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Interpersonal and Intrapersonal Functions of Deliberate Self-Harm (DSH): A Psychometric Examination of the Inventory of Statements About Self-Injury (ISAS) Scale

Published online by Cambridge University Press:  25 March 2013

Rebecca Kortge
Affiliation:
School of Social Sciences and Psychology, University of Western Sydney, Sydney, New South Wales, Australia
Tanya Meade*
Affiliation:
School of Social Sciences and Psychology, University of Western Sydney, Sydney, New South Wales, Australia
Alan Tennant
Affiliation:
University of Leeds, Leeds, United Kingdom
*
Address for correspondence: A/Professor Tanya Meade, School of Social Sciences and Psychology, University of Western Sydney, Locked Bag 2751, Penrith South DC 2751, Australia. Email: t.meade@uws.edu.au
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Abstract

Deliberate self-harm (DSH), commonly defined as the intentional, direct and non-suicidal destruction of one's body, appears to be common across both clinical and non-clinical populations. A recently developed measure of functions of DSH, the Inventory of Statements About Self-Injury (ISAS), was examined to test its two-factor model within a sample of members of online social networks. The approach adopted was to fit data from the scale to the Rasch measurement model, which is increasingly used to develop and/or assess scales. Two hundred and one (n = 201) participants aged over 18 years of age, who had engaged in DSH in the last 12 months, were recruited from online social networks’ DSH peer support groups to complete an online survey. An exploratory factor analysis supported interpersonal and intrapersonal factors based on 13 function domains. Furthermore, both factors demonstrated satisfactory fit to the Rasch model. Some local dependency was detected, and when addressed, it impacted on the alpha coefficient level for intrapersonal factor. This study is the first independent psychometric investigation of ISAS, further supporting the scale authors’ psychometric evaluations. Additional validation across different DSH samples is recommended.

Type
Standard Papers
Copyright
Copyright © The Authors 2013

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References

Allen, C. (1995). Helping with deliberate self-harm: Some practical guidelines. Journal of Mental Health, 4 (3), 243250.Google Scholar
Andrich, D., Sheridan, B., & Luo, G. (2007). RUMM2020. Perth, Australia: RUMM Laboratory.Google Scholar
Arbuckle, J.L. (2008). SPSS Statistics (Version 17.0). Chicago: SPSS Inc.Google Scholar
Bond, T.G., & Fox, C.M. (2007). Applying the Rasch model: Fundamental measurement in the human sciences (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
Briere, J., & Gil, E. (1998). Self-mutilation in clinical and general population samples: Prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68 (4), 609620.Google Scholar
Brown, S.A., Williams, K., & Collins, A. (2007). Past and recent deliberate self-harm: Emotion and coping strategy differences. Journal of Clinical Psychology, 63 (9), 791803. doi:10.1002/jclp.20380Google Scholar
Ciarrochi, J.V., & Deane, F.P. (2001). Emotional competence and willingness to seek help from professional and nonprofessional sources. British Journal of Guidance & Counselling, 29 (2), 233246. doi:10.1080/03069880020047157Google Scholar
Crowe, M., & Bunclark, J. (2000). Repeated self-injury and its management. International Review of Psychiatry, 12, 4853.Google Scholar
Croyle, K.L., & Waltz, J. (2007). Subclinical self-harm: Range of behaviors, extent, and associated characteristics. American Journal of Orthopsychiatry, 77 (2), 332342.Google Scholar
Darche, M.A. (1990). Psychological factors differentiating self-mutilating and non-self-mutilating adolescent inpatient females. Psychiatric Hospital, 21, 3135.Google Scholar
Eberhardt, D.M. (2007). Facing up to Facebook. Wiley InterScience, 1826. doi:10.1002/abc.219Google Scholar
Favazza, A. (1998). The coming of age of self-mutilation. The Journal of Nervous & Mental Disease, 186 (5), 259268.Google Scholar
Favazza, A. (2006). Self injurious behaviour in college students. Pediatrics, 6, 22832284.Google Scholar
Fortune, S., & Hawton, K. (2005). Deliberate self-harm in children and adolescents: A research update. Current Opinion in Psychiatry, 18, 401406.Google Scholar
Glenn, C.R., & Klonsky, E.D. (2011). One-year test-retest reliability of the Inventory of Statements About Self-injury (ISAS). Assessment, 18 (3), 375378.Google Scholar
Gratz, K.L. (2003). Risk factors for and functions of deliberate self-harm: An empirical and conceptual review. Clinical Psychology: Science and Practice, 10 (2), 192205. doi:10.1093/clipsy/bpg022Google Scholar
Guttman, L.A. (1950). The basis for Scalogram analysis. In Stouffer, S.A., Guttman, L.A., Suchman, E.A., Lazarsfeld, P.F., Star, S.A., & Clausen, J.A. (Eds.), Studies in Social Psychology in World War II: Vol 4. Measurement and Prediction (pp. 6090). Princeton: Princeton University Press.Google Scholar
Hurry, J. (2000). Deliberate self-harm in children and adolescents. International Review of Psychiatry, 12, 3136.Google Scholar
Klonsky, E.D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27, 226239.Google Scholar
Klonsky, E.D. (2008). Inventory of statements about self-injury. Unpublished manuscript.Google Scholar
Klonsky, E.D., & Glenn, C.R. (2009). Assessing the functions of non-suicidal self-injury: Psychometric properties of the inventory of statements about self-injury (ISAS). Journal of Psychopathology and Behavioral Assessment, 31, 215219.Google Scholar
Kobak, K.A., Skodol, A.E., Bender, D.S., Rush, A.J., First, M.B., & Blacker, D. (2008). Diagnostic measures for adults. Handbook of psychiatric measures (2nd ed., pp. 3560). Arlington, VA: American Psychiatric Publishing Inc.Google Scholar
Latimer, S., Covic, T., Cumming, S., & Tennant, A. (2009). Psychometric analysis of the Self-Harm Inventory using Rasch modelling. BMC Psychiatry, 9 (53).Google Scholar
Lloyd-Richardson, E., Perrine, N., Dierker, L., & Kelley, M. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37 (08), 11831192. doi:10.1017/S003329170700027XGoogle Scholar
Lord, F.M. (1975). The ‘ability’ scale in item characteristic curve theory. Psychometrika, 40, 205217.Google Scholar
Magruder, K.M., Sonne, S.C., Brady, K.T., Quello, S., & Martin, R.H. (2005). Screening for co-occurring mental disorders in drug treatment populations. Journal of Drug Issues, 35 (3), 593606.CrossRefGoogle Scholar
Masters, G. (1982). A Rasch model for partial credit scoring. Psychometrika, 47, 149174.Google Scholar
Muehlenkamp, J.J. (2005). Self-injurious behavior as a separate clinical syndrome. American Journal of Orthopsychiatry, 75 (2), 324333. doi:10.1037/0002-9432.75.2.324Google Scholar
Nezu, A.M., Nezu, C. M., & Lombardo, E. (2004). Cognitive-behavioral case formulation and treatment design. New York: Springer Publishing Company.Google Scholar
Nock, M., & Prinstein, M. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72 (5), 885890.Google Scholar
Nock, M., & Prinstein, M. (2005). Contextual features and behavioral functions of self-mutilation among adolescents. Journal of Abnormal Psychology, 114 (1), 140146. doi:10.1037/0021-843X.114.1.140Google Scholar
Orygen Youth Health (2004). Factsheet: Mental health and mental illness. Melbourne, Australia: Orygen Youth Health.Google Scholar
Pallant, J., & Tennant, A. (2007). An introduction to the Rasch measurement model: An example using the Hospital Anxiety and Depression Scale (HADS). British Journal of Clinical Psychology, 6, 118.CrossRefGoogle Scholar
Ponterotto, J., & Ruckdeschel, D. (2007). An overview of coefficient alpha and a reliability matrix for estimating adequacy of internal consistency coefficients with psychological research measures. Perceptual and Motor Skills, 105, 9971014.CrossRefGoogle Scholar
Rasch, G. (1967). An informal report on a theory of objective comparisons. In der Kamp, L.J. Van & Vieck, C.A.J. (Eds.), Psychological measurement theory (pp. 119). Leiden: University of Leiden.Google Scholar
Reise, S.P., & Waller, N.G. (2009). Item response theory and clinical measurement. Annual Review of Clinical Psychology, 5, 2748.Google Scholar
Ross, S., & Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31 (1), 6777.Google Scholar
Sansone, R.A., Barnes, J., Muennich, E., & Wiederman, M. (2008). Borderline personality symptomatology and sexual impulsivity. International Journal of Psychiatry in Medicine, 38 (1), 5360. doi:10.2190/PM.38.1.eGoogle Scholar
Skegg, K. (2005). Self-harm. Lancet, 366, 14711483.Google Scholar
Slee, N., Arensman, E., Garnefski, N., & Spinhoven, P. (2007). Cognitive-behavioral therapy for deliberate self-harm. Crisis, 28 (4), 175182. doi:10.1027/0227-5910.28.4.175Google Scholar
Van Newby, A., Conner, G.R., & Bunderson, C.V. (2009). The Rasch model and additive conjoint measurement. Journal of Applied Measurement, 10, 348354.Google Scholar
Wainer, H., & Lewis, C. (1990). Toward a psychometrics for testlets. Journal of Educational Measurement, 24 (3), 185201.Google Scholar
Wright, B.D., & Douglas, G.A. (1977). Conditional versus unconditional procedures for sample-free item analysis. Educational and Psychological Measurement, 37, 573586.Google Scholar
Young, R., Van Beinum, M., Sweeting, H., & West, P. (2007). Young people who self-harm. British Journal of Psychiatry, 191, 4449. doi:10.1192/bjp.bp.106.034330Google Scholar
Zanarini, M.C., Vujanovic, A.A., Parachini, E.A., Boulanger, J.L., Frankenburg, F.R., & Hennen, J. (2003). A screening measure for BPD: The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD). Journal of Personality Disorders, 17 (6), 568573.Google Scholar
Zimmerman, M. (2002). Psychiatric diagnostic screening questionnaire. Los Angeles, CA: Western Psychological Services.Google Scholar