Cited by 572Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers

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Nock, Matthew K., Mendes, Wendy Berry·2008·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.76.1.28

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Abstract

It has been suggested that people engage in nonsuicidal self-injury (NSSI) because they (a) experience heightened physiological arousal following stressful events and use NSSI to regulate experienced distress and (b) have deficits in their social problem-solving skills that interfere with the performance of more adaptive social responses. However, objective physiological and behavioral data supporting this model are lacking. The authors compared adolescent self-injurers (n = 62) with noninjurers (n = 30) and found that self-injurers showed higher physiological reactivity (skin conductance) during a distressing task, a poorer ability to tolerate this distress, and deficits in several social problem-solving abilities. These findings highlight the importance of attending to increased arousal, distress tolerance, and problem-solving skills in the assessment and treatment of NSSI.

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Authors: Nock, M. K., & Mendes, W. B.
Affiliations: Harvard University (US)
ORCID: Nock, Matthew K.
Mendes, Wendy Berry
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2008-02
Volume: 76
Issue: 1
Pages: 28-38
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.76.1.28
OpenAlex: W2060959954
Cited by: 572
References: 74
Citations by year: 2026: 7 · 2025: 21 · 2024: 22 · 2023: 40 · 2022: 28 · 2021: 33 · 2020: 24 · 2019: 23 · 2018: 48 · 2017: 39 · 2016: 27 · 2015: 49 · 2014: 43 · 2013: 38 · 2012: 46
FWCI: 30.86
Type: journal article
Language: en
Open access: green
nrs.harvard.edu
Licence: cc-by
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders: National Institute of Mental Health (MH076047)
Milton Fund
Harvard University
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: non-suicidal self-injury, adolescents, physiological arousal, distress tolerance, social problem solving, skin conductance, physiological reactivity, stress response, self-regulation
MeSH terms: Adaptation, Psychological, Adolescent, Adult, Arousal, Child, Emotions, Female, Galvanic Skin Response, Humans, Life Change Events, Male, Personality Assessment, Problem Solving, Social Behavior, Self-Injurious Behavior

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Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers

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