Posttraumatic Stress Disorder and Suicidal Behavior: Indirect Effects of Impaired Social Functioning

Posttraumatic Stress Disorder and Suicidal Behavior: Indirect Effects of Impaired Social Functioning
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DOI:
10.1080/13811118.2016.1158680
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发表时间:
2016-01-01
影响因子:
2.8
通讯作者:
Feldner, Matthew T.
Feldner, Matthew T.
中科院分区:
医学4区
文献类型:
--
作者:
Dutton, Courtney E.;Rojas, Sasha M.;Feldner, Matthew T.

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PTSD 的存在会对社会功能产生负面影响,同时增加 PTSD 患者自杀行为的风险。然而,很少有研究探讨社会功能在创伤后应激障碍和自杀行为之间的关联中的具体作用。进行并行多重间接影响分析,以了解社会功能四个方面的独特间接影响。创伤后应激障碍(PTSD)通过三个途径对自杀意念产生显着的间接影响:人际冲突、感知的家庭支持和人际忧虑。感知到的家庭支持是与自杀企图显着相关的唯一间接途径。研究结果表明,在治疗期间应评估社会功能并可能有针对性,以帮助降低 PTSD 患者自杀行为的风险。
Social functioning is negatively impacted by the presence of PTSD, while increasing risk of suicidal behavior among individuals with PTSD. However, little research has examined the specific role of social functioning in the association between PTSD and suicidal behavior. Parallel multiple indirect effects analyses were performed to understand the unique indirect effects of four aspects of social functioning. Indirect effects of PTSD on suicidal ideation were significant through three pathways: interpersonal conflict, perceived family support, and interpersonal apprehension. Perceived family support was the only indirect pathway significantly associated with suicide attempt. Findings suggest that social functioning should be assessed and potentially targeted during treatment to help modify the risk for suicidal behavior among individuals with PTSD.