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学业压力与自杀意念:应对方式和韧性的调节作用。

Academic stress and suicidal ideation: moderating roles of coping style and resilience.

机构信息

Department of Home Science and Management, University of Nigeria, Nsukka, Nigeria.

Psychology Department, University of Nigeria, Nsukka, Nigeria.

出版信息

BMC Psychiatry. 2022 Aug 12;22(1):546. doi: 10.1186/s12888-022-04063-2.

Abstract

BACKGROUND

As a global phenomenon, suicide has generated a lot of concern. Scholars from various fields have conducted extensive research on the prevalence, causes, factors, and/or management or possible solutions to suicidal ideation. Despite the research efforts, suicidal cases worldwide still yell for more empirical attention. No doubt that some of the extant literature have specifically evidenced the causal links and factors in suicidal ideation. Yet, none had focused on the moderating roles of coping and resilience in an academic population. We therefore, examined the moderating roles of coping and resilience in the relationship between academic stress and suicidal ideation.

METHOD

We used a cross-sectional design to sample 505 participants (329 males and 176 females) from three southern Nigerian universities. Participants who willingly indicated their participatory consent were administered a paper self-report questionnaire containing the Lakaev Academic Stress Response Scale (LASRS), Scale for Suicidal Ideation (SSI), Brief COPE (B-COPE), and Resilience Scale (RS-14). Hierarchical regression analysis was used to test the hypotheses of the study. Academic stress (r = 0.17; p.001) was found to be positively associated with suicidal ideation, whereas resilience (r = -.22; p.001) was found to be negatively associated with suicidal ideation. Suicidal ideation had no significant correlation with adaptive coping style, but it did have a significant correlation with maladaptive coping (r = .15; p.001). The regression-based PROCESS macro showed that academic stress was a significant predictor of coping [ΔR = .03, F (1, 502) = 16.18, p = .01]. Academic stress was positively associated with suicidal ideation at low or moderate levels of adaptive coping styles. At high levels of adaptive coping styles, the association between academic stress and suicidal ideation was not significant. However, resilience negatively predicted suicidal ideation [R = .29, (R = .08), F(1, 499) = 19.94, p = .00] with academic stress showing a positive association with suicidal ideation at low and moderate levels of resilience, but for those with high resilience, academic stress was not associated with suicidal ideation. In sum, suicidal ideation is heightened by increased academic stress, with greater resilience ameliorating the tendency of academic stress resulting in suicidal ideation. Also, adopting maladaptive ways of coping promotes suicidal ideation among students, with resilience and adaptive coping strategies moderating the relationship between academic stress and suicidal ideation. It is therefore recommended that educational administrators, policy makers, lecturers, teachers, and tutors incorporate courses, teachings, and sessions that foster as well as inculcate resilience and efficient coping skills in pupils and students.

摘要

背景

自杀作为一种全球性现象,引起了广泛关注。来自不同领域的学者对自杀的流行率、原因、因素以及自杀意念的管理或可能的解决方案进行了广泛研究。尽管进行了这些研究努力,但全球范围内的自杀案例仍需要更多的实证关注。毫无疑问,一些现有文献已经具体证明了自杀意念中的因果关系和因素。然而,没有人关注应对和适应能力在学术人群中的调节作用。因此,我们研究了应对和适应能力在学术压力与自杀意念之间的关系中的调节作用。

方法

我们采用横断面设计,从尼日利亚南部的三所大学抽取 505 名参与者(329 名男性和 176 名女性)。愿意参与的参与者被给予一份纸质的自我报告问卷,其中包括 Lakaev 学术压力反应量表(LASRS)、自杀意念量表(SSI)、Brief COPE(B-COPE)和适应量表(RS-14)。采用分层回归分析检验研究假设。结果显示,学术压力(r=0.17;p.001)与自杀意念呈正相关,而适应能力(r=-.22;p.001)与自杀意念呈负相关。自杀意念与适应性应对方式无显著相关性,但与不良应对方式显著相关(r=0.15;p.001)。基于回归的 PROCESS 宏显示,学术压力是应对方式的一个显著预测因子[ΔR=0.03,F(1,502)=16.18,p=0.01]。在适应性应对方式水平较低或中等时,学术压力与自杀意念呈正相关。在适应性应对方式水平较高时,学术压力与自杀意念之间的关联不显著。然而,适应能力负向预测自杀意念[R=0.29,(R=0.08),F(1,499)=19.94,p=0.00],在适应能力水平较低和中等时,学术压力与自杀意念呈正相关,但对于适应能力较高的个体,学术压力与自杀意念无关。总之,自杀意念会因学术压力增加而加剧,而适应能力的提高则可以减轻学术压力导致自杀意念的倾向。此外,采用不良的应对方式会促进学生的自杀意念,而适应能力和适应性应对策略则调节学术压力与自杀意念之间的关系。因此,建议教育管理者、政策制定者、讲师、教师和导师在学生中开设课程、教学和课程,培养和灌输适应能力和有效的应对技巧。

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