Riding the emotional roller coaster: The role of distress tolerance in non-suicidal self-injury
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Non-Suicidal Self-Injury (NSSI) is the deliberate damage to one's bodily tissue without suicidal intent. The Emotional Cascade Model proposes NSSI functions as a distraction from ‘cascades’ of intense affect and rumination. Low distress tolerance is one factor thought to potentially amplify these cascades but has yet to be empirically tested. Using the Emotional Cascade Model as a framework, we investigated the moderating roles of rumination and distress tolerance in the relationship between affect intensity and NSSI. A sample of 400 university students between the ages of 17 and 62 years (M = 21.02, SD = 5.32) completed well-validated measures of NSSI, affect intensity, rumination, and distress tolerance. As expected, rumination was associated with history of NSSI but only among individuals who reported high levels of distress tolerance. Further, affect intensity was positively associated with NSSI frequency, but only at low levels of rumination and distress tolerance. These results provide promising insight into potential prevention and intervention initiatives that may target rumination and distress tolerance to reduce the likelihood and frequency of self-injury.
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Emotional cascade theory and non-suicidal self-injury: the importance of imagery and positive affectHasking, Penelope; Di Simplicio, M.; McEvoy, Peter; Rees, Clare (2017)Grounded in Emotional Cascade Theory, we explored whether rumination and multisensory imagery-based cognitions moderated the relationships between affect and both odds of non-suicidal self-injury (NSSI), and frequency of ...
Group mindfulness based cognitive therapy vs group support for self-injury among young people: Study protocol for a randomised controlled trialRees, Clare; Hasking, Penelope; Breen, Lauren; Lipp, Ottmar; Mamotte, Cyril (2015)Background: Non-suicidal self-injury (NSSI) is a transdiagnostic behaviour that can be difficult to treat; to date no evidence based treatment for NSSI exists. Mindfulness Based Cognitive Therapy (MBCT) specifically targets ...
Hasking, Penelope; Boyes, Mark; Finlay-Jones, Amy; McEvoy, Peter; Rees, Clare (2018)OBJECTIVES: We investigated whether rumination and self-compassion moderate and/or mediate the relationships between negative affect and both non-suicidal self-injury (NSSI) and suicide ideation. METHODS: Undergraduate ...