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中国产后妇女特质神经质与自杀意念的关系:中介模型检验。

Relationship between trait neuroticism and suicidal ideation among postpartum women in China: Testing a mediation model.

机构信息

Suzhou Guangji Hospital, Affiliated Guangji Hospital of Soochow University, Soochow University, Suzhou, 215137, China; School of Health Sciences, Wuhan University, Wuhan, Hubei Province, 430072, China.

Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, LE1 9BH, UK.

出版信息

J Affect Disord. 2019 Sep 1;256:532-535. doi: 10.1016/j.jad.2019.06.030. Epub 2019 Jun 29.

Abstract

BACKGROUND

Suicidal ideation is a common phenomenon among postpartum women around the world. However, evidence of the relationship between neuroticism and suicidal ideation among postpartum women is still lacking.

METHODS

From March 2017 to December 2018, a total of 1027 postpartum women (assessed no later than one month post-birth) were recruited to complete questionnaires assessing neuroticism, depression, anxiety and suicidal ideation.

RESULTS

Anxiety and depression fully mediated the association between neuroticism and suicidal ideation (Total indirect effects = 0.11, 95%CI: 0.07, 0.15). The indirect effect of the pathway of EPQ (Neuroticism)-Anxiety-Suicidal ideation was more significant than other pathways (Indirect effects=0.04, 95%CI: 0.02, 0.07).

CONCLUSION

Interventions for suicidal ideation in postpartum women need to target neuroticism and further research is necessary understand the mechanisms by which neuroticism affects suicidal ideation.

摘要

背景

自杀意念是全世界产后女性中常见的现象。然而,神经质与产后女性自杀意念之间关系的证据仍不足。

方法

2017 年 3 月至 2018 年 12 月,共招募了 1027 名产后女性(评估时间不晚于产后 1 个月),完成评估神经质、抑郁、焦虑和自杀意念的问卷。

结果

焦虑和抑郁完全中介了神经质和自杀意念之间的关系(总间接效应=0.11,95%CI:0.07,0.15)。EPQ(神经质)-焦虑-自杀意念途径的间接效应大于其他途径(间接效应=0.04,95%CI:0.02,0.07)。

结论

针对产后女性自杀意念的干预措施需要针对神经质,进一步的研究需要了解神经质影响自杀意念的机制。

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