تنظیم احساسات در نوجوانان غیر خودکشی خودآسیبی اپیزود اول:یک سال چه تفاوت می کند؟

Abstract We examined the roles of cognitive reappraisal, expressive suppression, and rumination in first episode non-suicidal self-injury (NSSI) among adolescents, and the impact of age-related differences in emotion regulation use. Adverse life events and psychological distress played a significant role in NSSI onset. Being male and less use of cognitive reappraisal contributed to NSSI risk but only in regard to 12-month incidence; this effect was not observed when predicting 24-month incidence. Neither expressive suppression nor rumination was related to NSSI onset in our sample. Age-related differences in emotion regulation were found, but did not modify the above relationships. Findings hint at the possible impact of developmental changes in adolescents' cognitive-emotional processing and their subsequent risk of NSSI. Results support further investigation into prevention and early intervention initiatives aimed at assisting adolescents cope with acute life stressors to prevent/delay first episode NSSI.

Conclusion To our knowledge, this is one of few investigations into factors specifically related to the onset of adolescent NSSI. It is a unique attempt at accounting for developmental influences in emotion regulation. While there were null findings on the effects of age, nonetheless, results hint that underlying cognitive-emotional processes may play a role. Our findings suggest further investigation into interventions aimed at supporting adolescents in coping with acute life stressors to prevent/delay first episode NSSI is warranted. They also suggest targeted interventions aimed at building capacity in the use of cognitive reappraisal may be promising, particularly for younger adolescents.