Examining characteristics of worry in relation to depression, anxiety, and suicidal ideation and attempts
Examining characteristics of worry in relation to depression, anxiety, and suicidal ideation and attempts
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DOI：
10.1016/j.jpsychires.2018.10.004
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发表时间：
2018-12-01
影响因子：
4.8
通讯作者：
Joiner, Thomas E.
中科院分区：
文献类型：
--
作者：
Gorday, Julia Y.;Rogers, Megan L.;Joiner, Thomas E.
背景。病理性忧虑被定义为过度的、普遍的和无法控制的忧虑。尽管病理性担忧与抑郁、焦虑和自杀意念有关，但人们对担忧的哪些具体特征会导致这些心理健康状况的风险知之甚少。目前的研究调查了焦虑的频率、持续时间、可控性和内容这四个特征与自我报告的抑郁、焦虑、自杀意念和终身自杀企图症状之间的联系。方法：通过亚马逊的MTurk软件招募548名社区参与者，年龄19-98岁（M = 36.54, SD = 12.33），其中女性占53.6%，男性占45.4%，变性男性占0.5%，变性女性占0.2%，非二元性别占0.2%)，完成一系列在线自我报告问卷。结果：研究结果表明，焦虑的可控性与抑郁、焦虑和自杀意念的关系显著高于焦虑、人口统计学变量、消极情绪和面向未来的重复思维等特征。终生自杀企图对这些心理健康结果没有显著影响。担忧的频率也与抑郁呈正相关。局限性：本研究采用横断面设计，采用独家自我报告测量。结论：总的来说，这些发现表明，一个人的思想可控性可能是一个关键的跨诊断因素，它赋予了各种精神病理相关问题的风险。临床相关性包括识别不同精神病理的潜在危险因素。未来的研究应该在临床样本中并利用各种方法来检验忧虑可控性与焦虑、抑郁、自杀意念和企图之间的关系。
Background. Pathological worry is defined as worry that is excessive, pervasive, and uncontrollable. Although pathological worry is related to depression, anxiety, and suicidal ideation, less is understood about what specific features of worry confer risk for these mental health conditions. The current study examined associations between four characteristics of worry frequency, duration, controllability, and content and self-reported symptoms of depression, anxiety, suicidal ideation, and lifetime suicide attempts.Methods: A sample of 548 community participants (53.6% female, 45.4% male, 0.5% transgender male, 0.2% transgender female, and 0.2% gender non-binary), aged 19-98 years (M = 36.54, SD = 12.33), was recruited via Amazon's MTurk and completed a battery of self-report questionnaires online.Results: Results indicated that controllability of worry was uniquely associated with depression, anxiety, and suicidal ideation above and beyond other characteristics of worry, demographic variables, negative affect, and future-oriented repetitive thinking. Lifetime suicide attempts were found non-significant to these mental health outcomes. Frequency of worry was also positively related to depression.Limitations: This study utilized a cross-sectional design with exclusive self-report measures.Conclusions: Overall, these findings suggest that controllability of one's thoughts may be a key transdiagnostic factor that confers risk for a variety of psychopathology-related concerns. Clinical relevance includes identifying potential risk factors for varying psychopathology. Future research should examine relationships between worry controllability and anxiety, depression, suicidal ideation, and attempts, within clinical samples and utilizing a variety of methodologies.