Zadehparizi Reza, Kianimoghadam Amir Sam
Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
J Educ Health Promot. 2024 Nov 29;13:457. doi: 10.4103/jehp.jehp_1621_23. eCollection 2024.
Non-suicidal self-injury (NSSI) is deliberate self-harm without the intent to die. NSSI is associated with mental health issues and has a higher prevalence among medical students. Understanding the cognitive emotion regulation strategies in NSSI is important for intervention and prevention. Network analysis provides a holistic perspective on these strategies.
Participants were 405 individuals (68.6% female) with a mean age of 22.7 years (standard deviation: 3.97, range: 17-55 years), recruited from Tehran, Iran. Upon conducting an initial screening, it was found that 68 individuals from our sample acknowledged a prior history of NSSI.
A network analysis showed that that students with a history of NSSI perceived themselves to have difficulties in putting into perspective, positive reappraisal, and self-blame. Compared to students without NSSI, those with NSSI exhibited negative associations between putting into perspective and rumination (PIP__RUM: -0.240) and positive associations between positive refocusing and catastrophizing (PR__Catast: 0.61).
This study discovered notable distinctions in the cognitive processing and coping strategies of medical students with and without a history of NSSI. These findings contribute to the existing literature on the link between cognitive-emotional processes and NSSI, informing the development of interventions to decrease such behaviors.
非自杀性自伤（NSSI）是指故意自我伤害但无自杀意图。NSSI与心理健康问题相关，且在医学生中更为普遍。了解NSSI中的认知情绪调节策略对于干预和预防至关重要。网络分析为这些策略提供了一个整体视角。
研究对象为405名个体（68.6%为女性），平均年龄22.7岁（标准差：3.97，范围：17 - 55岁），来自伊朗德黑兰。在进行初步筛查时，发现样本中有68人承认有过NSSI病史。
网络分析表明，有NSSI病史的学生认为自己在正确看待问题、积极重新评价和自我责备方面存在困难。与没有NSSI的学生相比，有NSSI的学生在正确看待问题和沉思之间表现出负相关（PIP__RUM：-0.240），在积极重新关注和灾难化之间表现出正相关（PR__Catast：0.61）。
本研究发现有和没有NSSI病史的医学生在认知加工和应对策略上存在显著差异。这些发现为现有关于认知 - 情感过程与NSSI之间联系的文献做出了贡献，为减少此类行为的干预措施的制定提供了依据。
