心理门诊患者自杀渴望、自我图式与外显、内隐自杀意念的关系  

The Relationship among Suicidal Desire,Self Schema and Explicit,Implicit Suicide Ideation

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作  者:李诚[1] 董燕[1] 周晓梅[1] 侯桂芝[1] LI Cheng;DONG Yan;ZHOU Xiaomei;et al(Department of Clinical Psychology ,the Air Force General Hospital ,Beijing 100042,China)

机构地区:[1]空军总医院临床心理科

出  处:《中国健康心理学杂志》2018年第6期921-926,共6页China Journal of Health Psychology

基  金:全军“十二五”心理专项课题(编号:12XLZ208)

摘  要:目的:了解自我图式在自杀渴望与外显、内隐自杀意念之间的关系。方法:对存在抑郁或/和焦虑状态的262名青年心理门诊患者施测人际需求问卷、贝克自杀意念量表、单类内隐联想测验和自我参照任务测验。结果:归属受挫、累赘感知、外显自杀意念、内隐自杀意念和自我图式得分中位数分别为2.44、1.83、7、-0.25和2,四分位数间距分别为1.67、1.67、3、0.73和6。Spearman相关分析发现,各变量间的相关均显著(r=-0.636-0.476,P〈0.01)。其中,归属受挫、累赘感知与外显、内隐自杀意念均呈低度正相关(r=0.254-0.476),自我图式与外显、内隐自杀意念均呈中等负相关(r=-0.548,-0.636;P〈0.05)。Bootstrap法检验发现,自我图式在自杀渴望与外显自杀意念间中介效应的95%置信区间为(-0.085,0.194);在自杀渴望与内隐自杀意念间中介效应95%置信区间为(0.069,0.135),中介效应占总效应的58.13%。结论:自我图式在自杀渴望与外显自杀意念间不存在中介效应;在自杀渴望与内隐自杀意念间存在部分中介效应。Objective:To explore the relationship among self schema,suicidal desire and explicit,implicit suicide ideation.Methods:288 mental patients in general hospital under depressed or/and anxious state in were assessed by Interpersonal Needs Questionnaire(INQ-15),Beck Scale for Suicide Ideation(BSI),Single-category Implicit Association Test(SC-IAT)and Self-referent Encoding Test.Results:The median score of PB,TB,BSI,SC-IAT and SRET were 2.44,1.83,7,-0.25 and 2 respectively,the inter-quartile range were 1.67,1.67,3,0.73 and 6.The correlation between variables was significant(r==-0.19-0.40;P〈0.01).There were low positive correlation between Thwarted belongingness(TB),perceived burdensomeness(PB)and explicit suicide ideation,implicit suicide ideation(r=0.254-0.476;P〈0.05).There were moderately positive correlation between self-schema and explicit suicide ideation,implicit suicide ideation(r=-0.548、-0.636;P 〈0.05).The 95% bootstrap confidence interval of mediating effect of self-schema between suicide desire and explicit suicide ideation was-0.085 and 0.194;The 95% bootstrap confidence interval of mediating effect of self-schema between suicide desire and implicit suicide ideation was(0.069,0.135),the proportion of mediating effect in total effect was 58.13%.Conclusion:The self-schema has no a significant mediating effect between suicide desire and explicit suicide ideation;The self-schema has a significant partial mediating between suicide desire and implicit ideation.

关 键 词:自杀 单类内隐联想测验 人际需求问卷 自我图式 

分 类 号:R395.9[哲学宗教—心理学]

 

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