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重新评估可减轻影响,而新冠疫情倦怠会加剧抑郁症状对中国大学生自杀意念的影响。

Reappraisal Mitigates, While COVID-19 Burnout Exacerbates the Impact of Depressive Symptoms on Suicidal Ideation Among Chinese College Students.

作者信息

Ren Lijie, Chen Ye, Han Xianguo, Chen Ziyi, Wang Zhi, Li Wenxiao, Chen Hongyuan

机构信息

Mental Health Center, Shanghai Customs University, Shanghai, People's Republic of China.

School of Customs and Public Administration, Shanghai Customs University, Shanghai, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2024 Sep 11;17:3147-3157. doi: 10.2147/PRBM.S463316. eCollection 2024.

DOI:10.2147/PRBM.S463316
PMID:39280038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11402369/
Abstract

BACKGROUND

Suicide is a global public health issue. This study examined the role of COVID-19 burnout and reappraisal in suicidal ideation caused by depressive symptoms among Chinese college students.

METHODS

587 students (261 boys, = 19.53, = 1.42) were assessed using the Short Depression-Happiness Scale (SDHS), Positive and Negative Suicide Ideation (PANSI) inventory, and Emotion Regulation Scale (ERS).

RESULTS

Correlation analysis indicated depressive symptoms were negatively correlated with reappraisal and positively correlated with suicidal ideation and COVID-19 burnout. Reappraisal was negatively correlated with suicidal ideation and COVID-19 burnout. The moderated mediation model showed COVID-19 burnout enhanced the direct effect of depressive symptoms on suicidal ideation and indirectly enhanced this effect by weakening the protective role of reappraisal.

CONCLUSION

These finding show that reappraisal acts as a protective factor against suicidal ideation in individuals with depressive symptoms, while COVID-19 burnout exacerbates this effect by weakening reappraisal's protective role.

摘要

背景

自杀是一个全球性的公共卫生问题。本研究探讨了新冠倦怠和认知重评在中国大学生抑郁症状所致自杀意念中的作用。

方法

使用简版抑郁-快乐量表(SDHS)、正负性自杀意念(PANSI)量表和情绪调节量表(ERS)对587名学生(261名男生,年龄 = 19.53岁,标准差 = 1.42)进行评估。

结果

相关分析表明,抑郁症状与认知重评呈负相关,与自杀意念和新冠倦怠呈正相关。认知重评与自杀意念和新冠倦怠呈负相关。调节中介模型显示,新冠倦怠增强了抑郁症状对自杀意念的直接效应,并通过削弱认知重评的保护作用间接增强了这一效应。

结论

这些发现表明,认知重评对有抑郁症状个体的自杀意念起到保护作用,而新冠倦怠通过削弱认知重评的保护作用加剧了这一效应。

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本文引用的文献

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Burnout and Life Satisfaction among Healthcare Workers Related to the COVID-19 Pandemic (Silesia, Poland).COVID-19 大流行期间医护人员的倦怠与生活满意度(波兰西里西亚)。
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The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: A mixed methods systematic review.医生职业倦怠与抑郁、焦虑、自杀意念和物质滥用的关系:一项混合方法系统评价。
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Trends in Positive Depression and Suicide Risk Screens in Pediatric Primary Care During COVID-19.
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COVID-19 burnout, resilience, and psychological distress among Chinese college students.新冠疫情下中国大学生的倦怠、韧性和心理困扰。
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Relationship between burnout and Major Depressive Disorder in health professionals: A HEAR report.卫生专业人员职业倦怠与重性抑郁障碍的关系:一项 HEAR 报告。
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Structural Model of Suicidal Ideation and Behavior: Mediating Effect of Impulsivity.自杀意念和行为的结构模型:冲动的中介效应。
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Suicide in African American Adolescents: Understanding Risk by Studying Resilience.非裔美国青少年的自杀问题:通过研究韧性来理解风险。
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Innate immunity receptors in depression and suicide: upregulated NOD-like receptors containing pyrin (NLRPs) and hyperactive inflammasomes in the postmortem brains of people who were depressed and died by suicide.抑郁和自杀中的先天免疫受体:抑郁和自杀者死后大脑中上调的含pyrin 的 NOD 样受体(NLRPs)和过度活跃的炎症小体。
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