Childhood sexual abuse moderates the mediating pathways connecting cognitive distortions and suicidal ideation among homeless youth.
Childhood sexual abuse moderates the mediating pathways connecting cognitive distortions and suicidal ideation among homeless youth.
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DOI：
10.1037/ort0000569
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发表时间：
2021
影响因子：
3.3
通讯作者：
Slesnick, Natasha
中科院分区：
文献类型：
--
作者：
Zhang, Jing;Wu, Qiong;Slesnick, Natasha
认知扭曲被认为是自杀最有力的预测因素之一。然而，关于认知扭曲和自杀意念之间的中介和调节机制知之甚少。本研究考察了认知扭曲与自杀意念之间的前瞻性调节中介模型，其中药物使用、社会问题解决和感知负担为中介，儿童期性虐待为中介。参与者包括150名无家可归的青少年，他们参加了自杀干预的随机临床试验。在基线后3、6和9个月对参与者进行评估。我们使用多组路径模型分析数据。研究发现，社会问题解决和感知负担依次介导认知扭曲与自杀意念之间的关联，而药物使用仅在无性虐待史的青少年中介导认知扭曲与自杀意念之间的关联。研究结果强调了在认知扭曲的背景下，适应和不适应的应对过程如何以不同的方式预测自杀意念，这取决于儿童性虐待的影响。调查结果还强调了解决儿童虐待影响的重要性，以促进寻求减少弱势群体自杀意念的干预措施的效率。
Cognitive distortions are conceptualized as one of the most potent predictors of suicide. However, little is known about the mediating and moderating mechanisms linking cognitive distortions and suicidal ideation. The present study examined a prospective moderated mediation model linking cognitive distortions and suicidal ideation, with drug use, social problem-solving, and perceived burdensomeness as the mediators and childhood sexual abuse as the moderator. Participants included 150 homeless youth who participated in a randomized clinical trial for suicide intervention. Participants were assessed at baseline, 3, 6, and 9 months post-baseline. We analyzed the data using a multiple-group path model. Findings showed that social problem-solving and perceived burdensomeness sequentially mediated the association between cognitive distortions and suicidal ideation regardless of childhood sexual abuse, whereas drug use mediated the association between cognitive distortions and suicidal ideation only among youth reporting no history of sexual abuse. Findings highlight how coping processes, both adaptive and maladaptive, operate differently to predict suicidal ideation contingent on the effects of childhood sexual abuse in the context of cognitive distortions. Findings also underscore the importance of addressing the effects of childhood abuse to facilitate the efficiency of interventions that seek to reduce suicidal ideation among a vulnerable population.