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Non-Suicidal Self-Injury Among Dutch and Belgian Adolescents: Personality, Stress and Coping

Published online by Cambridge University Press:  07 August 2015

G. Kiekens ,
R. Bruffaerts ,
M.K. Nock ,
M. Van de Ven ,
C. Witteman ,
P. Mortier ,
K. Demyttenaere  and
L. Claes
G. Kiekens*
Affiliation:
KU Leuven, Research Group of Psychiatry, Herestraat 49, 3000Leuven, Belgium
R. Bruffaerts
Affiliation:
KU Leuven, Research Group of Psychiatry, Herestraat 49, 3000Leuven, Belgium
M.K. Nock
Affiliation:
Harvard University, Department of Psychology, 33, Kirkland Street, MA 02138Cambridge, USA
M. Van de Ven
Affiliation:
Radboud University Nijmegen, Behavioural Science Institute, Diagnostic Decision Making, P.O. Box 9104, 6500HE Nijmegen, The Netherlands
C. Witteman
Affiliation:
Radboud University Nijmegen, Behavioural Science Institute, Diagnostic Decision Making, P.O. Box 9104, 6500HE Nijmegen, The Netherlands
P. Mortier
Affiliation:
KU Leuven, Research Group of Psychiatry, Herestraat 49, 3000Leuven, Belgium
K. Demyttenaere
Affiliation:
KU Leuven, Research Group of Psychiatry, Herestraat 49, 3000Leuven, Belgium
L. Claes
Affiliation:
KU Leuven, Faculty of Psychology and Educational Sciences, Tiensestraat 102, 3000Leuven, Belgium
*
*Corresponding author at: Kapucijnenvoer 33 building I, box 7001, 3000 Leuven, Belgium. Tel.: +32 16 33 25 94; fax: +32 16 34 87 00. E-mail address: Glenn.kiekens@kuleuven.be (G. Kiekens).
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Abstract

Background

This study examines: (1) the prevalence of Non-Suicidal Self-Injury (NSSI) among Dutch and Belgian adolescents, (2) the associations between Big Five personality traits and NSSI engagement/versatility (i.e., number of NSSI methods), and (3) whether these associations are mediated by perceived stress and coping.

Methods

A total of 946 Flemish (46%) and Dutch (54%) non-institutionalized adolescents (Mean age = 15.52; SD = 1.34, 44% females) were surveyed. Measures included the NSSI subscale of the Self-Harm-Inventory, the Dutch Quick Big Five Personality questionnaire, the Perceived Stress Scale and the Utrecht Coping List for Adolescents. Examination of zero-order correlations was used to reveal associations, and hierarchical regression analysis was used to reveal potential mediators which were further examined within parallel mediation models by using a bootstrapping-corrected procedure.

Results

Lifetime prevalence of NSSI was 24.31%. Neuroticism; perceived stress; and distractive, avoidant, depressive, and emotional coping were positively associated with NSSI engagement, whereas Agreeableness, Conscientiousness; and active, social, and optimistic coping were negatively associated with NSSI engagement. Observed relationships between personality traits and NSSI engagement were consistently explained by perceived stress and depressive coping. A higher versatility of NSSI was not associated with any Big Five personality trait, but was associated with higher scores on perceived stress and depressive coping and with lower scores on active and optimistic coping.

Conclusion

Our study suggests that a specific personality constellation is associated with NSSI engagement via high stress levels and a typical depressive reaction pattern to handle stressful life events.

Keywords

Non-suicidal self-injuryNSSI versatilityPersonalityStressCopingMediation analyses
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 6 , September 2015 , pp. 743 - 749
Copyright
Copyright © Elsevier Masson SAS 2015

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References

Ahadi, S.A., Rothbart, M.K.Temperament, development, and the big five. In: Halverson, C.F.Kohnstamm, G.A.Martin, R.P.The developing structure of temperament and personality from infancy to adulthood Hillsdale: NY: Erlbaum; 1994.189–207.Google Scholar
Andover, M.S., Pepper, C.M., Gibb, B.E.Self-mutilation and coping strategies in a college sample. Suicide Life Threat Behav 2007;37:238–243. http://dx.doi.org/10.1521/suli.2007.37.2.238.CrossRefGoogle Scholar
Andover, M.S., Primack, J.M., Gibb, B.E., Pepper, C.M.An examination of non-suicidal self-injury in men: do men differ from women in basic NSSI characteristics?. Arch Suicide Res 2010;14:79–88. http://dx.doi.org/10.1080/13811110903479086CrossRefGoogle ScholarPubMed
Arnett, J.J.Adolescent storm and stress, reconsidered. Am Psychol 1999;54:317–326. http://dx.doi.org/10.1037/0003-066X.55.5.469.CrossRefGoogle Scholar
Asendorpf, J.B., Wilpers, S.Personality effects on social relationships. J Pers Soc Psychol 1998;74:1531–1544. http://dx.doi.org/10.1037/0022-3514.74.6.1531.CrossRefGoogle Scholar
American Psychiatric Association, Diagnostic and statistical manual of mental disorders (DSM-5) 5th ed.Washington, DC: American Psychiatric Press; 2013.CrossRefGoogle Scholar
Baetens, I., Claes, L., Willem, L., Muehlenkamp, J., Bijttebier, P.The relationship between non-suicidal self-injury and temperament in male and female adolescents based on child- and parent-report. Pers Individ Dif 2011;50:527–530. http://dx.doi.org/10.1016/j.paid.2010.11.015.CrossRefGoogle Scholar
Baetens, I., Claes, L., Hasking, P., Smits, D., Grietens, H., Onghena, P., et al.The relationship between parental expressed emotions and non-suicidal self-injury: the mediating roles of self-criticism and depression. J Child Fam Stud 2015;24:491–498. http://dx.doi.org/10.1007/s10826-013-9861-8.CrossRefGoogle Scholar
Barrocas, A.L., Hankin, B.L., Young, J.F., Abela, J.R.Z.Rates of non-suicidal self-injury in youth: age, sex, and behavioral methods in a community sample. Pediatrics 2012;130:39–45. http://dx.doi.org/10.1542/peds.2011-2094.CrossRefGoogle Scholar
Bijstra, J.O., Jackson, S., Bosma, H.A.De Utrechtse Coping Lijst voor Adolescenten. Kind En Adolesc 1994;15:67–74. http://dx.doi.org/10.1007/BF03060546.CrossRefGoogle Scholar
Bolger, N.Coping as a personality process: a prospective study. J Pers Soc Psychol 1990;59:525–537. http://dx.doi.org/10.1037/0022-3514.59.3.525.CrossRefGoogle ScholarPubMed
Bolger, N., Zuckerman, A.A framework for studying personality in the stress process. J Pers Soc Psychol 1995;69:890–902.http://dx.doi.org/10.1037/0022-3514.69.5.890.CrossRefGoogle ScholarPubMed
Briggs, N.E.Estimation of the standard error and confidence interval of the indirect effect in multiple mediator models. Diss Abstr Int 2006;37:4775B.Google Scholar
Brown, S.A.Personality and non-suicidal deliberate self-harm: trait differences among a nonclinical population. Psychiatry Res 2009;169:28–32. http://dx.doi.org/10.1016/j.psychres.2008.06.005.CrossRefGoogle Scholar
Brown, S.A., Williams, K., Collins, A.Past and recent deliberate self-harm: emotion and coping strategy differences. J Clin Psychol 2007;63:791–803. http://dx.doi.org/10.1002/jclp.20380.CrossRefGoogle ScholarPubMed
Carver, C.S., Connor-Smith, J.Personality and coping. Annu Rev Psychol 2010;61:679–704. http://dx.doi.org/10.1146/annurev.psych.093008.100352.CrossRefGoogle ScholarPubMed
Cawood, C.D., Huprich, S.K.Late adolescent non-suicidal self-injury: the roles of coping style, self-esteem, and personality pathology. J Pers Disord 2011;25:765–781. http://dx.doi.org/10.1521/pedi.2011.25.6.765.CrossRefGoogle ScholarPubMed
Cerutti, R., Presaghi, F., Manca, M., Gratz, K.L.Deliberate self-harm behavior among Italian young adults: correlations with clinical and nonclinical dimensions of personality. Am J Orthopsychiatry 2012;82:298–308. http://dx.doi.org/10.1111/j.1939-0025.2012.01169.x.CrossRefGoogle ScholarPubMed
Claes, L., Vandereycken, W.Self-injurious behavior: differential diagnosis and functional differentiation. Compr Psychiatry 2007;48:137–144. http://dx.doi.org/10.1016/j.comppsych.2006.10.009.CrossRefGoogle ScholarPubMed
Claes, L., Vandereycken, W., Vertommen, H.Eating-disordered patients with and without self-injurious behaviours: a comparison of psychopathological features. Eur Eat Disord Rev 2003;11:379–396. http://dx.doi.org/10.1002/erv.510.CrossRefGoogle Scholar
Claes, L., Vandereycken, W., Vertommen, H.Personality traits in eating-disordered patients with and without self-injurious behaviors. J Pers Disord 2004;18:399–404.CrossRefGoogle ScholarPubMed
Claes, L., Norré, J., Van Assche, L., Bijttebier, P.Non-suicidal self-injury (functions) in eating disorders: associations with reactive and regulative temperament. Pers Individ Dif 2014;57:65–69. http://dx.doi.org/10.1016/j.paid.2013.09.022.CrossRefGoogle Scholar
Cohen, S., Williamson, G.M.Perceived stress in a probability sample of the United States. Soc Psychol Heal 1988;13:31–67. http://dx.doi.org/10.1111/j.1559-1816.1983.tb02325.x.Google Scholar
Connor-Smith, J.K., Flachsbart, C.Relations between personality and coping: a meta-analysis. J Pers Soc Psychol 2007;93:1080–1107. http://dx.doi.org/10.1037/0022-3514.93.6.1080.CrossRefGoogle ScholarPubMed
Cox, L.J., Stanley, B.H., Melhem, N.M., Oquendo, M.A., Birmaher, B., Burke, A., et al.A longitudinal study of nonsuicidal self-injury in offspring at high risk for mood disorder. J Clin Psychiatry 2013;73:821–82810.4088/JCP.11m07250CrossRefGoogle Scholar
Evans, E., Hawton, K., Rodham, K.In what ways are adolescents who engage in self-harm or experience thoughts of self-harm different in terms of help-seeking, communication and coping strategies?. J Adolesc 2005;28:573–587. http://dx.doi.org/10.1016/j.adolescence.2004.11.001.CrossRefGoogle ScholarPubMed
Fliege, H., Kocalevent, R.D., Walter, O.B., Beck, S., Gratz, K.L., Gutierrez, P.M., et al.Three assessment tools for deliberate self-harm and suicide behavior: evaluation and psychopathological correlates. J Psychosom Res 2006;61:113–121. http://dx.doi.org/10.1016/j.jpsychores.2005.10.006.CrossRefGoogle ScholarPubMed
Giletta, M., Scholte, R.H.J., Engels, R.C.M.E., Ciairano, S., Prinstein, M.J.Adolescent non-suicidal self-injury: a cross-national study of community samples from Italy, the Netherlands and the United States. Psychiatry Res 2012;197:66–72. http://dx.doi.org/10.1016/j.psychres.2012.02.009.CrossRefGoogle ScholarPubMed
Goldberg, L.R.The development of markers for the Big Five-factor structure. Psychol Assess 1992;4:26–42. http://dx.doi.org/10.1037/1040-3590.4.1.26.CrossRefGoogle Scholar
Goldstein, A.L., Flett, G.L., Wekerle, C., Wall, A.M.Personality, child maltreatment, and substance use: examining correlates of deliberate self-harm among university students. Can J Behav Sci 2009;41:241–251. http://dx.doi.org/10.1037/a0014847.CrossRefGoogle Scholar
Grant, S., Langan-Fox, J.Personality and the occupational stressor-strain relationship: the role of the Big Five. J Occup Health Psychol 2007;12:20–33. http://dx.doi.org/10.1037/1076-8998.12.1.20.CrossRefGoogle ScholarPubMed
Graziano, W.G., Eisenberg, N.H.Agreeableness: a dimension of personality. In: Hogan, R.Johnson, J.Briggs, S.Handbook of personality psychology San Diego, CA: Academic Press; 1997. p. 795–824. [doi:10.1016/B978-012134645-4/50031-7].CrossRefGoogle Scholar
Guerreiro, D.F., Cruz, D., Frasquilho, D., Santos, J.C., Figueira, M.L., Sampaio, D.Association between deliberate self-harm and coping in adolescents: a critical review of the last 10 years’ literature. Arch Suicide Res 2013;17:91–105. http://dx.doi.org/10.1080/13811118.2013.776439.CrossRefGoogle ScholarPubMed
Hankin, B.L., Abela, J.R.Z.Non-suicidal self-injury in adolescence: prospective rates and risk factors in a 2½ year longitudinal study. Psychiatry Res 2011;186:65–70. http://dx.doi.org/10.1016/j.psychres.2010.07.056.CrossRefGoogle Scholar
Hayes, A.F.Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York, NY: Guilford Press; 2013. [doi:978-1-60918-230-4]Google Scholar
Hayes, A.F.Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr 2009;76:408–420. http://dx.doi.org/10.1080/03637750903310360.CrossRefGoogle Scholar
Jacobson, C.M., Gould, M.The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: a critical review of the literature. Arch Suicide Res 2007;11:129–147. http://dx.doi.org/10.1080/13811110701247602.CrossRefGoogle ScholarPubMed
Javaras, K.N., Schaefer, S.M., Van Reekum, C.M., Lapate, R.C., Greischar, L.L., Bachhuber, D.R., et al.Conscientiousness predicts greater recovery from negative emotion. Emotion 2012;12:875–881. http://dx.doi.org/10.1037/a0028105.CrossRefGoogle ScholarPubMed
Kline, R.B.Principles and practice of structural equation modeling 2nd ed.New York, NY: Guilford Press; 2005.Google Scholar
Krueger, R.F., Caspi, A., Moffitt, T.E.Epidemiological personology: the unifying role of personality in population-based research on problem behaviors. J Pers 2000;68:967–998. http://dx.doi.org/10.1111/1467-6494.00123.CrossRefGoogle ScholarPubMed
Larsen, R.J., Buss, D.M.Personality psychology: domains of knowledge about human nature. 4th ed.New-York, NY: McGraw-Hill; 2010.Google Scholar
MacLaren, V.V., Best, L.A.Non-suicidal self-injury, potentially addictive behaviors, and the Five-Factor Model in undergraduates. Pers Individ Dif 2010;49:521–525. http://dx.doi.org/10.1016/j.paid.2010.05.019.CrossRefGoogle Scholar
Malouff, J.M., Thorsteinsson, E.B., Schutte, N.S.The relationship between the five-Factor Model of personality and symptoms of clinical disorders: a meta-analysis. J Psychopathol Behav Assess 2005;27:101–114. http://dx.doi.org/10.1007/s10862-005-5384-y.CrossRefGoogle Scholar
Mavroveli, S., Petrides, K.V., Rieffe, C., Bakker, F.Trait emotional intelligence, psychological well-being and peer-rated social competence in adolescence. 2007;263–275.http://dx.doi.org/10.1348/026151006X118577.Google Scholar
Maxwell, S.E., Cole, D.Bias in cross-sectional analyses of longitudinal mediation. Psychol Methods 2007;12:23–44. http://dx.doi.org/10.1080/00273171.2011.606716.CrossRefGoogle ScholarPubMed
Maxwell, S.E., Cole, D.Bias in cross-sectional analyses of longitudinal mediation. Multivariate Behav Res 2011;46:816–841. http://dx.doi.org/10.1080/00273171.2011.606716.CrossRefGoogle ScholarPubMed
McCrae, R.R., Costa, P.T. Jr.The five-factor theory of personality. In: John, O.P.Robins, R.W.Pervin, L.A.Handbook of personality: theory and research 3rd ed.New York, NY: Guilford Press; 2008;159–181.Google Scholar
Moos, R.H., Holahan, C.J.Dispositional and contextual perspectives on coping: toward an integrative framework. J Clin Psychol 2003;59:1387–1403. http://dx.doi.org/10.1002/jclp.10229.CrossRefGoogle ScholarPubMed
Muehlenkamp, J.J., Kerr, P.L., Bradley, A.R., Adams Larsen, M.Abuse subtypes and non-suicidal self-injury: preliminary evidence of complex emotion regulation patterns. J Nerv Ment Dis 2010;198:258–263. http://dx.doi.org/10.1097/NMD.0b013e3181d612ab.CrossRefGoogle ScholarPubMed
Muehlenkamp, J.J., Claes, L., Havertape, L., Plener, P.L.International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child Adolesc Psychiatry Ment Health 2012;6:10. http://dx.doi.org/10.1186/1753-2000-6-10.CrossRefGoogle ScholarPubMed
Muris, P., Mayer, B., Reinders, E., Wesenhagen, C.Person-related protective and vulnerability factors of psychopathology symptoms in nonclinical adolescents. Community Ment Health J 2011;47:47–60. http://dx.doi.org/10.1007/s10597-009-9249-9.CrossRefGoogle Scholar
Nigg, J.T.Temperament and developmental psychopathology. J Child Psychol Psychiatry 2006;47:395–422. http://dx.doi.org/10.1111/j.1469-7610.2006.01612.x.CrossRefGoogle ScholarPubMed
Nock, M.K., Favazza, A.R.Non-suicidal self-injury: definition and classification. In: Nock, M.K.Understanding non-suicidal self-injury: origins, assessment, and treatment Washington, DC: American Psychological Association; 2009;9–18. [doi:10.1037/11875-001].CrossRefGoogle Scholar
Nock, M.K., Prinstein, M.J.A functional approach to the assessment of self-mutilative behavior. J Consult Clin Psychol 2004;72:885–890. http://dx.doi.org/10.1037/0022-006X.72.5.885.CrossRefGoogle ScholarPubMed
Nock, M.K., Joiner, T.E., Gordon, K.H., Lloyd-Richardson, E., Prinstein, M.J.Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res 2006;144:65–72. http://dx.doi.org/10.1016/j.psychres.2006.05.010.CrossRefGoogle ScholarPubMed
Penley, J.A., Tomaka, J.Associations among the Big Five, emotional responses, and coping with acute stress. Pers Individ Dif 2002;32:1215–1228. http://dx.doi.org/10.1016/S0191-8869(01)00087-3.CrossRefGoogle Scholar
Plener, P.L., Libal, G., Keller, F., Fegert, J.M., Muehlenkamp, J.J.An international comparison of adolescent non-suicidal self-injury (NSSI) and suicide attempts: Germany and the USA. Psychol Med 2009;39:1549–1558. http://dx.doi.org/10.1017/S0033291708005114.CrossRefGoogle ScholarPubMed
Plener, P.L., Schumacher, T.S., Munz, L.M., Groschwitz, R.C.The longitudinal course of non-suicidal self-injury and deliberate self-harm: a systematic review of the literature. Borderline Personal Disord Emot Dysregul 2015;2. http://dx.doi.org/10.1186/s40479-014-0024-3.Google ScholarPubMed
Roberti, J.W., Harrington, L.N., Storch, E.A.Further psychometric support for the 10-Item Version of the Perceived Stress Scale. J Coll Couns 2006;9:135–147. http://dx.doi.org/10.1002/j.2161-1882.2006.tb00100.x.CrossRefGoogle Scholar
Robertson, C.D., Miskey, H., Mitchell, J., Nelson-Gray, R.Variety of self-injury: is the number of different methods of non-suicidal self-injury related to personality, psychopathology, or functions of self-injury?. Arch Suicide Res 2013;17:33–40. http://dx.doi.org/10.1080/13811118.2013.748410.CrossRefGoogle ScholarPubMed
Samuel, D.B., Widiger, T.A.A meta-analytic review of the relationships between the five-factor model and DSM-IV-TR personality disorders: a facet level analysis. Clin Psychol Rev 2008;28:1326–1342. http://dx.doi.org/10.1016/j.cpr.2008.07.002.CrossRefGoogle ScholarPubMed
Sansone, R.A., Wiederman, M.W., Sansone, L.A.The self-harm inventory (SHI): development of a scale for identifying self-destructive behaviors and borderline personality disorder. J Clin Psychol 1998;54:973–983. [doi:10.1002/(SICI)1097-4679(199811)54:7<973:AID-JCLP11>3.0.CO;2-H].3.0.CO;2-H>CrossRefGoogle ScholarPubMed
Saraff, P.D., Pepper, C.M.Functions, lifetime frequency, and variety of methods of non-suicidal self-injury among college students. Psychiatry Res 2014;219:298–304. http://dx.doi.org/10.1016/j.psychres.2014.05.044.CrossRefGoogle ScholarPubMed
Swannell, S.V., Martin, G.E., Page, A., Hasking, P., St John, N.J.Prevalence of non-suicidal self-injury in nonclinical samples: systematic review, meta-analysis and meta-regression. Suicide Life-Threatening Behav 2014;44:273–303. http://dx.doi.org/10.1111/sltb.12070.CrossRefGoogle ScholarPubMed
Tobin, R.M., Graziano, W.G., Vanman, E.J., Tassinary, L.G.Personality, emotional experience, and efforts to control emotions. J Pers Soc Psychol 2000;79:656–669. http://dx.doi.org/10.1037/0022-3514.79.4.656.CrossRefGoogle ScholarPubMed
Turner, B.J., Chapman, A.L., Gratz, K.L.Why stop self-injuring? Development of the reasons to stop self-injury questionnaire. Behav Modif 2014;38:69–106. http://dx.doi.org/10.1177/0145445513508977.CrossRefGoogle ScholarPubMed
Vermulst, A.A., Gerris, J.QBF: Quick Big Five Persoonlijkheidstest Handleiding. [Quick Big Five personality test manual] The Netherlands, Leeuwarden: LDC publications; 2005.Google Scholar
Vollrath, M.Personality and stress. Scand J Psychol 2001;42:335–347.CrossRefGoogle ScholarPubMed
Whitlock, J., Muehlenkamp, J., Purington, A., Eckenrode, J., Barreira, P., Baral Abrams, G., et al.Non-suicidal self-injury in a college population: general trends and sex differences. J Am Coll Heal 2011;59:691–698. http://dx.doi.org/10.1080/07448481.2010.529626.CrossRefGoogle Scholar
Williams, L., Wingate, A.Type D personality, physical symptoms and subjective stress: the mediating effects of coping and social support. Psychol Health 2012;27:1075–1085. http://dx.doi.org/10.1080/08870446.2012.667098.CrossRefGoogle ScholarPubMed
Xia, L.-X., Ding, C., Hollon, S.D., Wan, L.Self-supporting personality and psychological symptoms: the mediating effects of stress and social support. Pers Individ Dif 2013;54:408–413. http://dx.doi.org/10.1016/j.paid.2012.10.011.CrossRefGoogle Scholar
Zetterqvist, M., Lundh, L.G., Dahlström, Ö., Svedin, C.G.Prevalence and function of non-suicidal self-injury (NSSI) in a community sample of adolescents, using suggested DSM-5 criteria for a potential NSSI disorder. J Abnorm Child Psychol 2013;41:759–773. http://dx.doi.org/10.1007/s10802-013-9712-5.CrossRefGoogle Scholar
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