Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.
Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Clin Psychol Psychother. 2021 Nov;28(6):1435-1444. doi: 10.1002/cpp.2582. Epub 2021 Mar 16.
Childhood maltreatment is thought to be associated with suicidality in patients with obsessive-compulsive disorder (OCD). Although the underlying mechanism of this relationship is not clear, cognitive emotion regulation strategies (CERSs) and the specific OC symptoms including unacceptable obsessional thoughts (UOTs) and responsibility for harm (RFH) may underlie this link. Accordingly, the study aimed to assess the effect of childhood maltreatment on suicidal ideation through UOTs, RFH and adaptive and maladaptive CERSs in OCD patients. Three hundred patients meeting a DSM-5 diagnosis of OCD were selected and completed the scales measuring childhood maltreatment, OCD, suicidality and depressive symptoms. After controlling for depressive symptoms and OCD severity, childhood maltreatment was shown to affect suicidal ideation directly. Also, the indirect effect of childhood maltreatment on suicidal ideation was mediated by adaptive CERSs, UOTs and RFH. The findings show that OCD patients with a history of childhood maltreatment, less use of adaptive CERSs and the experiences of UOTs and RFH should be carefully considered regarding suicidal risk.
儿童期虐待被认为与强迫症（OCD）患者的自杀意念有关。尽管这种关系的潜在机制尚不清楚，但认知情绪调节策略（CERS）和特定的 OC 症状，包括无法接受的强迫性思维（UOT）和对伤害的责任（RFH），可能是这种联系的基础。因此，该研究旨在通过 OCD 患者的 UOT、RFH 和适应性及适应性不良的 CERSs 来评估儿童期虐待对自杀意念的影响。选择了 300 名符合 DSM-5 强迫症诊断标准的患者，并完成了测量儿童期虐待、强迫症、自杀意念和抑郁症状的量表。在控制了抑郁症状和强迫症严重程度后，儿童期虐待直接影响自杀意念。此外，儿童期虐待对自杀意念的间接影响是通过适应性 CERSs、UOT 和 RFH 来介导的。研究结果表明，对于有儿童期虐待史、较少使用适应性 CERSs 以及经历 UOT 和 RFH 的 OCD 患者，应仔细考虑自杀风险。
