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对父母拒绝、自我批评和抑郁与自杀倾向的回忆。

Recollections of parental rejection, self-criticism and depression in suicidality.

机构信息

Department of Psychology, University of Évora, Évora, Portugal.

出版信息

Arch Suicide Res. 2013;17(1):58-74. doi: 10.1080/13811118.2013.748416.

Abstract

The present study examines whether self-criticism and depressive symptoms mediate the relationship between recollections of parental rejection and suicidality. A community sample of 200 Portuguese adults completed, in counterbalanced order, a socio-demographic questionnaire, the short form of the Inventory for Assessing Memories of Parental Rearing Behaviour (EMBU), the Depressive Experiences Questionnaire (DEQ), the Center for Epidemiologic Studies Depression Scale (CES-D), and reports of any suicide intention and/or ideation and suicide attempts. Structural Equation Modeling (SEM) indicated that recollections of parental rejection are significantly associated with depressive symptoms and suicidality. Recollections of parental rejection are indirectly associated with depressive symptoms and suicidality through self-criticism. The association between self-criticism and suicidality is mediated by depressive symptoms. In addition to a significant direct association between recollections of parental rejection and suicidality, the final model indicated that recollections of parental rejection are significantly associated with self-criticism. That same self-criticism is significantly associated with depressive symptoms which, in turn, are significantly associated with suicidality. Individuals with recollections of parental rejection are at greater risk for suicide ideation and behavior, possibly because such experiences predispose them to intense self-criticism which is a risk factor for depression associated with suicidal ideation and behavior.

摘要

本研究考察了自我批评和抑郁症状是否在父母拒绝的回忆与自杀意念之间起中介作用。一个由 200 名葡萄牙成年人组成的社区样本以平衡的顺序完成了社会人口统计学问卷、父母养育行为回忆简短量表(EMBU)、抑郁体验问卷(DEQ)、流行病学研究中心抑郁量表(CES-D),以及任何自杀意图和/或意念和自杀企图的报告。结构方程模型(SEM)表明,父母拒绝的回忆与抑郁症状和自杀意念显著相关。通过自我批评,父母拒绝的回忆与抑郁症状和自杀意念呈间接相关。自我批评与自杀意念的关系通过抑郁症状而中介。除了父母拒绝的回忆与自杀意念之间存在显著的直接关联外,最终模型还表明,父母拒绝的回忆与自我批评显著相关。同样的自我批评与抑郁症状显著相关,而抑郁症状又与自杀意念显著相关。有父母拒绝回忆的个体自杀意念和行为的风险更高,可能是因为这些经历使他们容易自我批评,而自我批评是与自杀意念和行为相关的抑郁的一个风险因素。

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