Donaldson D, Spirito A, Farnett E
Child and Family Psychiatry, Rhode Island Hospital, Providence 02903, USA.
Child Psychiatry Hum Dev. 2000 Winter;31(2):99-111. doi: 10.1023/a:1001978625339.
This study examined the relation of two cognitive variables, depressive cognitions and perfectionism, to the hopelessness experienced by adolescent suicide attempters. Adolescent suicide attempters (N = 68) were administered three measures assessing cognitive characteristics commonly associated with adolescent suicidal behavior: the Child and Adolescent Perfectionism Scale (CAPS), the Depressive Experiences Questionnaire for Adolescents (DEQ-A), and the Hopelessness Scale for Children (HSC). Socially prescribed perfectionism on the CAPS and self-criticism on the DEQ-A were both highly correlated with HSC. Regression analyses indicated that perfectionism was significantly related to hopelessness, but this relationship was attenuated after the effects of depressive cognitions on hopelessness were controlled. Self-criticism was the cognitive variable most strongly associated with hopelessness suggesting that it is a more important focus for cognitive interventions in adolescent suicide attempters than perfectionism.
本研究考察了抑郁认知和完美主义这两个认知变量与青少年自杀未遂者所经历的绝望感之间的关系。对68名青少年自杀未遂者进行了三项测量，以评估通常与青少年自杀行为相关的认知特征：儿童与青少年完美主义量表（CAPS）、青少年抑郁体验问卷（DEQ-A）和儿童绝望感量表（HSC）。CAPS上的社会规定性完美主义和DEQ-A上的自我批评都与HSC高度相关。回归分析表明，完美主义与绝望感显著相关，但在控制了抑郁认知对绝望感的影响后，这种关系减弱了。自我批评是与绝望感最密切相关的认知变量，这表明对于青少年自杀未遂者的认知干预而言，自我批评比完美主义是一个更重要的关注点。
