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Volume 22, Issue 3 (7-2025)
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Samadi Ahari M, Safarzadeh S, Marashian F S, Talebzadeh Shoushtari M. Mediated Pathways to Self-harm: Personality Organization, Emotion Regulation, and the Impact of Adolescent Cybervictimization. Mod Care J 2025; 22 (3) : e161391
URL: http://mcj.bums.ac.ir/article-1-336-en.html
URL: http://mcj.bums.ac.ir/article-1-336-en.html
Mozhdeh Samadi Ahari1 
, Sahar Safarzadeh *2 , Fatemeh Sadat Marashian1 , Marzieh Talebzadeh Shoushtari1
, Sahar Safarzadeh *2 , Fatemeh Sadat Marashian1 , Marzieh Talebzadeh Shoushtari1
1- Department of Psychology, Ahv.C., Islamic Azad University, Ahvaz, Iran
2- Department of Psychology, Ahv.C., Islamic Azad University, Ahvaz, Iran ,s.safarzadeh1152@iau.ac.ir
2- Department of Psychology, Ahv.C., Islamic Azad University, Ahvaz, Iran ,
Abstract: (173 Views)
Background:Adolescent self-harm is an escalating public health issue, frequently associated with challenges in personality organization and exposure to cyberbullying.
Objectives:This study examines the direct and indirect relationships among personality organization, cyber-victimization, and self-harm behaviors in adolescents, emphasizing the mediating role of emotion regulation difficulties.
Methods:Utilizing a descriptive correlational design, we employed multi-stage cluster random sampling to recruit 356 adolescents (65.17% female, 34.83% male) from Tehran in 2024. Data were gathered using validated instruments: The Self-harm Behavior Questionnaire, Personality Organization Questionnaire, Difficulties in Emotion Regulation Scale-Short Form, and Cyber-victimization Scale. Structural equation modeling (SEM) was performed using AMOS software to explore variable relationships.
Results:The results indicated significant positive associations between personality organization (primitive psychological defenses: 24.76 ± 6.33; identity diffusion: 22.92 ± 5.14; reality testing: 40.46 ± 9.79, cyberbullying (cyber aggression: 15.41 ± 4.10); cyber victimization: 16.96 ± 4.18, and self-harm behaviors: 6.06 ± 1.88 (all P < 0.001). Emotion regulation difficulties (e.g., lack of clarity: 6.77 ± 2.49); non-acceptance: 9.41 ± 2.92 significantly mediated the relationships between personality organization, cyberbullying, and self-harm (P < 0.001).
Conclusions:These findings highlight that compromised personality organization and cyber-victimization are strong predictors of self-harm, with emotion regulation difficulties acting as a crucial mediator. Interventions focused on enhancing emotion regulation skills may reduce the risk of self-harm in adolescents, presenting a promising strategy for prevention and support.
Objectives:This study examines the direct and indirect relationships among personality organization, cyber-victimization, and self-harm behaviors in adolescents, emphasizing the mediating role of emotion regulation difficulties.
Methods:Utilizing a descriptive correlational design, we employed multi-stage cluster random sampling to recruit 356 adolescents (65.17% female, 34.83% male) from Tehran in 2024. Data were gathered using validated instruments: The Self-harm Behavior Questionnaire, Personality Organization Questionnaire, Difficulties in Emotion Regulation Scale-Short Form, and Cyber-victimization Scale. Structural equation modeling (SEM) was performed using AMOS software to explore variable relationships.
Results:The results indicated significant positive associations between personality organization (primitive psychological defenses: 24.76 ± 6.33; identity diffusion: 22.92 ± 5.14; reality testing: 40.46 ± 9.79, cyberbullying (cyber aggression: 15.41 ± 4.10); cyber victimization: 16.96 ± 4.18, and self-harm behaviors: 6.06 ± 1.88 (all P < 0.001). Emotion regulation difficulties (e.g., lack of clarity: 6.77 ± 2.49); non-acceptance: 9.41 ± 2.92 significantly mediated the relationships between personality organization, cyberbullying, and self-harm (P < 0.001).
Conclusions:These findings highlight that compromised personality organization and cyber-victimization are strong predictors of self-harm, with emotion regulation difficulties acting as a crucial mediator. Interventions focused on enhancing emotion regulation skills may reduce the risk of self-harm in adolescents, presenting a promising strategy for prevention and support.
Article number: e161391
Article Types: Research Article |
Subject:
General
Received: 2025/03/20 | Accepted: 2025/06/5 | Published: 2025/07/15
Received: 2025/03/20 | Accepted: 2025/06/5 | Published: 2025/07/15
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