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March 7, 2026BMC PsychiatryOpen Access

Alexithymia and non-suicidal self-ınjury in adolescents: the roles of emotion dysregulation, impulsivity, and self-esteem

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Authors

AMAyşe Selma Yenen MenderesState HospitalNKNazlı KORKMAZState HospitalASAyçin Darıcı SümerAnkara Atatürk Eğitim ve Araştırma Hastanesi

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Overview

Research investigates emotion regulation, impulsivity, and self-esteem as mediators linking alexithymia and NSSI in adolescents, suggesting clinical implications.

Key Points

  • This study examines how emotion regulation difficulties, impulsivity, and self-esteem mediate the relationship between alexithymia and non-suicidal self-injury in adolescents.
  • Analyzed a sample of 437 adolescents in clinical settings, 147 of whom reported non-suicidal self-injury.
  • Utilized gender-stratified structural equation modeling (SEM) to assess indirect effects.
  • Measured levels of alexithymia, emotion regulation difficulties, impulsivity, and self-esteem.
  • The NSSI group reported higher alexithymia, emotion regulation difficulties, and impulsivity, alongside lower self-esteem than the non-NSSI group.
  • Significant mediation effects for emotion regulation difficulties, impulsivity, and self-esteem were found in girls.
  • In boys, while specific indirect effects were not statistically significant, a significant total indirect effect was observed.

Cite This Study

Menderes et al. (2026) studied this question.

synapsesocial.com/papers/69abc2615af8044f7a4ebe62https://doi.org/10.1186/s12888-026-07940-2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Alexithymia and peer victimisation: interconnected pathways to adolescent non-suicidal self-injury2024 · 18 citations
  2. 2The role of childhood maltreatment, current stress, and alexithymia in nonsuicidal self-injury: A sex-specific analysis among Korean young adults2026
  3. 3Self-harm, early emotional neglect and alexithymia in young Italian help seekers2025
  4. 4Emotion Regulation Difficulties and Interpersonal Relationship Skills in Adolescents with Nonsuicidal Self-Injury: A Comparative Study2026
  5. 5The mediating roles of self-esteem and psychopathology in sex and age differences in non-suicidal self-injury among adolescents with major depressive disorder2026