Emotional Disorders, Distress Tolerance and Suicide Risk: A Mediation Model.

Omega Pub Date : 2024-11-09 DOI:10.1177/00302228241299287
Celia Antuña-Camblor, Gabriel Esteller-Collado, Roger Muñoz-Navarro, María F Rabito-Alcón, Francisco Javier Rodríguez-Díaz
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Abstract

Background: Suicide has been linked to psychopathology, particularly emotional disorders. This study seeks to investigate the mediating role of distress tolerance in the relationship between emotional symptoms and suicide risk. Method: The sample included 1014 adults (33.82% male; M = 33.0, SD = 15.15). Four mediation analyses were performed, controlling for sex, for depressive, anxious, somatizing and obsessive symptoms measured with the Brief Symptom Checklist as the independent variable, distress tolerance, measured with the Distress Tolerance Scale as the mediating variable, and the risk of making a suicide attempt, measured with Risk of Suicide, as the dependent variable. Results: Distress tolerance partially mediated the relationship between emotional symptoms and suicide risk, with Appraisal and Absorption scales positively mediating, and Tolerance negatively mediating. Conclusions: Tolerance of distress plays a role in risk of suicide attempts. Distress tolerance needs to be addressed as a key transdiagnostic factor in reducing suicidal risk.

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情绪障碍、压力耐受性和自杀风险:一个中介模型。
背景:自杀与精神病理学,尤其是情绪障碍有关。本研究旨在探讨情绪症状与自杀风险之间的关系中,痛苦耐受性所起的中介作用。研究方法样本包括 1014 名成年人(33.82% 为男性;M = 33.0,SD = 15.15)。在控制性别的前提下,以简明症状检查表(Brief Symptom Checklist)测量的抑郁、焦虑、躯体化和强迫症状为自变量,以压力耐受量表(Distress Tolerance Scale)测量的压力耐受性为中介变量,以自杀风险(Risk of Suicide)测量的自杀未遂风险为因变量,进行了四项中介分析。研究结果压力耐受性在一定程度上调节了情绪症状与自杀风险之间的关系,其中 "评估 "量表和 "吸收 "量表为正向调节,而 "耐受性 "量表为负向调节。结论对痛苦的容忍度在企图自杀的风险中起着一定的作用。在降低自杀风险的过程中,应将对痛苦的耐受性作为一个关键的跨诊断因素来处理。
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