Exploring Unique Patterns of Self-Injury Recovery: A Latent Profile Analysis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2024-11-07 DOI:10.1002/cpp.70004

Penelope Hasking, Stephen P. Lewis

{"title":"Exploring Unique Patterns of Self-Injury Recovery: A Latent Profile Analysis","authors":"Penelope Hasking, Stephen P. Lewis","doi":"10.1002/cpp.70004","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>As nonsuicidal self-injury (NSSI) has become an increasing public health concern, the last few years have seen the emergence of efforts to address NSSI recovery. Although many recovery efforts adopt a medical view of self-injury and focus on cessation of the behaviour, recovery can mean many different things to different people. In this study, we provide initial empirical validation of the self-injury recovery framework, by assessing whether different recovery profiles exist.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Our sample comprised 733 participants with lived experience of NSSI (<i>M</i> age = 24.54, <i>sd</i> = 6.39). Participants completed self-report measures of constructs related to NSSI recovery and NSSI characteristics.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Using latent profile analysis, we identified six unique profiles reflecting differences in thoughts/urges to self-injure, self-efficacy, social support, optimism, coping, underlying adversities, perceptions of scarring, disclosure, resilience and self-compassion. Multivariate analyses of variance confirmed these profiles differed according to NSSI characteristics such as frequency of NSSI, a self-assessment of recovery, the desire to self-injure or avoid self-injury and the number of people disclosed to.</p>\n </section>\n \n <section>\n \n <h3> Limitations</h3>\n \n <p>A homogenous sample and cross-sectional design limit generalisability of our findings across populations and across time.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Our findings reinforce that recovery can take many different forms, with different factors being relevant to different individuals. Adopting a person-centred approach that centres an individual's lived experience and emphasises what is important to them in the recovery process offers opportunities for more empathic responses to self-injury and better outcomes for individuals who self-injure.</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70004","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

As nonsuicidal self-injury (NSSI) has become an increasing public health concern, the last few years have seen the emergence of efforts to address NSSI recovery. Although many recovery efforts adopt a medical view of self-injury and focus on cessation of the behaviour, recovery can mean many different things to different people. In this study, we provide initial empirical validation of the self-injury recovery framework, by assessing whether different recovery profiles exist.

Methods

Our sample comprised 733 participants with lived experience of NSSI (M age = 24.54, sd = 6.39). Participants completed self-report measures of constructs related to NSSI recovery and NSSI characteristics.

Results

Using latent profile analysis, we identified six unique profiles reflecting differences in thoughts/urges to self-injure, self-efficacy, social support, optimism, coping, underlying adversities, perceptions of scarring, disclosure, resilience and self-compassion. Multivariate analyses of variance confirmed these profiles differed according to NSSI characteristics such as frequency of NSSI, a self-assessment of recovery, the desire to self-injure or avoid self-injury and the number of people disclosed to.

Limitations

A homogenous sample and cross-sectional design limit generalisability of our findings across populations and across time.

Conclusions

Our findings reinforce that recovery can take many different forms, with different factors being relevant to different individuals. Adopting a person-centred approach that centres an individual's lived experience and emphasises what is important to them in the recovery process offers opportunities for more empathic responses to self-injury and better outcomes for individuals who self-injure.

查看原文本刊更多论文

探索自我伤害康复的独特模式：潜在特征分析

背景：随着非自杀性自我伤害（NSSI）日益成为公共卫生问题，过去几年中出现了一些针对非自杀性自我伤害康复的努力。尽管许多康复工作都采用医学观点来看待自伤行为，并将重点放在停止这种行为上，但康复对于不同的人来说可能意味着许多不同的东西。在本研究中，我们通过评估是否存在不同的康复特征，对自我伤害康复框架进行了初步的实证验证：我们的样本包括 733 名有 NSSI 生活经历的参与者（中位年龄 = 24.54，上位年龄 = 6.39）。参与者完成了与 NSSI 恢复和 NSSI 特征相关的构念的自我报告测量：通过潜特征分析，我们发现了六种独特的特征，分别反映了自我伤害的想法/冲动、自我效能感、社会支持、乐观、应对、潜在逆境、对伤疤的看法、披露、复原力和自我同情方面的差异。多变量方差分析证实，这些特征因NSSI特征（如NSSI频率、对康复的自我评估、自伤或避免自伤的愿望以及披露对象的人数）而异：局限性：同质样本和横断面设计限制了我们的研究结果在不同人群和不同时间的普遍性：我们的研究结果进一步说明，康复可以有多种不同的形式，不同的因素与不同的个体相关。采用以人为本的方法，以个体的生活经历为中心，强调在康复过程中对他们重要的因素，这样就有机会对自我伤害做出更具同理心的反应，并为自我伤害者带来更好的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.