Exploring the relationship between experiential avoidance, coping functions and the recency and frequency of self-harm.
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This study investigated the relationship between experiential avoidance, coping and the recency and frequency of self-harm, in a community sample (N = 1332, aged 16-69 years). Participants completed online, self-report measures assessing self-harm, momentary affect, experiential avoidance and coping in response to a recent stressor. Participants who had self-harmed reported significantly higher levels of experiential avoidance and avoidance coping, as well as lower levels of approach, reappraisal and emotional regulation coping, than those with no self-harm history. Moreover, more recent self-harm was associated with lower endorsement of approach, reappraisal and emotion regulation coping, and also higher levels of both avoidance coping and experiential avoidance. Higher experiential avoidance and avoidance coping also predicted increased lifetime frequency of self-harm. Conversely, increased approach and reappraisal coping were associated with a decreased likelihood of high frequency self-harm. Although some of the effects were small, particularly in relation to lifetime frequency of self-harm, overall our results suggest that experiential avoidance tendency may be an important psychological factor underpinning self-harm, regardless of suicidal intent (e.g. including mixed intent, suicidal intent, ambivalence), which is not accounted for in existing models of self-harm.
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Higher experiential avoidance and avoidance coping predict an increased lifetime frequency of self-harm.
“Higher experiential avoidance and avoidance coping seem to predict an increased lifetime frequency of self-harm (Nielsen et al., 2016).”
From Dealing With the Pandemic of COVID-19 in Portugal: On the Important Role of Positivity, Experiential Avoidance, and Coping Strategies (2021) · cites this paper as Nielsen et al., 2016
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- Authors
- Nielsen, E., Sayal, K., & Townsend, E.
- Affiliations
- University of Nottingham (GB)
- Corresponding author
- Nielsen, Emma
- Sayal, Kapil
- Townsend, Ellen
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-07-21
- Volume
- 11
- Issue
- 7
- Pages
- e0159854
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4956262
- OpenAlex
- W2476732416
- Cited by
- 53
- References
- 75
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 6 · 2023: 8 · 2022: 4 · 2021: 6 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 1
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Update notices
- correction (2018-02-14)
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Repository@Nottingham (University of Nottingham) (publishedVersion, cc-by)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by)
- Funders
- Economic and Social Research Council (ES/J500100/1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- self-harm, experiential avoidance, coping, avoidance coping, approach coping, cognitive reappraisal, emotion regulation, suicidal intent, ambivalence, stress response
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Avoidance Learning, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Models, Psychological, Surveys and Questionnaires, Self-Injurious Behavior, Young Adult
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