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医学生的神经质与自杀念头之间的关系:依恋风格的调节作用。

The relationship between neuroticism and suicidal thoughts among medical students: Moderating role of attachment styles.

作者信息

Khosravi Mohsen, Kasaeiyan Rashya

机构信息

Department of Psychiatry and Clinical Psychology, Zahedan University of Medical Sciences, Zahedan, Slamic Republic of Iran.

Department of Clinical Psychology, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.

出版信息

J Family Med Prim Care. 2020 Jun 30;9(6):2680-2687. doi: 10.4103/jfmpc.jfmpc_1200_19. eCollection 2020 Jun.

Abstract

AIM

The present study strives to find an experimental response to these questions: "Is the relationship between neuroticism and suicidal thoughts a simple relationship? Or are there other psychopathological variables such as attachment styles that also affect it?"

SUBJECTS AND METHODS

In this cross-sectional study, 376 medical students were selected from the three major cities of Iran using multi-stage sampling method from July 2018 to September 2018 and were evaluated using the demographic information questionnaire, Beck Scale for Suicidal Ideation (BSSI), the Revised NEO Personality Inventory (NEO-FFI), and the Adult Attachment Questionnaire (AAQ).

RESULTS

The overall prevalence of having suicidal thoughts among Iranian medical students was 17%. Moreover, the prevalence of suicide among the female, widowed, separated, and divorced students was higher than others. There was also a significant correlation between suicidal thoughts, gender, relational status, neuroticism, avoidant insecure attachment style, secure attachment style, and anxious/ambivalent insecure attachment style. Additionally, the attachment styles have a moderating role in the relationship between neuroticism and suicidal thoughts.

CONCLUSION

Based on the current study, it is concluded that despite the presence of neuroticism in medical students, the attachment styles can reduce the risk of suicide as moderator variables. Hence, attachment styles can be considered a potential treatment goal in the prevention of suicide.

摘要

目的

本研究致力于探寻对以下问题的实验性回答:“神经质与自杀念头之间的关系是简单关系吗?还是存在其他精神病理学变量,如依恋风格,也会对其产生影响?”

对象与方法

在这项横断面研究中,于2018年7月至2018年9月期间,采用多阶段抽样方法从伊朗的三个主要城市选取了376名医学生,并使用人口统计学信息问卷、贝克自杀意念量表(BSSI)、修订版大五人格量表(NEO - FFI)和成人依恋问卷(AAQ)对他们进行评估。

结果

伊朗医学生中有自杀念头的总体患病率为17%。此外,女性、丧偶、分居和离异学生的自杀患病率高于其他人。自杀念头与性别、关系状况、神经质、回避型不安全依恋风格、安全型依恋风格以及焦虑/矛盾型不安全依恋风格之间也存在显著相关性。此外,依恋风格在神经质与自杀念头之间的关系中起调节作用。

结论

基于当前研究得出结论,尽管医学生中存在神经质,但依恋风格作为调节变量可降低自杀风险。因此,依恋风格可被视为预防自杀的一个潜在治疗目标。

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