The multifaceted role of emotion regulation in suicidality: Systematic reviews and meta-analytic evidence.

IF 17.3 1区 心理学 Q1 PSYCHOLOGY Psychological bulletin Pub Date : 2024-01-01 DOI:10.1037/bul0000415
Guyonne Rogier, Carlo Chiorri, Sara Beomonte Zobel, Stefania Muzi, Cecilia Serena Pace, Mike W-L Cheung, Patrizia Velotti
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Abstract

Despite the number of empirical contributions on the topic, scientists have offered contrasting perspectives on the role of adaptive versus maladaptive emotion regulation (ER) strategies in suicidality. Moreover, suicidal attempts and suicidal ideation are likely to be differentially related to single ER strategies. To provide more systematic knowledge that can be used to draw sound conclusions and formulate clinical indications, we carried out a systematic review and meta-analysis that we reported in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards (Moher et al., 2009). From an initial pool of 16,530 articles retrieved from scientific databases (APA PsycInfo, APA PsycArticles, Medline, Scopus, Web of Science, and PubMed) and a search for gray literature, 226 articles were selected to perform 15 meta-analyses. In addition, metaregressions were carried out to test a series of moderators, including the type of suicidality investigated. Among adaptive strategies, results evidenced the role of reappraisal, mindfulness, and several aspects of problem solving. In contrast to our hypothesis, reflective attitude was positively associated with suicidality, calling into question the traditional distinction between adaptive and maladaptive strategies. Regarding maladaptive ER strategies, suppression, avoidance, rumination, brooding, negative problem orientation, and both impulsive and avoidant problem solving proved to be significantly associated with suicidality. Finally, several moderation effects involving age, gender composition, and type of suicidality were observed, supporting the importance of adopting a complex perspective when approaching the topic. Despite the interesting preliminary results, additional research is needed to provide a greater understanding of the interplay between the different ER strategies and suicidality and to develop effective protocols of intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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情绪调节在自杀中的多方面作用:系统回顾和元分析证据。
尽管对这一主题的实证研究很多,但科学家们对适应性情绪调节(ER)策略和适应不良情绪调节(ER)策略在自杀中的作用提出了截然不同的观点。此外,自杀企图和自杀意念很可能与单一的情绪调节策略有着不同的关系。为了提供更系统的知识以得出合理的结论并制定临床适应症,我们开展了一项系统综述和荟萃分析,并按照系统综述和荟萃分析首选报告项目(PRISMA)标准(Moher 等人,2009 年)进行了报告。我们从科学数据库(APA PsycInfo、APA PsycArticles、Medline、Scopus、Web of Science 和 PubMed)和灰色文献检索中检索到了 16,530 篇文章,从中选出 226 篇文章进行了 15 项元分析。此外,还进行了元递进分析,以检验一系列调节因素,包括所调查的自杀类型。在适应策略中,结果表明了重新评估、正念和解决问题的几个方面的作用。与我们的假设相反,反思态度与自杀倾向呈正相关,这就对传统的适应性策略和适应不良策略之间的区别提出了质疑。关于适应不良的急诊室策略,事实证明压抑、回避、反刍、沉思、消极的问题导向以及冲动型和回避型问题解决方式都与自杀显著相关。最后,研究人员还观察到了涉及年龄、性别构成和自杀类型的几种调节效应,这证明了在处理这一主题时采用复杂视角的重要性。尽管取得了令人感兴趣的初步结果,但还需要进行更多的研究,以便更好地了解不同急诊室策略与自杀倾向之间的相互作用,并制定有效的干预方案。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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来源期刊
Psychological bulletin
Psychological bulletin 医学-心理学
CiteScore
33.60
自引率
0.90%
发文量
21
期刊介绍: Psychological Bulletin publishes syntheses of research in scientific psychology. Research syntheses seek to summarize past research by drawing overall conclusions from many separate investigations that address related or identical hypotheses. A research synthesis typically presents the authors' assessments: -of the state of knowledge concerning the relations of interest; -of critical assessments of the strengths and weaknesses in past research; -of important issues that research has left unresolved, thereby directing future research so it can yield a maximum amount of new information.
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