Volume 13 - Articles-1402                   MEJDS (2023) 13: 33 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Aakhte M, Amirimajd M, Ghamari M, Poyamanesh J. Providing a Structural Model of the Relationships Between Self-Harming Behaviors and Family Functioning Mediated by Affective Control in Adolescent Girls 15 to 18 Years Old Living in Fooman City, Iran. MEJDS 2023; 13 :33-33
URL: http://jdisabilstud.org/article-1-2656-en.html
Providing a Structural Model of the Relationships Between Self-Harming Behaviors and Family Functioning Mediated by Affective Control in Adolescent Girls 15 to 18 Years Old Living in Fooman City, Iran
Maryam Aakhte1 , Mojtaba Amirimajd *2 , Mohammad Ghamari2 , Jaffar Poyamanesh2
1- Department of Counseling, Faculty of Humanities, Islamic Azad University, Abhar, Iran
2- Department of Psychology, Faculty of Humanities, Islamic Azad University, Abhar, Iran
Abstract:   (1129 Views)

Abstract
Background & Objectives: Rapid emotional, physical, and social changes of adolescence are critical factors in building and establishing one’s personality. Most adolescents are challenged by family, community, and relatives. These pressures may push adolescents toward risky behaviors in the decision–making phase. One of the most critical issues in this period is self–harming behaviors. These behaviors are often associated with emotional problems. Another variable with its potential role as a mediating variable on deliberate self–harming behaviors was affective control, meaning a proper skill on how and where to recognize and express emotions properly. The present study aimed to establish a relationship model of self–harming behaviors and family functioning, considering the mediating role of affective control in 15–18 years old girls living in Fooman City, Iran.
Methods: The current research employed an analytical–correlational design using the structural equation modeling method. The statistical population included all female senior students (n=1340 according to the Education Department of Fooman) studying in the secondary high school of Fooman in the academic year 2018–2019. The inclusion criteria were as follows: being 15 to 18 years old, willing to participate in research, and having non–divorced parents. The estimated number of samples for the present study was 303. Considering the possible dropout, 393 subjects were selected by multi–stage clusters. The study data were collected via the Self–Harm Inventory (Sansone et al., 1998), Affective Control Scale (Williams et al., 1997), and Family Assessment Device (Epstein et al., 1983). Descriptive statistics (mean, standard deviation) and inferential statistics (structural equation modeling) were performed in SPSS version 24 and AMOS version 24 software. The significance level of the tests was considered 0.01.
Results: In the path from family functioning to affective control, the total standard effect coefficient (p=0.001, β=0.751) and the direct standard effect coefficient (p=0.001, β=0.751), in the path from family functioning to self–harming behaviors, the total standard effect coefficient (p=0.002, β=0.522), direct standard effect coefficient (p=0.001, β=0.734), and indirect effect coefficient (p=0.010, β=–0.212) and in the path of affective control to self–harming behaviors, the total standard effect coefficient (p=0.013, β=–0.283) and the direct standard effect coefficient (p=0.015, β=0.283) were estimated. In addition, according to the indicators of the proposed research model, the collected data had an acceptable fit (CFI=0.975, GFI=0.971, AGFI=0.957, TLI=0.968, IFI=0.975, NFI=0.908, RMSEA=0.029).
Conclusion: According to the study results, affective control mediates the relationship between family functioning and self–harming behaviors in adolescent girls.


Keywords: Family functioning, Self–harming behaviors, Affective control, Adolescent girls
Full-Text [PDF 631 kb]   (433 Downloads)    
Type of Study: Original Research Article | Subject: Psychology
References
1. Borschmann R, Becker D, Coffey C, Spry E, Moreno-Betancur M, Moran P, et al. 20–year outcomes in adolescents who self–harm: a population–based cohort study. Lancet Child Adolesc Health. 2017;1(3):195–202. [DOI]
2. Borschmann R, Molyneaux E, Spry E, Moran P, Howard LM, Macdonald JA, et al. Pre–conception self–harm, maternal mental health and mother–infant bonding problems: a 20–year prospective cohort study. Psychol Med. 2019;49(16):2727–35. [DOI]
3. Morgan C, Webb RT, Carr MJ, Kontopantelis E, Green J, Chew-Graham CA, et al. Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care. BMJ. 2017;359:j4351. [DOI]
4. Singleton N, Bumpstead R, O'Brien M, Lee A, Meltzer H. Psychiatric morbidity among adults living in private households, 2000. Int Rev Psychiatry. 2003;15(1–2):65–73. [DOI]
5. Mcmanus S, Meltzer H, Brugha T, Bebbington P, Jenkins R. Adult psychiatric morbidity in England, 2007: results of a household survey. In: Adult Psychiatric Morbidity Survey. London: NHS Digital; 2009. [DOI]
6. McManus S, Hassiotis A, Jenkins R, Aznar C, Dennis M, Appleby L. Suicidal thoughts, suicide attempts and self–harm. In: McManus S, Bebbington P, Jenkins R, Brugha T. Mental health and wellbeing in England: adult psychiatric morbidity survey 2014. London: NHS Digital; 2016.
7. Moran P, Coffey C, Romaniuk H, Olsson C, Borschmann R, Carlin JB, et al. The natural history of self–harm from adolescence to young adulthood: a population–based cohort study. Lancet. 2012;379(9812):236–43. [DOI]
8. Zubrick SR, Hafekost J, Johnson SE, Lawrence D, Saw S, Sawyer M, et al. Self–harm: prevalence estimates from the second Australian child and adolescent survey of mental health and wellbeing. Aust N Z J Psychiatry. 2016;50(9):911–21. [DOI]
9. Crone EA, Dahl RE. Understanding adolescence as a period of social–affective engagement and goal flexibility. Nat Rev Neurosci. 2012;13(9):636–50. [DOI]
10. Padmanathan P, Hall K, Moran P, Jones HE, Gunnell D, Carlisle V, et al. Prevention of suicide and reduction of self–harm among people with substance use disorder: a systematic review and meta–analysis of randomised controlled trials. Compr Psychiatry. 2020;96:152135. [DOI]
11. Kumar P, Nestsiarovich A, Nelson SJ, Kerner B, Perkins DJ, Lambert CG. Imputation and characterization of uncoded self–harm in major mental illness using machine learning. Journal of the American Medical Informatics Association. 2020;27(1):136–46. [DOI]
12. Mars B, Heron J, Klonsky ED, Moran P, O'Connor RC, Tilling K, et al. Predictors of future suicide attempt among adolescents with suicidal thoughts or non–suicidal self–harm: a population–based birth cohort study. Lancet Psychiatry. 2019;6(4):327–37. [DOI]
13. xDuarte E, Gouveia-Pereira M, Gomes HS, Sampaio D. Social representations about the functions of deliberate self–harm: Adolescents and parents. J Adolesc. 2019;73:113–21. [DOI]
14. Kotsopoulou A, Melis A. The role of parental bonding for self–harm adolescents. European Psychiatry. 2016;(33):S437.
15. Imani M, Zemestani M, Karimi J. The role of psychological disorders, family functioning and occupational factors on self–harming behaviors by the mediating role of depression among Shiraz military personnel. Journal of Military Medicine. 2022;19(6):624–33. [Persian] [Article]
16. Pardoe J, Trainor G. Transgender youths who self–harm: perspectives from those seeking support [Internet]. Mental Health Today; 2017. Available from: [Article]
17. Adrian M, Berk MS, Korslund K, Whitlock K, McCauley E, Linehan M. Parental validation and invalidation predict adolescent self–harm. Prof Psychol Res Pr. 2018;49(4):274–81. [DOI]
18. Ajeli Lahiji L, Besharat MA. Prediction of family function and life quality based on the attachment styles of couples. Family Pathology, Counseling and Enrichment Journal. 2018;3(2):119–38. [Persian] [Article]
19. Ghamari M, Amirimajd M, Khoshnam A. The relationship between family function and parent –adolescents conflict with academic achievement among secondary school students. 2014;8(26):157–74. [Persian] [Article]
20. Huntsinger JR, Isbell LM, Clore GL. The affective control of thought: malleable, not fixed. Psychol Rev. 2014;121(4):600–18. [DOI]
21. Ishoy GA. The theory of planned behavior and policing: how attitudes about behavior, subjective norms, and perceived behavioral control affect the discretionary enforcement decisions of police officers. Criminal Justice Studies. 2016;29(4):345–62. [DOI]
22. Hamilton S, Tew J, Szymczynska P, Clewett N, Manthorpe J, Larsen J, et al. Power, choice and control: how do personal budgets affect the experiences of people with mental health problems and their relationships with social workers and other practitioners? The British Journal of Social Work. 2016;46(3):719–36.
23. Wager TD, Barrett LF. From affect to control: functional specialization of the insula in motivation and regulation. BioRxiv; 2017: 102368. [DOI]
24. Lively KJ, Heise DR. Emotions in affect control theory. In: Stets JE, Turner JH, editors. Handbook of the sociology of emotions: volume II. Dordrecht: Springer Netherlands; 2014. pp: 51–75. [DOI]
25. Kline RB. Principles and practice of structural equation modeling. 3rd ed. New York: The Guilford Press; 2011.
26. Sansone RA, Gage MD, Wiederman MW. Investigation of borderline personality disorder among nonpsychotic, involuntarily hospitalized clients. Journal of Mental Health Counseling. 1998;20(2):133–40.
27. Tahbaz Hoseinzadeh S, Ghorbani N, Nabavi S. Comparison of self–destructive tendencies and integrative self-knowledge among multiple sclerosis and healthy people. Contemporary Psychology, Biannual Journal of the Iranian Psychological Association. 2012;6(2):35–44. [Persian] [Article]
28. Williams KE, Chambless DL, Ahrens A. Are emotions frightening? An extension of the fear of fear construct. Behav Res Ther. 1997;35(3):239–48. [DOI]
29. Tahmasebian H, Khazaie H, Arefi M, Saeidipour M, Hoseini SA. Normalization of emotion control scale. J Kermanshah Univ Med Sci. 2014;18(6):349–54. [Persian] [Article]
30. Epstein NB, Baldwin LM, Bishop DS. The McMaster Family Assessment Device. J Marital Fam Ther. 1983;9(2):171–80. [DOI]
31. Zade Mohammadi A, Malek Khosravi Gh. The preliminary study of psychometric and reliability of Family Assessment Device. Journal of Family Research. 2006;2(5):69-89. [Persian] [Article]
32. Bakhshipour B, Asadi M, Ahmadreza K, Asghar S, Hossein A. The relationship between family function and marital conflicting couples who had decided to get divorced. Knowledge & Research in Applied Psychology. 2012;13(48):11–21. [Persian] [Article]
33. Ghamari M, Khoshnam AH. The relationship of original family function and quality of life among students. Journal of Family Research. 2011;7(3):343–54. [Persian] [Article]
34. Baetens I, Claes L, Martin G, Onghena P, Grietens H, Van Leeuwen K, et al. Is nonsuicidal self–injury associated with parenting and family factors? The Journal of Early Adolescence. 2014;34(3):387–405. [DOI]
35. Fortune S, Cottrell D, Fife S. Family factors associated with adolescent self–harm: a narrative review. Journal of Family Therapy. 2016;38(2):226–56. [DOI]
36. Cassels M, van Harmelen AL, Neufeld S, Goodyer I, Jones PB, Wilkinson P. Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self–injury. J Child Psychol Psychiatry. 2018;59(8):881–7. [DOI]
37. Houben M, Claes L, Vansteelandt K, Berens A, Sleuwaegen E, Kuppens P. The emotion regulation function of nonsuicidal self–injury: A momentary assessment study in inpatients with borderline personality disorder features. J Abnorm Psychol. 2017;126(1):89–95. [DOI]
38. Simbar M, Golezar S, Alizadeh S, Hajifoghaha M. Suicide risk factors in adolescents worldwide: a narrative review. Journal of Rafsanjan University of Medical Sciences. 2018;16(12):1153–68. [Persian] [Article]
39. Linehan M. Cognitive–behavioral treatment of borderline personality disorder. New York: Guilford Press; 1993.
40. Yates TM. Developmental pathways from child maltreatment to nonsuicidal self–injury. In: Understanding nonsuicidal self–injury: Origins, assessment, and treatment. Washington, DC, US: American Psychological Association; 2009. pp: 117–37. [DOI]
41. Schore AN. The effects of early relational trauma on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal. 2001;22:201–69. [DOI]
42. Taylor SE, Stanton AL. Coping resources, coping processes, and mental health. Annu Rev Clin Psychol. 2007;3:377–401. [DOI]
43. Andrews T, Martin G, Hasking P, Page A. Predictors of onset for non–suicidal self–injury within a school–based sample of adolescents. Prev Sci. 2014;15(6):850–9. [DOI]
Add your comments about this article : Your username or Email:
CAPTCHA
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb