Journal of Affective Disorders Reports最新文献_第6页

French validation of the Core Beliefs Inventory and the Event-Related Rumination Inventory 核心信念量表和事件相关反刍量表的法语验证

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-10-25 DOI: 10.1016/j.jadr.2025.100990

Emma Gendre , Andrea Soubelet , Charlotte Henson , Stacey Callahan

Background

Posttraumatic growth (PTG) is associated with two important cognitive factors: challenge to core beliefs and event-related rumination. The objectives of this study were to 1) validate the French versions of the Core Beliefs Inventory (CBI, Cann et al., 2010) and the Event-Related Rumination Inventory (ERRI, Cann et al., 2011) and 2) explore direct and indirect effects of core beliefs and rumination on PTG in the long-term.

Methods

A sample of adults (N = 433 at T1, N = 222 at T2, six months later) who had experienced at least one traumatic event in their lifetime completed online questionnaires measuring core beliefs, rumination, distress, and PTG. Confirmatory factor analyses, correlations, and structural equation modeling were performed.

Results

Analyses supported a two-factor structure for the CBI: (1) beliefs about justice, control, and the causality of events and (2) beliefs about relationships, self, and the future; as well as for the ERRI: (1) intrusive rumination and (2) deliberate rumination. Both scales showed good psychometric qualities. Disruption of beliefs about relationships, self, and the future at T1 and deliberate rumination at T2 had a direct positive effect on PTG at T2, while intrusive rumination at T1 had no effect. Deliberate rumination mediated both the relationship between disruption of core beliefs and PTG and the relationship between intrusive rumination and PTG.

Conclusions

The results demonstrate the validity of the CBI and ERRI and are consistent with the theoretical model emphasizing the importance of cognitive processing in the development of PTG.

创伤后成长（PTG）与两个重要的认知因素有关：对核心信念的挑战和与事件相关的反刍。本研究的目的是：1)验证法语版本的核心信念量表（CBI, Cann et al., 2010）和事件相关反刍量表（ERRI, Cann et al., 2011）； 2)探索核心信念和反刍对PTG的长期直接和间接影响。方法对至少经历过一次创伤事件的成年人（T1时为433人，T2时为222人，6个月后为222人）进行在线问卷调查，测量核心信念、反刍、痛苦和PTG。验证性因素分析，相关性和结构方程建模进行。结果分析支持CBI的双因素结构：(1)关于正义、控制和事件因果关系的信念；(2)关于关系、自我和未来的信念；以及ERRI:(1)侵入性反刍和(2)故意反刍。两种量表均表现出良好的心理测量质量。T1阶段的人际关系、自我和未来信念的破坏和T2阶段的刻意反刍对T2阶段的PTG有直接的积极影响，而T1阶段的侵入性反刍对PTG没有影响。刻意反刍在核心信念破坏与PTG的关系和侵入性反刍与PTG的关系中起中介作用。结论CBI和ERRI测试的有效性与强调认知加工在PTG发展中的重要性的理论模型一致。

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引用次数: 0

Antenatal depressive and anxiety symptoms in women with eating disorders who continue or discontinue antidepressant treatment in pregnancy 怀孕期间继续或停止抗抑郁治疗的饮食失调妇女的产前抑郁和焦虑症状

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-10-12 DOI: 10.1016/j.jadr.2025.100985

Milica Zugic , Nhung TH Trinh , Sina Rostami , Hedvig Nordeng , Eivind Ystrom , Cynthia M Bulik , Øyvind Rø , Ole A. Andreassen , Per Magnus , Angela Lupattelli

Background

Limited evidence on antidepressant effectiveness in pregnant women with eating disorders (ED) challenges pharmacotherapy management. We examined antenatal depressive and anxiety symptoms with continued antidepressant use in women with ED.

Methods

We used data from the Norwegian Mother, Father and Child Cohort Study (MoBa) linked to the Medical Birth Registry of Norway and MoBa Genetics. MoBa questionnaires at weeks 17 (early) and 30 (mid-late pregnancy) measured antidepressant exposure and symptoms of depression and anxiety using the 5-item Hopkins Symptom Checklist. We fitted generalised linear models and adjusted for confounding. In a subsample, we stratified analyses by polygenic-score tertiles for antidepressant response.

Results

We identified 5920 pregnancies in women with ED, mainly binge-eating disorder (BED) (84.0 %) and bulimia nervosa (BN) (12.4 %). Of these, 48 (0.8 %) continued antidepressants into early pregnancy, 93 (1.6 %) discontinued during, and 85 (1.4 %) discontinued before pregnancy. At early pregnancy only, continued antidepressant was associated with lower severity of depressive and anxiety symptoms relative to discontinuation. Among women with BED, this was specific to lower anxiety symptoms (β:-0.43, 95 %CI:-0.84, -0.02). This association was not observed in women with BN. In women with higher antidepressant-response polygenic-score continued antidepressant was associated with lower symptom severity relative to discontinued (range of β:-0.86 to -1.35).

Conclusions

Continuing antidepressants in early but not mid-late pregnancy is associated with lower severity of depressive and anxiety symptoms in women with BED. The association observed in women with higher antidepressant-response polygenic-score calls for larger studies on personalized treatment in perinatal ED.

背景：关于饮食失调孕妇抗抑郁药有效性的有限证据对药物治疗管理提出了挑战。我们检查了ed妇女持续使用抗抑郁药的产前抑郁和焦虑症状。方法我们使用挪威母亲、父亲和儿童队列研究（MoBa）的数据，该研究与挪威医学出生登记处和MoBa遗传学相关联。妊娠第17周（妊娠早期）和第30周（妊娠中后期）的MoBa问卷使用5项霍普金斯症状检查表测量抗抑郁药物暴露和抑郁、焦虑症状。我们拟合了广义线性模型并对混杂因素进行了调整。在一个亚样本中，我们通过多基因得分分位数对抗抑郁反应进行分层分析。结果5920例妊娠ED患者，主要为暴食症（BED）（84.0%）和神经性贪食症（BN）（12.4%）。其中，48人（0.8%）在怀孕早期继续服用抗抑郁药物，93人（1.6%）在怀孕期间停用，85人（1.4%）在怀孕前停用。仅在妊娠早期，持续服用抗抑郁药与停药相比，抑郁和焦虑症状的严重程度较低。在患有BED的女性中，这是特定于较低的焦虑症状（β:-0.43, 95% CI:-0.84, -0.02）。这种关联在BN女性中未观察到。在抗抑郁反应多基因评分较高的女性中，持续服用抗抑郁药与停用抗抑郁药相比，症状严重程度较低（β范围：-0.86至-1.35）。结论妊娠早期而非中晚期持续服用抗抑郁药物与BED患者抑郁和焦虑症状的严重程度较低有关。在抗抑郁反应多基因评分较高的妇女中观察到的关联要求对围产期ED的个性化治疗进行更大规模的研究。

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引用次数: 0

Mental health indicators and job-related factors in primary, secondary and higher institution teachers in the Douala III municipality, Cameroon: a cross-sectional school-based study 喀麦隆杜阿拉第三市中小学和高等院校教师的心理健康指标和与工作有关的因素：一项基于学校的横断面研究

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-10-11 DOI: 10.1016/j.jadr.2025.100986

Seraphine Njuontsop Chiamo , Germain Sotoing Taiwe , Anastase Dzudie , Nicholas Tendongfor

Background

Teachers are a high-risk group of work-related stress which can negatively impact their mental health. There is limited data on teachers’ mental health in Cameroon. We aimed at determining the prevalence and associated factors of common mental health indicators among primary, secondary and higher institution teachers in the Douala III Municipality.

Methods

This school-based cross-sectional study involved 367 teachers age 20-67 enrolled November 2022 to June 2023. Structured and standard questionnaires of MBI-ES, GHQ-12, GAD-7 and PHQ-9 were used to measure mental health status of teachers. Job-related factors were categorized and scores compared using Kruskal-Wallis and Mann-Whitney tests where appropriate. Multivariate logistic regression models were used to identify factors associated.

Results

In our sample, 64% had burnout syndrome (BS), 34.9% emotional exhaustion (EE), 9% depersonalization (DP), 39.2% reduced personal accomplishment (PA), 93.5% psychological distress (PD), 28.4% anxiety and 28.8% depressive symptoms. Primary and secondary school teachers were more burdened; EE (H = 19.27, P < 0.001), anxiety (H = 13.69, P = 0.001), poor job perception (p < 0.05) than higher institution teachers. Females were more anxious (W = 14354.5, P = 0.036). Poor job, interpersonal and social perceptions were independently associated with mental health indicators indicating work influence.

Conclusions

BS, PD, anxiety and depression are high among teachers in the Douala III Municipality. Poor job, interpersonal and social perceptions negatively affect their mental health especially primary and secondary school teachers. Causal studies and intervention strategies by stakeholders become imperative to ameliorate teachers’ mental health and productivity.

教师是工作压力的高危人群，这会对他们的心理健康产生负面影响。关于喀麦隆教师心理健康的数据有限。我们的目的是确定杜阿拉第三市小学、中学和高等院校教师中常见心理健康指标的流行情况及其相关因素。方法本研究以学校为基础，涉及367名年龄在20-67岁之间的教师，于2022年11月至2023年6月入组。采用MBI-ES、GHQ-12、GAD-7、PHQ-9等结构化标准问卷对教师心理健康状况进行测评。对工作相关因素进行分类，并在适当的情况下使用Kruskal-Wallis和Mann-Whitney测试来比较得分。采用多元逻辑回归模型确定相关因素。结果64%的人有倦怠综合征（BS）、34.9%的人有情绪衰竭（EE）、9%的人有人格解体（DP）、39.2%的人有成就感降低（PA）、93.5%的人有心理困扰（PD）、28.4%的人有焦虑、28.8%的人有抑郁症状。中小学教师负担加重；情感表达（H = 19.27, P < 0.001）、焦虑（H = 13.69, P = 0.001）、工作感知差（P < 0.05）。女性更焦虑（W = 14354.5, P = 0.036）。不良的工作、人际和社会观念与表明工作影响的心理健康指标独立相关。结论杜阿拉三区教师的抑郁、焦虑、抑郁程度较高。不良的工作、人际关系和社会观念对他们的心理健康产生负面影响，尤其是中小学教师。因果研究和利益相关者的干预策略是改善教师心理健康和生产力的必要条件。

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引用次数: 0

Major depressive disorder and pareidolia: An investigation in a clinical sample 重度抑郁症和空想性视错觉：一项临床样本调查

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-10-04 DOI: 10.1016/j.jadr.2025.100984

Eid Abo Hamza , Reham Amer , Dalia Bedewy , Gabriel Andrade , Abdalla A.R.M. Hamid , Ahmed A. Moustafa

Background

While there have been several studies investigating pareidolia in several patient populations, including schizophrenia, bipolar disorder, and Alzheimer’s disease, to our knowledge, no study has investigated pareidolia in patients with major depressive disorder. In the current study, we, for the first time, study pareidolia in patients diagnosed with major depressive disorder.

Methods

We have recruited 75 drug-naïve patients (i.e., to minimise side effects of antidepressants) diagnosed with major depressive disorder and anxiety. We have used the following measures: demographic scale, the Hamilton Depression Rating Scale (HDRS), the Hamilton Anxiety Rating Scale (HAM-A), and the novel Noise Pareidolia Task (NPT-20).

Results

Results show that higher depression was associated with a lower capacity to distinguish noise from faces. Higher depression was also associated with a greater probability of seeing faces when they are not there (i.e., face pareidolia). Surprisingly, we did not find any relations between anxiety and pareidolia.

Discussion

Our results suggest that pareidolia is a common phenomenon in several patient populations and should be investigated in clinical settings in relation to visual hallucinations.

虽然已经有一些研究调查了包括精神分裂症、双相情感障碍和阿尔茨海默病在内的一些患者群体的空想性视错觉，但据我们所知，还没有研究调查过重度抑郁症患者的空想性视错觉。在本研究中，我们首次研究了重度抑郁症患者的空想性视错觉。方法：我们招募了75例drug-naïve患者（即，为了尽量减少抗抑郁药的副作用），诊断为重度抑郁障碍和焦虑。我们使用了以下测量方法：人口统计量表、汉密尔顿抑郁评定量表（HDRS）、汉密尔顿焦虑评定量表（HAM-A）和新颖的噪音幻想性视错任务（NPT-20）。结果抑郁程度越高，识别人脸噪声的能力越低。抑郁程度越高，看到不存在的面孔的可能性也越大（即，面孔空想性视错觉）。令人惊讶的是，我们没有发现焦虑和幻想性视错觉之间的任何关系。我们的研究结果表明，空想性视错觉在一些患者群体中是一种常见的现象，应该在临床环境中调查与视觉幻觉有关的情况。

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引用次数: 0

Factors associated with mental health resilience in the child, adolescent and adult offspring of depressed parents: A systematic literature review 抑郁症父母的儿童、青少年和成年后代心理健康弹性相关因素：系统文献综述

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-10-03 DOI: 10.1016/j.jadr.2025.100983

Eglė Padaigaitė-Gulbinienė , Jessica Mayumi Maruyama , Gemma Hammerton , Frances Rice , Stephan Collishaw

Offspring of depressed parents are at high risk for mental health problems. Nevertheless, some of them do not develop mental health difficulties or do so only temporarily, implying that certain modifiable protective factors could buffer parental-depression-related effects. This systematic review aimed to 1) review the evidence for protective factors enhancing mental health resilience in the offspring of depressed parents; 2) identify outcome-, developmental-stage, and sex-specific protective factors; and 3) summarise conceptual and operational definitions of mental health resilience. We searched PsycINFO, Embase, MEDLINE, Web of Science Core Collection, and Cochrane Library in March 2021. Two reviewers blinded to each other’s decisions independently screened abstracts and full texts against pre-determined eligibility criteria, extracted data, and performed risk of bias assessments. Sixty studies (N = 52,966 offspring) examining 70 protective factors were included. Most studies were from high-earning countries (97 %), defined resilience as the absence of psychopathology (90 %), and considered protective factors before young adulthood (97 %) - the peak age for common mental health problems. Most protective factors were examined in only one study (56 %). We observed limited evidence for 10 demographic, parenting, individual, and social protective factors, of which parent-child relationships, co-parent support, and parental positivity were supported across mental health outcomes, and parental positivity was supported across developmental stages. Findings for sex-specific protective factors were inconsistent. Future studies should build further evidence for the protective factors examined and investigate if these associations are causal.

抑郁父母的后代患精神健康问题的风险很高。然而，他们中的一些人没有出现精神健康问题，或者只是暂时出现，这意味着某些可改变的保护因素可以缓冲父母抑郁相关的影响。本系统综述旨在：1)回顾保护因素对抑郁症父母子女心理健康弹性增强的证据；2)确定结局、发育阶段和性别特异性的保护因素；3)总结心理健康弹性的概念和操作定义。我们在2021年3月检索了PsycINFO、Embase、MEDLINE、Web of Science Core Collection和Cochrane Library。两名审稿人对彼此的决定不知情，根据预先确定的资格标准独立筛选摘要和全文，提取数据，并进行偏倚风险评估。60项研究（N = 52966个后代）检查了70个保护因素。大多数研究来自高收入国家（97%），将恢复力定义为没有精神病理（90%），并在年轻成年（97%）之前考虑保护因素——这是常见心理健康问题的高峰年龄。大多数保护性因素仅在一项研究中被检测（56%）。我们观察到10个人口统计学、养育、个人和社会保护因素的有限证据，其中亲子关系、共同父母支持和父母积极性在心理健康结果中得到支持，父母积极性在发展阶段得到支持。性别特异性保护因素的研究结果不一致。未来的研究应该为所检查的保护因素建立进一步的证据，并调查这些关联是否有因果关系。

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引用次数: 0

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-10-01 DOI: 10.1016/j.jadr.2025.100982

Thitiworn Choosong , Jukkrit Wungrath , Kanthee Anantapong , Nuha Masapha , Nunnapat Chintanavisit , Phawin Thitasomkun , Sataphol Klayaksorn , Saran Thongsri , Asmee Ekakkaraphibal , Keeratikorn Kittipol , Chanikarn Kaewfaeg , Ratanaporn Chootong

Introduction

Depression incidence and lifestyle factors, especially breakfast consumption, are associated with both mental and physical well-being among medical students. To promote the well-being of medical students, the relationship between depression levels and skipping breakfast was investigated in 1st- to 6th-year medical students.

Methods

Our cross-sectional study was conducted between June and October 2023. We assessed breakfast quality and skipping breakfast using a questionnaire of breakfast behaviour and the Thai versions of both the 9-item Patient Health Questionnaire and the Pittsburgh Sleep Quality Index. Multiple and ordinal logistic regression analyses were performed to identify significant factors related to depression and skipping breakfast.

Results

In this study, participants were medical students (n = 256), among which 39.8 % were male and 60.2 % female; the prevalence of depression and skipping breakfast was 12.11 % and 72.27 %, respectively. Skipping breakfast was significantly associated with breakfast quality (p-value < 0.001), but not depression levels. Older students (OR = 1.19, 95 % CI [1.02, 1.39], p-value < 0.026); poor quality of breakfast (OR = 3.04, 95 % CI [1.66, 5.58], p-value < 0.001); and not living at home were significantly linked to skipping breakfast. Depression levels were associated with being female, poor sleep quality, family history of psychological disorders, and living in dormitories. However, age was found to be a significant protective factor against depression.

Conclusions

Breakfast quality, sleep quality, current accommodation, and family history of psychological disorders should be considered to promote the improvement of medical students’ mental health.

医学生的抑郁发生率和生活方式因素，尤其是早餐消费，与心理和身体健康都有关系。为了提高医学生的幸福感，本研究以一至六年级医学生为研究对象，调查抑郁水平与不吃早餐的关系。方法于2023年6月- 10月进行横断面研究。我们使用早餐行为问卷和泰国版的9项患者健康问卷和匹兹堡睡眠质量指数来评估早餐质量和不吃早餐。采用多元和有序logistic回归分析确定抑郁与不吃早餐相关的显著因素。结果研究对象为医学生256人，其中男性占39.8%，女性占60.2%；抑郁和不吃早餐的患病率分别为12.11%和72.27%。不吃早餐与早餐质量显著相关（p值<； 0.001），但与抑郁水平无关。大龄学生（OR = 1.19, 95% CI [1.02, 1.39]， p值<； 0.026）；早餐质量差（OR = 3.04, 95% CI [1.66, 5.58]， p值<； 0.001）；不住在家里与不吃早餐有很大关系。抑郁程度与女性、睡眠质量差、心理障碍家族史和住在宿舍有关。然而，年龄被发现是防止抑郁的重要保护因素。结论应综合考虑早餐质量、睡眠质量、当前住宿、心理障碍家族史等因素，促进医学生心理健康状况的改善。

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引用次数: 0

Profile of suicides in a spanish cohort of people living with HIV (PLWH) 西班牙艾滋病毒感染者（PLWH）自杀概况

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-10-01 DOI: 10.1016/j.jadr.2025.100980

Julián Olalla , Joaquim Peraire , Roberto Carlos Güerri Fernández , Naya Faro , Antonia Maria Castillo-Navarro , Pepa Galindo , Nuria Espinosa , Javier Pérez-Stachowski , Alfonso del Arco , Javier de la Torre , Francisco Rivas

Background

People living with HIV (PLWH) face a higher risk of suicide compared to the general population. Understanding the incidence and characteristics of suicide in this population is essential to design effective prevention strategies.

Objective

This study aimed to estimate the incidence rate of suicide among PLWH in Spain and to describe the demographic, clinical, and treatment-related profiles of affected individuals.

Methods

A retrospective cohort study was conducted using data from the CoRIS cohort, including 19,352 PLWH followed from January 2004 to December 2022. Sociodemographic, clinical, and virological data were analyzed, and suicide incidence rates were calculated per 100,000 person-years.

Results

Over 134,375 person-years, 22 suicides were recorded, corresponding to an incidence rate of 16.37 per 100,000 person-years (95 % CI: 10.26-24.79). Most cases (90.9 %) occurred in men, with a mean age of 37.7 years. A higher proportion of injection drug use (18.2 % vs. 6.4 %) and psychiatric non-AIDS events, including depression and previous suicide attempts, were noted among suicide cases. The suicide incidence rate decreased significantly after 2015, coinciding with the broader use of integrase inhibitors.

Conclusion

The suicide incidence rate among PLWH in Spain has declined in recent years, approaching levels observed in the general population. However, targeted interventions are needed to address mental health challenges and enhance support for vulnerable individuals within this population.

与一般人群相比，艾滋病毒感染者（PLWH）面临着更高的自杀风险。了解这一人群的自杀发生率和特征对于设计有效的预防策略至关重要。目的本研究旨在估计西班牙PLWH的自杀发生率，并描述受影响个体的人口统计学、临床和治疗相关概况。方法采用CoRIS队列数据进行回顾性队列研究，包括2004年1月至2022年12月随访的19352名PLWH。分析了社会人口学、临床和病毒学数据，并计算了每10万人年的自杀发生率。结果134,375人/年自杀22例，发生率为16.37 / 10万人/年（95% CI: 10.26 ~ 24.79）。大多数病例（90.9%）为男性，平均年龄37.7岁。在自杀病例中，注射吸毒（18.2%对6.4%）和精神疾病（非艾滋病事件，包括抑郁症和既往自杀企图）的比例较高。自杀率在2015年后显著下降，与整合酶抑制剂的广泛使用相一致。结论西班牙PLWH的自杀率近年来呈下降趋势，已接近一般人群的自杀率水平。然而，需要有针对性的干预措施来应对心理健康挑战，并加强对这一人群中弱势个人的支持。

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引用次数: 0

Adolescent pathological internet use reduce academic self-efficacy in China: The mediating role of meaning in life and the moderating role of coping style 青少年病理性网络使用降低学业自我效能：生活意义的中介作用和应对方式的调节作用

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-10-01 DOI: 10.1016/j.jadr.2025.100981

Lingyue Kong , Ximing Hao , Yifei Wang , James Ma , Chongying Wang

Adolescents, particularly vulnerable to pathological Internet use (PIU), may experience reduced academic self-efficacy as their ability to manage academic challenges and derive meaning in life is compromised. This study investigates how PIU (excessive and compulsive online behavior impairing functioning) affects academic self-efficacy in adolescents, exploring the mediating role of meaning in life (a sense of purpose and coherence) and the moderating influence of coping styles. A total of 6445 Chinese senior high school students (M_age = 15.24, SD = 1.44) participated, a population experiencing unique academic and digital pressures that may amplify the effects of PIU. Structural equation modeling was employed to assess these mechanisms. PIU negatively predicted academic self-efficacy (r = –0.32, p < 0.01) and meaning in life (r = –0.20, p < 0.01), while meaning in life positively predicted academic self-efficacy (r = 0.50, p < 0.01). Meaning in life partially mediated the PIU–self-efficacy link, with a stronger effect under negative coping model (β = –0.093, 32 % of total effect) than under positive coping model (β = –0.033, 14 %). Moderation analyses showed opposing effects of coping styles: positive coping attenuated the PIU–self-efficacy association (β = –0.241 vs. –0.163), whereas negative coping amplified PIU’s impact on meaning in life (β = –0.190 vs. –0.227) and self-efficacy (β = –0.090 vs. –0.167). These findings highlight meaning in life as a protective mediator and coping styles as critical moderators, suggesting interventions enhancing meaning and adaptive coping could improve academic self-efficacy among adolescents with high Internet use.

青少年尤其容易受到病理性互联网使用（PIU）的影响，他们可能会经历学术自我效能降低，因为他们管理学术挑战和获得生活意义的能力受到损害。本研究旨在探讨过度和强迫性网络行为损害功能对青少年学业自我效能的影响，探讨生活意义（目标感和连贯感）的中介作用以及应对方式的调节作用。共有6445名中国高中生（Mage = 15.24, SD = 1.44）参与了这项研究，这一群体经历着独特的学术和数字压力，可能会放大PIU的影响。采用结构方程模型来评估这些机制。PIU负向预测学业自我效能（r = -0.32, p < 0.01）和生活意义（r = -0.20, p < 0.01），正向预测学业自我效能（r = 0.50, p < 0.01）。生活意义部分介导了自我效能感与自我效能感的关系，负性应对模式下的影响（β = -0.093，占总效应的32%）强于正性应对模式下的影响（β = -0.033，占总效应的14%）。适度分析显示，积极应对会减弱PIU与自我效能的关联（β = -0.241 vs. -0.163），而消极应对则会放大PIU对生活意义（β = -0.190 vs. -0.227）和自我效能的影响（β = -0.090 vs. -0.167）。研究结果表明，生活意义是一种保护性中介，而应对方式是一种关键调节因子，表明提高意义和适应性应对的干预措施可以提高高互联网青少年的学业自我效能感。

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引用次数: 0

Understanding risk and protective factors for suicidal behaviour in a military context: A concept mapping approach 理解军事背景下自杀行为的风险和保护因素：一种概念映射方法

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-09-15 DOI: 10.1016/j.jadr.2025.100977

Kairi Kõlves , Luke Bayliss , Alex Donaldson , Geoff Dickson , Zoe Jenkins , Nikki Jamieson , Martine Cosgrove , Ed Heffernan , Jennifer Wild , Jacinta Hawgood

Background

There are increasing efforts to better understand suicidal behaviour among current and former military personnel in Australia. More research using innovative methodologies is needed to identify risk and protective factors that could be addressed within the military.

Objective

To better understand perceived risk and protective factors associated with suicidal behaviour within the military context.

Methods

Three groups of stakeholders were recruited: people with lived experience of suicide in a military context, military mental health clinicians, and researchers with expertise in suicide in a military context. Using concept mapping, participants individually generated risk and/or protective factors for suicidal behaviour in a military context, before organising and rating all statements. Data were collected, analysed, and visually represented using the GroupWisdom platform.

Results

In total, 57 stakeholders participated in at least one stage of the study (i.e., brainstorming, sorting and/or rating). Brainstorming generated 97 perceived risk-factors and 63 perceived protective factors, which were thematically grouped by participants. A multidimensional scaling and hierarchical cluster analysis generated a 7-cluster solution for risk factors and a 5-cluster solution for protective factors. Most of the risk and protective factors rated highly both in terms of importance and feasibility for the military to address were from workplace-related clusters.

Conclusions

The risk and protective factors for suicidal behaviours within a military context were identified on three social-ecological levels: workplace (community), relational, and individual. The results of this study may inform future suicide research and prevention activities targeted to military personnel.

为了更好地了解澳大利亚现役和退役军人的自杀行为，人们付出了越来越多的努力。需要使用创新方法进行更多的研究，以确定可以在军队内部解决的风险和保护因素。目的更好地了解军人自杀行为的感知风险和保护因素。方法招募三组利益相关者：有军事背景自杀生活经验的人、军队心理健康临床医生和具有军事背景自杀专业知识的研究人员。使用概念图，参与者在组织和评估所有陈述之前，分别生成军事背景下自杀行为的风险和/或保护因素。使用GroupWisdom平台收集、分析和可视化表示数据。结果总共有57名利益相关者参与了研究的至少一个阶段（即头脑风暴、分类和/或评级）。头脑风暴产生了97个感知风险因素和63个感知保护因素，这些因素按参与者的主题分组。多维尺度和分层聚类分析为风险因素生成了7个聚类解决方案，为保护因素生成了5个聚类解决方案。大多数风险和保护因素在重要性和可行性方面都被军方高度评价，这些因素来自与工作场所有关的集群。结论军事背景下自杀行为的风险和保护因素在三个社会生态层面上被确定：工作场所（社区）、关系和个人。本研究结果可为未来针对军人的自杀研究及预防活动提供参考。

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引用次数: 0

Associations between childhood maltreatment, self-harm, and pain sensitivity in care-experienced adolescents living in the UK: a cross-sectional study 儿童虐待、自残和疼痛敏感性之间的关联：一项横断面研究

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2025-09-10 DOI: 10.1016/j.jadr.2025.100975

Tatum M. Cummins , Oliver Maltby , Martin Bellander , Moa Pontén , Johan Bjureberg , Daniel Stahl , Rory C. O’Connor , Stephen B. McMahon , Susanne Millar , Isabel Mathews , Helen Minnis , Dennis Ougrin

Background

Childhood maltreatment is a major public health issue and associated with self-harm in adolescents. Self-harm is the strongest recognised predictor of suicide. Associations between reduced pain sensitivity and childhood maltreatment have been reported. We have previously shown that pain hyposensitivity is a robust feature of adolescents living in residential care with self-harm. Here, we explore the relationship between adverse childhood experiences (ACE), self-harm, and pain sensitivity in this sample.

Methods

Forty-eight adolescents (13-17 years) completed the ACE 10-item scale and were tested using a standardised quantitative sensory testing (QST) protocol. Participants were categorised according to the subtypes of abuse experienced (e.g., physical versus sexual) and frequency of self-harm within the past year. Associations between subtypes of childhood maltreatment, self-harm, and pain sensitivity were examined using ordinal regression, linear regression and independent samples t-test.

Results

In our sample, history of sexual abuse was the strongest predictor of self-harm (p = .01). Those with experience of sexual abuse (n = 13) also showed significantly higher pain thresholds (p = .01). Those with experience of sexual abuse and the most frequent self-harm (n = 11) showed significantly higher pain thresholds compared to those without experience of sexual abuse (n = 10, p = .009).

Limitations

The cross-sectional study design does not allow us to establish causal relationships. Due to the limited sample size, findings should be interpreted as exploratory.

Conclusions

Based on a limited sample of 48, our findings suggest that a history of sexual abuse may have a unique relationship to self-harm and pain hyposensitivity. Longitudinal research is needed to estimate the predictive value of pain sensitivity as a potential biomarker to identify those at risk for self-harm and suicide.

儿童虐待是一个重大的公共卫生问题，并与青少年的自我伤害有关。自残是公认的自杀最有力的预测因素。据报道，疼痛敏感性降低与儿童虐待之间存在关联。我们以前已经表明，疼痛低敏感性是一个强大的特征，青少年生活在住宿照顾与自残。在这里，我们在这个样本中探讨童年不良经历（ACE）、自我伤害和疼痛敏感性之间的关系。方法48例青少年（13 ~ 17岁）完成ACE 10项量表，采用标准化定量感觉测试（QST）方法进行测试。参与者根据过去一年遭受虐待的亚型（例如，身体虐待还是性虐待）和自残的频率进行分类。采用有序回归、线性回归和独立样本t检验检验儿童虐待、自残和疼痛敏感性亚型之间的关系。结果在我们的样本中，性侵犯史是自我伤害的最强预测因子（p = 0.01）。有过性虐待经历的人（n = 13）也表现出明显更高的疼痛阈值（p = 0.01）。那些有性虐待经历和自残最频繁的人（n = 11）比那些没有性虐待经历的人表现出更高的疼痛阈值（n = 10, p = 0.009）。局限性横断面研究设计不允许我们建立因果关系。由于样本量有限，研究结果应被解释为探索性的。基于有限的48个样本，我们的研究结果表明，性虐待史可能与自残和疼痛敏感性低下有独特的关系。需要进行纵向研究，以估计疼痛敏感性作为潜在生物标志物的预测价值，以识别那些有自残和自杀风险的人。

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引用次数: 0