Suicidality and cognitive vulnerability to depression among college students: a prospective study

Suicidality and cognitive vulnerability to depression among college students: a prospective study
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DOI:
10.1006/jado.1998.0167
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发表时间:
1998-08-01
影响因子:
3.8
通讯作者:
Chiara, A
Chiara, A
中科院分区:
心理学2区
文献类型:
--
作者:
Abramson, LY;Alloy, LB;Chiara, A

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使用行为高风险两点前瞻性设计,我们测试了有关自杀的认知脆弱性假设。与预测一致,在 2 1/2 年的前瞻性随访期间,通过结构化诊断访谈和问卷自我报告进行测量,高认知风险 (HR) 参与者比低认知风险 (LR) 参与者更有可能表现出自杀倾向。此外,当对未来时期进行整体考察时,源自认知理论的中介假设得到了强有力的支持。绝望似乎调解了认知脆弱性和自杀倾向之间的关系。最后,所获得的认知脆弱性与自杀之间的关系并不是由认知理论中未指定的其他假设的自杀风险因素介导的,例如过去的自杀倾向、抑郁症个人史、边缘性和反社会人格功能障碍以及父母抑郁症史。 (C) 1998 年青少年服务专业人员协会。
Using a behavioral high-risk two-site prospective design, we tested the cognitive vulnerability hypotheses about suicidality. Consistent with prediction, the high cognitive risk (HR) participants were more likely than the low cognitive risk (LR) participants to exhibit suicidality, measured by both structured diagnostic interview and questionnaire self-report, during the 2 1/2 year prospective follow-up period. Moreover, when the prospective period was examined as a whole, the mediation hypothesis derived from the cognitive theories was strongly supported. Hopelessness appeared to mediate the obtained relationship between cognitive vulnerability and suicidality. Finally, the obtained relationship between cognitive vulnerability and suicidality was not mediated by other hypothesized risk factors for suicidality not specified in the cognitive theories, such as past suicidality, personal history of depressive disorders, borderline and antisocial personality dysfunction, and parental history of depression. (C) 1998 The Association for Professionals in Services for Adolescents.