Department of Psychology, Colorado State University, 1876 Campus Mail, Fort Collins, CO, 80523, USA.
Palliative Care and Resilience Lab, Center for Clinical and Translational Research, Seattle Children's Hospital, Seattle, WA, USA.
J Youth Adolesc. 2022 Aug;51(8):1622-1635. doi: 10.1007/s10964-022-01615-3. Epub 2022 Apr 27.
Previous research indicates that sensation seeking, emotion dysregulation, and impulsivity are predictive of non-suicidal self-injury (NSSI). A body of research supports that meaning in life predicts improved mental health and well-being, including fewer suicidal thoughts and attempts, yet no research has examined the moderating effects of meaning in life on the relations between personality and temperament and NSSI. Given the growing incidence rates of NSSI among adolescents and the potential lifelong consequences of NSSI, it is imperative to better understand the factors that reduce the rates at which adolescents in a clinical sample engage in NSSI. The present study investigates if the protective factors of meaning in life moderate the relation between personality and temperament variables and NSSI among 126 adolescents (71% female, Mage = 16.1, SD = 1.1, range 13-18, 80% White) residing in an inpatient psychiatric hospital who endorsed NSSI in the last 12 months. Results from hurdle modeling indicate that two subtypes of meaning in life, presence of meaning in life and search for meaning of life, may serve as robust protective factors against engagement in NSSI among a clinical sample of adolescents. Additionally, results suggest that search for meaning, but not presence of meaning in life, variables moderate the relations between personality and temperament and NSSI. Results provide evidence that meaning in life is an understudied variable of importance in understanding how to prevent or treat NSSI. It also underscores the need to develop, refine, and test meaning-making interventions.
先前的研究表明，感觉寻求、情绪调节障碍和冲动与非自杀性自伤（NSSI）有关。大量研究表明，生活意义可以预测心理健康和幸福感的改善，包括减少自杀念头和尝试，但是，没有研究检验生活意义对人格和气质与 NSSI 之间关系的调节作用。鉴于青少年中 NSSI 的发生率不断上升，以及 NSSI 可能对其造成的终身影响，了解降低临床样本中青少年从事 NSSI 频率的因素至关重要。本研究调查了生活意义的保护因素是否调节了人格和气质变量与 126 名（71%为女性，Mage=16.1，SD=1.1，年龄范围为 13-18 岁，80%为白人）住院精神病院青少年中 NSSI 之间的关系，这些青少年在过去 12 个月内有 NSSI 行为。来自障碍模型的结果表明，生活意义的两种亚型，生活意义的存在和对生活意义的寻找，可能是针对青少年临床样本中 NSSI 发生的强有力的保护因素。此外，结果表明，寻找意义，而不是生活意义的存在，变量调节了人格和气质与 NSSI 之间的关系。结果提供了证据表明，生活意义是一个被低估的重要变量，有助于理解如何预防或治疗 NSSI。它还强调了需要开发、完善和测试意义建构干预措施。
