约旦被诊断为精神分裂症的住院病人中,儿童时期的逆境和阳性症状的严重程度是自杀倾向的预测因素,并与社会人口统计学因素保持一致

IF 0.8 Q4 SOCIAL WORK Mental Health and Social Inclusion Pub Date : 2024-06-10 DOI:10.1108/mhsi-05-2024-0068
Mo’tasem M. Aldaieflih, Rabia H. Haddad, Ayman M. Hamdan-Mansour
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引用次数: 0

摘要

目的 本研究旨在考察在约旦住院的精神分裂症患者中,童年逆境和阳性症状严重程度对自杀倾向的预测能力,同时控制选定的社会人口学因素。研究在约旦的两家大型精神病医院进行。目标样本为 66 名确诊为精神分裂症的患者。研究结果进行了两步多元分层回归分析。在第一个模型中,输入了童年逆境和阳性症状的严重程度。在第二个模型中,输入了社会人口变量。分析结果显示,第一个模型(F = 5.35,p = 0.007)具有显著的统计学意义。第二个模型(F = 717,p < 0.001)具有统计学意义。此外,分析还显示,童年逆境并不是自杀的重要预测因素。然而,阳性症状和患者的人口统计学特征(年龄、住院次数和被诊断为精神分裂症的时间)对自杀倾向有显著的预测作用。分析表明,童年时期的逆境并非自杀的重要预测因素。研究局限性/启示本研究的一个局限性与样本和研究环境有关,因为本研究只从政府医院的住院病房中招募了66名患者。因此,今后的研究应包括更多来自私立医院和不同医院环境(包括门诊和急诊科)的参与者。社会意义本研究有助于扩大心理健康研究的范围。此外,本研究还扩大了学术界和临床机构的知识体系。通过增加对童年逆境、积极症状和自杀性之间复杂关系的了解,本研究为心理学、心理健康和社会科学等学科提供了支持。
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Childhood adversity and severity of positive symptoms as predictors of suicidality controlling for sociodemographics among hospitalized patients diagnosed with schizophrenia in Jordan
Purpose This study aims to examine the predictive power of childhood adversity and severity of positive symptoms on suicidality, controlling for selected sociodemographics factors, among hospitalized patients diagnosed with schizophrenia in Jordan. Design/methodology/approach This study used a descriptive-explorative design. The study was conducted at two major psychiatric hospitals in Jordan. The targeted sample was 66 patients diagnosed with schizophrenia. Data was collected using a structured format in the period February–April 2024. Findings A two-step multiple hierarchical regression analysis was conducted. In the first model, childhood adversity and the severity of positive symptoms were entered. In the second model, sociodemographic variables were entered. The analysis revealed that the first model (F = 5.35, p = 0.007) was statistically significant. The second model (F = 717, p < 0.001) was statistically significant. Furthermore, the analysis revealed that childhood adversity was not a significant predictor for suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. The analysis revealed that childhood adversity was not a significant predictor of suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. Research limitations/implications One limitation of this study is related to the sample and the setting where there were only 66 patients recruited from governmental hospitals within inpatient wards. Thus, the upcoming studies should include more participants from private hospitals and different hospital settings including outpatient and emergency departments. Practical implications The research provides empirical insights that positive symptoms, age hospitalization and schizophrenia diagnosis length were significant predictors of suicidality. At the same time, childhood adversity was not a significant predictor of suicidality. Social implications The current research contributes to expanding mental health studies. Moreover, this study enlarges the body of knowledge in the academic world and clinical settings. It supports the disciplines of psychology, mental health and social sciences by increasing knowledge of the complicated relationships among childhood adversity, positive symptoms and suicidality. Originality/value This paper fulfills an identified need to study childhood adversity with comorbid psychiatric disorders such as schizophrenia, as well as psychiatric mental health covariates.
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1.80
自引率
25.00%
发文量
42
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