Per Megan, Simundic Amanda, Argento Amanda, Khoury Bassam, Heath Nancy
Arch Suicide Res. 2022 Jul-Sep;26(3):1286-1301. doi: 10.1080/13811118.2021.1885534. Epub 2021 Feb 17.
The objective of the current study was to investigate whether mindfulness and self-compassion are negatively associated with engagement in non-suicidal self-injury (NSSI) and whether emotion dysregulation would mediate this relation.
343 participants (82.2% female; = 23.98; = 7.47) were recruited from university and community settings, and completed online questionnaires. Two groups of participants were created: those with lifetime engagement in NSSI ( = 153) and a comparison group with no prior engagement in NSSI ( = 190).
First, two one-way MANOVAs revealed significant mean differences (NSSI/comparison) across the self-compassion dimensions and specific mindfulness facets. Second, logistic regressions revealed that the self-coldness dimension of self-compassion significantly predicted engagement in NSSI, and specific mindfulness facets (nonjudging and acting with awareness) were found to negatively predict NSSI engagement. Lastly, mediation analyses revealed that emotion dysregulation fully mediated the relationships between both mindfulness total and self-coldness, and NSSI group status.
The present study demonstrates preliminary support for the protective role of key mindfulness facets and potential risk of the self-coldness aspect of self-compassion in NSSI engagement. Implications for potential use of treatment protocols may include teaching key aspects of mindfulness and self-compassion as healthier and kinder alternatives to coping with dysregulated emotions.HighlightsMindfulness and self-compassion significantly differ between NSSI/comparison groupsKey mindfulness facets and self-compassion dimensions negatively predict engagement in NSSIEmotion dysregulation fully mediates self-coldness and mindfulness with NSSI group status.
本研究的目的是调查正念和自我同情是否与非自杀性自伤(NSSI)行为呈负相关,以及情绪失调是否会介导这种关系。
从大学和社区环境中招募了343名参与者(女性占82.2%;年龄 = 23.98岁;标准差 = 7.47),并让他们完成在线问卷。创建了两组参与者:有过NSSI行为的(n = 153)和之前没有NSSI行为的对照组(n = 190)。
首先,两项单因素多变量方差分析显示,在自我同情维度和特定的正念方面,两组(NSSI组/对照组)存在显著的平均差异。其次,逻辑回归显示,自我同情的自我冷漠维度显著预测了NSSI行为,并且发现特定的正念方面(不评判和有意识行动)对NSSI行为有负向预测作用。最后,中介分析显示,情绪失调完全介导了正念总分和自我冷漠与NSSI组状态之间的关系。
本研究为关键正念方面的保护作用以及自我同情的自我冷漠方面在NSSI行为中的潜在风险提供了初步支持。对治疗方案潜在应用的启示可能包括教授正念和自我同情的关键方面,作为应对情绪失调的更健康、更友善的替代方法。要点:NSSI组与对照组在正念和自我同情方面存在显著差异;关键正念方面和自我同情维度对NSSI行为有负向预测作用;情绪失调完全介导了自我冷漠和正念与NSSI组状态之间的关系。