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The Interplay of Interpersonal and Intrapersonal Emotion Regulation Strategies in College Students 大学生人际关系和个人内在情绪调节策略的相互作用
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-18 DOI: 10.1007/s10608-024-10527-4
Yanze Li, Yunlei Yu, Yaokun Duan, Yufei Shao, Lei Zhu

Objectives

Emotion regulation (ER) is important for psychological well-being. While previous research has focused on intrapersonal ER, few studies address intrapersonal and interpersonal ER concurrently. Using a person-centered approach, this study aimed to identify subgroups of college students based on different intra- and interpersonal ER profiles and examine how ER profiles related to psychological well-being.

Methods

This cross-sectional study included 548 Chinese college students. Self-reported questionnaires were used to collect levels of intra- and interpersonal ER, and psychological well-being (i.e., valued living, depressive and anxiety symptoms, positive and negative affect). Latent profile analysis was conducted to identify different intra- and interpersonal ER profiles. We used three-step multinomial regression analyses to explore how socio-demographic variables related to ER profiles, and applied the Bolck–Croon–Hagenaars approach to examine how the ER profiles related to psychological well-being.

Results

Five distinct profiles were identified: “low ER” (6.9%), “moderate intrapersonal ER” (14.4%), “average ER” (31.6%), “high ER with frequent expressive suppression use” (25.9%), and “adaptive high ER” (21.2%). Females and individuals in relationship were more likely to report “adaptive high ER” profile. People with an “adaptive high ER” profile reported best psychological well-being.

Conclusions

We identified five profiles with different combinations of six facets of intra- and interpersonal ER. People with distinct profiles differed in psychological well-being. An engagement in relationship may enhance adaptive emotion regulation. Future research should adopt a longitudinal design and explore factors predicting adaptive ER strategies.

目的情绪调节(ER)对心理健康非常重要。以往的研究主要关注人内情绪调节,但很少有研究同时涉及人内和人际情绪调节。本研究采用以人为本的方法,旨在根据不同的人内和人际情绪调节特征确定大学生亚组,并探讨情绪调节特征与心理健康的关系。研究采用自我报告问卷调查法,收集了大学生的人内、人际ER水平和心理健康水平(即生活价值、抑郁和焦虑症状、积极和消极情绪)。我们进行了潜在特征分析,以确定不同的内部和人际ER特征。我们使用三步多项式回归分析来探讨社会人口变量与ER特征之间的关系,并采用Bolck-Croon-Hagenaars方法来研究ER特征与心理健康之间的关系:"低ER"(6.9%)、"中度人际ER"(14.4%)、"一般ER"(31.6%)、"频繁使用表达性抑制的高ER"(25.9%)和 "适应性高ER"(21.2%)。女性和恋爱中的人更有可能报告 "适应性高ER"。具有 "适应性高 ER "特征的人的心理健康水平最高。具有不同特征的人在心理健康方面各不相同。人际关系的参与可能会增强适应性情绪调节。未来的研究应采用纵向设计,并探索预测适应性情绪调节策略的因素。
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引用次数: 0
Associations Between a Transdiagnostic Core Vulnerability and Internalizing Symptoms: A Network Analysis 跨诊断核心脆弱性与内化症状之间的关联:网络分析
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-08 DOI: 10.1007/s10608-024-10524-7
Utek Leong, S. Epskamp, A. Isvoranu, Ariadna Angulo-Brunet, Ryan Y. Hong
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引用次数: 0
Effects of Internal, External, and Neutral Attentional Allocation on Post-Event Processing in Social Anxiety 内部、外部和中性注意分配对社交焦虑事件后处理的影响
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-07 DOI: 10.1007/s10608-024-10521-w
Alexandra M. Adamis, Sarah C. Jessup, Bunmi O. Olatunji

Purpose

Excessive attentional allocation towards threats has been theorized to play a maintaining role in social anxiety disorder (SAD). However, it is unclear if both heightened attentional focus towards internal threats (i.e., interoceptive signals of anxiety) and external threats (i.e., negative social-evaluative cues) are pathogenic. Further, evidence for the causal pathways by which biased attention maintains SAD is limited. The present study tested the effects of experimentally induced internally and externally oriented attention towards threats relative to a neutral control on state anxiety and post-event processing (PEP) in a highly socially anxious sample.

Methods

During an impromptu speech task, participants (N = 123) were randomized to allocating their attention to their own thoughts, actions, or body sensations (internal condition; n = 41), to an audience member’s reactions and evaluations (external condition; n = 42), or to a neutral object (control condition; n = 40). State anxiety and PEP were assessed immediately following the speech and 24 h later.

Results

Although no differences between the control condition and the external and internal conditions were observed, participants in the internal condition reported significantly higher state anxiety immediately after the speech and higher PEP 24 h later compared to the external condition. State anxiety immediately after the speech mediated heightened PEP 24 h later among the internal condition compared to the external condition.

Conclusions

Findings support the theorized maladaptive role of self-focused attention in the maintenance of SAD and suggest that attending internally may be more harmful than attending externally, despite the presence of socio-evaluative threats in the environment.

目的 对威胁的过度注意分配被认为在社交焦虑症(SAD)中起着维持作用。然而,对内部威胁(即焦虑的内感知信号)和外部威胁(即消极的社会评价线索)的过度注意是否都是致病因素尚不清楚。此外,关于偏向性注意维持 SAD 的因果途径的证据还很有限。本研究测试了在高度社交焦虑的样本中,实验诱导的内部和外部导向的威胁注意相对于中性对照对状态焦虑和事件后处理(PEP)的影响。方法在即兴演讲任务中,参与者(人数 = 123)被随机分配到将注意力分配给自己的想法、行动或身体感觉(内部条件;人数 = 41)、听众的反应和评价(外部条件;人数 = 42)或中性对象(对照条件;人数 = 40)。结果虽然对照条件与外部条件和内部条件之间没有观察到差异,但与外部条件相比,内部条件下的参与者在演讲后立即报告的状态焦虑明显更高,24 小时后报告的 PEP 也更高。与外部条件相比,内部条件的参与者在演讲结束后立即表现出的状态焦虑介导了 24 小时后 PEP 的升高。结论研究结果支持了自我关注在维持 SAD 中的不良适应作用的理论,并表明尽管环境中存在社会评价威胁,但内部关注可能比外部关注更有害。
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引用次数: 0
Eye-Tracking Based Visual Search Training in Social Anxiety: Effects on Attentional Bias, Attentional Control, Gaze Behavior, and Anxious Responses to a Speech Task 社交焦虑中基于眼动跟踪的视觉搜索训练:对注意力偏差、注意力控制、凝视行为和言语任务中焦虑反应的影响
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-06 DOI: 10.1007/s10608-024-10522-9
Ting-Xun Li, Chi-Wen Liang

Background

Attentional bias modification (ABM) is a computerized treatment for anxiety. Most ABMs using a dot-probe task aim to direct anxious individuals’ attention away from threats. Recently, a new ABM approach using a visual search task (i.e., ABM-positive-search) has been developed to facilitate the allocation of attention toward positive stimuli. This study examined the efficacies of two versions of ABM-positive-search in socially anxious individuals.

Methods

Eighty-six participants were randomly assigned to the search positive in threat (SP-T; n = 28), search positive in neutral (SP-N; n = 29), or control training (CT) (n = 29) group. All participants completed four training sessions within two weeks. Attentional bias, attentional control, self-report social anxiety, and anxiety responses (i.e., subjective anxiety, psychophysiological reactivity, and gaze behavior) to the speech task were assessed pre-training and post-training.

Results

Results showed that ABM-positive-search trainings facilitated disengagement from threats compared to CT. Regardless of group, participants exhibited a reduction in attention allocation to negative feedback during speech. However, only SP-N increased attention allocation to positive feedback. Participants in three groups showed a decrease in subjective anxiety but no changes in psychophysiological reactivity to speech challenge from pre-training to post-training. ABM-positive-search trainings had no beneficial effects on attentional control or self-report social anxiety when compared with CT.

Conclusions

The findings do not support the efficacy of ABM-positive-search trainings for social anxiety.

背景注意偏差修正(ABM)是一种治疗焦虑症的计算机化疗法。大多数 ABM 采用点探测任务,旨在引导焦虑者的注意力远离威胁。最近,一种使用视觉搜索任务(即 ABM-积极搜索)的新 ABM 方法被开发出来,以促进将注意力分配到积极刺激上。本研究考察了两种版本的ABM-积极搜索在社交焦虑者中的效果。方法86名参与者被随机分配到威胁搜索积极组(SP-T;n = 28)、中性搜索积极组(SP-N;n = 29)或对照训练组(CT)(n = 29)。所有参与者都在两周内完成了四次训练。结果结果表明,与 CT 相比,ABM 积极搜索训练有助于脱离威胁。无论是哪一组,参与者在言语过程中对负面反馈的注意力分配都有所减少。然而,只有 SP-N 增加了对积极反馈的注意力分配。从训练前到训练后,三组参与者的主观焦虑都有所下降,但对言语挑战的心理生理反应却没有变化。与 CT 相比,ABM-积极搜索训练对注意力控制或自我报告的社交焦虑没有有益的影响。
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引用次数: 0
Out of My League: Dating Preferences of Individuals with Social Anxiety Disorder 超出我的能力范围社交焦虑症患者的约会偏好
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-02 DOI: 10.1007/s10608-024-10518-5
Talia Shechter Strulov, Eva Gilboa-Schechtman, Idan M. Aderka

Background

Close relationships and especially romantic relationships are paramount to mental and physical health. Individuals with social anxiety disorder (SAD) experience difficulties in forming romantic relationships.

Method

We examined explicit and implicit partner preferences of individuals with (n = 52) and without SAD (n = 52) in a lab-based task that simulates online dating applications.

Results

Consistent with our preregistered hypotheses, individuals with SAD indicated their desire to meet others who were less attractive and less dominant compared to individuals without SAD. In addition, women swiped right in response to profile pictures that were more attractive and more dominant compared to men. Finally, discrepancies between explicit and implicit measures of partner preferences in attractiveness, dominance, and positivity were found.

Conclusions

Our findings expand the understanding of mating selection strategies in SAD and can inform therapeutic interventions for the disorder.

背景亲密关系,尤其是恋爱关系对身心健康至关重要。方法我们在一项模拟在线约会应用程序的实验室任务中,研究了患有社交焦虑症(SAD)和不患有社交焦虑症(SAD)的人(52 人)对伴侣的显性和隐性偏好。结果与我们预先登记的假设一致,患有社交焦虑症的人表示,与不患有社交焦虑症的人相比,他们希望结识吸引力较低、支配欲较弱的人。此外,与男性相比,女性在看到更具吸引力和更具支配力的个人资料图片时会向右滑动。结论我们的研究结果拓展了人们对 SAD 交配选择策略的理解,并可为该症的治疗干预提供参考。
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引用次数: 0
Mindfulness for Reducing Everyday Suicidal Thoughts (Mind-REST): A Daily Mindfulness Intervention for Adults with Suicidal Ideation 减少日常自杀想法的正念(Mind-REST):针对有自杀倾向成年人的日常正念干预措施
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-30 DOI: 10.1007/s10608-024-10516-7
Ana Rabasco, Gemma T. Wallace, Margaret Andover

Background

Suicide is a significant public health concern; therefore, it is essential to develop interventions that effectively target suicidality and can be easily implemented with high-risk populations. This pilot randomized controlled trial investigated the feasibility and acceptability of a brief, daily, text-based mindfulness intervention (Mind-REST) targeting suicidality, as compared with a sham mindfulness control condition. A secondary aim was to examine potential differences in suicidal ideation within and between groups over the course of the study.

Methods

Participants included 82 adults with recent suicidal ideation or behaviors who completed 14 days of mindfulness or sham-mindfulness exercises, along with a daily diary survey each evening. Participants also completed a post-intervention survey and a one-month follow-up survey.

Results

Mind-REST was shown to be feasible and acceptable, as evidenced by high study completion and intervention compliance rates (88% and 89%, respectively) and positive participant feedback. There were greater reductions in suicidal ideation severity for participants in the Mind-REST condition compared with the control condition across post-intervention and follow-up, but not on a daily level.

Conclusions

Mind-REST demonstrated feasibility, acceptability, and preliminary efficacy in reducing suicidal ideation; however, a larger trial is needed to fully examine the efficacy of the intervention.

背景自杀是一个重大的公共卫生问题;因此,必须开发出有效针对自杀倾向的干预措施,并能在高危人群中轻松实施。本随机对照试验调查了针对自杀倾向的简短、日常、基于文本的正念干预(Mind-REST)与假正念对照的可行性和可接受性。方法参与者包括82名近期有自杀意念或行为的成年人,他们完成了为期14天的正念或假正念练习,每天晚上还进行了日记调查。研究结果表明,Mind-REST 具有可行性和可接受性,这体现在较高的研究完成率和干预依从率(分别为 88% 和 89%)以及参与者的积极反馈上。与对照组相比,在干预后和随访期间,Mind-REST 条件下的参与者自杀意念严重程度有更大的降低,但不是每天都有降低。
{"title":"Mindfulness for Reducing Everyday Suicidal Thoughts (Mind-REST): A Daily Mindfulness Intervention for Adults with Suicidal Ideation","authors":"Ana Rabasco, Gemma T. Wallace, Margaret Andover","doi":"10.1007/s10608-024-10516-7","DOIUrl":"https://doi.org/10.1007/s10608-024-10516-7","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Suicide is a significant public health concern; therefore, it is essential to develop interventions that effectively target suicidality and can be easily implemented with high-risk populations. This pilot randomized controlled trial investigated the feasibility and acceptability of a brief, daily, text-based mindfulness intervention (Mind-REST) targeting suicidality, as compared with a sham mindfulness control condition. A secondary aim was to examine potential differences in suicidal ideation within and between groups over the course of the study.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Participants included 82 adults with recent suicidal ideation or behaviors who completed 14 days of mindfulness or sham-mindfulness exercises, along with a daily diary survey each evening. Participants also completed a post-intervention survey and a one-month follow-up survey.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Mind-REST was shown to be feasible and acceptable, as evidenced by high study completion and intervention compliance rates (88% and 89%, respectively) and positive participant feedback. There were greater reductions in suicidal ideation severity for participants in the Mind-REST condition compared with the control condition across post-intervention and follow-up, but not on a daily level.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Mind-REST demonstrated feasibility, acceptability, and preliminary efficacy in reducing suicidal ideation; however, a larger trial is needed to fully examine the efficacy of the intervention.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141868248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stressful Life Events and Depression in Adolescents from Low-Income Neighborhoods: An Investigation of the Role of Working Memory Capacity and Distress Intolerance 低收入社区青少年的生活压力事件与抑郁症:工作记忆能力和压力耐受性的作用研究
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-30 DOI: 10.1007/s10608-024-10510-z
Nadine R. Taghian, E. Marie Parsons, Hayley E. Fitzgerald, Michael J. Zvolensky, Eugenia I. Gorlin, Stacey Doan, Michael W. Otto

Background

Lower socio-economic status (SES) is associated with experiencing a greater number of life stressors and increased risk for depression. This study investigated two factors for adaptive coping—working memory capacity (WMC) and distress intolerance (DI)—as moderators of the association between frequency of stressful life events and depressed mood, controlling for age and gender. We hypothesized that lower WMC and greater DI, alone and in interaction with each other, would moderate the association between the frequency of stressful life events and depression.

Methods

Our sample included 82 adolescents (M = 14 years) recruited from youth mentorship programs, charter schools, and youth community centers. A majority being female (54.9%) and reported their race and/or ethnicity as Other race/Hispanic (43.9%), and Black/non-Hispanic (30.5%). Participants completed self-report measures of stressful life events, depression, DI, and a behavioral measure of WMC.

Results

Results showed a statistically significant main effect of self-reported DI predicting depression (p < .001), such that higher DI scores were associated with higher levels of depression.

Conclusions

Our findings join broader literature indicating that DI is an important regulatory process that may be a useful mechanistic target to enhance emotional functioning, especially among racially/ethnically diverse adolescents from low SES neighborhoods, a relatively understudied population.

背景较低的社会经济地位(SES)与经历更多的生活压力和抑郁风险增加有关。本研究调查了适应性应对的两个因素--工作记忆能力(WMC)和苦恼不耐受(DI)--作为生活压力事件频率与抑郁情绪之间关系的调节因素,并对年龄和性别进行了控制。我们假设,较低的工作记忆能力和较高的痛苦不耐受程度,无论是单独还是相互影响,都会调节生活压力事件的频率与抑郁情绪之间的关系。方法:我们的样本包括从青少年辅导计划、特许学校和青少年社区中心招募的 82 名青少年(中=14 岁)。其中大部分为女性(54.9%),报告的种族和/或民族为其他种族/西班牙裔(43.9%)和黑人/非西班牙裔(30.5%)。我们的研究结果与更广泛的文献一起表明,DI 是一个重要的调节过程,它可能是增强情绪功能的有用机制目标,尤其是在来自低社会经济地位社区的种族/族裔多元化青少年中,这是一个研究相对不足的人群。
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引用次数: 0
A Vicious Cycle? Group-Level Analysis of Intra-Individual Dynamics in Mental Health Variables 恶性循环?心理健康变量个体内部动态的群体层面分析
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-25 DOI: 10.1007/s10608-024-10517-6
Jana Bommer, Brian Schwartz, Christine Klein, Jan Rupp, Alexander Katalinic, Nele Assmann, Max Borsche, Alexander Balck, Bandik Föh, Wolfgang Lutz, Jan P. Klein

Background

The network theory of mental disorders asserts the pivotal role of feedback loops in psychopathology. We investigated intra-individual dynamics and potential feedback loops in psychological networks and their association with long-term outcomes.

Methods

At the beginning of the COVID-19 pandemic, data from a population-based cohort (N = 2029) were collected every three days for six months on well-being, worries, fatigue, sleep quality, social integration, and activity. Subgrouping—Group Iterative Multiple Model Estimation -was used to estimate networks of time-series data on the individual, subgroup, and group levels. Subgroup networks were compared and associations of subgroup membership with sociodemographic and health status variables at baseline and outcomes at follow-up were examined.

Results

Despite the large heterogeneity between individuals, a potential feedback loop involving sleep quality, fatigue and well-being was identified. Furthermore, two subgroups were identified, whereby the edges of the potential feedback loop were more present in Subgroup 1 than in Subgroup 2. Membership to Subgroup 1 was associated with lower education and fewer people aged over 60 in their household at baseline as well as poorer well-being, more worries, and more frequent and earlier COVID-19 diagnoses at follow-up.

Conclusions

The identified feedback loop might indeed represent a vicious cycle and thus contribute to the development of psychopathology. However, limitations such as the limited measurement density made it difficult to find temporal associations and call for a cautious interpretation of results.

背景精神障碍的网络理论认为反馈回路在精神病理学中起着关键作用。我们研究了心理网络中的个体内动态和潜在反馈回路,以及它们与长期结果的关联。方法在 COVID-19 大流行之初,我们每三天收集一次基于人群的队列数据(N = 2029),为期 6 个月,内容包括幸福感、烦恼、疲劳、睡眠质量、社会融合和活动。采用分组-分组迭代多重模型估计法对个人、亚组和群体层面的时间序列数据网络进行估计。结果尽管个体之间存在很大的异质性,但还是发现了一个涉及睡眠质量、疲劳和幸福感的潜在反馈回路。此外,还发现了两个亚组,其中亚组 1 的潜在反馈回路边缘比亚组 2 更明显。亚组 1 的成员在基线时教育程度较低,家中 60 岁以上的老人较少,在随访时幸福感较差,烦恼较多,COVID-19 诊断更频繁、更早。然而,由于测量密度有限等局限性,很难发现时间上的关联,因此需要对结果进行谨慎的解释。
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引用次数: 0
Like Mother, Like Daughter? Double Standards in Body Evaluation and Their Familial Transmission in Female Adolescents and Their Mothers 有其母必有其女?女性青少年及其母亲对身体评价的双重标准及其家族传承
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-24 DOI: 10.1007/s10608-024-10507-8
Hannah L. Quittkat, Mona M. Voges, Rainer Düsing, Benjamin Schöne, Silja Vocks

Background

Cognitive biases, such as applying stricter body evaluation for oneself than for others, are presumed to promote the development and maintenance of eating disorders. While questionnaire data have demonstrated a familial transmission of body image, these self-deprecating double standards (DS) have not been studied among female adolescents, and a potential familial transmission of DS through feedback/role-modeling is yet to be explored. The present study thus addresses these questions.

Methods

Female adolescents and their mothers viewed pictures of their own and peer bodies presented with their own and another peer’s face, and were asked to rate arousal, valence, body attractiveness, and body fat for each body.

Results

Daughters evaluated their own, an average-weight, and an overweight build as less attractive and with more body fat when presented with their own than with another face, while mothers mainly applied such self-deprecating DS for an overweight build. Regarding familial transmission, higher negative maternal feedback was associated with more self-deprecating DS of body fat and attractiveness in daughters when viewing an overweight build.

Conclusions

Female adolescents and their mothers apply self-deprecating DS, suggesting that DS are widespread. Psychoeducation and training regarding communication, feedback, and body functionality might support the prevention of DS.

背景认知偏差,如对自己的身体评价比对他人的评价更严格,被认为会促进进食障碍的发展和维持。虽然问卷调查数据显示了身体形象的家族遗传,但这些自我贬低的双重标准(DS)尚未在女性青少年中进行过研究,而通过反馈/角色示范进行的DS潜在家族遗传也有待探讨。本研究就是为了解决这些问题而进行的。研究方法:女性青少年及其母亲观看自己和同龄人的身体图片,图片上有自己和另一个同龄人的脸,要求她们对每种身体的唤醒度、价值感、身体吸引力和体脂进行评分。结果:当图片上有自己和另一个同龄人的脸时,女儿认为自己、中等体重和超重体型的吸引力较低,体脂较多,而母亲则主要对超重体型采用这种自贬式双重标准。在家庭传播方面,母亲的负面反馈越多,女儿在看到超重体型时对身体脂肪和吸引力的自我贬低就越多。有关沟通、反馈和身体功能的心理教育和培训可能有助于预防自毁体型。
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引用次数: 0
Insomnia, Social Disconnectedness, and Suicidal Ideation Severity in Underserved Veterans 服务不足的退伍军人失眠、与社会脱节和自杀意念严重程度
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-22 DOI: 10.1007/s10608-024-10514-9
Joseph W. Boffa, Amanda M. Raines, C. Laurel Franklin, Jean C. Beckham, Tracy Stecker

Purpose

Insomnia, characterized by difficulty initiating or maintaining sleep, is a robust transdiagnostic correlate of suicidal ideation (SI). Nevertheless, there remains a lack of research exploring factors that may account for this association. One approach to advancing our understanding of these associations, is to draw from theoretical models of suicide including the interpersonal theory of suicide (IPTS). According to the IPTS, the desire for suicide emerges when one feels intractably socially disconnected (i.e., lonely and perceiving oneself as a burden). Initial research suggests that social disconnectedness explains, in part, the association between insomnia and suicidal ideation severity. However, less research has investigated this veterans in underserved communities, a sample at heightened risk for suicide.

Methods

Using an outpatient treatment seeking sample of veterans (N = 83; M age = 53.51 SD = 15.04; 52% Black/African American; 81% male), we modeled the indirect effect of insomnia severity on SI severity through social disconnectedness.

Results

Although insomnia severity was not directly associated with SI severity, there was a positive and statistically significant indirect effect of insomnia on SI severity through social disconnectedness.

Conclusion

These findings extend prior research examining mechanisms that may help explain the link between insomnia and suicidality. Results highlight the importance of including transdiagnostic risk markers like insomnia and social disconnectedness in comprehensive suicide risk assessment. Future research should seek to establish the temporal nature of these relationships.

目的以难以开始或维持睡眠为特征的失眠是自杀意念(SI)的一个强有力的跨诊断相关因素。然而,目前仍缺乏对造成这种关联的因素的研究。要加深我们对这些关联的理解,一种方法是借鉴自杀的理论模型,包括自杀的人际关系理论(IPTS)。根据人际关系自杀理论,当一个人感到与社会严重脱节(即感到孤独并认为自己是个负担)时,就会产生自杀的欲望。初步研究表明,与社会脱节在一定程度上解释了失眠与自杀意念严重程度之间的关联。方法利用寻求门诊治疗的退伍军人样本(N = 83;M 年龄 = 53.51 SD = 15.04;52% 为黑人/非裔美国人;81% 为男性),我们模拟了失眠严重程度通过社会脱节对自杀意念严重程度的间接影响。结果虽然失眠严重程度与SI严重程度没有直接关系,但失眠通过与社会脱节对SI严重程度产生了积极的间接影响,且具有统计学意义。研究结果凸显了将失眠和社交疏离等跨诊断风险标记纳入综合自杀风险评估的重要性。未来的研究应寻求确定这些关系的时间性质。
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引用次数: 0
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