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心智化理论与自杀倾向:一项元分析。

Theory of Mind and Suicidality: A Meta-Analysis.

出版信息

Arch Suicide Res. 2022 Oct-Dec;26(4):1666-1687. doi: 10.1080/13811118.2021.1939209. Epub 2021 Jun 22.

Abstract

OBJECTIVE

Disturbances in interpersonal functioning are prevalent in individuals with suicidality. Foundational for interpersonal functioning is theory of mind (ToM), a social-cognitive ability that allows individuals to understand the thoughts and feelings of others. Recent work has begun to investigate ToM performance in individuals with suicidality, though no review has quantitatively aggregated findings from these varied studies. The current study investigated the relations between ToM and suicidality with meta-analysis.

METHOD

We identified and meta-analyzed 15 studies that presented data for 2,895 participants (617 of whom had reported at least one suicide attempt).

RESULTS

Results indicated a significant, negative relation between ToM and suicidality with a medium overall effect size ( = -.475). Moderator analyses revealed that this effect was consistent across age, sex, ToM content, and suicidal outcome.

CONCLUSION

Deficits in ToM associated with suicidality hold promise for risk-identification, treatment, and prevention work.HighlightsTheory of mind (ToM) abilities are critical for effective interpersonal functioning.Meta-analytics results indicate that ToM deficits are associated with suicidality.Identifying such suicidality-related ToM deficits may inform risk-identification, treatment, and prevention work.

摘要

目的

人际功能障碍在有自杀倾向的个体中很常见。人际功能的基础是心理理论(ToM),这是一种社会认知能力,使个体能够理解他人的思想和感受。最近的工作已经开始研究有自杀倾向的个体的 ToM 表现,但没有综述从这些不同研究中定量综合发现。本研究通过荟萃分析调查了 ToM 与自杀倾向之间的关系。

方法

我们确定并荟萃分析了 15 项研究,这些研究提供了 2895 名参与者的数据(其中 617 名参与者至少报告了一次自杀企图)。

结果

结果表明,ToM 与自杀倾向之间存在显著的负相关关系,总效应大小为中等(=-.475)。 调节分析表明,这种效应在年龄、性别、ToM 内容和自杀结果上是一致的。

结论

与自杀倾向相关的 ToM 缺陷为风险识别、治疗和预防工作提供了希望。 要点 心理理论(ToM)能力对于有效的人际功能至关重要。 荟萃分析结果表明,ToM 缺陷与自杀倾向有关。 识别这种与自杀倾向相关的 ToM 缺陷可能有助于风险识别、治疗和预防工作。

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