Transdiagnostic mechanisms involved in nonsuicidal self-injury, risky drinking and disordered eating: Impulsivity, emotion regulation and alexithymia

J Am Coll Health. 2020 Aug-Sep;68(6):603-609. doi: 10.1080/07448481.2019.1583661. Epub 2019 Apr 2.

Abstract

Objective: The aim of the present study was to explore common and differential relationships between nonsuicidal self-injury (NSSI), risky drinking, and disordered eating attitudes and impulsivity, emotion dysregulation, and alexithymia. Methods: We investigated these associations in a sample of 951 college students (79.4% female, Mage = 21.86 years) by means of self-report questionnaires assessing the constructs of interest. Results: Overall, 28% of the students reported a history of NSSI, one third engaged in risky drinking, and less than 5% reported disordered eating symptoms. Negative urgency and difficulties in emotion regulation were both related to each of the three behaviors and can be considered as common transdiagnostic mechanisms. Conclusions: We discuss the implications of transdiagnostic mechanisms involved in these three dysregulated behaviors with respect to their assessment and treatment in college counseling settings.

Keywords: NSSI; alexithymia; disordered eating; emotion regulation; impulsivity; risky drinking.

MeSH terms

  • Adolescent
  • Affective Symptoms / psychology*
  • Alcohol Drinking in College / psychology*
  • Emotional Regulation
  • Emotions
  • Feeding and Eating Disorders / psychology*
  • Female
  • Humans
  • Impulsive Behavior / physiology
  • Male
  • Self Report
  • Self-Injurious Behavior / psychology*
  • Students / psychology
  • Surveys and Questionnaires
  • Universities
  • Young Adult