TY - JOUR PY - 2024// TI - Comparing ruminative and distracting responses and emotion regulation difficulties in early community adolescents with and without self-harm JO - Journal of the Korean Academy of Child and Adolescent Psychiatry A1 - Oh, Yeontaek A1 - Shin, Cheolgyu A1 - Lee, Jonggook A1 - Oh, Keun A1 - Seo, Heeyoung A1 - Chung, Seungwon A1 - Lee, Je Jung SP - 127 EP - 135 VL - 35 IS - 2 N2 - OBJECTIVES: This study aimed to compare the demographic characteristics, responses to negative emotions, and difficulties in emotion regulation between self-harming adolescents and control individuals aged 12-14 years from the community.

METHODS: Data were collected from adolescents in Chungcheong Province, South Korea, between September 2021 and November 2022. Demographic characteristics and responses to the Depressed Mood Questionnaire and Difficulties in Emotion Regulation Scale-16 (DERS-16) were compared between the self-harm and control groups.

RESULTS: The self-harm group exhibited a higher prevalence of child abuse (odds ratio [OR]=4.787, 95% confidence interval [CI]=1.591-14.409, p=0.005) and school bullying victimization (OR=4.495, 95% CI=2.353-8.588, p<0.001) than those in the control group. The selfharm group displayed higher levels of rumination (t=7.88, p<0.001) and reduced distraction responses (reverse score t=2.25, p=0.025) than those of the control group. Additionally, the self-harm group scored higher on all subscales and the total DERS-16 score (t=7.61, p<0.001).

CONCLUSION: Interventions for self-harming adolescents should address child abuse and bullying victimization. Prevention programs for self-harming adolescents should focus on reducing rumination responses, increasing distractive responses, and addressing difficulties in emotion regulation using dialectical behavior therapy-skill training.

Language: en

LA - en SN - 1225-729X UR - http://dx.doi.org/10.5765/jkacap.230068 ID - ref1 ER -