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疫情防控常态化背景下,反刍和希望对负性生活事件与自杀意念的作用:一个有调节的中介模型。

Role of rumination and hope on negative life events and suicidal ideation under the background of normalization of pandemic prevention and control: A moderated mediation model.

机构信息

Counseling and Education Center, Xiamen University, Xiamen, Fujian, China.

Faculty of Psychology, Beijing Normal University, Beijing, China.

出版信息

Front Public Health. 2023 Jan 20;10:898580. doi: 10.3389/fpubh.2022.898580. eCollection 2022.

Abstract

INTRODUCTION

The study aimed to investigate the impact and mechanism of negative life events on college students' suicidal ideation during the COVID-19 pandemic and the buffering effect of hope under the background of normalization of pandemic.

METHODS

A total of 5211 participants took part in this study. Self-reported negative life events, rumination, hope and suicide ideation were measured using a range of questions and scales. Our research demonstrated that the incidence of suicidal ideation among college freshmen in the past week was higher during the COVID-19 pandemic than that before the pandemic. In this study, conditional process model 15 was used to verify the hypothetical model of rumination as a potential mediator and hope as a moderator.

RESULTS

The hypothesized moderated mediation model was verified significant ( = -0.047, 95% CI = [-0.061, -0.035]), and hope was found to moderate the direct effect of negative life events on suicidal ideation ( = -0.039, t = -2.937, 95% CI = [-0.065, -0.013]) as well as the indirect effect of through the mediator rumination ( = -0.134, t = -10.850, 95% CI = [-0.158, -0.110]).

DISCUSSION

We found that rumination partially mediated the effect of negative life events on suicidal ideation, and hope buffered the direct and indirect effect of negative life events on suicidal ideation. The implications of the findings for clinical interventions are discussed, including the importance of hope arousal as a protective factor and rumination as a cognitive mechanism for emotion regulation under the background of normalization of pandemic.

摘要

引言

本研究旨在探讨新冠疫情常态化背景下,负性生活事件对大学生自杀意念的影响及其作用机制,以及希望的缓冲作用。

方法

共有 5211 名参与者参与了这项研究。采用一系列问题和量表测量了自我报告的负性生活事件、反刍思维、希望和自杀意念。研究表明,新冠疫情期间,大学新生在过去一周内出现自杀意念的发生率高于疫情前。在本研究中,使用条件过程模型 15 验证了反刍思维作为潜在中介变量和希望作为调节变量的假设模型。

结果

假设的中介调节模型得到验证(= -0.047,95%置信区间[-0.061,-0.035]),发现希望调节了负性生活事件对自杀意念的直接影响(= -0.039,t = -2.937,95%置信区间[-0.065,-0.013]),以及通过中介反刍思维的间接影响(= -0.134,t = -10.850,95%置信区间[-0.158,-0.110])。

讨论

我们发现反刍思维部分中介了负性生活事件对自杀意念的影响,希望缓冲了负性生活事件对自杀意念的直接和间接影响。讨论了这些发现对临床干预的意义,包括在疫情常态化背景下,希望唤起作为保护因素和反刍作为情绪调节的认知机制的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e3a/9895382/62b0569a5e6c/fpubh-10-898580-g0001.jpg

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