Relationship Between Perfectionism and Non-Suicidal Self-Injury: The Moderated Mediation Effect of Internalized Shame and Distress Tolerance

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This preprint studied how perfectionism relates to non-suicidal self-injury (NSSI) through internalized shame, and whether distress tolerance moderates these associations. Using survey data from 216 university students in the prior-year period who reported NSSI in 2022, the authors tested mediation by internalized shame and moderation by distress tolerance. They found that internalized shame mediated the relationship between functional-dysfunctional perfectionism and NSSI, and that distress tolerance moderated the internalized shame–to–NSSI link and the overall mediated effect. The paper is limited by its cross-sectional, self-report university sample and by being a preprint that has not been peer reviewed, with preliminary data not fully validated. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Objectives: This study investigated the role of internalized shame as a mediator in the relationship between perfectionism and non-suicidal self-injury (NSSI), and examined whether this mediated relationship is moderated by distress tolerance. Methods: : A sample of 408 university students completed measures assessing NSSI, perfectionism, internalized shame, and distress tolerance. Data from 216 participants (mean age = 22.18 years, 69.4% female) who reported experiencing NSSI in the past year (i.e., in 2022) were analyzed. Results: : The results indicated that internalized shame mediated the relationship between functional-dysfunctional perfectionism and NSSI. Furthermore, distress tolerance moderated the relationship between internalized shame and NSSI. Finally, the mediating effect of internalized shame in the relationship between functional-dysfunctional perfectionism and NSSI was also moderated by distress tolerance. Conclusions: : These findings suggest that perfectionism contributes to NSSI through internalized shame, with distress tolerance acting as a protective factor. This study highlights the importance of addressing both internalized shame and pain tolerance in interventions targeting individuals at risk of NSSI owing to high levels of perfectionism. Keywords: NSSI (non-suicidal self-injury), perfectionism, internalized shame, distress tolerance
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Relationship Between Perfectionism and Non-Suicidal Self-Injury: The Moderated Mediation Effect of Internalized Shame and Distress Tolerance | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 24 January 2025 V1 Latest version Share on Relationship Between Perfectionism and Non-Suicidal Self-Injury: The Moderated Mediation Effect of Internalized Shame and Distress Tolerance Authors : On You SEONG 0009-0009-6163-6305 [email protected] and Su Gyun SEO Authors Info & Affiliations https://doi.org/10.22541/au.173771120.04025587/v1 260 views 98 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objectives: This study investigated the role of internalized shame as a mediator in the relationship between perfectionism and non-suicidal self-injury (NSSI), and examined whether this mediated relationship is moderated by distress tolerance. Methods: A sample of 408 university students completed measures assessing NSSI, perfectionism, internalized shame, and distress tolerance. Data from 216 participants (mean age = 22.18 years, 69.4% female) who reported experiencing NSSI in the past year (i.e., in 2022) were analyzed. Results: The results indicated that internalized shame mediated the relationship between functional-dysfunctional perfectionism and NSSI. Furthermore, distress tolerance moderated the relationship between internalized shame and NSSI. Finally, the mediating effect of internalized shame in the relationship between functional-dysfunctional perfectionism and NSSI was also moderated by distress tolerance. Conclusions: These findings suggest that perfectionism contributes to NSSI through internalized shame, with distress tolerance acting as a protective factor. This study highlights the importance of addressing both internalized shame and pain tolerance in interventions targeting individuals at risk of NSSI owing to high levels of perfectionism. Keywords: NSSI (non-suicidal self-injury), perfectionism, internalized shame, distress tolerance Supplementary Material File (reserach article.docx) Download 221.93 KB Information & Authors Information Version history V1 Version 1 24 January 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords non-suicidal self injury perfectionism Authors Affiliations On You SEONG 0009-0009-6163-6305 [email protected] Pusan National University Department of Psychology View all articles by this author Su Gyun SEO Pusan National University Department of Psychology View all articles by this author Metrics & Citations Metrics Article Usage 260 views 98 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation On You SEONG, Su Gyun SEO. Relationship Between Perfectionism and Non-Suicidal Self-Injury: The Moderated Mediation Effect of Internalized Shame and Distress Tolerance. Authorea . 24 January 2025. DOI: https://doi.org/10.22541/au.173771120.04025587/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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