Self-Injury

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Rudi Coetzer - One of the best experts on this subject based on the ideXlab platform.

  • identity grief and self awareness after traumatic brain injury
    Neuropsychological Rehabilitation, 2011
    Co-Authors: Emma Carroll, Rudi Coetzer
    Abstract:

    The objective of this study was to investigate perceived identity change in adults with traumatic brain injury (TBI) and explore associations between identity change, grief, depression, self-esteem and self-awareness. The participants were 29 adults with TBI who were being followed up by a community brain injury rehabilitation service. Participants were longer post-injury than those more commonly studied. Time since injury ranged from 2.25 to 40 years (mean = 11.17 years, SD = 11.4 years). Participants completed a battery of questionnaires. Significant others and clinicians completed a parallel version of one of these measures. Questionnaires included the Head Injury Semantic Differential Scale (HISDS-III), Brain Injury Grief Inventory (BIGI), Hospital Anxiety and Depression Scale – Depression, Rosenberg Self-Esteem Scale (RSES) and the Awareness Questionnaire (Self/Significant other/Clinician versions). The main findings were that participants reported significant changes in self-concept with current sel...

  • identity grief and self awareness after traumatic brain injury
    Neuropsychological Rehabilitation, 2011
    Co-Authors: Emma Carroll, Rudi Coetzer
    Abstract:

    The objective of this study was to investigate perceived identity change in adults with traumatic brain injury (TBI) and explore associations between identity change, grief, depression, self-esteem and self-awareness. The participants were 29 adults with TBI who were being followed up by a community brain injury rehabilitation service. Participants were longer post-injury than those more commonly studied. Time since injury ranged from 2.25 to 40 years (mean = 11.17 years, SD = 11.4 years). Participants completed a battery of questionnaires. Significant others and clinicians completed a parallel version of one of these measures. Questionnaires included the Head Injury Semantic Differential Scale (HISDS-III), Brain Injury Grief Inventory (BIGI), Hospital Anxiety and Depression Scale - Depression, Rosenberg Self-Esteem Scale (RSES) and the Awareness Questionnaire (Self/Significant other/Clinician versions). The main findings were that participants reported significant changes in self-concept with current self being viewed negatively in comparison to pre-injury self. Perceived identity change was positively associated with depression and grief and negatively associated with self-esteem and awareness. Awareness was negatively associated with self-esteem and positively associated with depression. These findings were consistent with previous research, revealing changes in identity following TBI. Further research is needed to increase our understanding of the psychological factors involved in emotional adjustment after TBI and to inform brain injury rehabilitation interventions, including psychotherapy approaches.

Penelope Hasking - One of the best experts on this subject based on the ideXlab platform.

  • emotional cascade theory and non suicidal self injury the importance of imagery and positive affect
    Cognition & Emotion, 2018
    Co-Authors: Penelope Hasking, Martina Di Simplicio, Peter M Mcevoy, Clare S Rees
    Abstract:

    Grounded in Emotional Cascade Theory, we explored whether rumination and multisensory imagery-based cognitions moderated the relationships between affect and both odds of non-suicidal Self-Injury (NSSI), and frequency of the behaviour. A sample of 393 university students completed self-report questionnaires assessing the constructs of interest. Contrary to expectations, rumination did not emerge as a significant moderator of the affect-NSSI relationship. However, the relationship between affect and frequency of NSSI was moderated by the use of imagery. Further, the relationship between negative affect and NSSI was moderated by positive affect, underscoring the need to consider both negative and positive affect in models of NSSI. Most youth who self-injured reported thinking in images while the urge to self-injure was strong, with 53% thinking in images at least half the time. Future work is needed to explore how positive and negative affect work in concert to govern NSSI, and how imagery might either exacerbate or reduce risk of NSSI.

  • brief report emotion regulation and coping as moderators in the relationship between personality and self injury
    Journal of Adolescence, 2010
    Co-Authors: Penelope Hasking, Sarah J Coric, Holly Knox Thompson, Sarah Swannell, Graham Martin, Aaron D J Frost
    Abstract:

    Self-Injury without conscious suicidal intent is an increasingly prevalent phenomenon particularly among adolescent populations. This pilot study examined the extent and correlates of self-injurious behaviour in a school population sample of 393 adolescents (aged 13–18 years) using a self-report questionnaire. Specifically, we aimed to determine whether personality was related to Self-Injury and whether this relationship was moderated by emotion regulation or coping strategies. Few personality and coping variables were directly related to Self-Injury after controlling for age and psychopathology. However the relationship between personality and Self-Injury was moderated by coping skills and emotion regulation. We suggest future research explore these relationships in order to determine the role of coping skills and emotional regulation training in prevention of Self-Injury.

  • emotion regulation coping and alcohol use as moderators in the relationship between non suicidal self injury and psychological distress
    Prevention Science, 2010
    Co-Authors: Fiona Williams, Penelope Hasking
    Abstract:

    Non-suicidal Self-Injury is a risk factor for more severe Self-Injury and later suicide, yet is relatively under-researched in non-clinical populations. In order to prevent more severe Self-Injury and later suicide, understanding of non-suicidal Self-Injury is imperative. This study aimed to examine whether coping skills, emotion regulation and alcohol use moderate the relationship between psychological distress and non-suicidal Self-Injury. Two hundred eighty-nine young adults completed self-report questionnaires assessing the variables of interest. Of the sample, 47.4% reported a history of non-suicidal Self-Injury. Adaptive coping strategies protected those who were psychologically distressed from severe Self-Injury. However for those who reported greater distress, this protective effect was negated by heavy alcohol use. Coping skills training may serve to protect young people from Self-Injury, although those who are severely distressed may also benefit from strategies to limit alcohol use.

Kim L Gratz - One of the best experts on this subject based on the ideXlab platform.

  • targeting emotion dysregulation in the treatment of self injury
    Journal of Clinical Psychology, 2007
    Co-Authors: Kim L Gratz
    Abstract:

    Clinically useful definitions of emotion regulation with respect to deliberate self-harm (referred to here as Self-Injury) focus on adaptive ways of responding to emotional distress rather than on the control of emotions or dampening of emotional arousal. According to one such definition, emotion regulation is a multifaceted construct involving a) the awareness, understanding, and acceptance of emotions; b) ability to engage in goal-directed behaviors, and inhibit impulsive behaviors, when experiencing negative emotions; c) the flexible use of situationally appropriate strategies to modulate the intensity and/or duration of emotional responses rather than to eliminate emotions entirely; and d) willingness to experience negative emotions as part of pursuing meaningful activities in life (Gratz & Roemer, 2004). This article addresses the role of emotion dysregulation in Self-Injury and discusses two treatments for Self-Injury that explicitly focus on increasing emotion regulation. These treatments are based on the premise that the reduction of emotion dysregulation will decrease the need for maladaptive behaviors that function to regulate emotions, such as Self-Injury. A case illustration describing how one of these treatments (an acceptance-based, emotion regulation group therapy) is used to treat Self-Injury is provided. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 1091–1103, 2007.

Emma Carroll - One of the best experts on this subject based on the ideXlab platform.

  • identity grief and self awareness after traumatic brain injury
    Neuropsychological Rehabilitation, 2011
    Co-Authors: Emma Carroll, Rudi Coetzer
    Abstract:

    The objective of this study was to investigate perceived identity change in adults with traumatic brain injury (TBI) and explore associations between identity change, grief, depression, self-esteem and self-awareness. The participants were 29 adults with TBI who were being followed up by a community brain injury rehabilitation service. Participants were longer post-injury than those more commonly studied. Time since injury ranged from 2.25 to 40 years (mean = 11.17 years, SD = 11.4 years). Participants completed a battery of questionnaires. Significant others and clinicians completed a parallel version of one of these measures. Questionnaires included the Head Injury Semantic Differential Scale (HISDS-III), Brain Injury Grief Inventory (BIGI), Hospital Anxiety and Depression Scale – Depression, Rosenberg Self-Esteem Scale (RSES) and the Awareness Questionnaire (Self/Significant other/Clinician versions). The main findings were that participants reported significant changes in self-concept with current sel...

  • identity grief and self awareness after traumatic brain injury
    Neuropsychological Rehabilitation, 2011
    Co-Authors: Emma Carroll, Rudi Coetzer
    Abstract:

    The objective of this study was to investigate perceived identity change in adults with traumatic brain injury (TBI) and explore associations between identity change, grief, depression, self-esteem and self-awareness. The participants were 29 adults with TBI who were being followed up by a community brain injury rehabilitation service. Participants were longer post-injury than those more commonly studied. Time since injury ranged from 2.25 to 40 years (mean = 11.17 years, SD = 11.4 years). Participants completed a battery of questionnaires. Significant others and clinicians completed a parallel version of one of these measures. Questionnaires included the Head Injury Semantic Differential Scale (HISDS-III), Brain Injury Grief Inventory (BIGI), Hospital Anxiety and Depression Scale - Depression, Rosenberg Self-Esteem Scale (RSES) and the Awareness Questionnaire (Self/Significant other/Clinician versions). The main findings were that participants reported significant changes in self-concept with current self being viewed negatively in comparison to pre-injury self. Perceived identity change was positively associated with depression and grief and negatively associated with self-esteem and awareness. Awareness was negatively associated with self-esteem and positively associated with depression. These findings were consistent with previous research, revealing changes in identity following TBI. Further research is needed to increase our understanding of the psychological factors involved in emotional adjustment after TBI and to inform brain injury rehabilitation interventions, including psychotherapy approaches.

Scott S Hall - One of the best experts on this subject based on the ideXlab platform.

  • self injurious behaviour in cornelia de lange syndrome 2 association with environmental events
    Journal of Intellectual Disability Research, 2009
    Co-Authors: Jennifer Sloneem, Scott S Hall, Kate Arron, Chris Oliver
    Abstract:

    BACKGROUND: Self-injurious behaviour is commonly seen in Cornelia de Lange syndrome (CdLS). However, there has been limited research into the aetiology of Self-Injury in CdLS and whether environmental factors influence the behaviour. METHODS: We observed the Self-Injury of 27 individuals with CdLS and 17 participants who did not have CdLS matched for age, gender, level of intellectual disability and mobility. Descriptive analyses were used to determine the extent to which environmental events were associated with Self-Injury. RESULTS: Lag sequential analysis of the association between self-injurious behaviour and environmental events revealed no differences between the two groups in terms of either the number or degree of environmental associations. CONCLUSIONS: The results suggest that the associations between the environment and Self-Injury in CdLS do not differ from those seen in the broader population of people with intellectual disability. By implication the social reinforcement hypothesis is equally applicable to both groups. Language: en

  • self injurious behaviour in cornelia de lange syndrome 1 prevalence and phenomenology
    Journal of Intellectual Disability Research, 2009
    Co-Authors: Chris Oliver, Scott S Hall, Jennifer Sloneem, Kate Arron
    Abstract:

    BACKGROUND: Self-injurious behaviour is frequently identified as part of the behavioural phenotype of Cornelia de Lange syndrome (CdLS). We conducted a case-control study of the prevalence and phenomenology of self-injurious behaviour (SIB) in CdLS. METHODS: A total of 54 participants with CdLS were compared with 46 individuals who were comparable on key variables including age, degree of intellectual disability and wheelchair use, using questionnaire and observational measures. RESULTS: Clinically significant Self-Injury was not more prevalent in the CdLS group (55.6%), nor was it different in presentation from that seen in the comparison group. Hyperactivity, stereotyped and compulsive behaviours predicted clinically significant Self-Injury in all participants. Hand directed, mild Self-Injury was more prevalent in CdLS. CONCLUSIONS: The results show that clinically significant Self-Injury may not be part of the behavioural phenotype of CdLS but a specific body target for proto-SIB is more common. Language: en

  • self injurious behaviour in young children with lesch nyhan syndrome
    Developmental Medicine & Child Neurology, 2001
    Co-Authors: Scott S Hall, Chris Oliver, Glynis H Murphy
    Abstract:

    The early development of self-injurious behaviour in three young boys (aged 17, 25, and 30 months at start of study) with Lesch-Nyhan syndrome was examined by means of parental interviews and by direct observations completed at 3 to 4 monthly intervals over an 18-month period. Results suggest that the Self-Injury began in a different way from that of other young children with autism and/or developmental disabilities in that, from the start, self-injurious responses were sudden and violent, rather than emerging gradually over time. Drastic measures, such as removal of the teeth or provision of tooth guards, were often taken to prevent further tissue damage. Direct observations showed that the boys' Self-Injury occurred at lower rates, but their carers were highly concerned about the behaviour. Sequential analysis of the observational data indicated that on some occasions the children were more likely to self-injure during periods of low social interaction, suggesting that their Self-Injury may have been influenced by environmental factors. The theoretical and practical implications of these findings are discussed.