Florida State University, USA.
Behav Ther. 2013 Sep;44(3):349-58. doi: 10.1016/j.beth.2012.12.002. Epub 2012 Dec 19.
Empirical work has suggested relationships among suicide-related outcomes and several constructs related to affect dysregulation, notably anxiety sensitivity (AS) and distress tolerance (DT). However, important questions remain, including the relative contributions of these affect regulation variables as well as the direct contribution of DT on suicidal ideation and prior attempts. The current study sought to better elucidate the nature of these relationships by examining AS, DT, and suicidal ideation and attempt in a clinical sample (N=192). Consistent with prior work and prediction, findings revealed a significant relationship between the AS cognitive concerns subfactor and suicidal ideation and suicide attempt history after accounting for the effects of DT, gender, and depressive symptoms. In addition, depressive symptoms significantly moderated the relationship between the AS cognitive concerns subfactor and suicidal ideation. After accounting for the influence of AS, analyses revealed that DT approached significance in predicting suicidal ideation, but did not significantly predict suicide attempt history. These results suggest that elevated AS cognitive concerns are particularly relevant to suicide in the context of depressive symptoms. Clinicians may benefit from implementing AS reduction strategies with individuals who endorse elevated suicide risk as well as elevated AS cognitive concerns.
实证研究表明，自杀相关结果与几种与情绪失调相关的结构之间存在关系，特别是焦虑敏感（AS）和痛苦耐受力（DT）。然而，仍有一些重要的问题尚未解决，包括这些情绪调节变量的相对贡献，以及 DT 对自杀意念和既往自杀企图的直接贡献。本研究通过对临床样本（N=192）进行研究，旨在更好地阐明这些关系的本质，考察了 AS、DT、自杀意念和自杀企图。与以往的研究和预测一致，研究结果表明，在考虑 DT、性别和抑郁症状的影响后，AS 认知关注子因素与自杀意念和自杀企图史之间存在显著关系。此外，抑郁症状显著调节了 AS 认知关注子因素与自杀意念之间的关系。在考虑 AS 的影响后，分析表明，DT 接近对自杀意念的预测意义，但对自杀企图史没有显著预测作用。这些结果表明，在抑郁症状的背景下，升高的 AS 认知关注与自杀尤其相关。临床医生可能受益于对有自杀风险和 AS 认知关注升高的个体实施 AS 降低策略。
