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焦虑和抑郁与有和没有童年创伤的个体自杀经历的关联:社会支持的作用。

Associations of anxiety and depression with suicide experiences in individuals with and without childhood trauma: The role of social support.

机构信息

University of South Wales, School of Psychology, Pontypridd, Wales, CF37 1DL, UK.

Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, UK; Manchester Academic Health Science Centre, MAHSC, UK.

出版信息

Psychiatry Res. 2022 Mar;309:114424. doi: 10.1016/j.psychres.2022.114424. Epub 2022 Jan 30.

Abstract

No studies have examined the differences and similarities between individuals with and without experiences of childhood sexual and/or physical abuse in relation to anxiety and depression severity, perceived social support, and suicide experiences. Furthermore, whether the strength of these associations differs between these two groups, and whether the buffering role of perceived social support is equally effective, remain unknown. This study, which was based on 842 British participants, aimed to address these gaps. There were three key findings: i) abused individuals reported significantly more severe depression, anxiety, and suicide experiences, and lower social support, ii) the associations between depression, anxiety, and suicide experiences did not differ between these groups, whereas the association between social support and suicide experiences was more pronounced in abused individuals, and iii) perceived social support acted as a moderator of the association between depression and suicide experiences in both groups. These findings are important because they suggest that for the individuals with childhood trauma perceptions of being less supported by their significant others may lead to suicide acts. Furthermore, perceptions of being socially supported appeared to weaken the association between depression and suicide experiences equally in individuals with and without childhood trauma.

摘要

目前尚无研究考察经历过儿童期性虐待和/或身体虐待与未经历过此类虐待的个体在焦虑和抑郁严重程度、感知社会支持和自杀经历方面的差异和相似之处。此外,这些关联在这两组人群中的强度是否存在差异,以及感知社会支持的缓冲作用是否同样有效,这些问题仍不清楚。本研究基于 842 名英国参与者,旨在解决这些空白。主要有三项发现:i)遭受虐待的个体报告称抑郁、焦虑和自杀经历更为严重,感知到的社会支持较少,ii)抑郁、焦虑和自杀经历之间的关联在这两组人群中并无差异,而感知到的社会支持与自杀经历之间的关联在遭受虐待的个体中更为明显,iii)感知到的社会支持在这两组人群中均起到了调节抑郁和自杀经历之间关联的作用。这些发现很重要,因为它们表明,对于有童年创伤经历的个体来说,感知到来自重要他人的支持较少可能会导致自杀行为。此外,感知到的社会支持似乎同样可以减弱抑郁和自杀经历之间的关联,无论个体是否有童年创伤经历。

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