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A multi-modal assessment of self-knowledge in adolescents with non-suicidal self-injury: a research domains criteria (RDoC) study

Published online by Cambridge University Press:  09 September 2024

Michelle Thai Open the ORCID record for Michelle Thai [Opens in a new window] ,
Zeynep Başgöze ,
Melinda Westlund Schreiner ,
Donovan J. Roediger ,
Chloe A. Falke ,
Bryon A. Mueller ,
Mark B. Fiecas ,
Karina Quevedo ,
Jennifer H. Pfeifer  and
Bonnie Klimes-Dougan
...Show all authors
Michelle Thai
Affiliation:
Department of Psychology, University of Minnesota, Twin Cities, MN, USA Center for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, MA, USA Department of Psychiatry, Harvard Medical School, Boston, MA, USA
Zeynep Başgöze
Affiliation:
Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA
Melinda Westlund Schreiner
Affiliation:
Department of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, UT, USA
Donovan J. Roediger
Affiliation:
Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA
Chloe A. Falke
Affiliation:
Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA
Bryon A. Mueller
Affiliation:
Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA
Mark B. Fiecas
Affiliation:
Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA
Karina Quevedo
Affiliation:
Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA
Jennifer H. Pfeifer
Affiliation:
Department of Psychology, University of Oregon, Eugene, USA
Bonnie Klimes-Dougan
Affiliation:
Department of Psychology, University of Minnesota, Twin Cities, MN, USA
Kathryn R. Cullen*
Affiliation:
Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA
*
Corresponding author: Kathryn R. Cullen; Email: rega0026@umn.edu
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Abstract

Background

Adolescence is a critical period for brain development, consolidation of self-understanding, and onset of non-suicidal self-injury (NSSI). This study evaluated the RDoC (Research Domain Criteria) sub-construct of Self-Knowledge in relation to adolescent NSSI using multiple units of analysis.

Methods

One hundred and sixty-four adolescents assigned female at birth (AFAB), ages 12–16 years with and without a history of NSSI entered a study involving clinical assessment and magnetic resonance imaging (MRI), including structural, resting-state functional MRI (fMRI), and fMRI during a self-evaluation task. For imaging analyses, we used an a priori defined Self Network (anterior cingulate, orbitofrontal, and posterior cingulate cortices; precuneus). We first examined interrelationships among multi-level Self variables. We then evaluated the individual relationships between NSSI severity and multi-level Self variables (self-report, behavior, multi-modal brain Self Network measures), then conducted model testing and multiple regression to test how Self variables (together) predicted NSSI severity.

Results

Cross-correlations revealed key links between self-reported global self-worth and self-evaluation task behavior. Individually, greater NSSI severity correlated with lower global self-worth, more frequent and faster negative self-evaluations, lower anterior Self Network activation during self-evaluation, and lower anterior and posterior Self Network resting-state connectivity. Multiple regression analysis revealed the model including multi-level Self variables explained NSSI better than a covariate-only model; the strongest predictive variables included self-worth, self-evaluation task behavior, and resting-state connectivity.

Conclusions

Disruptions in Self-Knowledge across multiple levels of analysis relate to NSSI in adolescents. Findings suggest potential neurobiological treatment targets, potentially enhancing neuroplasticity in Self systems to facilitate greater flexibility (more frequently positive) of self-views in AFAB adolescents.

Keywords

adolescentsnon-suicidal self-injuryRDoCself knowledgeself
Type
Original Article
Information
Psychological Medicine , First View , pp. 1 - 12
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Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press

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Footnotes

*

Authors contributed equally to this manuscript as senior authors.

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