| 谭清宇,刘平,吕桃,朱玲.青少年抑郁障碍患者失眠与自杀意念的关系：反刍思维的中介作用[J].四川精神卫生杂志,2023,36(2):118-122.Tan Qingyu,Liu Ping,Lyu Tao,Zhu Ling,Relationship between insomnia and suicidal ideation in adolescents with depressive disorder： the mediating role of rumination[J].SICHUAN MENTAL HEALTH,2023,36(2):118-122 |
| 青少年抑郁障碍患者失眠与自杀意念的关系：反刍思维的中介作用 |
| Relationship between insomnia and suicidal ideation in adolescents with depressive disorder： the mediating role of rumination |
| 投稿时间：2022-11-01 |
| DOI：10.11886/scjsws20221101002 |
| 中文关键词: 抑郁障碍 青少年 失眠 反刍思维 自杀意念 中介效应 |
| 英文关键词:Depressive disorder Adolescents Insomnia Rumination Suicidal ideation Mediating effect |
| 基金项目:成都医学院四川应用心理学研究中心资助项目［项目名称：失眠的认知行为治疗（CBTI）治疗青少年非自杀性自伤（NSSI）的疗效研究，项目编号：CSXL-203007］ |
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| 中文摘要: |
| 目的 探讨青少年抑郁障碍患者反刍思维在失眠与自杀意念之间的中介效应，为自杀意念的干预提供参考。方法 连续选取2020年1月-12月在德阳市人民医院心身医学科就诊的、符合《精神障碍诊断与统计手册（第5版）》（DSM-5）抑郁障碍诊断标准的302例青少年抑郁障碍患者为研究对象。使用失眠严重程度指数量表（ISI）、反刍思维量表（RRS）和青少年自杀意念量表（PANSI）对患者的睡眠情况、反刍思维和自杀意念进行评定。采用Process v3.2程序对反刍思维在失眠与自杀意念之间的中介效应进行分析，设置模型序号为4，采用偏差校正的非参数百分位Bootstrap法对中介效应进行检验。结果 青少年抑郁障碍患者ISI评分与PANSI评分呈正相关（r=0.400，P<0.01），与RRS总评分以及强迫思考和反省深思因子评分均呈正相关（r=0.378、0.360、0.333，P均<0.01）；RRS与PANSI评分亦呈正相关（r=0.292，P<0.01）。反刍思维在失眠与自杀意念之间起部分中介效应（β=0.174，95% CI：0.098~0.261）。结论 反刍思维在青少年抑郁障碍患者的失眠与自杀意念之间起部分中介作用，失眠既可直接影响青少年抑郁障碍患者的自杀意念，亦可通过反刍思维间接影响自杀意念。 |
| 英文摘要: |
| Objective To explore the mediating effect of rumination on the relationship between insomnia and suicidal ideation in adolescents with depressive disorder， so as to provide guidance for the preventions of suicidal ideation.Methods A total of 302 adolescents with major depressive disorder in Department of Psychosomatic Medicine of Deyang People's Hospital from January to December 2020 and met the Diagnostic and Statistical Manual of Mental Disorders， fifth edition （DSM-5） clinical significance criterion for depressive disorder were enrolled. All individuals were assessed using Insomnia Severity Index （ISI）， Ruminative Response Scale （RRS） and Positive and Negative Suicide Ideation （PANSI）. Then the mediating effect of rumination in the relation between insomnia and suicidal ideation in adolescents with major depression disorder was analyzed using Process v3.2 model 4， and testified with the bias-corrected non-parametric percentile Bootstrap method.Results ISI scores in adolescents with major depression disorder were positively correlated with PANSI score （r=0.400， P<0.01）， and were positively correlated with RRS total score， obsessive thinking and introspection factor score （r=0.378， 0.360， 0.333， P<0.01）. RRS score was also positively correlated with PANSI score （r=0.292， P<0.01）. Rumination exerted a partial mediating effect on the relationship between insomnia and suicidal ideation （β=0.174， 95% CI： 0.098~0.261）.Conclusion The relationship between insomnia and suicidal ideation in adolescents with depressive disorder is partially mediated by rumination， additionally， insomnia can affect suicidal ideation in adolescents with depressive disorder both directly and indirectly through rumination. |
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