Beliren Yetişkinlerde Fiziksel Aktivite, Benlik Saygısı ve Kendine Zarar Verme Davranışı: Cinsiyete Göre Farklılaşan Bir Düzenleyicilik Modeli

Öz

Beliren yetişkinlik, bireylerin önemli gelişimsel geçişler ve belirsizlikler yaşadığı bir dönemdir. Bu süreçte bazı bireyler psikolojik zorlanmalarla baş etmek amacıyla intihar niyeti olmayan kendine zarar verme davranışı (KZVD) sergileyebilmektedir. Asgari fiziksel aktivite ölçütünü karşılama ve benlik saygısı, psikolojik iyi oluş ile ilişkili potansiyel koruyucu faktörler olarak değerlendirilmektedir. Bu çalışmanın amacı, beliren yetişkinlerde fiziksel aktivite ile KZVD arasındaki ilişkiyi incelemek ve bu ilişkide benlik saygısı ile cinsiyetin düzenleyici rolünü değerlendirmektir. Araştırma 18–25 yaş aralığında 410 katılımcı ile yürütülmüştür. Veriler Rosenberg Benlik Saygısı Ölçeği ve Kendine Zarar Verme Davranışı Değerlendirme Envanteri ile toplanmıştır. Fiziksel aktivite durumu Amerikan Spor Hekimleri Derneği kriterlerine göre belirlenmiştir. Analizlerde Spearman korelasyon, bağımsız örneklemler için t-testi, ki-kare analizi, hiyerarşik regresyon ve PROCESS temelli moderasyon analizleri kullanılmıştır. Bulgular, KZVD ile benlik saygısı arasında anlamlı bir ilişki olduğunu ve KZVD sergileyen bireylerin daha düşük benlik saygısı düzeyine sahip olduğunu göstermektedir. Erkek katılımcıların benlik saygısı düzeylerinin daha yüksek olduğu ve fiziksel aktivite ölçütünü daha yüksek oranda karşıladıkları bulunmuştur. KZVD açısından cinsiyetler arasında anlamlı bir fark saptanmamıştır. Moderasyon analizleri, fiziksel aktivite ile KZVD arasındaki ilişkinin benlik saygısı ve cinsiyete bağlı olarak farklılaştığını göstermiştir. Fiziksel aktivite ile KZVD arasındaki negatif yönlü ilişki yalnızca benlik saygısı düzeyi yüksek erkek katılımcılarda anlamlı bulunmuştur. Bulgular, fiziksel aktivite ile KZVD arasındaki ilişkinin bireysel özelliklere bağlı olarak değişebileceğini göstermektedir. Özellikle benlik saygısı düzeyi yüksek erkeklerde fiziksel aktivitenin KZVD ile negatif yönde ilişkili olduğu görülmektedir. Bu sonuçlar, beliren yetişkinlere yönelik müdahalelerde fiziksel aktivite ve benlik saygısının birlikte ele alınmasının önemine işaret etmektedir.

Anahtar Kelimeler

• Fiziksel aktivite
• Beliren yetişkinlik
• Kendine zarar verme davranışı
• Benlik saygısı
• Moderasyon

Physical Activity, Self-Esteem, and Non-Suicidal Self-Injury in Emerging Adults: A Gender-Differentiated Moderation Model

Öz

Emerging adulthood is a developmental period characterized by significant transitions and heightened uncertainty. During this period, some individuals may engage in non-suicidal self-injury (NSSI) as a maladaptive coping strategy. Meeting minimum physical activity criteria and self-esteem are considered potential protective factors associated with psychological well-being. The present study aimed to examine the association between physical activity and NSSI among emerging adults and to evaluate the moderating roles of self-esteem and gender in this relationship. The study was conducted with 410 emerging adults aged 18–25 years. Data were collected using the Rosenberg Self-Esteem Scale and the Self-Harming Behavior Assessment Inventory. Physical activity status was determined based on the American College of Sports Medicine criteria. Spearman correlations, independent-samples t tests, chi-square analyses, hierarchical regression, and PROCESS-based moderation analyses were conducted. Results indicated a significant association between NSSI and self-esteem, with individuals engaging in NSSI reporting lower self-esteem. Male participants reported higher self-esteem and were more likely to meet minimum physical activity criteria. No significant gender differences were found in NSSI frequency. Moderation analyses showed that the association between physical activity and NSSI varied as a function of self-esteem and gender. A negative association between physical activity and NSSI was observed only among males with higher levels of self-esteem. The findings suggest that the association between physical activity and NSSI differs depending on individual characteristics. In particular, physical activity was negatively associated with NSSI among males with higher self-esteem. These findings highlight the importance of considering both physical activity and self-esteem in interventions targeting risk behaviors in emerging adults.

Anahtar Kelimeler

• Physical activity
• Emerging adulthood
• Non-suicidal self-injury
• Self-esteem
• Moderation

Kaynakça

1. Ali, A., Azam, M., Mattiullah, J. (2020). Physical exercise as medicine for self-injurious behavior. Psychiatric Annals, 50(4), 167-177.
2. Almeida, C.M., Horta, M.P. (2018). Self-esteem and anger in borderline patients with self-injury behavior. The Journal of Nervous And Mental Disease, 206(4), 251-257.
3. Arnett, J.J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469-480.
4. Arnett, J.J., Žukauskienė, R., Sugimura, K. (2014). The new life stage of emerging adulthood at ages 18-29 years: Implications for mental health. The Lancet Psychiatry, 1(7), 569-576.
5. Atak, H., Çok, F. (2010). A new period in human life: Emerging adulthood. Journal of Childhood and Adolescence Mental Health, 17(1), 39-50.
6. Baggio, S., Studer, J., Iglesias, K., Daeppen, J., Gmel, G. (2016). Emerging Adulthood: A time of changes in Psychosocial Well-Being. Evaluation & the Health Professions, 40(4), 383-400.
7. Bildik, T., Somer, O., Kabukçu Başay, B., Başay, Ö., Özbaran, B. (2013). Kendine Zarar Verme Davranışı Değerlendirme Envanterinin Türkçe formunun geçerlik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi, 24(1), 49-57.
8. Boone, S.D. (2015). Physical activity as a contributing factor to engagement in self-harm behaviors among youth. Master's Thesis. Western Kentucky University.

9. Boone, S.D., Brausch, A.M. (2016). Physical activity, exercise motivations, depression, and nonsuicidal self‐injury in youth. Suicide and Life‐Threatening Behavior, 46(5), 625-633.
10. Borges, G., Nock, M.K., Abad, J.M.H., Hwang, I., Sampson, N.A., Alonso, J., Andrade, L. H., Angermeyer, M.C., Beautrais, A., Bromet, E., Bruffaerts, R., De Girolamo, G., Florescu, S., Gureje, O., Hu, C., Karam, E.G., Kovess-Masfety, V., Lee, S., Levinson, D., . . . Kessler, R.C. (2010). Twelve-Month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. The Journal of Clinical Psychiatry, 71(12), 1617-1628.
11. Bresin, K., Schoenleber, M. (2015). Gender differences in the prevalence of nonsuicidal self-injury: A meta-analysis. Clinical Psychology Review, 38, 55-64.
12. Briere, J., Gil, E. (1998). Self‐mutilation in clinical and general population samples: Prevalence, correlates, and functions. American Journal of Orthopsychiatry, 68(4), 609-620.
13. Carey, E.G., Ridler, I., Ford, T.J., Stringaris, A. (2023), Editorial Perspective: When is a ‘small effect’ actually large and impactful?. Journal of Child Psychol Psychiatr, 64, 1643-1647.
14. Carver, C.S., Scheier, M.F., Weintraub, J.K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267-283.
15. Cast, A.D., Burke, P.J. (2002). A theory of self-esteem. Social Forces, 80(3), 1041-1068.
16. Chekroud, S.R., Gueorguieva, R., Zheutlin, A.B., Paulus, M., Krumholz, H.M., Krystal, J.H., Chekroud, A.M. (2018). Association between physical exercise and mental health in 1.2 million individuals in the USA between 2011 and 2015: A cross-sectional study. The Lancet Psychiatry, 5(9), 739-746.
17. Cipriano, A., Cella, S., Cotrufo, P. (2017). Nonsuicidal self-injury: A systematic review. Frontiers in Psychology, 8, 1946.
18. Coakley, J., White, A. (1992). Making decisions: Gender and sport participation among British adolescents. Sociology of Sport Journal, 9(1), 20-35.
19. Conley, C.S., Durlak, J.A., Dickson, D.A. (2013). An evaluative review of outcome research on universal mental health promotion and prevention programs for higher education students. Journal of American College Health, 61(5), 286-301.
20. Cook, R.D. (1979). Influential observations in linear regression. Journal of the American Statistical Association, 74(365), 169-174.
21. Çuhadaroğlu, F. (1986). Adölesanlarda benlik saygısı. Uzmanlık Tezi. Ankara: Hacettepe Üniversitesi Tıp Fakültesi. Dierickx, S., Claes, L., Nock, M.K. (2023). Non-suicidal self-injury in emerging adulthood: Associations with emotion regulation and interpersonal functioning. Journal of Affective Disorders, 332, 245-253.
22. Duffy, A. (2023). University student mental health: An important window of opportunity for prevention and early intervention. The Canadian Journal of Psychiatry, 68(7), 495-498.
23. Ekeland, E., Heian, F., Hagen, K.B., Abbott, J., Nordheim, L. (2005). Exercise to improve self‐esteem in children and young people. Campbell Systematic Reviews, 1(1), 1-52.
24. Engel, G.L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129-136.
25. Faul, F., Erdfelder, E., Buchner, A., Lang, A.G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.
26. Faul, F., Erdfelder, E., Lang, A.G., Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175-191.
27. Favazza, A.R. (1996). Bodies under siege: Self-mutilation and body modification in culture and psychiatry (2. Edt). Johns Hopkins University Press.
28. Forrester, R.L., Slater, H., Jomar, K., Mitzman, S., Taylor, P.J. (2017). Self-esteem and non-suicidal self-injury in adulthood: A systematic review. Journal of Affective Disorders, 221, 172-183.
29. Fox, K.R. (2001). The effects of exercise on self-perceptions and self-esteem. H.N. Morris & M.J. Biddle (Ed.), Physical Activity And Psychological Well-Being, 88-117. Routledge.
30. Fox, K.R. (2003). The effects of exercise on self-perceptions and self-esteem. Physical activity and psychological well-being, pp.100-119. Routledge.
31. Fredrickson, B.L., Roberts, T. (1997). Objectification Theory: toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173-206.
32. Gao, Y., Lu, C., Zhang, X., Han, B., Hu, H. (2024). Physical activity and non-suicidal self-injurious behavior in Chinese adolescents: The chain mediating role of psychological capital and relative deprivation. Frontiers in Psychiatry, 15, 1509967.
33. Hamza, C.A., Willoughby, T. (2016). Nonsuicidal self-injury and suicidal risk among emerging adults. Journal of Adolescent Health, 59(4), 411-415.
34. Hayes, A.F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2. Edt). Guilford Press.
35. Herpertz, S. (1995). Self‐injurious behaviour: Psychopathological and nosological characteristics in subtypes of self‐injurers. Acta Psychiatrica Scandinavica, 91(1), 57-68.
36. Hooley, J.M., Fox, K.R., Boccagno, C. (2020). Nonsuicidal self-injury: Diagnostic challenges and current perspectives. Neuropsychiatric Disease and Treatment, 16, 101-112.
37. Ichraf, A., Ali, B.M., Khaled, T., Liwa, M., Ali, E. (2013). Effect of gender and type of sport on anxiety and self-esteem. International Journal of Humanities and Social Science Invention, 2(3), 55-61.
38. Jia, J., Du, X., Duan, T., Ye, Z., Hu, J., Lu, T., ... & Ren, Z. (2025). Trends in non-suicidal self-injury among adolescents: A global cross-temporal meta-analysis, 2007-2023. Psychological Medicine, 55, e340.
39. Josephs, R.A., Markus, H.R., Tafarodi, R.W. (1992). Gender and self-esteem. Journal of personality and social psychology, 63(3), 391-402.
40. Kandola, A., Ashdown-Franks, G., Hendrikse, J., Sabiston, C.M., Stubbs, B. (2019). Physical activity and depression: Towards understanding the antidepressant mechanisms of physical activity. Neuroscience & Biobehavioral Reviews, 107, 525-539.
41. 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(3), 215-219.
42. Lages, S.L.S., Emygdio, R., Monte, A., Alchieri, J. (2016). Motivation and self-esteem in university students’ adherence to physical activity. Revista De Salud Pública, 17(5), 677-688.
43. Leary, M.R., Tambor, E.S., Terdal, S.K., Downs, D.L. (1995). Self-esteem as an interpersonal monitor: The sociometer hypothesis. Journal of Personality and Social Psychology, 68(3), 518-530.
44. Lewis, A.G. (2015). Exercise and sports participation: Understanding student motivations (Doctoral dissertation, Carleton University).
45. Li, C., Zhang, J., Lü, R. (2020). Self-harm and its association with bullying victimization among junior high school students in Beijing. Chinese Journal of Public Health, 36(6), 884-888.
46. Liu, J., Gao, Y., Liu, X., Wang, H. (2024). Developmental trajectories of non‐suicidal self‐injury in adolescence: The effect of social support and socioeconomic status. Suicide and Life-Threatening Behavior, 1-9.
47. Long, Q., Huang, B., Tang, Y., Wu, J., Yu, J., Qiu, J., ... & Huang, G. (2024). Peer victimization and non-suicidal self-injury among high school students: the mediating role of social anxiety, mobile phone addiction, and sex differences. BMC Psychiatry, 24(1), 25.
48. Lunde, K.B., Mehlum, L., Melle, I., Qin, P. (2021). Deliberate self-harm and associated risk factors in young adults: The importance of education attainment and sick leave. Social Psychiatry and Psychiatric Epidemiology, 56(1), 153-164.
49. Lurigio, A.J., Nesi, D., Meyers, S.M. (2024). Nonsuicidal self injury among young adults and adolescents: Historical, cultural and clinical understandings. Social Work in Mental Health, 22(1), 122-148.
50. Moloney, F., Amini, J., Sinyor, M., Schaffer, A., Lanctôt, K.L., Mitchell, R.H. (2024). Sex differences in the global prevalence of nonsuicidal self-injury in adolescents: A meta-analysis. JAMA Network Open, 7(6), e2415436.
51. Nelson, L.J., Chen, X. (2007). Emerging adulthood in China: The role of social and cultural factors. Child Development Perspectives, 1(2), 86-91.
52. Nock, M.K. (2009). Why do people hurt themselves?: New insights into the nature and functions of self-injury. Current Directions in Psychological Science, 18(2), 78-83.
53. Nock, M.K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339-363.
54. Nock, M.K., Favazza, A.R. (2009). Nonsuicidal self-injury: Definition and classification. In M.K. Nock (Ed.), Understanding nonsuicidal self-injury: Origins, assessment, and treatment (pp.9-18). American Psychological Association.
55. Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology, 8(1), 161-187.
56. Nunnally, J.C. (1978). Psychometric theory (2. Edt). McGraw-Hill.
57. Özkan, I. (1994). Rosenberg Benlik Saygısı Ölçeği (RSES): Güvenirlik ve geçerlik çalışması. Uzmanlık Tezi. Ankara: Ankara Numune Hastanesi Psikiyatri Kliniği.
58. Pollock, M.L., Gaesser, G.A., Butcher, J.D., Després, J., Dishman, R.K., Franklin, B.A., Garber, C.E. (1998). ACSM Position Stand. Medicine & Science in Sports & Exercise, 30(6), 975-991.
59. Primbs, M.A., Pennington, C.R., Lakens, D., Silan, M.A.A., Lieck, D.S., Forscher, P.S., ... & Westwood, S.J. (2023). Are small effects the indispensable foundation for a cumulative psychological science? A reply to Götz et al.(2022). Perspectives on Psychological Science, 18(2), 508-512.
60. Reifman, A., Arnett, J.J., & Colwell, M.J. (2007). Emerging adulthood: Theory, assessment and application. Journal of Youth Development, 2(1), 37-48.
61. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press.
62. Rosenberg, M., Schooler, C., & Schoenbach, C. (1989). Self-Esteem and adolescent problems: Modeling reciprocal effects. American Sociological Review, 54(6), 1004.
63. Salazar de Pablo, G., De Micheli, A., Solmi, M., Oliver, D., Catalan, A., Verdino, V., Di Maggio, L., Bonoldi, I., Radua, J., Baccaredda Boy, O., Provenzani, U., Ruzzi, F., Calorio, F., Nosari, G., Di Marco, B., Famularo, I., Montealegre, I., Signorini, L., Molteni, S., … Fusar-Poli, P. (2021). Universal and selective interventions to prevent poor mental health outcomes in young people: Systematic review and meta-analysis. Harvard Review of Psychiatry, 29(3), 196-215.
64. Sinclair, S.J., Blais, M.A., Gansler, D.A., Sandberg, E., Bistis, K., & LoCicero, A. (2010). Psychometric properties of the Rosenberg Self-Esteem Scale: Overall and across demographic groups living within the United States. Evaluation & The Health Professions, 33(1), 56-80.
65. Skegg, K. (2005). Self-harm. The Lancet, 366(9495), 1471-1483.
66. Sonstroem, R.J. (1984). Exercise and self-esteem. Exercise And Sport Sciences Reviews, 12(1), 123-156.
67. Steptoe, A.S., & Butler, N. (1996). Sports participation and emotional wellbeing in adolescents. The Lancet, 347(9018), 1789-1792.
68. Tabachnick, B. G. ve Fidell, L. S. (2019). Using multivariate statistics (Seventh Edition). Pearson.
69. Tugrul, C. (1994). Alkoliklerin çocuklarının aile ortamındaki stres kaynakları, etkileri ve stresle başaçıkma yolları. Türk Psikoloji Dergisi, 9(31), 57-73.
70. Wang, S., Xu, H., Zhang, S., Wan, Y., & Tao, F. (2020). Mediating effects of self-esteem in the relationship between childhood maltreatment and non-suicidal self-injury among adolescents: The roles of sex and only-child status. Social Science & Medicine, 249, 112847.
71. Werneck, A.O., Tian, X., Lu, W., Li, D., Liu, T., Wu, S., ... & Lin, K. (2025). Can exercise reduce the risk of suicidal ideation and behaviors in youth at school? A 12-month cluster randomized control trial. Journal of Psychiatric Research, 196, 71-78.
72. White, R.L., Vella, S., Biddle, S., Sutcliffe, J., Guagliano, J.M., Uddin, R., ... & Teychenne, M. (2024). Physical activity and mental health: A systematic review and best-evidence synthesis of mediation and moderation studies. International Journal of Behavioral Nutrition and Physical Activity, 21, 134.
73. Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117(6), 1939-1948.
74. Wright, L.J., Veldhuijzen van Zanten, J.J., & Williams, S.E. (2023). Examining the associations between physical activity, self‐esteem, perceived stress, and internalizing symptoms among older adolescents. Journal of Adolescence, 95, 1274-1287.
75. Xavier, A., Cunha, M., & Pinto-Gouveia, J. (2018). Daily peer hassles and non-suicidal self-injury in adolescence: Gender differences in avoidance-focused emotion regulation processes. Journal of Child and Family Studies, 27(1), 59-68.
76. Yu, H., Mu, Q., & Li, K. (2023). Effects of physical exercise on non-suicidal self-injury in adolescents: The chain mediating role of perceived social support and self-concept. Frontiers in Psychiatry, 14, 1201863.
77. Zhang, Y., Ying, R., Lu, W., Liu, X., Hu, K., Feng, Q., ... & Zhang, Q. (2025). Association among BMI, self-esteem, and nonsuicidal self-injury in young adults to understand the influence of socioenvironmental factors: Longitudinal study. JMIR Public Health and Surveillance, 11, e52928.