Examining the unique relations between anxiety sensitivity factors and suicidal ideation and past suicide attempts
Examining the unique relations between anxiety sensitivity factors and suicidal ideation and past suicide attempts
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DOI：
10.1016/j.psychres.2015.05.066
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发表时间：
2015-08-30
影响因子：
11.3
通讯作者：
Schmidt, Norman B.
中科院分区：
文献类型：
--
作者：
Allan, Nicholas P.;Norr, Aaron M.;Schmidt, Norman B.
焦虑敏感性（AS）最近被认为与自杀有关。具体而言，AS认知问题已被牵连作为一个危险因素，作为一个保护因素，AS的身体问题，自杀意念和自杀企图。然而，没有研究使用结构方程模型（SEM）来解决问题的倾斜自杀变量和双因素模型的AS，以解决高度重叠的低阶尺寸的AS，限制了这些过去的研究结果的解释。AS，自杀意念，过去的自杀企图，和抑郁症进行了评估的临床样本的267人（M年龄=35.45岁，SD=16.53; 52.1%的女性）。总体AS和AS认知关注因素与自杀意念显著正相关，尽管这些影响对抑郁症无显著控制作用。全球AS因子与自杀企图呈显着正相关，控制了抑郁症。目前的研究表明，AS和自杀意念之间的关系并没有保持在占抑郁症，这表明AS和自杀意念之间的关系可能是由抑郁症介导的。全球AS和自杀企图之间的正相关关系与假设自杀企图是无法科普无法忍受的痛苦的结果的理论一致。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Anxiety sensitivity (AS) has recently been linked to suicidality. Specifically, AS cognitive concerns has been implicated as a risk factor, and AS physical concerns as a protective factor, for suicidal ideation and suicide attempts. However, no studies have used structural equation modeling (SEM) to address issues of skewed suicide variables and bifactor modeling of AS to address the high degree of overlap between the lower-order dimensions of AS that limit interpretation of these past findings. AS, suicidal ideation, past suicide attempts, and depression were assessed in a clinical sample of 267 individuals (M age=35.45 years, SD=16.53; 52.1% female). The global AS and AS cognitive concerns factors were positively, significantly associated with suicidal ideation, though these effects were nonsignificant controlling for depression. The global AS factor was positively, significantly associated with suicide attempts, controlling for depression. The current study demonstrated that the relations between AS and suicidal ideation are not maintained when accounting for depression, suggesting that the relation between AS and suicidal ideation may be mediated by depression. The positive relation between global AS and suicide attempts is consistent with theories positing suicide attempts as a consequence of an inability to cope with intolerable distress. (C) 2015 Elsevier Ireland Ltd. All rights reserved.