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大学生和精神科住院患者的社会问题解决缺陷与绝望感、抑郁及自杀风险

Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients.

作者信息

D'Zurilla T J, Chang E C, Nottingham E J, Faccini L

机构信息

Department of Psychology, State University of New York at Stony Brook, 11794, USA.

出版信息

J Clin Psychol. 1998 Dec;54(8):1091-107. doi: 10.1002/(sici)1097-4679(199812)54:8<1091::aid-jclp9>3.0.co;2-j.

Abstract

The Social Problem-Solving Inventory-Revised was used to examine the relations between problem-solving abilities and hopelessness, depression, and suicidal risk in three different samples: undergraduate college students, general psychiatric inpatients, and suicidal psychiatric inpatients. A similar pattern of results was found in both college students and psychiatric patients: a negative problem orientation was most highly correlated with all three criterion variables, followed by either a positive problem orientation or an avoidance problem-solving style. Rational problem-solving skills emerged as an important predictor variable in the suicidal psychiatric sample. Support was found for a prediction model of suicidal risk that includes problem-solving deficits and hopelessness, with partial support being found for including depression in the model as well.

摘要

采用修订版社会问题解决能力量表,在三个不同样本中检验问题解决能力与绝望感、抑郁及自杀风险之间的关系,这三个样本分别为本科大学生、普通精神科住院患者和有自杀倾向的精神科住院患者。在大学生和精神科患者中均发现了相似的结果模式:消极问题取向与所有三个标准变量的相关性最高,其次是积极问题取向或回避问题解决风格。在有自杀倾向的精神科样本中,理性问题解决技能成为一个重要的预测变量。研究支持了一个包含问题解决缺陷和绝望感的自杀风险预测模型,同时也部分支持将抑郁纳入该模型。

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