新入职(学)青年人群适应障碍与自杀意念的关系及反刍思维和负性情绪的中介效应  

Relationship between adjustment disorder and suicidal ideation in newly employed/enrolled young adults and mediating effects of rumination and negative emotions

作　　者：周扬 蔡文鹏 ZHOU Yang;CAI Wenpeng(School of Mathematical Sciences,Suzhou University,Suzhou,Jiangsu 215006;Faculty of Psychology,Naval Medical University,Shanghai 200433)

机构地区：[1]苏州大学数学科学学院,江苏苏州215006 [2]海军军医大学心理系,上海200433

出　　处：《郑州大学学报(医学版)》2025年第2期265-269,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：海军军医大学社科培育基金项目(2022SK027)。

摘　　要：目的:探讨反刍思维和负性情绪在新入职(学)青年人群适应障碍和自杀意念之间的中介作用。方法:2023年6至9月采用适应障碍自评量表、反刍思维量表、抑郁-焦虑-压力量表和自杀意念自评量表对入学或入职2 a内的青年人(18~35岁)进行基本资料和问卷调查,回收有效问卷2015份,采用Pearson相关分析适应障碍、反刍思维、负性情绪与自杀意念间的关系,采用Bootstrap法分析反刍思维和负性情绪在适应障碍与自杀意念之间的中介效应。结果:2015人中,有自杀意念36人(1.79%)。30~35岁新入职(学)青年人自杀意念检出率高于其他年龄段,初中及以下者高于其他受教育水平者,独生子女高于非独生子女(P<0.001)。新入职(学)青年人群适应障碍、负性情绪、反刍思维与自杀意念各维度呈正相关(r=0.086~0.873,P<0.05)。适应障碍通过反刍思维和负性情绪影响新入职(学)青年人群自杀意念,其中介效应值(90%CI)分别为0.018(0.007~0.031)、0.034(0.023~0.049)、0.047(0.033~0.065),分别占总效应的15.6%、29.8%、41.3%。结论:反刍思维、负性情绪在新入职(学)青年人群适应障碍与自杀意念间具有部分中介作用。Aim:To explore the mediating effects of rumination and negative emotions on adjustment disorder and suicidal ideation in newly employed/enrolled young adults.Methods:From June to September 2023,Adjustment Disorder-New Module 20,Ruminative Responses Scale,Depression Anxiety-Stress-Scale and Self-Rating Idea of Suicide Scale were assessed in newly employed/enrolled young people(aged 18 to 35)within two years of admission.Totally 2015 effective samples were collected.Pearson correlation analysis was used to explore the correlation between variables,and Bootstrap test was used to explore the mediating effect of rumination and negative emotions.Results:Among 2015 young adults,36(1.79%)had suicidal ideation.Suicide ideation was higher in the age group 30-35 than that in other age groups,higher in junior high school and below than that in other education levels,and higher in only child than that in non-only child(P<0.001).There were positive correlations between all dimensions of negative emotion,rumination and adjustment disorder and suicidal ideation in newly employed/enrolled young adults(r=0.086 to 0.873,P<0.05).Adjustment disorder affected suicidal ideation of newly employed/enrolled young adults through the effects of rumination and negative emotions,the mediated effect(90%CI)were 0.018(0.007-0.031),0.034(0.023-0.049),0.047(0.033-0.065),and accounted for 15.6%,29.8%,41.3%of the total effect,respectively.Conclusion:Rumination and negative emotions have a partial mediating effect between adjustment disorder and suicidal ideation in newly employed/enrolled young adults.

关 键 词：适应障碍 青年人 反刍思维 负性情绪 自杀意念 中介效应 

分 类 号：R749[医药卫生—神经病学与精神病学]