自杀是我唯一的出路青少年体验性回避、认知融合和自杀意念之间的纵向相互关系

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI:10.1016/j.jcbs.2024.100803
Chuhan Wang, Jiaqi Guo, Yunhong Shen, Jianing You
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引用次数: 0

摘要

根据接受与承诺疗法,体验回避和认知融合是心理僵化的两个相互关联的核心过程,这两个过程在理论和实证上都与青少年自杀意念有关。然而,经验性回避、认知融合和青少年自杀意念之间的纵向互动关系尚未得到实证研究。因此,我们的研究旨在使用交叉滞后面板模型(CLPM)和随机截距交叉滞后面板模型(RI-CLPM)来检验这些变量之间的纵向相互关系。共有1720名中国青少年(54.6%为女性;平均年龄=14.44岁,平均年龄差值=1.35岁)在6个月的时间间隔内,三次完成了有关体验回避、认知融合和自杀意念的自我报告问卷。结果显示,在CLPM中,体验回避、认知融合和自杀意念相互正向预测。然而,RI-CLPM 只支持体验性回避和认知融合之间的纵向交互作用,以及自杀意念在加剧体验性回避和认知融合方面的作用。研究结果强调,自杀意念可能会导致青少年体验回避和认知融合水平的提高,因此在研究心理不灵活与青少年自杀意念之间的关系时,需要区分人内效应和人际效应。
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Suicide is my only way: The longitudinal reciprocal relations of experiential avoidance, cognitive fusion, and suicidal ideation among adolescents

Experiential avoidance and cognitive fusion, the two interrelated processes central to psychological inflexibility according to Acceptance and Commitment Therapy, were theoretically and empirically related to adolescent suicidal ideation. However, the longitudinal interaction among experiential avoidance, cognitive fusion, and adolescent suicidal ideation has yet to be empirically examined. As such, our study aims to examine the longitudinal reciprocal relationships among these variables using the cross-lagged panel model (CLPM) and random intercept cross-lagged panel model (RI-CLPM). A total of 1720 Chinese adolescents (54.6% females; Mage = 14.44, SDage = 1.35) completed self-reported questionnaires regarding experiential avoidance, cognitive fusion, and suicidal ideation on three occasions, using 6-month intervals. The results showed that in CLPM, experiential avoidance, cognitive fusion, and suicidal ideation positively predicted each other. However, RI-CLPM only provided support for the longitudinal interaction between experiential avoidance and cognitive fusion as well as the role of suicidal ideation in exacerbating experiential avoidance and cognitive fusion. The findings highlight that suicidal ideation may lead to increased levels of experiential avoidance and cognitive fusion in adolescents and the need to distinguish between within-person and between-person effects when studying the relationship between psychological inflexibility and adolescent suicidal ideation.

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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
期刊最新文献
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