ArticleBJPsych open2024
Early maladaptive schemas, distress tolerance and self-injury in Iranian adolescents: serial mediation model of transdiagnostic factors.
Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Advances in the study of non-suicidal self-injury in adolescents and emerging adults: integrating theBJPsych open · 2026Article
- The relationship between emotional reactivity and adolescent non-suicidal self-injury: the mediating role of distress tolerance and gender differences.Frontiers in psychiatry · 2026Article
- The mediating role of distress tolerance in the relationship between childhood maltreatment and anxiety in a sample of Lebanese adults.Scientific reports · 2025Article
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6 authors.
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Abstract
backgroundNon-suicidal self-injury (NSSI) is prevalent behaviour among adolescents. Although there are different etiological models of NSSI, there is a general lack of evidence-based, comprehensive and transdiagnostic models of NSSI in adolescents.
aimsThe aim of this study was to investigate a model of transdiagnostic factors of NSSI in adolescents, testing a serial mediation model of the relationship between early maladaptive schemas (EMS), distress tolerance and NSSI through experiential avoidance and rumination.
methodA community sample was identified of 1014 adolescents aged 13-17, of whom 425 had a history of NSSI. A serial mediation path analytic method was utilised to examine the relationships between NSSI and its associated functions as criterion variables, EMS and distress tolerance as predictors, experiential avoidance as the first mediator and rumination as the second mediator.
resultsThe path analytic model fit indices were good (X
conclusionsKey indirect effects were found linking maladaptive schemas and distress tolerance to NSSI frequency, and NSSI intrapersonal functions via experiential avoidance and rumination. Thus, it is important to address these transdiagnostic factors with particular emphasis on the sequential mediating role of experiential avoidance and rumination in conceptualisation and therapeutic interventions for NSSI.
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