Department of Psychology, Payame Noor University, Tehran, Iran.
Department of Clinical Psychology, Islamic Azad University, Mazandaran Science and Research Branch, Mazandaran, Iran.
Addict Behav. 2019 Nov;98:106011. doi: 10.1016/j.addbeh.2019.05.035. Epub 2019 Jun 4.
Emotion dysregulation is considered as one of the factors related to suicide in individuals with childhood trauma (CT). However, no research has been performed on the role of emotion dysregulation in the relationship between perception of CT and suicidal ideation in individuals who use heroin. This study aimed to evaluate direct and indirect relationships between perception of CT and suicidal ideation through emotion regulation difficulties (ERD) and cognitive emotion regulation strategies (CERSs) in males with a DSM diagnosis of heroin dependence. In a cross-sectional design, 310 males with a DSM diagnosis of heroin dependence completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Difficulties in Emotion Regulation Scale (DERS), the Cognitive Emotion Regulation Questionnaire-Short version (CERQ-Short), the Obsessive-Compulsive Drug Use Scale-Form Heroin (OCDUS-Form Heroin), and the Depression Anxiety Stress Scales (DASS). The results revealed that perception of CT had no direct relation to suicidal ideation. Perception of CT was indirectly associated with suicidal ideation through some ERD dimensions [e.g., non-acceptance of emotional responses (Non-acceptance), limited access to emotion regulation strategies (Strategies), lack of emotional awareness (Awareness)] and the CERS of positive reappraisal. The findings suggest that high suicidal ideation may stem from a perception of CT and subsequently emotion dysregulation in individuals who use heroin. Also, the findings of this research may have implications for the prevention and treatment of suicidal ideation in individuals using heroin with a perception of CT. The results of the present study require further examination through longitudinal studies.
情绪调节障碍被认为是与童年创伤 (CT) 个体自杀相关的因素之一。然而，目前还没有研究关注情绪调节障碍在使用海洛因的个体 CT 知觉与自杀意念之间关系中的作用。本研究旨在评估通过情绪调节困难 (ERD) 和认知情绪调节策略 (CERSs) 在男性 DSM 诊断为海洛因依赖个体中 CT 知觉与自杀意念之间的直接和间接关系。在横断面设计中，310 名男性 DSM 诊断为海洛因依赖，完成了童年创伤问卷-短表 (CTQ-SF)、情绪调节困难量表 (DERS)、认知情绪调节问卷-短版 (CERQ-Short)、强迫性药物使用量表-海洛因版 (OCDUS-Form Heroin) 和抑郁焦虑压力量表 (DASS)。结果表明，CT 知觉与自杀意念没有直接关系。CT 知觉通过某些 ERD 维度[例如，情绪反应的不接受 (不接受)、情绪调节策略的有限获取 (策略)、情绪意识的缺乏 (意识)]和积极重新评价的 CERS 与自杀意念间接相关。研究结果表明，高自杀意念可能源于使用海洛因的个体对 CT 的感知，继而导致情绪调节障碍。此外，本研究的结果可能对预防和治疗 CT 知觉的使用海洛因个体的自杀意念具有重要意义。本研究的结果需要通过纵向研究进一步验证。
