Polanco-Roman Lillian, Moore Alyssa, Tsypes Aliona, Jacobson Colleen, Miranda Regina
Hunter College and The Graduate Center, City University of New York.
Binghamton University, State University of New York.
J Clin Psychol. 2018 Jan;74(1):123-135. doi: 10.1002/jclp.22486. Epub 2017 May 11.
Emotion reactivity and difficulties in expressing emotions have been implicated in risk for suicidal behavior. This study examined comfort in expressing emotions (positive vs. negative) and depressive symptoms as mediators of the prospective relation between emotion reactivity and suicidal ideation.
Emerging adults (N = 143; 72% female; 28% White) completed measures of emotion reactivity, comfort expressing emotions, and suicidal ideation at baseline and of depressive symptoms and suicidal ideation 12 months later.
Emotion reactivity predicted suicidal ideation at follow-up through depressive symptoms. Difficulty expressing love-but not happiness, sadness, and anger-partially mediated the relationship between emotion reactivity and suicidal ideation at follow-up before but not after adjusting for baseline ideation.
The relation between high emotion reactivity and suicidal ideation may be explained by discomfort in the expression of positive emotions and by depressive symptoms. Promotion of comfort in positive emotion expression may reduce vulnerability to suicidal ideation.
情绪反应性以及表达情绪方面的困难与自杀行为风险有关。本研究考察了表达情绪的舒适度（积极情绪与消极情绪）以及抑郁症状作为情绪反应性与自杀意念之间前瞻性关系的中介变量。
新兴成年人（N = 143；72%为女性；28%为白人）在基线时完成了情绪反应性、表达情绪的舒适度和自杀意念的测量，并在12个月后完成了抑郁症状和自杀意念的测量。
情绪反应性通过抑郁症状预测随访时的自杀意念。表达爱意困难——而非表达快乐、悲伤和愤怒困难——在调整基线意念之前部分中介了情绪反应性与随访时自杀意念之间的关系，但调整后则不然。
高情绪反应性与自杀意念之间的关系可能由积极情绪表达的不适感和抑郁症状来解释。促进积极情绪表达的舒适度可能会降低自杀意念的易感性。
