Bersani Francesco Saverio, Accinni Tommaso, Carbone Giuseppe Alessio, Corazza Ornella, Panno Angelo, Prevete Elisabeth, Bernabei Laura, Massullo Chiara, Burkauskas Julius, Tarsitani Lorenzo, Pasquini Massimo, Biondi Massimo, Farina Benedetto, Imperatori Claudio
Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.
Cognitive and Clinical Psychology Laboratory, Department of Human Sciences, European University of Rome, 00163 Rome, Italy.
Healthcare (Basel). 2022 May 20;10(5):948. doi: 10.3390/healthcare10050948.
Suicide is a major public health problem, and it is urgent to investigate its underlying clinical and psychological concomitants. It has been suggested that low mentalization skills and problematic use of the internet (PUI) are factors that can play a role in suicidal behaviors. It is possible that poor mentalization skills contribute to leading to forms of PUI, which, in turn, can represent triggers for suicidal ideation (SI). We tested this hypothesis through a quantitative and cross-sectional study on a sample (n = 623) of young adults (age range: 18−34). Self-report measures investigating symptoms related to Social Media Addiction (SMA), Internet Gaming Disorder (IGD), mentalization capacity, and SI were used. A single mediation analysis with two mediators was carried out to evaluate the direct and indirect effects of mentalization on SI through the mediating role of SMA- and IGD-related symptoms, controlling for potential confounding factors (e.g., socio-demographic and addiction-related variables). The four explored variables were significantly associated with each other (all p < 0.001) across all subjects; the mediational model showed that the total effect of mentalization on SI was significant (B = −0.821, SE = 0.092 (95% CI: −1.001; −0.641)) and that both SMA- (B = −0.073, SE = 0.034 (95% CI: −0.145; −0.008)) and IGD-related symptoms (B = 0.046, SE = 0.027 (95% CI: −0.107; −0.001)) were significant mediators of such association. Our findings support the possibility that PUI severity plays a relevant role in mediating the association between low mentalization skills and levels of SI.
自杀是一个重大的公共卫生问题,迫切需要对其潜在的临床和心理伴随因素进行调查。有人认为,心理化技能低下和网络使用问题(PUI)是可能在自杀行为中起作用的因素。心理化技能差可能导致PUI形式,而PUI反过来又可能成为自杀意念(SI)的触发因素。我们通过对623名年轻成年人(年龄范围:18 - 34岁)的样本进行定量横断面研究来检验这一假设。使用了自我报告测量方法来调查与社交媒体成瘾(SMA)、网络游戏障碍(IGD)、心理化能力和SI相关的症状。进行了一个包含两个中介变量的单一中介分析,以评估心理化通过与SMA和IGD相关症状的中介作用对SI的直接和间接影响,并控制潜在的混杂因素(如社会人口统计学和成瘾相关变量)。在所有受试者中,四个探索变量彼此之间均显著相关(所有p < 0.001);中介模型显示,心理化对SI的总效应显著(B = -0.821,SE = 0.092(95%CI:-1.001;-0.641)),并且与SMA相关的症状(B = -0.073,SE = 0.034(95%CI:-0.145;-0.008))和与IGD相关的症状(B = 0.046,SE = 0.027(95%CI:-0.107;-0.001))都是这种关联的显著中介变量。我们的研究结果支持PUI严重程度在介导低心理化技能与SI水平之间的关联中发挥相关作用的可能性。
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