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Updated: Mar 7, 2026
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Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression
Published on: May 19, 2015
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Interrelationships Between Self-Injury Addiction, Traumatic Experiences, and Rumination Among Adolescents With
Shijian Wang1,2, Lin Zhao1, Doudou Zheng1
1Shandong Mental Health Center, Shandong University, 250014 Jinan, Shandong, China.
Alpha Psychiatry
|March 6, 2026
Summary
Childhood emotional abuse and rumination are key factors in adolescent non-suicidal self-injury (NSSI) addiction. Targeting these issues, particularly rumination on abuse, can help reduce NSSI addiction in young people.
Area of Science:
- Psychology
- Neuroscience
- Public Health
Background:
- Non-suicidal self-injury (NSSI) is increasing in adolescents, exhibiting addictive patterns with severe consequences.
- Childhood trauma, particularly emotional abuse, is a significant risk factor for NSSI due to heightened emotional sensitivity.
- Rumination, or persistent negative thinking, may amplify distress and mediate the link between trauma and NSSI, aligning with the emotional cascade model.
Purpose of the Study:
- To investigate the complex interplay between childhood trauma, rumination, and NSSI addiction in adolescents.
- To identify core and bridge symptoms within the network of NSSI addiction using network analysis.
- To apply the Interaction of Person-Affect-Cognition-Execution (I-PACE) model to understand these relationships.
Main Methods:
- Utilized network analysis (undirected and Bayesian) on data from 1169 adolescents with NSSI.
- Employed validated instruments including the Ottawa Self-Injury Inventory and Childhood Trauma Questionnaire.
- Conducted mediation analysis guided by directed acyclic graph (DAG) structures.
Main Results:
- Network analysis identified symptom rumination and emotional abuse as central nodes in NSSI addiction.
- Mediation analysis confirmed that symptom rumination mediates the relationship between emotional abuse and NSSI addiction.
- The association between NSSI addiction and symptom rumination was stronger in adolescents with addiction compared to those without.
Conclusions:
- Emotional abuse and subsequent rumination are critical targets for intervention in adolescent NSSI addiction.
- Interventions focused on reducing rumination related to emotional abuse experiences may prevent and mitigate NSSI addiction.
- Findings highlight the importance of addressing psychological sequelae of childhood trauma in adolescent mental health efforts.
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