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Published in: BMC Psychiatry 1/2021

Open Access 01-12-2021 | Research

Functions of nonsuicidal self-injury in a Hungarian community adolescent sample: a psychometric investigation

Authors: Melinda Reinhardt, Gyöngyi Kökönyei, Kenneth G. Rice, Boglárka Drubina, Róbert Urbán

Published in: BMC Psychiatry | Issue 1/2021

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Abstract

Background

The Inventory of Statements About Self-Injury (ISAS) is a psychometrically valid tool to evaluate the motives of nonsuicidal self-injury (NSSI), but there are a few studies that test gender differences in the factor structure of the measurement. However, several differences across gender were identified in NSSI (e.g., in prevalence, methods, functions). Therefore, our study focused on further analyses of the dimensionality of the ISAS functions.

Methods

Among Hungarian adolescents with a history of NSSI (N = 418; 70.6% girls; mean age was 16.86, SD = 1.45), confirmatory factor analysis and exploratory structural equation modeling frameworks were used to test the factor structure of the ISAS part II.

Results

Results support the two-factor structure of the questionnaire. Intrapersonal and interpersonal motivation factors emerged in the whole sample, but this factor structure varied across gender. Among girls, intrapersonal motivation of NSSI was associated with higher loneliness, more inflexible emotion regulation, and a more pronounced level of internalizing and externalizing mental illness symptoms.

Conclusions

Our findings provide sufficiently solid arguments for the need to examine NSSI functionality separately for adolescent girls and boys because there were clear gender differences in the motives underlying NSSI. In addition, precise scanning of patterns of NSSI functions may further help us to identify the most at-risk adolescents regarding self-injury.
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Literature
9.
go back to reference Claes L, Vandereycken W. The Self-Injury Questionnaire-Treatment Related (SIQ-TR): Construction, reliabilty, and validity in a sample of female eating disorder patients. In: Goldfarb PM, editor. Psychological tests and testing research trends. Nova Science Publishers. 2007:111–39. Claes L, Vandereycken W. The Self-Injury Questionnaire-Treatment Related (SIQ-TR): Construction, reliabilty, and validity in a sample of female eating disorder patients. In: Goldfarb PM, editor. Psychological tests and testing research trends. Nova Science Publishers. 2007:111–39.
10.
go back to reference Reinhardt M, Horváth Zs, Drubina B, Kökönyei Gy, Rice KG. Latent class analysis of nonsuicidal self-injury among justice-involved juveniles: association with motivational and emotional aspects of self-harm behavior. Crim Justice Behav. 2021;48:902–22. https://doi.org/10.1177/0093854821998411. Reinhardt M, Horváth Zs, Drubina B, Kökönyei Gy, Rice KG. Latent class analysis of nonsuicidal self-injury among justice-involved juveniles: association with motivational and emotional aspects of self-harm behavior. Crim Justice Behav. 2021;48:902–22. https://​doi.​org/​10.​1177/​0093854821998411​.
17.
go back to reference Brackman EH, Andover AS. Non-suicidal self-injury. In: McKay D, Abramowitz DS, Storch EA, editors. Treatments for Psychological Problems and Syndromes: Wiley-Blackwell; 2017. p. 328–44.CrossRef Brackman EH, Andover AS. Non-suicidal self-injury. In: McKay D, Abramowitz DS, Storch EA, editors. Treatments for Psychological Problems and Syndromes: Wiley-Blackwell; 2017. p. 328–44.CrossRef
23.
go back to reference Victor SE, Muehlenkamp JJ, Hayes NA, Lengel GJ, Styer DM, Washburn JJ. Characterizing gender differences in nonsuicidal self-injury: evidence from a large clinical sample of adolescents and adults. Compr Psychiatry. 2018;82:53–60.CrossRef Victor SE, Muehlenkamp JJ, Hayes NA, Lengel GJ, Styer DM, Washburn JJ. Characterizing gender differences in nonsuicidal self-injury: evidence from a large clinical sample of adolescents and adults. Compr Psychiatry. 2018;82:53–60.CrossRef
36.
go back to reference Washburn JJ, Klonsky ED, Styer DM, Gebhardt M, Juzwin KR, Aldridge D. Short form of the Inventory of Statements About Self-Injury. Poster presentation at the 7th annual meeting of the International Society for the Study of Self-Injury. Chapel Hill, NC.; 2012. Washburn JJ, Klonsky ED, Styer DM, Gebhardt M, Juzwin KR, Aldridge D. Short form of the Inventory of Statements About Self-Injury. Poster presentation at the 7th annual meeting of the International Society for the Study of Self-Injury. Chapel Hill, NC.; 2012.
40.
go back to reference Morin AJS, Marsh HW, Nagengast B. Exploratory structural equation modeling. In: Hancock GR, Mueller RO editors. Structural equation modeling: A second course (2nd ed.). Charlotte, NC: Information Age; 2013. p. 395-436. Morin AJS, Marsh HW, Nagengast B. Exploratory structural equation modeling. In: Hancock GR, Mueller RO editors. Structural equation modeling: A second course (2nd ed.). Charlotte, NC: Information Age; 2013. p. 395-436.
41.
go back to reference Muthén LK, Muthén BO. Mplus: Statistical analysis with latent variables. User’s guide (8th ed.). Muthén & Muthén; 1998-2017. Muthén LK, Muthén BO. Mplus: Statistical analysis with latent variables. User’s guide (8th ed.). Muthén & Muthén; 1998-2017.
42.
go back to reference Brown TA. Confirmatory Factor Analysis for Applied Research (2nd ed.). The Guilford Press; 2015. Brown TA. Confirmatory Factor Analysis for Applied Research (2nd ed.). The Guilford Press; 2015.
43.
go back to reference Finney SJ, DiStefano C. Nonnormal and categorical data in structural equation modeling. In: Hancock GR, Mueller, RO editors. Structural equation modeling: A second course (1st ed.). Charlotte, NC: Information Age; 2006. p. 269-314. Finney SJ, DiStefano C. Nonnormal and categorical data in structural equation modeling. In: Hancock GR, Mueller, RO editors. Structural equation modeling: A second course (1st ed.). Charlotte, NC: Information Age; 2006. p. 269-314.
45.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association; 2013. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association; 2013.
47.
go back to reference 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.CrossRef 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.CrossRef
48.
go back to reference Veague HB, Collins C. Levitt P. Cutting and Self-Harm: Infobase Publishing; 2008. Veague HB, Collins C. Levitt P. Cutting and Self-Harm: Infobase Publishing; 2008.
49.
go back to reference Glenn CR, Klonsky ED. Social context during non-suicidal self-injury indicates suicide risk. Pers Individ Dif. 2009;46:25–9.CrossRef Glenn CR, Klonsky ED. Social context during non-suicidal self-injury indicates suicide risk. Pers Individ Dif. 2009;46:25–9.CrossRef
54.
go back to reference Erikson EH. Youth: change and challange: Basic Books; 1963. Erikson EH. Youth: change and challange: Basic Books; 1963.
Metadata
Title
Functions of nonsuicidal self-injury in a Hungarian community adolescent sample: a psychometric investigation
Authors
Melinda Reinhardt
Gyöngyi Kökönyei
Kenneth G. Rice
Boglárka Drubina
Róbert Urbán
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-021-03613-4

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