Childhood abuse experiences, depression and dissociation symptoms in relation to suicide attempts and suicidal ideation
Childhood abuse experiences, depression and dissociation symptoms in relation to suicide attempts and suicidal ideation
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DOI：
10.1080/15299732.2020.1869652
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发表时间：
2021-01-12
影响因子：
3.3
通讯作者：
Kolesovs, Aleksandrs
中科院分区：
文献类型：
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作者：
Bertule, Marika;Sebre, Sandra B.;Kolesovs, Aleksandrs
本研究旨在考察自杀企图(SA)、自杀意念(SI)、抑郁、分离症状、情绪虐待、身体虐待和性虐待之间的关系，并探索SA和SI的预测因子以及可能的中介因素。我们的目标也是检查对分离性抑郁亚群的支持。参与这项研究的有342名成年人，其中138名受访者被诊断为抑郁症(DG)，204名受访者组成社区样本(CS)。受试者完成了流行病学研究中心修订的抑郁量表(CESD-R)、儿童创伤问卷简表(CTQ-SF)和分离体验量表(DES)。除两项(去吸收和去人格化/去人格化)外，DG组的平均得分均高于CS组。回归分析显示，在CS组中，性虐待和去健忘症是SA的预测因素。结构方程模型显示，在两组中，虐待的类型是相互关联的，情绪虐待与分离有关，而分离又与抑郁有关，抑郁又是自杀意念的预测因素。抑郁在CS的人格分裂与自杀意念之间起完全中介作用，在DG中起部分中介作用。性虐待对DG中的抑郁和自杀意念有直接影响。聚类分析为分离性抑郁亚型提供了支持。
This study aimed to examine associations between suicide attempts (SA), suicidal ideation (SI), depression, dissociative symptoms, emotional abuse, physical abuse and sexual abuse, and to explore predictors of SA and SI, as well as possible mediating factors. We also aimed to examine support for a dissociative depression subgroup. Participating in this study were 342 adults, of these were 138 respondents with a diagnosis of depression (DG), and 204 respondents comprising a community sample (CS). Respondents completed the Center for Epidemiologic Studies Depression Scale - Revised (CESD-R), Childhood Trauma Questionnaire - Short Form (CTQ-SF), and Dissociative Experience Scale (DES). All but two (DES-Absorption and DES - Depersonalization/Derealization) of the study variable mean scores were higher in the DG than in the CS group. Regression analysis showed that SA was predicted by sexual abuse and DES-Amnesia in the CS group. Structural equation modeling revealed that in both groups the types of abuse were reciprocally correlated, emotional abuse was linked to dissociation, which in turn was related to depression, which is turn was predictive of suicide ideation. Depression had a full mediating effect between dissociation and suicide ideation in the CS, and a partial mediating effect in the DG. Sexual abuse had a direct effect upon depression and suicide ideation in the DG. Cluster analysis provided support for a dissociative depression subtype.