Hurting inside and out? Emotional and physical pain in self-harm ideation and enactment

International Journal of Cognitive Therapy

Volumn 8, Issue 2, 2015, Pages 156-171

  Kirtley, Olivia J ^a   O'Connor, Rory C ^a   O'Carroll, Ronan E ^b  

^a UNIVERSITY OF GLASGOW   (United Kingdom)

^b UNIVERSITY OF STIRLING   (United Kingdom)

Author keywords

Emotion reactivity; Enactment; Ideation; Pain; Self injury; Suicide

Indexed keywords

EID: 84934277397     PISSN: 19371209     EISSN: 19371217     Source Type: Journal    
DOI: 10.1521/ijct.2015.8.2.156     Document Type: Article

References (45)

1. Anestis, M. D., Lavender, J. M., Marshall-Berenz, E. C., Gratz, K. L., Tull, M. T., & Joiner, T. E. (2012). Evaluating distress tolerance measures: Interrelations and associations with impulsive behaviors. Cognitive Therapy and Research, 36(6), 593-602. doi:10.1007/s10608-011-9377-8
2. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for Beck Depression Inventory II (BDIII). San Antonio, TX: Psychological Corporation.
3. Claes, L., Smits, D., & Bijttebier, P. (2014). The Dutch Version of the Emotion Reactivity Scale: Validation and relation with various behaviors in a sample of high school students. European Journal of Psychological Assessment, 30(1), 73-79. doi:10.1027/1015-5759/a000171
4. Davis, T. S., Mauss, I. B., Lumian, D., Troy, A. S., Shallcross, A. J., Zarolia, P., ... McRae, K. (2014). Emotional reactivity and emotion regulation among adults with a history of self-harm: Laboratory self-report and functional MRI evidence. Journal of Abnormal Psychology, 123(3), 499-509. doi:10.1037/a0036962
5. Dour, H. J., Cha, C. B., & Nock, M. K. (2011). Evidence for an emotion-cognition interaction in the statistical prediction of suicide attempts. Behaviour Research and Therapy, 49(4), 294-298. doi:10.1016/j. brat.2011.01.010
6. Eisenberger, N. I., Jarcho, J. M., Lieberman, M. D., & Naliboff, B. D. (2006). An experimental study of shared sensitivity to physical pain and social rejection. Pain, 126(1-3), 132-138. doi:10.1016/j.pain.2006.06.024
7. Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003). Does rejection hurt? An fMRI study of social exclusion. Science, 302(5643), 290-292.
8. Flett, G. L., Hewitt, P. L., Blankstein, K. R., & Gray, L. (1998). Psychological distress and the frequency of perfectionistic thinking. Journal of Personality and Social Psychology, 75(5), 1363-1381.
9. Flett, G. L., Hewitt, P. L., Demerjian, A., Sturman, E. D., Sherry, S. B., & Cheng, W. (2012). Perfectionistic automatic thoughts and psychological distress in adolescents:An analysis of the Perfectionism Cognitions Inventory. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 30(2), 91-104. doi:10.1007/s10942-011-0131-7
10. Flett, G. L., Hewitt, P. L., Whelan, T., & Martin, T. R. (2007). The Perfectionism Cognitions Inventory: Psychometric properties and associations with distress and deficits in cognitive self-management. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 25(4), 255-277. doi:10.1007/s10942-007-0055-4
11. Franklin, J. C., Aaron, R. V., Arthur, M. S., Shorkey, S. P., & Prinstein, M. J. (2012). Nonsuicidal self-injury and diminished pain perception:The role of emotion dysregulation. Comprehensive Psychiatry, 53(6), 691-700. doi:10.1016/j.comppsych.2011.11.008
12. Glenn, C. R., Blumenthal, T. D., Klonsky, E. D., & Hajcak, G. (2011). Emotional reactivity in nonsuicidal self-injury: Divergence between self-report and startle measures. International Journal of Psychophysiology, 80(2), 166-170. doi:10.1016/j.ijpsycho.2011.02.016
13. Glenn, J. J., Michel, B. D., Franklin, J. C., Hooley, J. M., & Nock, M. K. (2014). Pain analgesia among adolescent self-injurers. Psychiatry Research, 220(3), 921-926. doi:10.1016/j. psychres.2014.08.016
14. Gratz, K. L., Hepworth, C., Tull, M. T., Paulson, A., Clarke, S., Remington, B., & Lejuez, C. W. (2011). An experimental investigation of emotional willingness and physical pain tolerance in deliberate self-harm: The moderating role of interpersonal distress. Comprehensive Psychiatry, 52(1), 63-74. doi:10.1016/j. comppsych.2010.04.009
15. Hamza, C. A., Willoughby, T., & Armiento, J. (2014). A laboratory examination of pain threshold and tolerance among nonsuicidal self-injurers with and without self-punishing motivations. Archives of Scientific Psychology, 2(1), 33-42. doi:10.1037/arc0000008
16. Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R. W., ... Stein, M. B. (2003). The interpersonal expression of perfection:Perfectionistic self-presentation and psychological distress. Journal of Personality and Social Psychology, 84(6), 1303-1325. doi:10.1037/0022-3514.84.6.1303
17. Hooley, J. M., Ho, D. T., Slater, J., & Lockshin, A. (2010). Pain perception and nonsuicidal selfinjury:A laboratory investigation. Personality Disorders: Theory, Research, and Treatment, 1(3), 170-179. doi:10.1037/a0020106
18. Hooley, J. M., & St. Germain, S. A. (2014). Nonsuicidal self-injury, pain, and self-criticism:Does changing self-worth change pain endurance in people who engage in self-injury? Clinical Psychological Science, 2(3), 297-305. doi:10.1177/2167702613509372
19. Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
20. Karekla, M., & Panayiotou, G. (2011). Coping and experiential avoidance: Unique or overlapping constructs? Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 163-170. doi:10.1016/j.jbtep.2010.10.002
21. Kemperman, I., Russ, M. J., Clark, W., Kakuma, T., Zanine, E., & Harrison, K. (1997). Pain assessment in self-injurious patients with borderline personality disorder using signal detection theory. Psychiatry Research, 70(3), 175-183. doi:10.1016/S0165-1781(97)00034-6
22. Klonsky, E. D., & May, A. M. (2014). Differentiating suicide attempters from suicide ideators:A critical frontier for suicidology research. Suicide and Life-Threatening Behavior, 44(1), 1-5. doi:10.1111/sltb.12068
23. Lightsey, O. R., Wells, A. G., Wang, M.-C., Pietruszka, T., Ciftci, A., & Stancil, B. (2008). Emotion-oriented coping, avoidance coping, and fear of pain as mediators of the relationship between positive affect, negative affect, and pain-related distress among African American and Caucasian college women. Counseling Psychologist, 37(1), 116-146. doi:10.1177/0011000007312991
24. Ludäscher, P. P., Greffrath, W. W., Schmahl, C. C., Kleindienst, N. N., Kraus, A. A., Baumgärtner, U. U.,... Bohus, M. M. (2009). A cross-sectional investigation of discontinuation of self-injury and normalizing pain perception in patients with borderline personality disorder. Acta Psychiatrica Scandinavica, 120(1), 62-70. doi:10.1111/j.1600-0447.2008.01335.
25. Magerl, W., Burkart, D., Fernandez, A., Schmidt, L. G., & Treede, R.-D. (2012). Persistent antinociception through repeated self-injury in patients with borderline personality disorder. Pain, 153(3), 575-584. doi:10.1016/j. pain.2011.11.021
26. McAuliffe, C., McLeavey, B. C., Fitzgerald, T., Corcoran, P., Carroll, B., Ryan, L., ... Arensman, E. (2014). Group problem-solving skills training for self-harm: Randomised controlled trial. British Journal of Psychiatry, 204(5), 383-390. doi:10.1192/bjp. bp.111.101816
27. McCoy, K., Fremouw, W., & McNeil, D. W. (2010). Thresholds and tolerance of physical pain among young adults who self-injure. Pain Research & Management, 15(6), 371-377.
28. McManus, S., Meltzer, H., Brugha, T., Bebbington, P., & Jenkins, R. (2009). Adult psychiatric morbidity in England, 2007: Results of a household survey. London, UK: Centre for Social Research.
29. National Institute for Health and Care Excellence. (2004). Self-harm. The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. Retrieved from http://www.nice.org.uk/guidance/cg16
30. Nock, M., Joiner, T., Gordon, K., Lloyd-Richardson, E., & Prinstein, M. (2006). Nonsuicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144(1), 65-72. doi:10.1016/j.psychres.2006.05.010
31. Nock, M. K., & Mendes, W. B. (2008). Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers. Journal of Consulting and Clinical Psychology, 76(1), 28-38. doi:10.1037/0022-006X.76.1.28
32. Nock, M. K., Wedig, M. M., Holmberg, E. B., & Hooley, J. M. (2008). The Emotion Reactivity Scale: Development, evaluation, and relation to self-injurious thoughts and behaviors. Behavior Therapy, 39(2), 107-116. doi:10.1016/j.beth.2007.05.005
33. O'Carroll, R. E., Drysdale, E., Cahill, L., Shajahan, P., & Ebmeier, K. P. (1999). Stimulation of the noradrenergic system enhances and blockade reduces memory for emotional material in man. Psychological Medicine, 29(5), 1083-1088.
34. O'Connor, R. C. (2007). The relations between perfectionism and suicidality: A systematic review. Suicide and Life-Threatening Behavior, 37, 698-714. doi:10.1521/suli.2007.37.6.698
35. O'Connor, R. C. (2011). Towards an integrated motivational-volitional model of suicidal behaviour. In R. C. O'Connor, S. Platt, & J. Gordon, J. (Eds.), International handbook of suicide prevention: Research, policy and practice (pp. 181-198). Malden, MA: John Wiley & Sons.
36. O'Connor, R. C., & Nock, M. K. (2014). The psychology of suicidal behaviour. Lancet Psychiatry, 1, 73-85.
37. O'Connor, R. C., Rasmussen, S., & Hawton, K. (2012). Distinguishing adolescents who think about self-harm from those who engage in self-harm. British Journal of Psychiatry, 200(4), 330-335. doi:10.1192/bjp. bp.111.097808
38. Orbach, I., Mikulincer, M., King, R., Cohen, D., & Stein, D. (1997). Thresholds and tolerance of physical pain in suicidal and nonsuicidal adolescents. Journal of Consulting and Clinical Psychology, 65(4), 646-652. doi:10.1037/0022-006X.65.4.646
39. Osman, A., Barrios, F. X., Gutierrez, P. M., Kopper, B. A., Butler, A., & Bagge, C. L. (2003). The Pain Distress Inventory: Development and initial psychometric properties. Journal of Clinical Psychology, 59(7), 767-785. doi:10.1002/jclp.10173
40. Osman, A., Barrios, F. X., Gutierrez, P. M., Schwarting, B., Kopper, B. A., & Wang, M.-C. (2005). Reliability and construct validity of the Pain Distress Inventory. Jour doi:10.1007/s10865-005-3666-1
41. Russ, M. J., Roth, S. D., Kakuma, T., & Harrison, K. (1994). Pain perception in selfinjurious borderline patients: Naloxone effects. Biological Psychiatry, 35(3), 207-209. doi:10.1016/0006-3223(94)91154-1
42. Russ, M. J., Roth, S. D., Lerman, A., & Kakuma, T. (1992). Pain perception in self-injurious patients with borderline personality disorder. Biological Psychiatry, 32(6), 501-511. doi:10.1016/0006-3223(92)90218-O
43. St. Germain, S. A., & Hooley, J. M. (2013). Aberrant pain perception in direct and indirect non-suicidal self-injury: An empirical test of Joiner's interpersonal theory. Comprehensive Psychiatry, 54(6), 694-701. doi:10.1016/j.comppsych.2012.12.029
44. Tourangeau, R., & Yan, T. (2007). Sensitive questions in surveys. Psychological Bulletin, 133(5), 859-883. doi:10.1037/0033-2909.133.5.859
45. Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575-600. doi:10.1037/a0018697