Parent-Child Conflict and Non-Suicidal Self-Injury Among Chinese Adolescents: A Double-Path Chain Mediation Model
Zhangyi Chen
School of Psychology, South China Normal University, Guangzhou, China
School of Economics and Management, Fuzhou University, Fuzhou, China
Search for more papers by this authorHongyu Zou
School of Psychology, South China Normal University, Guangzhou, China
School of Medicine, Indiana University, Indianapolis, USA
Search for more papers by this authorLiyun Jiang
School of Psychology, South China Normal University, Guangzhou, China
Search for more papers by this authorYuanyuan Chen
School of psychology, Guangzhou University, Guangzhou, China
Search for more papers by this authorJiefang Wu
School of Marxism, Guangdong Food and Drug Vocational College, Guangzhou, China
Search for more papers by this authorWenqing Zhu
Guangdong Education Publishing House, Guangzhou, China
Search for more papers by this authorCorresponding Author
Wei Zhang
School of Psychology, South China Normal University, Guangzhou, China
Correspondence: Wei Zhang ([email protected])
Search for more papers by this authorZhangyi Chen
School of Psychology, South China Normal University, Guangzhou, China
School of Economics and Management, Fuzhou University, Fuzhou, China
Search for more papers by this authorHongyu Zou
School of Psychology, South China Normal University, Guangzhou, China
School of Medicine, Indiana University, Indianapolis, USA
Search for more papers by this authorLiyun Jiang
School of Psychology, South China Normal University, Guangzhou, China
Search for more papers by this authorYuanyuan Chen
School of psychology, Guangzhou University, Guangzhou, China
Search for more papers by this authorJiefang Wu
School of Marxism, Guangdong Food and Drug Vocational College, Guangzhou, China
Search for more papers by this authorWenqing Zhu
Guangdong Education Publishing House, Guangzhou, China
Search for more papers by this authorCorresponding Author
Wei Zhang
School of Psychology, South China Normal University, Guangzhou, China
Correspondence: Wei Zhang ([email protected])
Search for more papers by this authorZhangyi Chen and Hongyu Zou are co-first author.
ABSTRACT
Non-suicidal self-injury (NSSI) is a significant public health concern, with severely impacts for adolescent mental health. As awareness of the harmful effects of NSSI grows, there is an increasing emphasis on understanding the underlying mechanisms in this age group. This study explores how internalizing and externalizing issues related to parent–child conflict influence NSSI, focusing on the roles of negative self-perception (self-criticism) and association with deviant peer affiliation in this relationship.We used questionnaires to assess variables including parent-child conflict, self-criticism, Deviant peer affiliation, internalizing and externalizing issues, and instances of NSSI. A conditional process model was employed to examine the interrelated pathways through which these factors influence each other. A total of 804 adolescents successfully completed the questionnaires. Our analysis revealed that the severity of NSSI was positively associated with the level of parent-child conflict (b = 0.22, p < 0.001). Self-criticism and internalization issues, as well as deviant peer affiliation and externalizing issues, acted as dual mediators in this relationship, explaining 17.72% and 7.93%, of the variance, respectively. Among the examined analyzed, the influence of parent–child conflict on NSSI through deviant peer affiliation was not statistically significant. This study highlights the significant relationships between parent–child conflict and NSSI in adolescents. This relationship is mediated by a dual-chain involving self-criticism and internalization issues, as well as deviant peer affiliation and externalizing issues, all of which are identified as risk factors for NSSI. Understanding these dynamics can inform the development of targeted interventions to reduce NSSI among adolescents.
Summary
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Adolescent parent–child conflict have a significant influence on NSSI.
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The relationship between adolescent parent–child conflict and NSSI can be influenced through two mediation pathways, internalizing and externalizing problems.
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Self-criticism and deviant peer affiliation play an important role in the two mediation pathways.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
- Achenbach, T. M. 1991. Manual for the Youth Self-report and 1991 Profile. Department of Psychiatry, University of Vermont Burlington.
- Agnew, R. 1992. “Foundation for a General Strain Theory of Crime and Delinquency.” Criminology 30, no. 1: 47–88.
- Aguirre-Urreta, M. I., and J. Hu. 2019. “Detecting Common Method Bias: Performance of the Harman's Single-Factor Test.” ACM SIGMIS. Database: The DATABASE for Advances in Information Systems 50, no. 2: 45–70.
- Allroggen, M., R. Kleinrahm, T. A. D. Rau, L. Weninger, A. G. Ludolph, and P. L. Plener. 2014. “Nonsuicidal Self-Injury and Its Relation to Personality Traits in Medical Students.” Journal of Nervous & Mental Disease 202, no. 4: 300–304.
- Baetens, I., L. Claes, P. Onghena, et al. 2015. “The Effects of Nonsuicidal Self-Injury on Parenting Behaviors: A Longitudinal Analyses of the Perspective of the Parent.” Child and Adolescent Psychiatry and Mental Health 9, no. 1: 24.
- Bandura, A. 1969. “Social-Learning Theory of Identificatory Processes.” In Handbook of Socialization Theory and Research, edited by D. A. Goslin, 213–262. Rand McNally & Company.
- Bar, M., G. Schrieber, N. Gueron-Sela, G. Shahar, and L. Tikotzky. 2020. “Role of Self-Criticism, Anxiety, and Depressive Symptoms in Young Adults' Insomnia.” International Journal of Cognitive Therapy 13, no. 1: 15–29.
- Blatt, S. J. 1974. “Levels of Object Representation in Anaclitic and Introjective Depression.” Psychoanalytic Study of the Child 29, no. 1: 107–157.
- Blatt, S. J., J. P. D'Afflitti, and D. M. Quinlan. 1976. “Experiences of Depression in Normal Young Adults.” Journal of Abnormal Psychology 85, no. 4: 383–389.
- Boele, S., J. Van der Graaff, M. De Wied, I. E. Van der Valk, E. Crocetti, and S. Branje. 2019. “Linking Parent–Child and Peer Relationship Quality to Empathy in Adolescence: A Multilevel Meta-Analysis.” Journal of Youth and Adolescence 48, no. 6: 1033–1055.
- Branstetter, S. A., and W. Furman. 2013. “Buffering Effect of Parental Monitoring Knowledge and Parent-Adolescent Relationships on Consequences of Adolescent Substance Use.” Journal of Child and Family Studies 22, no. 2: 192–198.
- Bronfenbrenner, U. 1979. The Ecology Of Human Development: Experiments by Nature and Design. Harvard university press.
10.4159/9780674028845 Google Scholar
- Cairns, R. B., and B. D. Cairns. 1994. Lifelines and Risks: Pathways of Youth in Our Time. Cambridge University Press.
- Chapman, A. L., K. L. Gratz, and M. Z. Brown. 2006. “Solving the Puzzle of Deliberate Self-Harm: The Experiential Avoidance Model.” Behaviour Research and Therapy 44, no. 3: 371–394.
- Fang, X., and Q. Dong. 1998. “Parent-Child Conflicts During Early Adolescence.” Psychological Science-Shanghai- 21: 122–125.
- Fang, X., J. Zhang, L. Sun, and Z. Liu. 2003. “Parent-Adolescent Conflict and Adolescents' Social Adjustment.” Chinese Journal of Applied Psychology 9, no. 4: 14–21.
- Farrell, A. D., E. L. Thompson, and K. R. Mehari. 2017. “Dimensions of Peer Influences and Their Relationship to Adolescents' Aggression, Other Problem Behaviors and Prosocial Behavior.” Journal of Youth and Adolescence 46, no. 6: 1351–1369.
- Garisch, J. A., and M. S. Wilson. 2015. “Prevalence, Correlates, and Prospective Predictors of Non-Suicidal Self-Injury Among New Zealand Adolescents: Cross-Sectional and Longitudinal Survey Data.” Child and Adolescent Psychiatry and Mental Health 9, no. 1: 28.
- Glassman, L. H., M. R. Weierich, J. M. Hooley, T. L. Deliberto, and M. K. Nock. 2007. “Child Maltreatment, Non-Suicidal Self-Injury, and the Mediating Role of Self-Criticism.” Behaviour Research and Therapy 45, no. 10: 2483–2490.
- Guérin-Marion, C., J.-F. Bureau, M.-F. Lafontaine, P. Gaudreau, and J. Martin. 2021. “Profiles of Emotion Dysregulation Among University Students Who Self-Injure: Associations With Parent–Child Relationships and Non-Suicidal Self-Injury Characteristics.” Journal of Youth and Adolescence 50, no. 4: 767–787.
- Hooley, J. M., and J. C. Franklin. 2018. “Why Do People Hurt Themselves? A New Conceptual Model of Nonsuicidal Self-Injury.” Clinical Psychological Science 6, no. 3: 428–451.
- Kuperminc, G. P., B. J. Leadbeater, and S. J. Blatt. 2001. “School Social Climate and Individual Differences in Vulnerability to Psychopathology Among Middle School Students.” Journal of School Psychology 39, no. 2: 141–159.
- Lehmann, A., J. A. Eccard, C. Scheffler, R. H. J. M. Kurvers, and M. Dammhahn. 2018. “Under Pressure: Human Adolescents Express a Pace-of-Life Syndrome.” Behavioral Ecology and Sociobiology 72, no. 3: 57.
- Liang, H., H. Jiang, C. Zhang, H. Zhou, B. Zhang, and A. Tuo. 2022. “How Does Parent-Adolescent Conflict and Deviant Peer Affiliation Affect Cyberbullying: Examining the Roles of Moral Disengagement and Gender.” Psychology Research and Behavior Management 15: 2259–2269.
- Van Lier, P. A. C., B. Wanner, and F. Vitaro. 2007. “Onset of Antisocial Behavior, Affiliation With Deviant Friends, and Childhood Maladjustment: A Test of the Childhood-And Adolescent-Onset Models.” Development and Psychopathology 19, no. 1: 167–185.
- Lim, K.-S., C. H. Wong, R. S. McIntyre, et al. 2019. “Global Lifetime and 12-Month Prevalence of Suicidal Behavior, Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents Between 1989 and 2018: A Meta-Analysis.” International Journal of Environmental Research and Public Health 16, no. 22: 4581.
- Liu, L., X. He, C. Li, L. Xu, and Y. Li. 2020. “Linking Parent–Child Relationship to Peer Relationship Based on the Parent-Peer Relationship Spillover Theory: Evidence From China.” Children and Youth Services Review 116: 105200.
- Liu, Y., Y. Xiao, H. Ran, et al. 2020. “Association Between Parenting and Non-Suicidal Self-Injury Among Adolescents in Yunnan, China: A Cross-Sectional Survey.” PeerJ 8: e10493.
- Low, Y. T. A. 2021. “Family Conflicts, Anxiety and Depressive Symptoms, and Suicidal Ideation of Chinese Adolescents in Hong Kong.” Applied Research in Quality of Life 16, no. 6: 2457–2473.
- Lu, H., Q. Chen, C. Xie, et al. 2020. “Interparental Conflict and Delinquency Among Chinese Adolescents: Parental Knowledge as a Mediator and Deviant Peer Affiliation as a Moderator.” Frontiers in Psychology 11: 1775.
- Mehlum, L., M. Ramberg, A. J. Tørmoen, et al. 2016. “Dialectical Behavior Therapy Compared With Enhanced Usual Care for Adolescents With Repeated Suicidal and Self-Harming Behavior: Outcomes Over a One-Year Follow-Up.” Journal of the American Academy of Child and Adolescent Psychiatry 55, no. 4: 295–300.
- Meszaros, G., L. O. Horvath, and J. Balazs. 2017. “Self-Injury and Externalizing Pathology: A Systematic Literature Review.” BMC Psychiatry 17, no. 1: 160.
- Moos, R. H., and B. S. Moos. 1976. “A Typology of Family Social Environments.” Family Process 15, no. 4: 357–371.
- Nagy, L. M., M. L. Shanahan, and R. A. Baer. 2021. “An Experimental Investigation of the Effects of Self-Criticism and Self-Compassion on Implicit Associations With Non-Suicidal Self-Injury.” Behaviour Research and Therapy 139: 103819.
- Nock, M. K. 2009. “Why Do People Hurt Themselves? New Insights Into the Nature and Functions of Self-Injury.” Current Directions in Psychological Science 18, no. 2: 78–83.
- Ose, S. O., T. Tveit, and L. Mehlum. 2021. “Non-Suicidal Self-Injury (Nssi) In Adult Psychiatric Outpatients–A Nationwide Study.” Journal of Psychiatric Research 133: 1–9.
- Prinstein, M. J., N. Heilbron, J. D. Guerry, et al. 2010. “Peer Influence and Nonsuicidal Self Injury: Longitudinal Results in Community and Clinically-Referred Adolescent Samples.” Journal of Abnormal Child Psychology 38, no. 5: 669–682.
- Racine, N., J. E. Cooke, R. Eirich, D. J. Korczak, B. McArthur, and S. Madigan. 2020. “Child and Adolescent Mental Illness During COVID-19: A Rapid Review.” Psychiatry Research 292: 113307.
- Rapee, R. M., E. L. Oar, C. J. Johnco, et al. 2019. “Adolescent Development and Risk for the Onset of Social-Emotional Disorders: A Review and Conceptual Model.” Behaviour Research and Therapy 123: 103501.
- Ronk, F. R., J. R. Korman, G. R. Hooke, and A. C. Page. 2013. “Assessing Clinical Significance of Treatment Outcomes Using the Dass-21.” Psychological Assessment 25, no. 4: 1103–1110.
- Rubin, K., W. Bukowski, and J. Bowker. 2015. Children in Peer Groups Handbook of Child Psychology and Developmental Science. John Wiley & Sons, Inc.
- Rudolph, K. D., J. E. Lansford, A. M. Agoston, et al. 2014. “Peer Victimization and Social Alienation: Predicting Deviant Peer Affiliation in Middle School.” Child Development 85, no. 1: 124–139.
- Sekowski, M., I. Lengiewicz, and D. Lester. 2022. “The Complex Relationships Between Dependency and Self-Criticism and Suicidal Behavior and Ideation in Early Adulthood.” Personality and Individual Differences 198: 111806.
- Shek, D. T. L. 1997. “Family Environment and Adolescent Psychological Well-Being, School Adjustment, and Problem Behavior: A Pioneer Study in a Chinese Context.” Journal of Genetic Psychology 158, no. 1: 113–128.
- Sijtsema, J. J., S. M. Lindenberg, and R. Veenstra. 2010. “Do They Get What They Want or Are They Stuck With What They Can Get? Testing Homophily Against Default Selection for Friendships of Highly Aggressive Boys. The Trails Study.” Journal of Abnormal Child Psychology 38, no. 6: 803–813.
- Sourander, A., M. Aromaa, L. Pihlakoski, et al. 2006. “Early Predictors of Deliberate Self-Harm Among Adolescents. A Prospective Follow-Up Study From Age 3 to Age 15.” Journal of Affective Disorders 93, no. 1–3: 87–96.
- Steinberg, L., and K. C. Monahan. 2007. “Age Differences in Resistance to Peer Influence.” Developmental Psychology 43, no. 6: 1531–1543.
- Syed, S., M. Kingsbury, K. Bennett, I. Manion, and I. Colman. 2020. “Adolescents' Knowledge of a Peer's Non-Suicidal Self-Injury and Own Non-Suicidal Self-Injury and Suicidality.” Acta Psychiatrica Scandinavica 142, no. 5: 366–373.
- Tang, J., Y. Yu, Y. Wu, et al. 2011. “Association Between Non-Suicidal Self-Injuries and Suicide Attempts in Chinese Adolescents and College Students: A Cross-Section Study.” PLoS One 6, no. 4: e17977.
- Tran, T. D., F. Kaligis, T. Wiguna, et al. 2019. “Screening for Depressive and Anxiety Disorders Among Adolescents in Indonesia: Formal Validation of the Centre for Epidemiologic Studies Depression Scale–Revised and the Kessler Psychological Distress Scale.” Journal of Affective Disorders 246: 189–194.
- Vandenkerckhove, B., K. Brenning, M. Vansteenkiste, P. Luyten, and B. Soenens. 2019. “The Explanatory Role of Basic Psychological Need Experiences in the Relation Between Dependency, Self-Criticism and Psychopathology in Adolescence.” Journal of Psychopathology and Behavioral Assessment 41, no. 4: 574–588.
- Victor, S. E., A. E. Hipwell, S. D. Stepp, and L. N. Scott. 2019. “Parent and Peer Relationships as Longitudinal Predictors of Adolescent Non-Suicidal Self-Injury Onset.” Child and Adolescent Psychiatry and Mental Health 13, no. 1: 1–13.
- Vitaro, F., M. Brendgen, A. Girard, G. Dionne, R. E. Tremblay, and M. Boivin. 2016. “Links Between Friends' Physical Aggression and Adolescents' Physical Aggression: What Happens If Gene-Environment Correlations Are Controlled?” International Journal of Behavioral Development 40, no. 3: 234–242.
- Wan, Y., W. Liu, J. Hao, and F. Tao. 2018. “Development and Evaluation on Reliability and Validity of Adolescent Non-Suicidal Self-Injury Assessment Questionnaire.” Chinese Journal of School Health 39: 170–173.
- Wang, J., D. Li, and W. Zhang. 2010. “Adolescence's Family Financial Difficulty and Social Adaptation: Coping Efficacy of Compensatory, Mediation, and Moderation Effects.” Journal of Beijing Normal University 54: 22–32.
- Wang, K., H.-S. Shi, F.-L. Geng, et al. 2016. “Cross-Cultural Validation of the Depression Anxiety Stress Scale–21 in China.” Psychological Assessment 28, no. 5: e88.
- Wei, C., J. Li, C. Yu, Y. Chen, S. Zhen, and W. Zhang. 2021. “Deviant Peer Affiliation and Non-Suicidal Self-Injury Among Chinese Adolescents: Depression as a Mediator and Sensation Seeking as a Moderator.” International Journal of Environmental Research and Public Health 18, no. 16: 8355.
- Whelton, W. J., and L. S. Greenberg. 2005. “Emotion in Self-Criticism.” Personality and Individual Differences 38, no. 7: 1583–1595.
- Xavier, A., J. Pinto-Gouveia, M. Cunha, and A. Dinis. 2017. Longitudinal pathways for the Maintenance of Non-Suicidal Self-Injury in Adolescence: The Pernicious Blend of Depressive Symptoms and Self-Criticism. Paper presented at the Child & Youth Care Forum.
- Xie, B., B. Fan, W. Wang, W. Li, C. Lu, and L. Guo. 2021. “Sex Differences in the Associations of Nonmedical Use of Prescription Drugs With Self-Injurious Thoughts and Behaviors Among Adolescents: A Large-Scale Study in China.” Journal of Affective Disorders 285: 29–36.
- Yan, J., X. Feng, and S. J. Schoppe-Sullivan. 2018. “Longitudinal Associations Between Parent-Child Relationships in Middle Childhood and Child-Perceived Loneliness.” Journal of Family Psychology 32, no. 6: 841–847.
- You, J., M.-P. Lin, and F. Leung. 2015. “A Longitudinal Moderated Mediation Model of Nonsuicidal Self-Injury Among Adolescents.” Journal of Abnormal Child Psychology 43, no. 2: 381–390.
- Zhang, H., N. N. Watson-Singleton, S. E. Pollard, et al. 2019. “Self-Criticism and Depressive Symptoms: Mediating Role of Self-Compassion.” OMEGA-Journal of Death and Dying 80, no. 2: 202–223.
- Zhu, J., W. Zhang, C. Yu, and Z. Bao. 2015. “Early Adolescent Internet Game Addiction in Context: How Parents, School, and Peers Impact Youth.” Computers in Human Behavior 50: 159–168.
- Zou, H., Z. Chen, L. Huo, et al. 2024. “The Effects of Different Types of Parent-Child Conflict on Non-Suicidal Self-Injury Among Adolescents: The Role of Self-Criticism and Sensation Seeking.” Current Psychology 43: 21019–21031.
- Zou, H., Y. Deng, H. Wang, C. Yu, and W. Zhang. 2022. “Perceptions of School Climate and Internet Gaming Addiction Among Chinese Adolescents: The Mediating Effect of Deviant Peer Affiliation.” International Journal of Environmental Research and Public Health 19, no. 6: 3604.
