TY - JOUR PY - 2019// TI - Self-criticism as a transdiagnostic process in nonsuicidal self-injury and disordered eating: systematic review and meta-analysis JO - Suicide and life-threatening behavior A1 - Zelkowitz, Rachel L. A1 - Cole, David A. SP - 310 EP - 327 VL - 49 IS - 1 N2 - Nonsuicidal self-injury (NSSI) and disordered eating (DE) are highly comorbid and may be regarded as belonging to a spectrum of self-harm behaviors. We investigated self-criticism as a transdiagnostic correlate of these behaviors, in keeping with etiological theories of both NSSI and DE. We reviewed the literature and meta-analyzed the relation of self-criticism to both NSSI (15 studies; 17 effect sizes) and DE (24 studies; 29 effect sizes).

RESULTS showed equivalent, moderate-to-large effects for the relation of self-criticism to NSSI (r = .38; CI:.29-.46) and DE (r = .40; CI:.34-.45). The relation of NSSI to self-criticism generalized across multiple potential moderators. DE behavior type moderated the relation of self-criticism to DE, with a stronger relation emerging for purging than restriction.

FINDINGS support self-criticism as a possible candidate for transdiagnostic pathways to self-harm.

© 2018 The American Association of Suicidology.

Language: en

LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12436 ID - ref1 ER -