nach oben

11.09.2024 | Original Article

Associations Between Self-Criticism, Basic Psychological Needs Frustration, and Self-Damaging Behaviors: An Application of Self-Determination Theory

verfasst von: Christina L. Robillard, Andrew C. Switzer, Nicole K. Legg, Emily L. Spargo, Brianna J. Turner

Erschienen in: Cognitive Therapy and Research

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Self-determination theory suggests that the associations between self-criticism and self-damaging behaviors (SDBs; e.g., nonsuicidal self-injury [NSSI], disordered eating [i.e., binge eating, purging, restrictive eating], and alcohol or drug misuse) are mediated by basic psychological needs frustration (i.e., autonomy, competence, and relatedness frustration). However, limited research has tested this hypothesis, precluding our understanding of why or how self-criticism is associated with SDBs.

Methods

We addressed this research gap among 1018 adults with a recent history of SDBs (54.6% male, 83.6% White, M_age = 35.41). Participants were recruited on Amazon’s Mechanical Turk (MTurk) and completed an online survey assessing self-criticism, basic psychological needs frustration, and engagement in SDBs. Structural equation modeling investigated the direct and indirect effects between these variables.

Results

Self-criticism was positively associated with NSSI, purging, alcohol misuse, and drug misuse. Autonomy frustration indirectly linked self-criticism to NSSI. Competence frustration indirectly linked self-criticism to NSSI, binge eating, restrictive eating, and drug misuse. Relatedness frustration indirectly linked self-criticism to alcohol misuse, drug misuse, binge eating, and restrictive eating, but the direction of these associations differed across SDBs. Specifically, self-criticism was associated with higher relatedness frustration, which in turn was associated with more severe substance misuse and less frequent disordered eating.

Conclusions

Overall, results support the applicability of self-determination theory to understanding how self-criticism is associated with a variety of distinct SDBs.

Allison, P. (1999). Multiple regression: A primer. Pine Forge Press.

Bagby, R. M., Parker, J. D., Joffe, R. T., & Buis, T. (1994). Reconstruction and validation of the depressive experiences questionnaire. Assessment, 1(1), 59–68.CrossRefPubMed

Berman, A. H., Bergman, H., Palmstierna, T., & Schlyter, F. (2002). Drug use disorders identification test (DUDIT) [Database record]. APA PsycTests. https://doi.org/10.1037/t02890-000CrossRef

Blatt, S. J., D’Afflitti, J. P., & Quinlan, D. M. (1976). Depressive experiences questionnaire. Yale University Press. https://doi.org/10.1037/t02165-000

Boone, L., Vansteenkiste, M., Soenens, B., der Kaap-Deeder, V., & Verstuyf, J. (2014). Self-critical perfectionism and binge eating symptoms: A longitudinal test of the intervening role of psychological need frustration. Journal of Counseling Psychology, 61(3), 363–373. https://doi.org/10.1037/a0036418CrossRefPubMed

Bresin, K. (2020). Toward a unifying theory of dysregulated behaviors. Clinical Psychology Review, 80, 101885. https://doi.org/10.1016/j.cpr.2020.101885CrossRefPubMed

Bresin, K., & Schoenleber, M. (2015). Gender differences in the prevalence of nonsuicidal self-injury: A meta-analysis. Clinical Psychology Review, 38, 55–64. https://doi.org/10.1016/j.cpr.2015.02.009CrossRefPubMed

Brown, R. L., & Rounds, L. A. (1995). Conjoint screening questionnaires for alcohol and other drug abuse: Criterion validity in a primary care practice. Wisconsin Medical Journal, 94(3), 135–140.PubMed

Burt, T. D., Yadon, C. A., Young-Jones, A. D., Carr, M. T., & Johnston, K. H. (2016). Satisfaction does not equal success: College alcohol use and basic psychological needs. College Student Affairs Journal, 34(1), 3–16.CrossRef

Campbell, R., Boone, L., Vansteenkiste, M., & Soenens, B. (2018). Psychological need frustration as a transdiagnostic process in associations of self-critical perfectionism with depressive symptoms and eating pathology. Journal of Clinical Psychology, 74(10), 1775–1790. https://doi.org/10.1002/jclp.22628CrossRefPubMed

Chen, B., Vansteenkiste, M., Beyers, W., Boone, L., Deci, E. L., Van der Kaap-Deeder, J., Duriez, B., Lens, W., Matos, L., Mouratidis, A., Ryan, R. M., Sheldon, K. M., Soenens, B., Van Petegem, S., & Verstuyf, J. (2015a). Basic psychological need satisfaction and frustration scale (BPNSFS) [Database record]. APA PsycTests. https://doi.org/10.1037/t73076-000CrossRef

Chen, B., Vansteenkiste, M., Beyers, W., Boone, L., Deci, E. L., Van der Kaap-Deeder, J., Duriez, B., Lens, W., Matos, L., Mouratidis, A., Ryan, R. M., Sheldon, K. M., Soenens, B., Van Petegem, S., & Verstuyf, J. (2015b). Basic psychological need satisfaction, need frustration, and need strength across four cultures. Motivation and Emotion, 39(2), 216–236. https://doi.org/10.1007/s11031-014-9450-1CrossRef

Deci, E. L., & Ryan, R. M. (2008). Self-determination theory: A macrotheory of human motivation, development, and health. Canadian Psychology/Psychologie Canadienne, 49(3), 182–185. https://doi.org/10.1037/a0012801

Elgin, J., & Pritchard, M. (2006). Gender differences in disordered eating and its correlates. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 11, e96–e101. https://doi.org/10.1007/BF03327565CrossRef

Emery, A. A., Heath, N. L., & Mills, D. J. (2017). The role of basic need satisfaction in the onset, maintenance, and cessation of non-suicidal self-injury: An application of self-determination theory. Archives of Suicide Research, 21(3), 413–424. https://doi.org/10.1080/13811118.2016.1211043CrossRefPubMed

Ewing, J. A. (1984). Detecting alcoholism: The CAGE questionnaire. JAMA, 252(14), 1905–1907. https://doi.org/10.1001/jama.1984.03350140051025CrossRefPubMed

Fairburn, C., & Beglin, S. (2008). Eating disorder examination questionnaire. In C. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 309–313). Guilford Press.

Froreich, F. V., Vartanian, L. R., Zawadzki, M. J., Grisham, J. R., & Touyz, S. W. (2017). Psychological need satisfaction, control, and disordered eating. British Journal of Clinical Psychology, 56(1), 53–68. https://doi.org/10.1111/bjc.12120CrossRefPubMed

Habke, A. M., & Flynn, C. A. (2002). Interpersonal aspects of trait perfectionism. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 151–180). American Psychological Association. https://doi.org/10.1037/10458-006

Hasking, P., Boyes, M., & Greves, S. (2018). Self-efficacy and emotionally dysregulated behaviour: An exploratory test of the role of emotion regulatory and behaviour-specific beliefs. Psychiatry Research, 270, 335–340. https://doi.org/10.1016/j.psychres.2018.09.045CrossRefPubMed

Hasking, P., & Claes, L. (2020). Transdiagnostic mechanisms involved in nonsuicidal self-injury, risky drinking and disordered eating: Impulsivity, emotion regulation and alexithymia. Journal of American College Health, 68(6), 603–609. https://doi.org/10.1080/07448481.2019.1583661CrossRefPubMed

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118CrossRef

Kasser, T., & Ryan, R. M. (1996). Further examining the American dream: Differential correlates of intrinsic and extrinsic goals. Personality and Social Psychology Bulletin, 22(3), 280–287. https://doi.org/10.1177/0146167296223006CrossRef

Lee, R., Hoppenbrouwers, S., & Franken, I. (2019). A systematic meta-review of impulsivity and compulsivity in addictive behaviors. Neuropsychology Review, 29(1), 14–26. https://doi.org/10.1007/s11065-019-09402-xCrossRefPubMed

Mason, W., & Suri, S. (2012). Conducting behavioral research on Amazon’s Mechanical Turk. Behavior Research Methods, 44(1), 1–23. https://doi.org/10.3758/s13428-011-0124-6CrossRefPubMed

McHugh, R. K., Votaw, V. R., Sugarman, D. E., & Greenfield, S. F. (2018). Sex and gender differences in substance use disorders. Clinical Psychology Review, 66, 12–23. https://doi.org/10.1016/j.cpr.2017.10.012CrossRefPubMed

McHugh, C. M., Chun Lee, R. S., Hermens, D. F., Corderoy, A., Large, M., & Hickie, I. B. (2019). Impulsivity in the self-harm and suicidal behavior of young people: A systematic review and meta-analysis. Journal of Psychiatric Research, 116, 51–60. https://doi.org/10.1016/j.jpsychires.2019.05.012CrossRefPubMed

Moller, C. I., Tait, R. J., & Byrne, D. G. (2013). Deliberate self-harm, substance use, and negative affect in nonclinical samples: A systematic review. Substance Abuse, 34, 188–207. https://doi.org/10.1080/08897077.2012.693462CrossRefPubMed

Muehlenkamp, J. J., Suzuki, T., Brausch, A. M., & Peyerl, N. (2019). Behavioral functions underlying NSSI and eating disorder behaviors. Journal of Clinical Psychology, 75(7), 1219–1232. https://doi.org/10.1002/jclp.22745CrossRefPubMed

Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-injurious thoughts and behaviors interview: Development, reliability, and validity in an adolescent sample. Psychological Assessment, 19(3), 309–317. https://doi.org/10.1037/1040-3590.19.3.309CrossRefPubMed

Nøkleby, H. (2012). Comorbid drug use disorders and eating disorders—a review of prevalence studies. Nordic Studies on Alcohol and Drugs, 29(3), 215–314. https://doi.org/10.2478/v10199-012-0024-9CrossRef

Powers, T. A., Koestner, R., & Zuroff, D. C. (2007). Self-criticism, goal motivation, goal progress. Journal of Social and Clinical Psychology, 26, 814–828. https://doi.org/10.1521/jscp.2007.26.7.826CrossRef

Reinert, D. F., & Allen, J. P. (2007). The alcohol use disorders identification test: An update of research findings. Alcoholism: Clinical and Experimental Research, 31(2), 185–199. https://doi.org/10.1111/j.1530-0277.2006.00295.x

Robillard, C. L., Legg, N. K., Ames, M. E., & Turner, B. J. (2022). Support for a transdiagnostic motivational model of self-damaging behaviors: Comparing the salience of motives for binge drinking, disordered eating, and nonsuicidal self-injury. Behavior Therapy, 53(6), 1219–1232. https://doi.org/10.1016/j.beth.2022.06.005CrossRefPubMed

Rogier, G., Muzi, S., Morganti, W., & Pace, C. S. (2023). Self-criticism and attachment: A systematic review and meta-analysis. Personality and Individual Differences, 214, 112359. https://doi.org/10.1016/j.paid.2023.112359CrossRef

Saraff, P. D., & Pepper, C. M. (2014). Functions, lifetime frequency, and variety of methods of non-suicidal self-injury among college students. Psychiatry Research, 219(2), 298–304. https://doi.org/10.1016/j.psychres.2014.05.044CrossRefPubMed

Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption - II. Addiction, 88(6), 791–804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.xCrossRefPubMed

Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23–74.

Schmidt, U., & Treasure, J. (2006). Anorexia nervosa: Valued and visible. A cognitive-interpersonal maintenance model and its implications for research and practice. British Journal of Clinical Psychology, 45(3), 343–366. https://doi.org/10.1348/014466505x53902

Shalchi, B., & Khooy, M. P. (2019). Satisfaction of basic psychological needs in patients with substance use disorder and normal persons: A research based on self-determination theory. Hormozgan Medical Journal, 23(2), e86440–e86440. https://doi.org/10.5812/hmj.86440CrossRef

Skinner, K. D., & Veilleux, J. C. (2016). The interactive effects of drinking motives, age, and self-criticism in predicting hazardous drinking. Substance Use & Misuse, 51(10), 1342–1352. https://doi.org/10.3109/10826084.2016.1168448CrossRef

Steinberg, L., & Morris, A. S. (2001). Adolescent development. Journal of Cognitive Education and Psychology, 2(1), 55–87. https://doi.org/10.1891/194589501787383444CrossRef

Tchanturia, K., Harrison, A., Davies, H., Roberts, M., Oldershaw, A., Nakazato, M., Stahl, D., Morris, R., Schmidt, U., & Treasure, J. (2011). Cognitive flexibility and clinical severity in eating disorders. PLoS ONE, 6(6), e20462–e20462. https://doi.org/10.1371/journal.pone.0020462CrossRefPubMedPubMedCentral

Thompson, J. K., & Stice, E. (2001). Internalization of the thin-ideal: A potent risk factor for body image and eating disturbances. Current Directions in Psychological Science, 10, 181–183. https://doi.org/10.1111/1467-8721.00144CrossRef

Turner, B. J., Yiu, A., Layden, B. K., Claes, L., Zaitsoff, S., & Chapman, A. L. (2015). Temporal associations between disordered eating and nonsuicidal self-injury: Examining symptom overlap over 1 year. Behavior Therapy, 46(1), 125–138. https://doi.org/10.1016/j.beth.2014.09.002CrossRefPubMed

Twenge, J. M., Campbell, S. M., Hoffman, B. J., & Lance, C. E. (2010). Generational differences in work values: Leisure and extrinsic values increasing, social and intrinsic values decreasing. Journal of Management, 36(5), 1117–1142. https://doi.org/10.1177/0149206309352246CrossRef

Vandenkerckhove, B., Brenning, K., Vansteenkiste, M., Luyten, P., & Soenens, B. (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(4), 574–588. https://doi.org/10.1007/s10862-019-09719-0CrossRef

Vandenkerckhove, B., Vansteenkiste, M., Brenning, K., Boncquet, M., Flamant, N., Luyten, P., & Soenens, B. (2020). A longitudinal examination of the interplay between personality vulnerability and need-based experiences in adolescents’ depressive symptoms. Journal of Personality, 88(6), 1145–1161. https://doi.org/10.1111/jopy.12562CrossRefPubMed

Vansteenkiste, M., & Ryan, R. M. (2013). On psychological growth and vulnerability: Basic psychological need satisfaction and need frustration as a unifying principle. Journal of Psychotherapy Integration, 23(3), 263–280. https://doi.org/10.1037/a0032359CrossRef

Vansteenkiste, M., Lens, W., & Deci, E. L. (2006). Intrinsic versus extrinsic goal contents in self-determination theory: Another look at the quality of academic motivation. Educational Psychologist, 41(1), 19–31. https://doi.org/10.1207/s15326985ep4101_4CrossRef

Vansteenkiste, M., Ryan, R. M., & Soenens, B. (2020). Basic psychological need theory: Advancements, critical themes, and future directions. Motivation and Emotion, 44(1), 1–31. https://doi.org/10.1007/s11031-019-09818-1CrossRef

Verstuyf, J., Vansteenkiste, M., Soenens, B., Boone, L., & Mouratidis, A. (2013). Daily ups and downs in women’s binge eating symptoms: The role of basic psychological needs, general self-control, and emotional eating. Journal of Social and Clinical Psychology, 32(3), 335–361. https://doi.org/10.1521/jscp.2013.32.3.335CrossRef

Wang, S. B., Fox, K. R., Boccagno, C., Hooley, J. M., Mair, P., Nock, M. K., & Haynos, A. F. (2021). Functional assessment of restrictive eating: A three-study clinically heterogeneous and transdiagnostic investigation. Journal of Abnormal Psychology, 130(7), 761–774. https://doi.org/10.1037/abn0000700CrossRefPubMedPubMedCentral

Waxman, S. E. (2009). A systematic review of impulsivity in eating disorders. European Eating Disorders Review, 17(6), 408–425. https://doi.org/10.1002/erv.952CrossRefPubMed

Wedig, M. M., & Nock, M. K. (2010). The functional assessment of maladaptive behaviors: A preliminary evaluation of binge eating and purging among women. Psychiatry Research, 178(3), 518–524. https://doi.org/10.1016/j.psychres.2009.05.010CrossRefPubMed

Zelkowitz, R. L., & Cole, D. A. (2019). Self-criticism as a transdiagnostic process in nonsuicidal self-injury and disordered eating: Systematic review and meta-analysis. Suicide and Life-Threatening Behavior, 49(1), 310–327. https://doi.org/10.1111/sltb.12436CrossRefPubMed

Zuroff, D. C., Sadikaj, G., Kelly, A. C., & Leybman, M. J. (2016). Conceptualizing and measuring self-criticism as both a personality trait and a personality state. Journal of Personality Assessment, 98(1), 14–21. https://doi.org/10.1080/00223891.2015.1044604CrossRefPubMed

Titel: Associations Between Self-Criticism, Basic Psychological Needs Frustration, and Self-Damaging Behaviors: An Application of Self-Determination Theory
verfasst von: Christina L. Robillard
Andrew C. Switzer
Nicole K. Legg
Emily L. Spargo
Brianna J. Turner
Publikationsdatum: 11.09.2024
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-024-10533-6

Neu im Fachgebiet Psychiatrie

Depressive Senioren fahren besonders riskant

14.01.2025
Altersdepression
Nachrichten

Beim Autofahren machen ältere Depressive häufiger eine Vollbremsung, gehen öfter zu schnell in Kurven und halten sich seltener an Tempolimits als Senioren ohne Depression. Offenbar scheint eine Depression eine riskante Fahrweise im Alter zu verstärken.

Verhaltenstherapie plus Stimulanz reduziert Binge Eating

14.01.2025
Binge-Eating-Störung
Nachrichten

Die Kombination von kognitiver Verhaltenstherapie plus Lisdexamfetamin bringt Personen mit Binge-Eating-Störung deutlich häufiger in Remission als die jeweiligen Einzeltherapien. Zudem nimmt das Gewicht der Betroffenen spürbar ab.

Die elektronische Patientenakte kommt: Das sollten Sie jetzt wissen

12.01.2025
Elektronische Patientenakte
Nachrichten

Am 15. Januar geht die „ePA für alle“ zunächst in den Modellregionen an den Start. Doch schon bald soll sie in allen Praxen zum Einsatz kommen. Was ist jetzt zu tun? Was müssen Sie wissen? Wir geben in einem FAQ Antworten auf 21 Fragen.

Medikamente verändern wohl Nährstoffzusammensetzung der Muttermilch

Medikamente in Schwangerschaft und Stillzeit
Nachrichten

Einige Medikamente wie selektive Serotonin-Wiederaufnahmehemmer können offenbar die Makronährstoffzusammensetzung der Muttermilch verändern. Das birgt möglicherweise gesundheitliche Risiken für manche gestillte Kinder.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen