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创伤后应激障碍与失独父母自杀意念的关系：污名和社会支持的作用。

The relationship between post-traumatic stress disorder and suicidal ideation among shidu parents: the role of stigma and social support.

机构信息

Department of Social Medicine, School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, People's Republic of China.

Department of Medical Care and Maintenance, Health Commission of Shenyang, No. 13 Beiqi Road, Heping District, Shenyang, Liaoning, 110003, People's Republic of China.

出版信息

BMC Psychiatry. 2019 Nov 8;19(1):352. doi: 10.1186/s12888-019-2353-7.

DOI:10.1186/s12888-019-2353-7
PMID:31703652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6842260/
Abstract

BACKGROUND

Losing an only child is a particularly traumatic and heartbreaking event for parents, which can trigger a lot of emotional responses, including PTSD and suicidal ideation (SI). The objectives of this study were mainly to identify predictors of SI and examine the interactions of PTSD with stigma and social support on SI among shidu parents.

METHODS

A total of 507 shidu parents from Shenyang, China were included in this cross-sectional study. Bivariate logistic regression analyses were conducted to explore risk or protective factors associated with SI. Interactions of PTSD with stigma and social support on SI were also examined by bivariate logistic regression analyses.

RESULTS

The prevalence of SI among shidu parents was 11.24%. PTSD (OR = 2.23, p < 0.05) and stigma (OR = 4.66, p < 0.01) were positively associated with SI. Social support was negatively associated with SI (OR = 0.90, p < 0.01). For individuals with PTSD, the presence of stigma was more likely to lead to SI. For individuals with PTSD, an increased level of social support was less likely to lead to SI.

CONCLUSIONS

SI is a serious issue among shidu parents. Stigma aggravated the effect of PTSD on SI, while social support buffered the effect of PTSD on SI among shidu parents.

摘要

背景

失去独生子对父母来说是一种特别创伤和令人心碎的事件，可能会引发很多情绪反应，包括创伤后应激障碍和自杀意念（SI）。本研究的主要目的是确定 SI 的预测因素，并检查 PTSD 与耻辱感和社会支持对失独父母 SI 的相互作用。

方法

本横断面研究共纳入中国沈阳的 507 名失独父母。采用双变量逻辑回归分析探讨与 SI 相关的风险或保护因素。还通过双变量逻辑回归分析检查 PTSD 与耻辱感和社会支持对 SI 的相互作用。

结果

失独父母 SI 的患病率为 11.24%。PTSD（OR=2.23，p<0.05）和耻辱感（OR=4.66，p<0.01）与 SI 呈正相关。社会支持与 SI 呈负相关（OR=0.90，p<0.01）。对于 PTSD 患者，耻辱感的存在更有可能导致 SI。对于 PTSD 患者，较高水平的社会支持不太可能导致 SI。

结论

SI 是失独父母的一个严重问题。耻辱感加剧了 PTSD 对 SI 的影响，而社会支持缓冲了 PTSD 对失独父母 SI 的影响。