The Effect of Rumination on Non-suicidal Self-injury (NSSI) Behavior in Adolescents
Downloads
This study aims to examine the effect of rumination on NSSI behavior in adolescents. Rumination defined as repeated and persistent negative thoughts about distress, personal problems, and upsetting experiences, is one determinant of NSSI behavior, especially among adolescents. Rumination has 2 dimensions, reflection refers to a problem-solving process in which individuals attempt to make sense of negative feelings, while brooding is a passive comparison between one's situation and some unattainable standard. The study used a cross-sectional quantitative approach with a survey method on 112 respondents (46 male, 66 female). It was measured with RSS and the ISAS and analyzed using Pearson's r correlation technique and multiple linear regression analysis. The results showed that there was no role of reflection and there was a significant role of brooding as a predictor of NSSI behavior in adolescents. The coefficient model results state that reflection has no effect, while brooding has a significant effect in predicting NSSI behavior in adolescents.
Ahn, J., Lee, J. H., & Jung, Y. C. (2021). Identifying predictors of non-suicidal self-injuries in individuals with eating disorders. Yonsei Medical Journal, 62(2), 159–163. https://doi.org/10.3349/ymj.2021.62.2.159
Aldao, A., & Nolen-Hoeksema, S. (2012). When are adaptive strategies most predictive of psychopathology? Journal of Abnormal Psychology, 121(1), 276–281. https://doi.org/10.1037/a0023598
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596
Ammerman, B. A., Wilcox, K. T., O’Loughlin, C. M., & McCloskey, M. S. (2021). Characterizing the choice to disclose nonsuicidal self-injury. Journal of Clinical Psychology, 77(3), 683–700. https://doi.org/10.1002/jclp.23045
Brent, D. A. (2011). Preventing youth suicide: time to ask how. Journal of the American Academy of Child & Adolescent Psychiatry, 50(8), 738–740. https://doi.org/10.1016/j.jaac.2010.09.017
Briere, J., & Gil, E. (1998). Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68(4), 609–620. https://doi.org/10.1037/h0080369
Brinker, J. K., & Dozois, D. J. A. (2009). Ruminative thought style and depressed mood. Journal of Clinical Psychology, 65(1), 1–19. https://doi.org/10.1002/jclp.20542
Burke, T. A., Hamilton, J. L., Cohen, J. N., Stange, J. P., & Alloy, L. B. (2016). Identifying a physical indicator of suicide risk: Non-suicidal self-injury scars predict suicidal ideation and suicide attempts. Comprehensive psychiatry, 65, 79-87. https://doi.org/10.1016/j.comppsych.2015.10.008
Bushman, B. J. (2002). Does venting anger feed or extinguish the flame? Catharsis, rumination, distraction, anger, and aggressive responding. Personality and social psychology bulletin, 28(6), 724-731. https://doi.org/10.1177/0146167202289002
Coleman, S. E., Dunlop, B. J., Hartley, S., & Taylor, P. J. (2022). The relationship between rumination and NSSI: A systematic review and meta-analysis. British Journal of Clinical Psychology, 61(2), 405–443. https://doi.org/10.1111/bjc.12350
Esposito, C., Dragone, M., Affuso, G., Amodeo, A. L., & Bacchini, D. (2023). Prevalence of engagement and frequency of non-suicidal self-injury behaviors in adolescence: an investigation of the longitudinal course and the role of temperamental effortful control. European Child and Adolescent Psychiatry, 32(12), 2399–2414. https://doi.org/10.1007/s00787-022-02083-7
Favazza, A. R. (1992). Repetitive self-mutilation. Psychiatric Annals, 22(2), 60-63. https://doi.org/10.3928/0048-5713-19920201-06
Favazza, A. R., & Conterio, K. (1988). The plight of chronic self-mutilators. Community Mental Health Journal, 24(1), 22–30. https://doi.org/10.1007/BF00755050
Gandhi, A., Claes, L., Bosmans, G., Baetens, I., Wilderjans, T. F., Maitra, S., Kiekens, G., & Luyckx, K. (2016). Non-Suicidal Self-Injury and Adolescents Attachment with Peers and Mother: The Mediating Role of Identity Synthesis and Confusion. Journal of Child and Family Studies, 25(6), 1735–1745. https://doi.org/10.1007/s10826-015-0350-0
Gromatsky, M. A., He, S., Perlman, G., Klein, D. N., Kotov, R., & Waszczuk, M. A. (2020). Prospective Prediction of First Onset of Nonsuicidal Self-Injury in Adolescent Girls. Journal of the American Academy of Child and Adolescent Psychiatry, 59(9), 1049–1057. https://doi.org/10.1016/j.jaac.2019.08.006
Hankin, B. L., & Abela, J. R. Z. (2011). Nonsuicidal self-injury in adolescence: Prospective rates and risk factors in a 2 ½ year longitudinal study. Psychiatry Research, 186(1), 65–70. https://doi.org/10.1016/j.psychres.2010.07.056
Hasking, P. A., Di Simplicio, M., McEvoy, P. M., & Rees, C. S. (2018). Emotional cascade theory and non-suicidal self-injury: the importance of imagery and positive affect. Cognition and Emotion, 32(5), 941–952. https://doi.org/10.1080/02699931.2017.1368456
Hilt, L. M., Cha, C. B., & Nolen-Hoeksema, S. (2008). Nonsuicidal Self-Injury in Young Adolescent Girls: Moderators of the Distress-Function Relationship. Journal of Consulting and Clinical Psychology, 76(1), 63–71. https://doi.org/10.1037/0022-006X.76.1.63
Hoff, E. R., & Muehlenkamp, J. J. (2009). Nonsuicidal Self‐Injury in College Students: The Role of Perfectionism and Rumination. Suicide and Life-Threatening Behavior, 39(6), 576–587. https://doi.org/10.1521/suli.2009.39.6.576
Hurlock, E. B. (1991). Psikologi Perkembangan Suatu Pendekatan Sepanjang Rentang Kehidupan Psikologi Perkembangan Suatu Pendekatan Sepanjang Rentang Kehidupan. Erlangga.
Izzah, F. N., & Ariana, A. D. (2022). Hubungan Perceived Social Support dengan Perilaku Non-suicidal Self-Injury pada Remaja. Buletin Riset Psikologi Dan Kesehatan Mental (BRPKM), 2(1), 70-77. https://doi.org/10.20473/brpkm.v2i1.31904
Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226–239. https://doi.org/10.1016/j.cpr.2006.08.002
Klonsky, E. D., & Glenn, C. R. (2009). Assessing the Functions of Non-suicidal Self-injury: Psychometric Properties of the Inventory of Statements about Self-injury (ISAS). Journal of Psychopathology and Behavioral Assessment, 31(3), 215–219. https://doi.org/10.1007/s10862-008-9107-z
Klonsky, E. D., Glenn, C. R., Styer, D. M., Olino, T. M., & Washburn, J. J. (2015). The functions of nonsuicidal self-injury: Converging evidence for a two-factor structure. Child and Adolescent Psychiatry and Mental Health, 9(1), 1–9. https://doi.org/10.1186/s13034-015-0073-4
Klonsky, E. D., & Muehlenkamp, J. J. (2007). Self‐injury: A research review for the practitioner. Journal of clinical psychology, 63(11), 1045-1056. https://doi.org/10.1002/jclp.20412
Laye-Gindhu, A., & Schonert-Reichl, K. A. (2005). Nonsuicidal self-harm among community adolescents: Understanding the "Whats" and "Whys" of Self-Harm. Journal of Youth and Adolescence, 34(5), 447–457. https://doi.org/10.1007/s10964-005-7262-z
Laporan nasional Riskesdas 2018. (2018). Kementerian Kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37(8), 1183–1192. https://doi.org/10.1017/S003329170700027X
McAllister, M. (2003). Multiple meanings of self harm: A critical review. International journal of mental health nursing, 12(3), 177-185. https://doi.org/10.1046/j.1440-0979.2003.00287.x
Moberly, N. J., & Watkins, E. R. (2008). Ruminative self-focus and negative affect: an experience sampling study. Journal of abnormal psychology, 117(2), 314–323. https://doi.org/10.1037/0021-843X.117.2.314
Nicolai, K. A., Wielgus, M. D., & Mezulis, A. (2016). Identifying Risk for Self-Harm: Rumination and Negative Affectivity in the Prospective Prediction of Nonsuicidal Self-Injury. Suicide and Life-Threatening Behavior, 46(2), 223–233. https://doi.org/10.1111/sltb.12186
Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72(5), 885–890. https://doi.org/10.1037/0022-006X.72.5.885
Nolen-Hoeksema, S., Morrow, J., & Fredrickson, B. L. (1993). Response Styles and the Duration of Episodes of Depressed Mood. Journal of Abnormal Psychology, 102(1), 20–28. https://doi.org/10.1037/0021-843X.102.1.20
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking Rumination. Perspectives on Psychological Science, 3(5), 400–424. https://doi.org/10.1111/j.1745-6924.2008.00088.x
Pallant, J. (2011). SPSS survival manual: A step by step guide to data analysis using the SPSS program. (4th ed.). Allen & Unwin.
Papageorgiou, C., & Wells, A. (2001). Metacognitive beliefs about rumination in recurrent major depression. Cognitive and Behavioral Practice, 8(2), 160-164. https://doi.org/10.1016/S1077-7229(01)80021-3
Polanco-Roman, L., Jurska, J., Quiñones, V., & Miranda, R. (2015). Brooding, Reflection, and Distraction: Relation to Non-Suicidal Self-Injury versus Suicide Attempts. Archives of Suicide Research, 19(3), 350–365. https://doi.org/10.1080/13811118.2014.981623
Santoso, A., R., (2020, 9 Maret). Kita perlu lebih serius membahas ‘self-harm’ yang menghantui anak muda Indonesia. VICE. https://www.vice.com/id/article/ciri-gejala-self-harm-anak-muda-indonesia-melukai-diri-sendiri-konsultasi-psikologi/
Santrock, J. W. (2011). Adolescence (16th ed.). McGraw-Hill.
Selby, E. A., Anestis, M. D., Bender, T. W., & Joiner, T. E. (2009). An Exploration of the Emotional Cascade Model in Borderline Personality Disorder. Journal of Abnormal Psychology, 118(2), 375–387. https://doi.org/10.1037/a0015711
Selby, E. A., Anestis, M. D., & Joiner, T. E. (2008). Understanding the relationship between emotional and behavioral dysregulation: Emotional cascades. Behaviour Research and Therapy, 46(5), 593–611. https://doi.org/10.1016/j.brat.2008.02.002
Selby, E. A., Connell, L. D., & Joiner, T. E. (2010). The pernicious blend of rumination and fearlessness in non-suicidal self-injury. Cognitive Therapy and Research, 34(5), 421–428. https://doi.org/10.1007/s10608-009-9260-z
Selby, E. A., & Joiner, T. E. (2009). Cascades of Emotion: The Emergence of Borderline Personality Disorder From Emotional and Behavioral Dysregulation. Review of General Psychology, 13(3), 219–229. https://doi.org/10.1037/a0015687
Tanner, A. K., Hasking, P., & Martin, G. (2014). Effects of Rumination and Optimism on the Relationship Between Psychological Distress and Non-Suicidal Self-Injury. Prevention Science, 15(6), 860–868. https://doi.org/10.1007/s11121-013-0444-0
Tresno, F., Ito, Y., & Mearns, J. (2012). Self-Injurious Behavior and Suicide Attempts Among Indonesian College Students. Death Studies, 36(7), 627–639. https://doi.org/10.1080/07481187.2011.604464
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259. https://doi.org/10.1023/A:1023910315561
Voon, D., Hasking, P., & Martin, G. (2014). Change in emotion regulation strategy use and its impact on adolescent nonsuicidal self-injury: A three-year longitudinal analysis using latent growth modeling. Journal of Abnormal Psychology, 123(3), 487–498. https://doi.org/10.1037/a0037024
Wang, W., & Wang, X. (2023). Non-suicidal self-injury in Chinese college students with elevated autistic traits: Associations with anxiety, rumination and experiential avoidance. Comprehensive Psychiatry, 126. https://doi.org/10.1016/j.comppsych.2023.152407
Wang, X., Huang, X., Huang, X., & Zhao, W. (2022). Parents’ lived experience of adolescents’ repeated non-suicidal self-injury in China: a qualitative study. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-03715-7
Watkins, E. R. (2008). Constructive and Unconstructive Repetitive Thought. Psychological Bulletin, 134(2), 163–206. https://doi.org/10.1037/0033-2909.134.2.163
Watkins, E. D., & Moulds, M. (2005). Distinct modes of ruminative self-focus: impact of abstract versus concrete rumination on problem solving in depression. Emotion, 5(3), 319–328. https://doi.org/10.1037/1528-3542.5.3.319
Whitlock, J. L., Powers, J. L., & Eckenrode, J. (2006). The virtual cutting edge: the internet and adolescent self-injury. Developmental Psychology, 42(3), 407–417. https://doi.org/10.1037/0012-1649.42.3.407
Copyright (c) 2024 Michael Suthirta Tamalo, Dian Kartika Amelia Arbi
This work is licensed under a Creative Commons Attribution 4.0 International License.
BRPKM is a periodical publication with open access to the Creative Commons Attribution 4.0 International (CC-BY 4.0). Therfore, the copyright remains with the author.
With this license, anyone has the right to use the information and to re-distribute the content contained in this journal for any purpose, including commercial purposes. It can be done as long as it fulfills two conditions, namely; (1) you shall provide attribution by citing the original link source, and state if any changes have been made; and (2) you may not use any legal provisions or technological means of control that can legally restrict others from doing the things that are permitted by this license.
Journal editors will not ask the author to approve the transfer of copyright on all published manuscripts.