Anxiety sensitivity and suicidal ideation/suicide risk: A meta-analysis.
Anxiety sensitivity and suicidal ideation/suicide risk: A meta-analysis.
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焦虑敏感性和自杀念头/自杀风险：一项荟萃分析。
DOI：
10.1037/ccp0000342
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发表时间：
2018-11
影响因子：
5.9
通讯作者：
Joiner TE
中科院分区：
文献类型：
--
作者：
Stanley IH;Boffa JW;Rogers ML;Hom MA;Albanese BJ;Chu C;Capron DW;Schmidt NB;Joiner TE
自杀是一个全球性的公共卫生问题。为了告知自杀的预防和治疗，识别自杀和自杀相关疾病的跨诊断脆弱性因素至关重要。一个候选因素是焦虑敏感性（AS）-对焦虑相关感觉的恐惧-这与许多心理健康结果的发病机制有关，包括自杀想法和行为。重要的是，AS不同于特质焦虑和消极情感，突出了其在理解精神病理学方面的潜在增量效用。尽管有大量文献表明AS与自杀想法和行为有关，但这项研究尚未得到综合。该荟萃分析包括33篇文章，代表34个非冗余样本（N = 14，002），这些样本检查了AS总体或子因素（即，认知、身体、社会）评分和自杀意念和/或自杀风险。研究结果显示，总体AS与自杀意念（r = 0.24，95%置信区间（CI）：[0.21，0.26]，p <0.001）和自杀风险（r = 0.35，95% CI [0.31，0.38]，p <0.001）之间分别存在小至中度和中度相关性。所有AS子因子均与自杀意念（rs = 0.13 - 0.24）和自杀风险（rs = 0.22 -32）显著相关。AS与自杀意念和总体自杀风险相关。需要研究将AS从其他抑郁指数中分离出来，以预测自杀想法和行为。这些研究结果的理论和临床意义进行了讨论。
Suicide is a global public health concern. To inform the prevention and treatment of suicidality, it is crucial to identify transdiagnostic vulnerability factors for suicide and suicide-related conditions. One candidate factor is anxiety sensitivity (AS)—the fear of anxiety-related sensations— which has been implicated in the pathogenesis of a host of mental health outcomes, including suicidal thoughts and behaviors. Importantly, AS is distinct from trait anxiety and negative affectivity, highlighting its potential incremental utility in the understanding of psychopathology. Despite a burgeoning body of literature demonstrating that AS is linked to suicidal thoughts and behaviors, this research has yet to be synthesized. This meta-analysis includes 33 articles representing 34 nonredundant samples (N = 14,002) that examined at least one relationship between AS global or subfactor (i.e., cognitive, physical, social) scores and suicidal ideation and/or suicide risk. Findings revealed small-to-moderate and moderate associations between global AS and suicidal ideation (r = .24, 95% confidence interval (CI): [.21, .26], p < .001) and suicide risk (r = .35, 95% CI [.31, .38], p < .001), respectively. All AS subfactors evinced significant associations with suicidal ideation (rs = .13–.24) and suicide risk (rs = .22–32). AS is related to suicidal ideation and global suicide risk. Research is needed to disentangle AS from other indices of distress in the prediction of suicidal thoughts and behaviors. Theoretical and clinical implications of these findings are discussed.
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影响因子：
10.3
作者：
Bernstein, A;Zvolensky, MJ;Schmidt, NB
通讯作者：
Schmidt, NB
影响因子：
3.8
作者：
Capron, Daniel W.;Allan, Nicholas P.;Schmidt, Norman B.
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Schmidt, Norman B.
影响因子：
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影响因子：
11.3
作者：
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通讯作者：
Schmidt, Norman B.
影响因子：
10.3
作者：
Allan, Nicholas P.;Capron, Daniel W.;Schmidt, Norman B.
通讯作者：
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