A Moderation Model for Bolstering Resilience to Suicidal Psychopathology: Positive Sociopsychological Constructs and Coping Flexibilities Buffering the Impact of Daily Life Stress Among Medical Students.

IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Journal of Nervous and Mental Disease Pub Date : 2024-02-01 Epub Date: 2024-01-11 DOI:10.1097/NMD.0000000000001741
Sunny Garg, Aakanksha Kharb
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Abstract

Abstract: Positive sociopsychological constructs and coping flexibility may be helpful for alleviating suicidal psychopathology, although relatively little research has examined this possibility among medical students. This survey aimed to investigate whether positive sociopsychological constructs and coping flexibility could buffer the negative impact of daily life stress and bolster the resilience to suicidal ideations and attempts among medical students. This cross-sectional model was based on a study of 787 Indian medical students (725 women and 62 men; mean age, 21.08 years; SD = 2.78; range, 19-37 years) who were asked to complete a battery of self-administered questionnaires. For the purpose of determining the independent and interaction impacts of potential variables of influence, hierarchical multiple linear regression models were used. The moderation analysis investigated that the association between daily life stress and suicidal ideation was buffered among the students having higher levels of positive mental health and coping flexibility, whereas this association was no longer significant at the highest level of positive mental health. Furthermore, the relationship between daily life stress and suicidal attempts continued to be buffered by above-average levels of coping flexibility, emotional stability (ES), and optimism. These findings represent that promoting positive mental health, coping flexibility, ES, and optimism may be a promising approach to mitigate suicidal thoughts and attempts in interventions for medical students at high risk. These modifiable moderating factors can be enhanced by empirically supported treatment and prevention efforts to bolster suicidal resilience.

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增强自杀心理病理学复原力的调节模型》(A Moderation Model for Bolstering Resilience to Suicidal Psychopathology):积极的社会心理结构和应对灵活性缓冲医学生日常生活压力的影响。
摘要:积极的社会心理建构和应对灵活性可能有助于缓解自杀心理病理学,但针对医学生的研究相对较少。本调查旨在研究积极的社会心理结构和应对灵活性是否能缓冲日常生活压力的负面影响,并增强医学生对自杀意念和企图的抗逆力。该横断面模型基于一项对 787 名印度医学生(725 名女生和 62 名男生;平均年龄 21.08 岁;SD = 2.78;年龄范围 19-37 岁)的研究,他们被要求完成一系列自填问卷。为了确定潜在影响变量的独立影响和交互影响,采用了分层多元线性回归模型。调节分析表明,日常生活压力与自杀意念之间的关联在积极心理健康和应对灵活性水平较高的学生中得到了缓冲,而在积极心理健康水平最高的学生中,这种关联不再显著。此外,日常生活压力与自杀企图之间的关系继续被高于平均水平的应对灵活性、情绪稳定性(ES)和乐观情绪所缓冲。这些研究结果表明,在对高风险医学生进行干预时,促进积极的心理健康、应对灵活性、情绪稳定性和乐观主义可能是减轻自杀念头和企图的有效方法。这些可调节的调节因素可以通过经验支持的治疗和预防工作得到加强,从而增强自杀复原力。
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来源期刊
CiteScore
2.90
自引率
5.30%
发文量
233
审稿时长
3-8 weeks
期刊介绍: The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.
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