Self‐Criticism as a Transdiagnostic Process in Nonsuicidal Self‐Injury and Disordered Eating: Systematic Review and Meta‐Analysis
Nonsuicidal self‐injury (NSSI) and disordered eating (DE) are highly comorbid and may be regarded as belonging to a spectrum of self‐harm behaviors. We investigated self‐criticism as a transdiagnostic correlate of these behaviors, in keeping with etiological theories of both NSSI and DE. We reviewed...
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Veröffentlicht in: | Suicide & life-threatening behavior 2019-02, Vol.49 (1), p.310-327 |
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description | Nonsuicidal self‐injury (NSSI) and disordered eating (DE) are highly comorbid and may be regarded as belonging to a spectrum of self‐harm behaviors. We investigated self‐criticism as a transdiagnostic correlate of these behaviors, in keeping with etiological theories of both NSSI and DE. We reviewed the literature and meta‐analyzed the relation of self‐criticism to both NSSI (15 studies; 17 effect sizes) and DE (24 studies; 29 effect sizes). Results showed equivalent, moderate‐to‐large effects for the relation of self‐criticism to NSSI (r = .38; CI: .29–.46) and DE (r = .40; CI: .34–.45). The relation of NSSI to self‐criticism generalized across multiple potential moderators. DE behavior type moderated the relation of self‐criticism to DE, with a stronger relation emerging for purging than restriction. Findings support self‐criticism as a possible candidate for transdiagnostic pathways to self‐harm. |
doi_str_mv | 10.1111/sltb.12436 |
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Findings support self‐criticism as a possible candidate for transdiagnostic pathways to self‐harm.</description><subject>Criticism</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders - diagnosis</subject><subject>Feeding and Eating Disorders - psychology</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>Self destructive behavior</subject><subject>Self-Assessment</subject><subject>Self-Injurious Behavior - diagnosis</subject><subject>Self-Injurious Behavior - psychology</subject><subject>Systematic review</subject><issn>0363-0234</issn><issn>1943-278X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1DAUhi0EotPChgdAltggpBTfcjGLSmVaoNJwETNI7CzHORk8SuxiJ62yY8eWZ-RJ8HSGClhwNkc6_s6nY_0IPaLkmKZ6HruhPqZM8OIOmlEpeMbK6vNdNCO84BlhXBygwxg3JBUj5D46YDIngopyhr4voWt_fvsxD3awxsYe64g1XgXtYmP12vmY5vhD8AZixNbhd97FMaGN7vB--cJtxjBh7Rp8ZqMPDQRo8LkerFu_wMspDtDrreYjXFm4vgHfwqDT6qnT3RRtfIDutbqL8HDfj9CnV-er-Zts8f71xfx0kRkhqiITUoqqaVldlnXBgQGFhvEyzwsNsq4NUE1qQ0yds7bRwkjd5kK0UBgjZFkzfoROdt7Lse6hMeCGoDt1GWyvw6S8turvF2e_qLW_UgVlnMmt4OleEPzXEeKgehsNdJ124MeoGKGk4lIWVUKf_INu_BjShxNFy4rIUnKeqGc7ygQfY4D29hhK1DZftc1X3eSb4Md_nn-L_g40AXQHXNsOpv-o1HKxermT_gLbP7bH</recordid><startdate>201902</startdate><enddate>201902</enddate><creator>Zelkowitz, Rachel L.</creator><creator>Cole, David A.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201902</creationdate><title>Self‐Criticism as a Transdiagnostic Process in Nonsuicidal Self‐Injury and Disordered Eating: Systematic Review and Meta‐Analysis</title><author>Zelkowitz, Rachel L. ; Cole, David A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4486-49948df2b77b63e2e1ed237556ae9bbce1a0bc0cb52fda4c9af544fe6cc497b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Criticism</topic><topic>Eating disorders</topic><topic>Feeding and Eating Disorders - diagnosis</topic><topic>Feeding and Eating Disorders - psychology</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>Self destructive behavior</topic><topic>Self-Assessment</topic><topic>Self-Injurious Behavior - diagnosis</topic><topic>Self-Injurious Behavior - psychology</topic><topic>Systematic review</topic><toplevel>online_resources</toplevel><creatorcontrib>Zelkowitz, Rachel L.</creatorcontrib><creatorcontrib>Cole, David A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Suicide & life-threatening behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zelkowitz, Rachel L.</au><au>Cole, David A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self‐Criticism as a Transdiagnostic Process in Nonsuicidal Self‐Injury and Disordered Eating: Systematic Review and Meta‐Analysis</atitle><jtitle>Suicide & life-threatening behavior</jtitle><addtitle>Suicide Life Threat Behav</addtitle><date>2019-02</date><risdate>2019</risdate><volume>49</volume><issue>1</issue><spage>310</spage><epage>327</epage><pages>310-327</pages><issn>0363-0234</issn><eissn>1943-278X</eissn><abstract>Nonsuicidal self‐injury (NSSI) and disordered eating (DE) are highly comorbid and may be regarded as belonging to a spectrum of self‐harm behaviors. 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subjects | Criticism Eating disorders Feeding and Eating Disorders - diagnosis Feeding and Eating Disorders - psychology Humans Meta-analysis Self destructive behavior Self-Assessment Self-Injurious Behavior - diagnosis Self-Injurious Behavior - psychology Systematic review |
title | Self‐Criticism as a Transdiagnostic Process in Nonsuicidal Self‐Injury and Disordered Eating: Systematic Review and Meta‐Analysis |
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