The effects of Functional Beliefs about NSSI and Emotion Regulations Self-Efficacy on Help-Seeking

다국어 초록 (Multilingual Abstract)

This study examined whether beliefs about the functions of self-injury influence perceived barriers to seeking professional help through nonsuicidal self-injury (NSSI), and whether emotion regulation self-efficacy moderates this relationship. Participants were Korean adults aged 18–29 with a history of self-injury. Mediation and moderation analyses were conducted using SPSS 25.0 and PROCESS Macro Model 14 with bootstrapping.
Results indicated that among domains of emotion regulation self-efficacy, only self-efficacy for regulating sadness/despair significantly moderated the association between NSSI and barriers to help-seeking (negative attitudes and perceived lack of neccesserlity of counseling). When sadness/discouragement regulation self-efficacy exceeded a specific threshold (4.6572), higher NSSI was associated with lower perceived barriers, demonstrating a negative moderation effect.
Theoretical and clinical implications, limitations, and directions for future research are discussed.

Keywords: self-injury, barriers to seeking professional help, emotion, self-regulation efficacy, NSSI, functional belief of self-injury

국문 초록 (Abstract)

본 연구는 만 18~29세의 자해 경험이 있는 한국 성인을 대상으로, 자해 기능적 믿음이 전문적 도움추구 제한에 영향을 미치는 과정에서 비자살적 자해(NSSI)의 매개효과와 정서조절 자기효능감의 조절효과를 검증하고자 하였다. SPSS25.0과 PROCESS Macro Model 14를 사용하여 부트스트래핑 기반 매개효과 및 조절효과 분석을 실시하였다. 분서 결과, 정서조절 자기효능감 중 낙담/슬픔에 대한 정서조절 자기효능감만이 NSSI와 전문적 도움추구 제한(상담에 대한 부정적 태도 및 불필요성) 간의 관계를 유의하게 조절하였다. 특히 해당 효능감이 특정 수준(4.6572) 이상일 때, NSSI가 높을수록 전문적 도움추구 제한이 낮아지는 부적 조절 효과가 나타났다. 이 결과를 토대로 연구의 이론적, 임상적 함의를 논의하고, 연구의 한계와 향후 연구방향을 제시하였다.

주제어: 비자살적 자해(NSSI), 정서, 정서조절 자기효능감, 전문적 도움추구 제한, 자해의 기능에 대한 믿음

목차 (Table of Contents)

• 1. Introduction 1
• 1.1. Background and Purpose of the Study 1
• 1.2. Theoretical Background 7
• 1.2.1. Belief about Functions f Self-Injury 7
• 1.2.2. Nonsuicidal Self-Injury 11
• 1.2.3. Regulatory Emotional Self-Efficacy 16
• 1.2.4. Professional Help-Seeking Attitude 20
• 1.2.5. Social Desirability 25
• 1.3. Research Questions and Hypotheses 29
• 2. Methods 33
• 2.1. Participants 33
• 2.2. Measures 36
• 2.2.1. Belief about Functions of Self-Injury Scale 36
• 2.2.2. Nonsuicidal Self-Injury Scale 37
• 2.2.3. Regulatory Emotional Self-Efficacy 38
• 2.2.4. Professional Help-Seeking Attitude 40
• 2.2.5. Social Desirabiliry 42
• 2.3. Procedure 44
• 2.4. Data Analysis 46
• 3. Results 49
• 3.1. Descriptive Statistics 49
• 3.2. Correlations Among the Measured Variables 51
• 3.3. Testing the Moderating Effect of Sadness Emotion Regulation Self-Efficacy 54
• 3.4. Interaction Graph Across Levels of Discouragement/Sadness Emotion-Regulation Self-Efficacy 57
• 4. Discussion 60
• 4.1. Summary and Interpretation of Findings 60
• 4.1.1 Relationships Among Key Variables 62
• 4.1.2. The Mediating Effect of Nonsuicidal Self-Injury in the Relationship Between Functional Beliefs About Self-Injury and Barriers to Professional Help-Seeking, and Moderating Effect of Emotional Self-Efficacy 66
• 4.1.3. Changes in the Relationship Between NSSI and Negative Attitudes Toward Counseling Across Levels of Discouragement/Sadness Emotional Self-Efficacy 68
• 4.1.4. Implications and Suggestions for Future Research Directions 71
• 4.2. Limitation and Suggestions for Future Research Directions 75
• References 78
• Appendix 97
• 국문논문제출서
• 국문인준서
• 국문초록