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自杀意念与人际需求:高危军事样本中人际需求问卷简版的因素结构

Suicidal Ideation and Interpersonal Needs: Factor Structure of a Short Version of the Interpersonal Needs Questionnaire in an At-Risk Military Sample.

作者信息

Allan Nicholas P, Gros Daniel F, Hom Melanie A, Joiner Thomas E, Stecker Tracy

出版信息

Psychiatry. 2016 Fall;79(3):249-261. doi: 10.1080/00332747.2016.1185893.

Abstract

OBJECTIVE

The interpersonal-psychological theory of suicide posits that perceived burdensomeness (PB; i.e., the belief that others would be better off if one were dead) and thwarted belongingness (TB; i.e., the belief that one lacks meaningful social connections) are both necessary risk factors for the development of suicidal ideation. To test these relations, measures are needed that are well validated, especially in samples of at-risk adults.

METHOD

The current study was designed to examine the factor structure of an eight-item version of the Interpersonal Needs Questionnaire (INQ) in a sample of 405 U.S. past and current military personnel (M = 31.57 years, SD = 7.28; 90.4% male) who endorsed either current suicidal ideation and/or a past suicide attempt. Analyses were conducted using confirmatory factor analysis (CFA).

RESULTS

A bifactor model comprising a general factor, labeled interpersonal needs, and two specific factors, labeled PB and TB, fit the data best. The general factor captured a high proportion of overall variance (81.9%). In contrast, the TB factor captured only a modest amount of variance in items meant to capture this factor (59.1%) and the PB factor captured very little variance in items meant to capture this factor (13.5%). Further, only the interpersonal needs factor was associated with lifetime and past-week suicidal ideation as well as suicidal ideation frequency and duration.

CONCLUSIONS

The current findings indicate that, for the INQ-8 in high-risk military personnel, a general interpersonal needs factor accounted for the relations PB and TB share with suicidal ideation.

摘要

目的

自杀的人际心理理论认为,感知到的负担感(PB;即认为自己死了别人会过得更好的信念)和归属感受挫(TB;即认为自己缺乏有意义的社会联系的信念)都是自杀意念产生的必要风险因素。为了检验这些关系,需要经过充分验证的测量方法,尤其是在高危成年人样本中。

方法

本研究旨在对405名美国现役和退役军人(M = 31.57岁,标准差 = 7.28;90.4%为男性)进行调查,这些人认可当前有自杀意念和/或过去有过自杀未遂经历,以检验人际需求问卷(INQ)八条目版的因子结构。使用验证性因子分析(CFA)进行分析。

结果

一个双因子模型最符合数据,该模型包括一个一般因子(标记为人际需求)和两个特定因子(分别标记为PB和TB)。一般因子解释了总体方差的很大比例(81.9%)。相比之下,TB因子在旨在测量该因子的条目中仅解释了适度比例的方差(59.1%),而PB因子在旨在测量该因子的条目中仅解释了极少比例的方差(13.5%)。此外,只有人际需求因子与终生和过去一周的自杀意念以及自杀意念的频率和持续时间相关。

结论

当前研究结果表明,对于高危军人中的INQ - 8,一个一般的人际需求因子解释了PB和TB与自杀意念的共同关系。

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