Differential Effects of Reflection and Brooding on the Relationship Between Anxiety Sensitivity and Self-harm: A Serial Mediation Studyopen access
- Authors
- Hong, Jiyoung; Kim, Seok Hyeon; Roh, Sungwon; Kim, Sojung
- Issue Date
- Nov-2022
- Publisher
- 한국임상심리학회
- Keywords
- rumination; reflection; brooding; anxiety sensitivity; self-harm
- Citation
- Korean Journal of Clinical Psychology, v.41, no.4, pp.105 - 118
- Indexed
- KCI
- Journal Title
- Korean Journal of Clinical Psychology
- Volume
- 41
- Number
- 4
- Start Page
- 105
- End Page
- 118
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/185987
- DOI
- 10.15842/kjcp.2022.41.4.003
- Abstract
- Anxiety sensitivity is known to increase the risk of self-harm; however, the underlying mechanisms remain unclear. Studies have considered rumination as a potential factor that increases the risk of suicide, and anxiety sensitivity has been proposed as a probable factor that affects self-harm through rumination. We investigated the mediating effect of rumination on anxiety sensitivity and self-harm and extended the study by examining the involvement of two subtypes of rumination, reflection and brooding. Responses on anxiety sensitivity, rumination, and history of self-harm were collected from psychiatric patients (N = 148) at a university hospital. Mediation analyses were conducted to examine the simple mediating effect of global rumination and serial mediating effect of reflection and brooding between anxiety sensitivity and self-harm. Rumination mediated the relationship between anxiety sensitivity and self-harm, while reflection and brooding sequentially mediated the path from anxiety sensitivity to self-harm. Additionally, brooding alone mediated this path, whereas reflection alone did not. Our findings indicate that rumination increases the risk of self-harm in psychiatric patients with high anxiety sensitivity. Furthermore, they indicate that reflection may turn into brooding and heighten the risk of self-harm, suggesting that interventions for individuals with high anxiety sensitivity to prevent self-harm should target both reflection and brooding.
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