Department of Clinical Pharmacology, Medical University of Lodz, Lodz, Poland.
Department of Clinical Psychology and Psychopathology, University of Lodz, Institute of Psychology, Lodz, Poland.
Chronobiol Int. 2021 Apr;38(4):509-517. doi: 10.1080/07420528.2020.1865393. Epub 2021 Jan 4.
The aim of the present study was to evaluate whether anxiety and insomnia symptoms, somatic symptoms, and social dysfunction mediate the link between chronotype and suicidality, as depressive symptoms are known to do, among students of the faculties of Medicine and Psychology. Data from a total of 289 students were eligible for the analysis. The students completed the Suicide Behaviors Questionnaire - Revised, Composite Scale of Morningness, General Health Questionnaire. Single-predictor linear regression models were created to predict suicidality, with a subsequent mediation analysis. A preference toward eveningness was associated with an increase in suicidality Somatic symptoms, anxiety/insomnia, and depressive symptoms fully mediated the relationship between chronotype and suicidality. Depressive symptoms were found to present the strongest effect size of mediation. Social dysfunction was associated with both eveningness and suicidality, but did not play a mediating role. There might be a need to evaluate nonpsychotic mental health indices other than depressive symptoms when assessing the link between suicidality and chronotype among students of the faculties of Medicine and Psychology.
本研究旨在评估焦虑和失眠症状、躯体症状和社会功能障碍是否在医学和心理学专业学生中,像抑郁症状那样,在生物钟与自杀意念之间起中介作用。共有 289 名学生的数据符合分析要求。学生完成了修订后的自杀行为问卷、综合晨型量表和一般健康问卷。采用单预测因子线性回归模型预测自杀意念,并进行后续的中介分析。对夜间型的偏好与自杀意念的增加有关。躯体症状、焦虑/失眠和抑郁症状完全中介了生物钟与自杀意念之间的关系。抑郁症状的中介作用效应最大。社会功能障碍与夜间型和自杀意念都有关,但没有起到中介作用。在评估医学和心理学专业学生的自杀意念与生物钟之间的关系时,除了抑郁症状之外,可能还需要评估非精神病心理健康指标。