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Nature human behaviour
07, 2022;6 (7): 964-974.

A meta-analysis on the affect regulation function of real-time self-injurious thoughts and behaviours.

Kevin S Kuehn, Jonas Dora, Melanie S Harned, Katherine T Foster, Frank Song, Michele R Smith, Kevin M King
Author Information
  1. Kevin S Kuehn: Department of Psychology, University of Washington, Seattle, WA, USA. kevinskuehn@gmail.com. ORCID
  2. Jonas Dora: Department of Psychology, University of Washington, Seattle, WA, USA.
  3. Melanie S Harned: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA. ORCID
  4. Katherine T Foster: Department of Psychology, University of Washington, Seattle, WA, USA.
  5. Frank Song: Department of Psychology, University of Washington, Seattle, WA, USA. ORCID
  6. Michele R Smith: Department of Psychology, University of Washington, Seattle, WA, USA. ORCID
  7. Kevin M King: Department of Psychology, University of Washington, Seattle, WA, USA. ORCID
PMID: 35484208 DOI: 10.1038/s41562-022-01340-8

Abstract

Prominent theories suggest that self-injurious thoughts and behaviours are negatively reinforced by decreased negative affect. The present meta-analysis quantifies effects from intensive longitudinal studies measuring negative affect and self-injurious thoughts and behaviours. We obtained data from 38 of the 79 studies (48%, 22 unique datasets) involving N = 1,644 participants (80% female, 75% white). Individual-participant data meta-analyses revealed changes in affect pre/post self-injurious thoughts and behaviours. In antecedent models, results supported increased negative affect before nonsuicidal self-injurious behaviour (k = 14, 95% CI 0.09 to 0.31) and suicidal thoughts (k = 14, 95% CI 0.03 to 0.19). For consequence models, negative affect was reduced following nonsuicidal self-injurious thoughts (k = 6, 95% CI -0.79 to -0.44), nonsuicidal self-injurious behaviours (k = 14, 95% CI -0.73 to -0.19) and suicidal thoughts (k = 13, 95% CI -0.79 to -0.23). Findings, which were not moderated by sampling strategies or sample composition, support the affect regulation function of self-injurious thoughts and behaviours.

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Grants

  1. F31 MH117827/NIMH NIH HHS

MeSH Term

Female
Humans
Longitudinal Studies
Male
Self-Injurious Behavior
Suicidal Ideation
Journal Article Meta-Analysis Research Support, N.I.H., Extramural
Article has an altmetric score of 412

Word Cloud

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