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受挫的人际需求在精神科住院患者的正念各维度与自杀意念之间起中介作用。

Thwarted interpersonal needs mediate the relation between facets of mindfulness and suicide ideation among psychiatric inpatients.

机构信息

Department of Psychological Sciences, Texas Tech University, Lubbock, TX 79409-2051, USA.

Department of Psychological Sciences, Texas Tech University, Lubbock, TX 79409-2051, USA.

出版信息

Psychiatry Res. 2018 Jul;265:167-173. doi: 10.1016/j.psychres.2018.04.026. Epub 2018 Apr 14.

DOI:10.1016/j.psychres.2018.04.026
PMID:29709791
Abstract

Previous research suggests a negative association between mindfulness and suicide ideation, yet limited research has examined the specific role of mindfulness on suicide ideation or attempted to link this construct with theory-driven risk factors for suicide among high-risk individuals. The current study examined the mediating role of thwarted interpersonal needs (i.e., thwarted belongingness and perceived burdensomeness) in the relation between facets of mindfulness and suicide ideation among psychiatric inpatients. Participants were 118 psychiatric inpatients who completed self-report assessments of mindfulness, thwarted belongingness, perceived burdensomeness, and suicide ideation. Results indicated that the additive effect of thwarted belongingness and perceived burdensomeness mediated the relation between the act with awareness, non-judging, and non-reactivity mindfulness facets, and suicide ideation. Facets of mindfulness appear to be differentially related to thwarted interpersonal needs and subsequent suicide ideation. Continued examination of specific facets of mindfulness, as they relate to suicide ideation, may highlight potentially important distinctions and better inform suicide risk assessment and treatment.

摘要

先前的研究表明,正念与自杀意念之间存在负相关,但有限的研究考察了正念对自杀意念的具体作用,或试图将这一概念与高危人群的自杀理论驱动风险因素联系起来。本研究考察了人际需求受挫(即归属感受挫和被认为是负担)在精神科住院患者的正念各方面与自杀意念之间的关系中的中介作用。参与者为 118 名精神科住院患者,他们完成了正念、人际需求受挫、被认为是负担和自杀意念的自我报告评估。结果表明,归属感受挫和被认为是负担的累加效应在与觉察、不评判和非反应性的正念方面与自杀意念之间的关系中起中介作用。正念的各个方面似乎与人际需求受挫和随后的自杀意念有不同的关系。继续检查正念的具体方面与自杀意念的关系,可能会突出潜在的重要区别,并更好地为自杀风险评估和治疗提供信息。

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