Wojtczak Mateusz, Karasiewicz Karol, Kucharska Katarzyna
Institute of Psychology, Cardinal Stefan Wyszynski University, Warsaw, Poland.
Instutute of Psychology, University of Szczecin, Szczecin, Poland.
Front Psychiatry. 2025 Feb 28;16:1479827. doi: 10.3389/fpsyt.2025.1479827. eCollection 2025.
Suicide is a major public health concern, particularly among people with alcohol use disorders (AUD). Rumination, as a dysfunctional emotion regulation strategy, and increased emotional reactivity may significantly influence suicide risk in this population.
The aim of this study was to assess whether different emotional reactivity mediate the association between ruminations and suicide risk, and whether AUD or control group (HC) status moderates these relationships.
A study was conducted with 152 participants, including 86 from AUD and 66 from HC. Self-report questionnaires measuring ruminations, emotional reactivity and suicide risk were used. Structural Equation Modeling, invariance analysis, and moderated mediation estimation were used in the analyses.
The mediation analysis in the full sample revealed a significant indirect effect of rumination on suicide risk via emotional reactivity. Multi-group analysis indicated no significant differences in the mediation effect between the AUD and HC groups, with neither group showing a statistically significant indirect effect.
The findings indicate that emotional reactivity may serve as a key mechanism mediating the relationship between rumination and suicide risk. Therapeutic interventions should focus on reducing ruminations and emotion reactivity to effectively reduce suicide risk in this group. Further research is needed to better understand these mechanisms.
自杀是一个重大的公共卫生问题，在酒精使用障碍（AUD）患者中尤为突出。沉思作为一种功能失调的情绪调节策略，以及情绪反应性增加，可能会显著影响这一人群的自杀风险。
本研究的目的是评估不同的情绪反应性是否介导沉思与自杀风险之间的关联，以及AUD或对照组（HC）状态是否调节这些关系。
对152名参与者进行了一项研究，其中86名来自AUD组，66名来自HC组。使用了测量沉思、情绪反应性和自杀风险的自我报告问卷。分析中采用了结构方程模型、不变性分析和调节中介估计。
全样本的中介分析显示，沉思通过情绪反应性对自杀风险有显著的间接影响。多组分析表明，AUD组和HC组之间的中介效应没有显著差异，两组均未显示出统计学上显著的间接效应。
研究结果表明，情绪反应性可能是介导沉思与自杀风险之间关系的关键机制。治疗干预应侧重于减少沉思和情绪反应性，以有效降低该群体的自杀风险。需要进一步研究以更好地理解这些机制。
