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神经质、沉思、抑郁与自杀意念:一个横跨四个国家的有调节的系列中介模型

Neuroticism, rumination, depression and suicidal ideation: A moderated serial mediation model across four countries.

作者信息

Vidal-Arenas Verónica, Bravo Adrian J, Ortet-Walker Jordi, Ortet Generós, Mezquita Laura, Ibáñez Manuel Ignacio

机构信息

Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Castellón, Spain.

Department of Psychological Sciences, William & Mary, Williamsburg, Virginia, USA.

出版信息

Int J Clin Health Psychol. 2022 Sep-Dec;22(3):100325. doi: 10.1016/j.ijchp.2022.100325. Epub 2022 Jul 29.

Abstract

BACKGROUND/OBJECTIVE: Research has highlighted the role of neuroticism, rumination, and depression in predicting suicidal thoughts, but studies on how these variables interplay are scarce. The aims of the present study were to test a model in which emotional stability (i.e., low neuroticism) would act as an antecedent and moderator of rumination and depressed mood in the prediction of suicidal ideation (i.e., moderated serial-mediation), and to explore their replicability across four countries and sex, among college students as an at-risk-group for suicide.

METHOD

Participants were 3482 undergraduates from U.S, Spain, Argentina, and the Netherlands. Path analysis and multi-group analysis were conducted.

RESULTS

Emotional stability was indirectly linked to suicidal ideation via rumination and depressed mood. Moreover, emotional stability moderated the associations between rumination and depressed mood, and between depressed mood and suicidal ideation. Findings were consistent in males and females, and across countries studied.

DISCUSSION

Regardless of sex and country, people with low emotional stability reported higher levels of rumination, which in turn was associated with more depressed mood, and these were associated with higher reports of suicidal thoughts. This cascade of psychological risk factors for suicidal ideation seems to be more harmful in people who endorse low levels of emotional stability.

摘要

背景/目的:研究强调了神经质、反刍思维和抑郁在预测自杀念头方面的作用,但关于这些变量如何相互作用的研究却很少。本研究的目的是检验一个模型,即在预测自杀意念(即有调节的序列中介)时,情绪稳定性(即低神经质)将作为反刍思维和抑郁情绪的先行因素和调节因素,并探讨它们在四个国家以及不同性别大学生(作为自杀风险群体)中的可重复性。

方法

参与者为来自美国、西班牙、阿根廷和荷兰的3482名本科生。进行了路径分析和多组分析。

结果

情绪稳定性通过反刍思维和抑郁情绪与自杀意念间接相关。此外,情绪稳定性调节了反刍思维与抑郁情绪之间以及抑郁情绪与自杀意念之间的关联。研究结果在男性和女性以及所研究的各个国家中都是一致的。

讨论

无论性别和国家如何,情绪稳定性低的人反刍思维水平更高,这反过来又与更抑郁的情绪相关,而这些又与更高的自杀念头报告相关。这种自杀意念的心理风险因素级联似乎对情绪稳定性水平低的人更有害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0cb/9343412/823308752e55/gr1.jpg

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