Anxious and Overwhelming Affects and Repetitive Negative Thinking as Ecological Predictors of Self-Injurious Thoughts and Behaviors

Christopher D. Hughes, Alexandra M. King, Amy Kranzler, Kara Fehling, Alec Miller, Janne Lindqvist, Edward A. Selby

Research output: Contribution to journalArticle

Abstract

Nonsuicidal self-injury (NSSI) refers to purposely injuring one’s body without suicidal intent via methods such as cutting or hitting oneself, and is a serious health concern that has been linked to detrimental behavioral and physical health consequences. One of the primary reasons that people report engaging in NSSI is that it appears to help them cope with intense affective states and upsetting thoughts, both of which they perceive as unbearable at the time. However, empirical investigation into the affective and cognitive states preceding NSSI has been limited, especially during daily life. The current study utilized ecological momentary assessment to measure multiple daily recordings of negative affect, repetitive negative thinking (RNT), and NSSI thoughts and behaviors among a community sample of adolescents and young adults (N = 47). Findings indicated that anxiety and feeling overwhelmed predicted NSSI most strongly when RNT was elevated, suggesting that these three factors may interact in a process creating an aversive affective state that self-injurers attempt to “escape” by engaging in NSSI.

LanguageEnglish (US)
JournalCognitive Therapy and Research
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Self-Injurious Behavior
Wounds and Injuries
Health
Pessimism
Young Adult
Emotions
Anxiety

Keywords

  • Anxiety
  • Assessment
  • Ecological momentary
  • Negative affect
  • Nonsuicidal self-injury
  • Repetitive negative thinking

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology

Cite this

Anxious and Overwhelming Affects and Repetitive Negative Thinking as Ecological Predictors of Self-Injurious Thoughts and Behaviors. / Hughes, Christopher D.; King, Alexandra M.; Kranzler, Amy; Fehling, Kara; Miller, Alec; Lindqvist, Janne; Selby, Edward A.

In: Cognitive Therapy and Research, 01.01.2019.

Research output: Contribution to journalArticle

Hughes, Christopher D. ; King, Alexandra M. ; Kranzler, Amy ; Fehling, Kara ; Miller, Alec ; Lindqvist, Janne ; Selby, Edward A. / Anxious and Overwhelming Affects and Repetitive Negative Thinking as Ecological Predictors of Self-Injurious Thoughts and Behaviors. In: Cognitive Therapy and Research. 2019.
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