Health and Development Journal

Health and Development Journal

From Childhood Trauma to Non-Suicidal Self-Injury Behavior: The Roles of Negative Valence, Social Processes, and Cognitive Systems Based on the Research Domain Criteria Framework

Document Type : Original Article

Authors
Hossein Farrokhi 1
Imanollah Bigdeli 2
Ali Mashhadi 2
Seyed Ruhollah Hosseini 2
1 Psychology Department, Khorasan Institute of Higher Education, Mashhad, Iran
2 Department of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran
10.34172/jhad.1118
Abstract
Background: Non-suicidal self-injury (NSSI) is a serious and prevalent problem within the adult population. This cross-sectional study examined the moderating roles of negative valence, social processes, and cognitive systems in the relationship between childhood trauma (CT) and non-suicidal self-injury behavior (NSSI) based on Research Domain Criteria (RDoC).
Methods: The present study was conducted using a descriptive-analytical cross-sectional design.
Male young adults with a history of NSSI (N = 118), aged 18 to 30 years, who visited a medical clinic in Mashhad, Iran, between 2019 and 2021, participated in the study. Participants completed self-report measures including the Inventory of Statements About Self-injury (ISAS), Childhood Trauma Questionnaire (CTQ), Subjective Units of Distress Scale (SUDS), Anxiety Sensitivity Index (ASI-3), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Barkley Deficits in Executive Functioning Scale (BDEFS). The collected data were analyzed using structural equation modeling (SEM).
Results: Participants reporting higher severity of NSSI also scored higher on measures of CT (r = 0.51, P < 0.05). Besides, executive dysfunction and perceived social support were shown to be associated with higher levels of all risk factors for NSSI and moderated the relationship between CT and NSSI. Moreover, executive dysfunction moderated the indirect effect of CT on NSSI through subjective units of distress. However, this effect was not moderated by anxiety sensitivity.
Conclusion: The findings from the present study suggested that childhood trauma had a significant positive effect on distress, anxiety sensitivity, and deficits in executive functioning, confirming the mediating role of social capital in the relationship between CT and NSSI.
Keywords
Non-suicidal self-injury Behavior
Childhood trauma
Research domain criteria
Subjects
  1. Klonsky ED, Glenn CR. Assessing the functions of non-suicidal self-injury: psychometric properties of the Inventory of Statements About Self-injury (ISAS). J Psychopathol Behav Assess. 2009;31(3):215-9. doi: 1007/s10862-008-9107-z.
  2. Zetterqvist M. The DSM-5 diagnosis of nonsuicidal self-injury disorder: a review of the empirical literature. Child Adolesc Psychiatry Ment Health. 2015;9:31. doi: 1186/s13034-015-0062-7.
  3. Cipriano A, Cella S, Cotrufo P. Nonsuicidal self-injury: a systematic review. Front Psychol. 2017;8:1946. doi: 3389/fpsyg.2017.01946.
  4. Liu RT. The epidemiology of non-suicidal self-injury: lifetime prevalence, sociodemographic and clinical correlates, and treatment use in a nationally representative sample of adults in England. Psychol Med. 2023;53(1):274-82. doi: 1017/s003329172100146x.
  5. Fox KR, Franklin JC, Ribeiro JD, Kleiman EM, Bentley KH, Nock MK. Meta-analysis of risk factors for nonsuicidal self-injury. Clin Psychol Rev. 2015;42:156-67. doi: 1016/j.cpr.2015.09.002.
  6. Stoyanov D, Telles-Correia D, Cuthbert BN. The Research Domain Criteria (RDoC) and the historical roots of psychopathology: a viewpoint. Eur Psychiatry. 2019;57:58-60. doi: 1016/j.eurpsy.2018.11.007.
  7. Liu RT, Scopelliti KM, Pittman SK, Zamora AS. Childhood maltreatment and non-suicidal self-injury: a systematic review and meta-analysis. Lancet Psychiatry. 2018;5(1):51-64. doi: 1016/s2215-0366(17)30469-8.
  8. Petruccelli K, Davis J, Berman T. Adverse childhood experiences and associated health outcomes: a systematic review and meta-analysis. Child Abuse Negl. 2019;97:104127. doi: 1016/j.chiabu.2019.104127.
  9. Poudel A, Lamichhane A, Magar KR, Khanal GP. Non suicidal self-injury and suicidal behavior among adolescents: co-occurrence and associated risk factors. BMC Psychiatry. 2022;22(1):96. doi: 1186/s12888-022-03763-z.
  10. Wang YJ, Li X, Ng CH, Xu DW, Hu S, Yuan TF. Risk factors for non-suicidal self-injury (NSSI) in adolescents: a meta-analysis. EClinicalMedicine. 2022;46:101350. doi: 1016/j.eclinm.2022.101350.
  11. Kaess M, Parzer P, Mattern M, Plener PL, Bifulco A, Resch F, et al. Adverse childhood experiences and their impact on frequency, severity, and the individual function of nonsuicidal self-injury in youth. Psychiatry Res. 2013;206(2-3):265-72. doi: 1016/j.psychres.2012.10.012.
  12. Miller AB, Massing-Schaffer M, Owens S, Prinstein MJ. Nonsuicidal self-injury among youth. In: The Oxford Handbook of Clinical Child and Adolescent Psychology. Oxford: Oxford University Press; 2019. p. 526-42.
  13. Tatnell R, Kelada L, Hasking P, Martin G. Longitudinal analysis of adolescent NSSI: the role of intrapersonal and interpersonal factors. J Abnorm Child Psychol. 2014;42(6):885-96. doi: 1007/s10802-013-9837-6.
  14. Reynolds BW, Basso MR, Miller AK, Whiteside DM, Combs D. Executive function, impulsivity, and risky behaviors in young adults. Neuropsychology. 2019;33(2):212-21. doi: 1037/neu0000510.
  15. Muehlenkamp JJ, Xhunga N, Brausch AM. Self-injury age of onset: a risk factor for NSSI severity and suicidal behavior. Arch Suicide Res. 2019;23(4):551-63. doi: 1080/13811118.2018.1486252.
  16. Tang J, Yang W, Ahmed NI, Ma Y, Liu HY, Wang JJ, et al. Stressful life events as a predictor for nonsuicidal self-injury in southern Chinese adolescence: a cross-sectional study. Medicine (Baltimore). 2016;95(9):e2637. doi: 1097/md.0000000000002637.
  17. Andover MS, Schatten HT, Holman CS, Miller IW. Moderators of treatment response to an intervention for nonsuicidal self-injury in young adults. J Consult Clin Psychol. 2020;88(11):1032-8. doi: 1037/ccp0000603.
  18. Hu Z, Yuan X, Zhang Y, Lu Z, Chen J, Hu M. Reasoning, problem solving, attention/vigilance, and working memory are candidate phenotypes of non-suicidal self-injury in Chinese Han nationality. Neurosci Lett. 2021;753:135878. doi: 1016/j.neulet.2021.135878.
  19. McHugh CM, Chun Lee RS, Hermens DF, Corderoy A, Large M, Hickie IB. Impulsivity in the self-harm and suicidal behavior of young people: a systematic review and meta-analysis. J Psychiatr Res. 2019;116:51-60. doi: 1016/j.jpsychires.2019.05.012.
  20. Stewart JG, Polanco-Roman L, Duarte CS, Auerbach RP. Neurocognitive processes implicated in adolescent suicidal thoughts and behaviors: applying an RDoC framework for conceptualizing risk. Curr Behav Neurosci Rep. 2019;6(4):188-96. doi: 1007/s40473-019-00194-1.
  21. Zhang Y, Lai S, Wu W, Wang Y, Zhao H, He J, et al. Associations between executive function impairment and biochemical abnormalities in depressed adolescents with non-suicidal self-injury. J Affect Disord. 2022;298(Pt A):492-9. doi: 1016/j.jad.2021.10.132.
  22. Huber RS, Hodgson R, Yurgelun-Todd DA. A qualitative systematic review of suicide behavior using the cognitive systems domain of the research domain criteria (RDoC) framework. Psychiatry Res. 2019;282:112589. doi: 1016/j.psychres.2019.112589.
  23. Westlund Schreiner M, Klimes-Dougan B, Begnel ED, Cullen KR. Conceptualizing the neurobiology of non-suicidal self-injury from the perspective of the Research Domain Criteria Project. Neurosci Biobehav Rev. 2015;57:381-91. doi: 1016/j.neubiorev.2015.09.011.
  24. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl. 2003;27(2):169-90. doi: 1016/s0145-2134(02)00541-0.
  25. McCabe RE. Subjective units of distress scale. J Phobias: Psychol Irrational Fear. 2015;18:361.
  26. Taylor S, Zvolensky MJ, Cox BJ, Deacon B, Heimberg RG, Ledley DR, et al. Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index-3. Psychol Assess. 2007;19(2):176-88. doi: 1037/1040-3590.19.2.176.
  27. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30-41. doi: 1207/s15327752jpa5201_2.
  28. Mashhadi A, Mirdoraghi F, Hosainzadeh-Maleki Z, Hasani J, Hamzeloo M. Factor structure, reliability and validity of Persian version of Barkley Deficits in Executive Functioning Scale (BDEFS)-Adult version. J Clin Psychol. 2015;7(1):51-62. doi: 22075/jcp.2017.2190.
  29. Anderson JC, Gerbing DW. Structural equation modeling in practice: a review and recommended two-step approach. Psychol Bull. 1988;103(3):411-23. doi: 1037/0033-2909.103.3.411.
  30. Koudys JW, Traynor JM, Rodrigo AH, Carcone D, Ruocco AC. The NIMH research domain criteria (RDoC) initiative and its implications for research on personality disorder. Curr Psychiatry Rep. 2019;21(6):37. doi: 1007/s11920-019-1023-2.
  31. Brañas M, Croci MS, Ravagnani Salto AB, Doretto VF, Martinho E Jr, Macedo M, et al. Neuroimaging studies of nonsuicidal self-injury in youth: a systematic review. Life (Basel). 2021;11(8):729. doi: 3390/life11080729.
  32. Grigoryan K, Jurcik T. Psychosocial predictors of non-suicidal self-injury (NSSI) in adolescents: literature review. Mental Health and Family Medicine. 2020;16:905-12.
  33. Turner BJ, Cobb RJ, Gratz KL, Chapman AL. The role of interpersonal conflict and perceived social support in nonsuicidal self-injury in daily life. J Abnorm Psychol. 2016;125(4):588-98. doi: 1037/abn0000141.
Health and Development Journal
Volume 14, Issue 1
Spring 2025
Pages 1-7

  • Receive Date 02 May 2024
  • Revise Date 14 April 2025
  • Accept Date 26 May 2025