O'Connor Rory C, Noyce Rosie
Department of Psychology, University of Stirling, Stirling FK9 4LA, UK.
Behav Res Ther. 2008 Mar;46(3):392-401. doi: 10.1016/j.brat.2008.01.007. Epub 2008 Jan 20.
Self-criticism and rumination have been related to suicidality. In the present study, we investigated the extent to which different types of rumination (brooding and reflection) mediate the relationship between self-criticism and suicidal ideation. Two hundred and thirty-two healthy adults completed a range of psychological inventories at Time 1 and were followed up approximately 3 months later (Time 2). Brooding was more strongly associated with suicidal ideation than reflection. Hierarchical regression analyses confirmed that among those who completed measures at both time points, brooding rumination fully mediated the self-criticism-Time 2 suicidal ideation relationship. Reflection did not mediate the self-criticism-suicidal ideation link. The findings support a growing corpus of research which highlights the utility of personality and cognitive factors in advancing our understanding of the suicidal process. The theoretical and clinical implications are discussed.
自我批评和沉思与自杀倾向有关。在本研究中,我们调查了不同类型的沉思(沉思和反思)在多大程度上介导了自我批评与自杀意念之间的关系。232名健康成年人在时间1完成了一系列心理量表测试,并在大约3个月后(时间2)进行了随访。与反思相比,沉思与自杀意念的关联更强。分层回归分析证实,在两个时间点都完成测量的参与者中,沉思完全介导了自我批评与时间2自杀意念之间的关系。反思并未介导自我批评与自杀意念之间的联系。这些发现支持了越来越多的研究,这些研究强调了人格和认知因素在增进我们对自杀过程理解方面的作用。本文还讨论了其理论和临床意义。