Expressed Emotion NSSI: Mediator Role of Internalizing and ExternalizingProblems among Adolescents

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IACAPAP 2020, 2 - 04 December 2020

  • Publication Type: Conference Paper / Full Text


Objectives: Non-suicidal self-injury (NSSI) has an increased risk in adolescence and associated with both adolescents psychological well-being and caregivers factors which precipitate and sustain the behavior. Expressed emotion (EE), explains relationship between attitudes of the family members towards each other. We aimed to investigate the relationship between perceived EE and NSSI in adolescents and the mediator role of internalizing or externalizing problems of adolescents in this relationship. Methods: Our study conducted with 898 adolescent. The researchers applied the data collection form, the Shortened Level of Expressed Emotion Scale, and the Strengths and difficulties questionnaire (SDQ). Categorical variables were given with frequencies and percentages. Comparisons between the groups were performed with the Mann-Whitney's Utest and Pearson Chi-square test. Correlations between the variables were assessed with the Spearman correlation coefficient. For the mediator analyses, a path model was tested using M-PLUS version 8.1 DEMO with weighted least squares estimation method. Results: The adolescents with a history of NSSI have higher levels of perceived parental EE and emotional-behavioral problems. Their emotional-behavioral problems were correlated with parental EE. The relationship between parental EE and NSSI was examined in three separate models. In addition, total SDQ sores,internalizing problems but not externalizing problems scores mediate the relationship between perceived EE and NSSI in our sample. Conclusion: Our findings emphasize that recognizing with internalizing problems and early intervention of them seem to be crucial in prevention of NSSI behavior. Also to date, preventative programs have generally focused on broad awareness and not specific individual risk factors for NSSI behavior, which may be beneficial. Family interventions and the relationship between child and family should be taken into account during interventions should be considere