechanisms underlying this relationship remain unclear. The purpose of this study was to examine whether difficulty in emotion regulation (DER) and depressive symptoms mediate the relationship between child maltreatment experiences and NSSI severity, adjusting for demographic variables.
methodsThe participants were 224 adolescent inpatients recruited from a hospital in China (mean age 15.30 years, SD = 1.83; 78.6% females). Study measures included the Clinician-Rated Severity of Nonsuicidal Self-Injury (CRSNSSI), Childhood Trauma Questionnaire (CTQ-SF), Difficulties in Emotion Regulation Scale (DERS), and Patient Health Questionnaire-9 (PHQ-9). The hypothesized chain mediation model was tested using the structural equation model.
resultsA total of 146 (65.18%) adolescents reported engaging in NSSI during the past 12 months, and 103 (45.98%) participants met the DSM-5 diagnostic criteria for NSSI. Emotional neglect (48.1%) and emotional abuse (46.1%) had the highest prevalence, followed by physical neglect (43.1%) and physical abuse (24.1%), whereas sexual abuse (12.5%) was the least prevalent form of CM. Separately, both DER and depressive symptoms significantly mediated the association between CM and NSSI, with DER being the strongest mediator, with an indirect effect of 49.40% (p = 0.014). At the same time, we also proved a potential chain-mediated pathway of DER and depression in the relationship between CM and NSSI.
conclusionChild maltreatment seems to play a role in the aetiology of NSSI. DER and depressive symptoms both have a mediating role in the relationship between CM and NSSI. Importantly, DER seems to be a mediator with a stronger indirect effect compared to depressive symptoms.
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