International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

Examining the Relationship between Guilt and Self-Blame with the Mediating Role of Loneliness in Creating Self-Harming Behaviors in Adolescents

Document Type : Original Article

Authors
1 Department of Psychology, Islamic Azad University, Amol Branch, Amol, Iran
2 Department of Psychology, Quran and Atrat University, Isfahan, Iran
3 Department of Psychology, Nonprofit Danesh Alborz University, Qazvin, Iran
4 Department of Psychology, Islamic Azad University, Yasuj Branch, Yasuj, Iran
Abstract
Introduction: Self-injurious behaviors in adolescents are common among different cultures, and adolescents are more prone to self-harm than other age groups. This study was conducted to investigate the relationship between guilt and self-blame and the mediating role of loneliness in creating self-harming behaviors in adolescents.
Method: This research employed a descriptive-correlational approach, utilizing a cross-sectional research method and Structural Equation Modeling (SEM). The statistical population of the research comprised all adolescent boys and girls living in Isfahan from July to October 2023. The sample size included 304 individuals. Clinics were selected using available sampling method and people were selected using simple random sampling method. The utilized tools for data collection included the Guilt Questionnaire, List of Behavioral problems BPI-01, Russell Loneliness Questionnaire (UCLA), and Self-Criticism Scale (FSCRS) scale. The research utilized SPSS version 27 for conducting descriptive statistics and SmartPLS version 3 for path analysis. Sobel's test was used to assess the significance of the mediator variable, with the significance level set at 0.05.
Results: The results of the study demonstrated that guilt affected self-harming behaviors directly and significantly (β=0.34, P<0.01). Self-blame had no significant effect on self-injurious behaviors (β=0.05, P=0.098); moreover, guilt positively and significantly affected loneliness (β=0.68, P<0.01). In addition, self-blame positively affected loneliness (β=0.24, P<0.01). Finally, the loneliness variable also had a positive, significant effect on the variable of self-harming behaviors (β=0.57, P<0.01). The results of the present research revealed that guilt and self-blame with the mediating role of loneliness had a significant effect on creating self-harming behaviors in adolescents.
Conclusion: The findings of the current research emphasize the importance of guilt and loneliness with the occurrence of self-harm behaviors and show that adolescents who have a high sense of guilt and blame increase the probability of self-harm behaviors when they are alone. The awareness of psychologists, counselors and specialists about this issue can be helpful to deal with and prevent self-harming behaviors in teenagers.
Keywords

  1. Sobhani, S., H. Falahzade, and H. Pourshahriar, Predicting the Tendency to Self-Harming Behaviors in Teenage Girls 13 to 15 Years Old based on Psychological Capital and Family Performance. Journal of Family Research, 2023. 18(4): 755-775. https://dx.doi.org/10.52547/JFR.18.4.755
  2. Predescu, E. and R. Sipos, Self-harm behaviors, suicide attempts, and suicidal ideation in a clinical sample of children and adolescents with psychiatric disorders. Children, 2023. 10(4): 725. https://doi.org/10.3390/children10040725
  3. Kiekens, G., et al., Non-suicidal self-injury among first-year college students and its association with mental disorders: results from the World Mental Health International College Student (WMH-ICS) initiative. Psychological medicine, 2023. 53(3): 875-886. doi:10.1017/S0033291721002245
  4. Poudel, A., et al., Non suicidal self injury and suicidal behavior among adolescents: co-occurrence and associated risk factors. BMC psychiatry, 2022. 22(1): 96. https://doi.org/10.1186/s12888-022-03763-z
  5. Liu, R.T., The epidemiology of non-suicidal self-injury: lifetime prevalence, sociodemographic and clinical correlates, and treatment use in a nationally representative sample of adults in England. Psychological medicine, 2023. 53(1): 274-282. 10.1017/S003329172100146X
  6. Abdou, E.A., et al., Methods and functions of non-suicidal self-injury in an adolescent and young adult clinical sample. Middle East Current Psychiatry, 2024. 31(1): 10. https://doi.org/10.1186/s43045-024-00398-6
  7. Navya, N., V. Sharma, and M. Ola, The relationship between self harm, shame and guilt: A review. Indian Journal of Mental Health, 2020. 7(1).
  8. Parsa, B., et al., The effectiveness of emotion regulation therapy on improvement of shame and guilt emotion and co-rumination in adolescents with self-harm. Rooyesh-e-Ravanshenasi Journal (RRJ), 2023. 12(5): 149-160. https://frooyesh.ir/article-1-4575-en.html
  9. León-Moreno, C., et al., Is it my fault? The role of the feeling of guilt in adolescent peer victimization. Frontiers in psychology, 2023. 13: 1089689. https://doi.org/10.3389/fpsyg.2022.1089689
  10. Lindgren, B.-M., et al., A necessary pain: A literature review of young people’s experiences of self-harm. Issues in mental health nursing, 2022. 43(2): 154-163. https://doi.org/10.1080/01612840.2021.1948640
  11. Kealy, D., M.S. Treeby, and S.M. Rice, Shame, guilt, and suicidal thoughts: The interaction matters. British Journal of Clinical Psychology, 2021. 60(3): 414-423. https://doi.org/10.1111/bjc.12291
  12. Sajadi, S., et al., The effectiveness of mindfulness-based education on self-blame and working memory in adolescents. Cognitive Psychology Quarterly, 2023. 10(4): 0-0. https://jcp.khu.ac.ir/article-1-3538-fa.html
  13. Keshavarz Z, B.N., Aghaee Khajelangi H, Effectiveness of Compassion Focused Therapy on Negative Affect and Self-Blame in Female Students with Failing in Love. . Journal of Research in Behavioural Sciences, 2021 Aug 10. 19(2): 293-303. 10.52547/rbs.19.2.293
  14. Kruzan, K.P., J.J. Muehlenkamp, and L. Claes, Identity, self-blame, and body regard in NSSI: A test of moderated-mediation. Comprehensive psychiatry, 2022. 116: 152322. https://doi.org/10.1016/j.comppsych.2022.152322
  15. Callebaut, L., P. Molyneux, and T. Alexander, The relationship between self‐blame for the onset of a chronic physical health condition and emotional distress: A systematic literature review. Clinical psychology & psychotherapy, 2017. 24(4): 965-986. https://doi.org/10.1002/cpp.2061
  16. Jefferson, R., et al., Adolescent loneliness across the world and its relation to school climate, national culture and academic performance. British Journal of Educational Psychology, 2023. 93(4): 997-1016. https://doi.org/10.1111/bjep.12616
  17. Geulayov, G., et al., Loneliness and self-harm in adolescents during the first national COVID-19 lockdown: results from a survey of 10,000 secondary school pupils in England. Current psychology, 2024. 43(15): 14063-14074. https://doi.org/10.1007/s12144-022-03651-5
  18. Shaw, R.J., et al., Living alone, loneliness and lack of emotional support as predictors of suicide and self-harm: A nine-year follow up of the UK Biobank cohort. Journal of Affective Disorders, 2021. 279: 316-323. https://doi.org/10.1016/j.jad.2020.10.026
  19. John, A., et al., Loneliness, coping, suicidal thoughts and self-harm during the COVID-19 pandemic: a repeat cross-sectional UK population survey. BMJ open, 2021. 11(12): e048123. 10.1136/bmjopen-2020-048123
  20. Cohen, J., Statistical power analysis for the behavioral sciences. 2013: Routledge.
  21. Russell, D.W., UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of personality assessment, 1996. 66(1): 20-40. https://doi.org/10.1207/s15327752jpa6601_2
  22. Hojat, M., Psychometric characteristics of the UCLA Loneliness Scale: A study with Iranian college students. Educational and Psychological Measurement, 1982. 42(3): 917-925. https://doi.org/10.1177/001316448204200328
  23. Kugler, K. and W.H. Jones, On conceptualizing and assessing guilt. Journal of personality and Social Psychology, 1992. 62(2): p. 318. https://psycnet.apa.org/doi/10.1037/0022-3514.62.2.318
  24. Amirbagloie Daryani, M. and M.K. Marashi, Feeling guilty and anxiety in the elderly: the role of Existential Concerns. Aging Psychology, 2021. 7(1): 41-29. https://jap.razi.ac.ir/article_1728.html
  25. Baraldi, G.d.S., et al., Translation, adaptation, and preliminary validation of the Brazilian version of the Behavior Problems Inventory (BPI-01). Trends in psychiatry and psychotherapy, 2013. 35: p. 198-211. https://doi.org/10.1590/S2237-60892013000300007
  26. Kookalani, Z., M. Bahari, and A. Sanatkaran, The Effect of Eight Weeks of Aerobic Exercise on Self-Harm Symptoms in Adolescent Girls in Karaj. Journal of Applied Psychological Research, 2020. 11(2): 241-253. https://japr.ut.ac.ir/article_77289_9170.html
  27. Gilbert, P., R. Durrant, and K. McEwan, Investigating relationships between perfectionism, forms and functions of self-criticism, and sensitivity to put-down. Personality and Individual Differences, 2006. 41(7): 1299-1308. https://doi.org/10.1016/j.paid.2006.05.004
  28. Ghahremani Ochghaz, M., et al., Investigating the Psychometric Properties of Self-criticism and Self-reassurance Scale in Iranian Students. Practice in Clinical Psychology, 2020. 8(1): 65-72. URL: http://jpcp.uswr.ac.ir/article-1-689-en.html
  29. Mehrabian, T., M. Payvastegar, and J. Sadeghifar, Prediction of suicidal thoughts based on cognitive emotion regulation strategies, perceived social support, self-efficacy, perfectionism, and spiritual health in students at Ilam universities. Journal of Ilam University of Medical Sciences, 2023. 31(3): 20-35. http://sjimu.medilam.ac.ir/article-1-7702-fa.html
  30. Kashanaki, H. and M. Keshmiri, The Role of shame and guilt in mental health: Review Study. Rooyesh-e-Ravanshenasi Journal (RRJ), 2019. 8(5): 205-216.
  31. Amirbagloie Daryani M, M.M., Feeling guilty and anxiety in the elderly: the role of Existential Concerns. Aging Psychology, 2021 Apr 21. 7(1): 29-41. 10.22126/jap.2021.5827.1480

32.        Rostami, S. and B. Jowkar, The relationship between guilt and shame feelings with the dimensions of loneliness: The moderating effect of gender. International Journal of Behavioral Sciences, 2016. 10(1): 24-28. https://www.behavsci.ir/article_67937.html