青少年抑郁与自杀风险的关系:心理痛苦与反刍思维的作用  

The relationship between adolescent depression and suicide risk:the role of Psychache and Ruminative Though

作　　者：饶刚 葛茂宏 宗鲁新 何良辉 高伟博[2] RAO Gang;GE Maohong;ZONG Luxin(School of Clinical Medicine,Weifang Medical College,Weifang 261000,China)

机构地区：[1]潍坊医学院临床医学院,潍坊261000 [2]山东省潍坊市精神卫生中心

出　　处：《国际精神病学杂志》2024年第3期779-782,共4页Journal Of International Psychiatry

基　　金：山东省医药卫生科技发展计划项目(编号:202112070934)。

摘　　要：目的 考察心理痛苦在青少年抑郁患者的抑郁体验与自杀风险之间的中介作用以及反刍思维的调节作用。方法 采用反刍思维量表、抑郁自评量表、自杀行为问卷修订版和心理痛苦量表,对青少年抑郁患者进行调查。结果 (1)反刍思维、抑郁、心理痛苦与青少年抑郁患者的自杀风险呈显著正相关;(2)心理痛苦能够在青少年抑郁患者的抑郁体验和自杀风险之间起到部分中介的作用;(3)反刍思维通过调节心理痛苦影响自杀风险中介过程的后半条路径。结论 抑郁可以直接影响青少年抑郁患者的自杀风险,可以通过心理痛苦间接影响青少年抑郁患者的自杀风险,反刍思维能够显著正向调节青少年抑郁患者心理痛苦对自杀风险的危险作用。Objective To investigate the mediating role of psychological pain between depression experience and suicide risk of adolescent depression patients and the regulating role of ruminant thinking.Methods Adolescent depression patients were investigated with the ruminant thinking scale,the self rating depression scale,the revised suicide behavior questionnaire and the psychological distress scale.Results(1)Ruminant thinking,depression,psychological pain were significantly positively correlated with suicide risk of adolescent depression patients.(2)Psychological pain can play a part of intermediary role between depression experience and suicide risk.(3)Rumination affects the second half of the intermediary process of suicide risk by regulating psychological pain.Conclusion First of all,depression can directly affect the risk of suicide,and then it can indirectly affect the risk of suicide through psychological pain.Finally,ruminant thinking can significantly and positively regulate the risk of psychological pain on suicide risk.

关 键 词：青少年抑郁 自杀风险 反刍思维 心理痛苦 

分 类 号：R749.4[医药卫生—神经病学与精神病学]