The role of emotion reactivity and gender in the relationship between psychopathology and self-injurious behavior |
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| Institution: | 1. Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium;2. School of Psychology, Curtin University, Perth, Australia;3. Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium;4. Faculty of Medicine and Health Sciences (CAPRI), University of Antwerp, Antwerp, Belgium;5. Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA;6. Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands;7. School of Education, Boston University, Boston, MA, USA;8. Harvard Medical School, Department of Health Care Policy, Harvard University, Boston, MA, USA;9. Department of Neurosciences, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium;10. Department of Psychology, Harvard University, Cambridge, MA, USA;11. Institute for Social Research, Population Studies Center, University of Michigan, Ann Arbor, MI, USA |
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| Abstract: | The goal of the present study was to examine emotion reactivity, a broad construct that consists of an individual’s sensitivity, intensity, and persistence of emotional reactions, as a mediator of the relationship between two types of psychopathology (depression symptoms and borderline personality disorder (BPD) symptoms) and history of self-injurious behavior (non-suicidal self-injury (NSSI) and suicide attempts (SA)). We also examined gender as a potential moderator of this relationship. Participants (N = 1914) completed measures of emotion reactivity, psychopathology, and self-injurious behavior. Results using a series of mediated path analyses indicated that emotion reactivity mediated the relationship between (1) depressive symptoms and NSSI in females only, (2) depressive symptoms and SA in females only, and (3) probable BPD diagnosis and NSSI in both genders. Emotion reactivity did not mediate the relationship between probable BPD diagnosis and SA in either gender. Our findings suggest that emotion reactivity is a possible pathway through which depression and self-injurious behavior relate, especially in women. We temper these findings, however, within the context of relatively modest observed effects. |
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| Keywords: | Emotion reactivity Self-injurious behavior Non-suicidal self-injury Suicide attempts Borderline personality disorder Depression |
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