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NCJ Number: 219982 Find in a Library
Title: Parental Expressed Emotion and Adolescent Self-Injury
Journal: Journal of the American Academy of Child & Adolescent Psychiatry  Volume:46  Issue:9  Dated:September 2007  Pages:1171-1178
Author(s): Michelle M. Wedig B.S.; Matthew K. Nock Ph.D.
Date Published: September 2007
Page Count: 8
Sponsoring Agency: National Institute of Mental Health
Bethesda, MD 20852
William F Milton Fund
Cambridge, MA 02138
Grant Number: MH076047
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This study examined the relationship between parental expressed emotion ("the extent to which family members express critical/hostile and emotionally over-involved attitudes and remarks toward a specific person") and adolescent self-injurious thoughts and behaviors (SITB), as well as potential mediators and moderators of this relationship.
Abstract: The study found that high parental expressed emotion (EE) was linked with each type of SITB assessed, i.e., suicidal thoughts, suicide plans, suicide attempts, and nonsuicidal self-injury. The analyses also found that one component of EE, parental criticism, was strongly associated with SITB; whereas, the other component, emotional over-involvement, did not have a strong link to SITB. Also, the relationship between EE and SITB was not explained by the presence of mental disorders. Further, the findings supported a moderation model in which the relationship between parental criticism and SITB was especially strong among adolescents with a self-critical attitude. Working with parents to lessen their EE behaviors in the home has proven effective in reducing patient relapse across a number of disorders and may be useful for youths at risk of self-injury as well. This study was conducted as part of a larger laboratory-based, case-control study of SITB. Adolescents and young adults ages 12 to 19 years old (n=36) were recruited from the community and local outpatient mental health clinics from 2004 to 2005. Parents of the adolescents completed the Five-Minute Speech Sample, a performance-based measure of EE, and adolescents completed interviews and rating scales that assessed SITB, mental disorders, and related constructs. 3 tables, 1 figure, and 57 references
Main Term(s): Juvenile mental health services
Index Term(s): Emotional Abuse/Harm; Emotional disorders; Parent-Child Relations; Parental influence; Problem behavior; Self mutilation
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