心理科学 ›› 2017, Vol. 40 ›› Issue (6): 1498-1503.

• 临床与咨询 • 上一篇    下一篇

自尊、体验回避和抑郁在自杀意念形成中的作用

刘慧瀛,王婉   

  1. 郑州大学
  • 收稿日期:2017-03-23 修回日期:2017-09-21 出版日期:2017-11-20 发布日期:2017-11-20
  • 通讯作者: 王婉

Effects of Rumination, Experiential Avoidance, Self-esteem and Depression on the Arising of Suicide Idea: A Moderated Mediation Model

Hui-Ying LIUwan wang2   

  • Received:2017-03-23 Revised:2017-09-21 Online:2017-11-20 Published:2017-11-20
  • Contact: wan wang

摘要: 使用自尊量表、接受和行动问卷、症状自评量表和贝克抑郁自评问卷对河南省某高校778名本科生和研究生进行问卷调查,探讨自尊、体验回避和抑郁在自杀意念形成中的作用。结果显示:(1)保护性因素自尊能够负向预测自杀意念。自尊水平越高,个体的自杀意念水平越低;(2)抑郁中介了风险性因素体验回避对自杀意念的影响作用。体验回避程度越高,抑郁程度越高,相应的自杀意念水平越高;(3)保护性因素自尊可以缓冲风险因素体验回避和抑郁对自杀意念的作用。保护性因素自尊能够负向预测体验回避和抑郁,既自尊水平越高,体验回避和抑郁倾向越弱。保护性因素自尊通过抑制风险性因素来缓冲其对自杀意念的作用。

关键词: 自杀意念, 自尊, 体验回避, 抑郁

Abstract: As a major public health hazard, suicide is one of the leading causes of death worldwide. Suicide idea, appearing before suicide, is the most fatal prospective indicator of committed suicide. Therefore, more and more researchers are interested in exploring the influence factors of suicide idea and how and when they have impact on it. According to the model of risk buffer, Self-esteem is an important protective factor of negative emotion and can weaken people’s suicide idea, rumination and experience avoidance are risk factor that can strengthen people’s suicide idea. Rumination is a kind of response style that people repetitively and passively focus their attention on depressive symptoms and the implications and consequences of this symptoms. Previous studies have demonstrated that rumination was a risk factor of mental health which could aggravate depression and lead to suicide idea. Different from rumination, experiential avoidance is a kind of unhealthy response process which involves excessive negative evaluations of unwanted private thoughts and sensations, an unwillingness to experience these private events, and deliberate efforts to control or escape from them. Previous studies found it was related to depression. In this study, we aimed at exploring the effects of self-esteem, experiential avoidance and depression on the arising of suicide idea. A total of 778 undergraduates and postgraduates were recruited randomly for this study. Acceptance and Action Questionnaire was used to measure experiential avoidance. Self-esteem Scale was used to measure self-esteem. Depression was measured by the depression subscale extracted from the Self-reporting Inventory. Suicide idea was assessed by the ninth item from Beck Self-rating Depression Scale. All the measures were self-reported and attained good reliability and validity. SPSS21.0 and Mplus were applied to analysis the survey data. The results indicated that: (1)The self-esteem can negatively predict suicide idea(β= -0.110,p <0.001). The higher the self-esteem, the weaker the suicide idea.(2)The depression moderate the relationship between experience avoidance and suicide idea. The experience avoidance can positively predict the depression(β= 0.372,p <0.001), the higher the experience avoidance, the higher the depression. The depression can positively predict the suicide idea(β= 0.415,p <0.001).The higher the depression, the higher the suicide idea.(3)The self-esteem can buffer the effect of experience avoidance on suicide idea by negatively predict the experience avoidance(β= -0.330,p <0.001)and the depression(β= -0.428,p <0.001). The higher the self-esteem, the weaker the experience avoidance and the depression. In summary, the effect of self-esteem, experiential avoidance and depression on the arising of suicide idea was a complicated moderated mediation model. This model provided a systematically and profoundly interpretation about how and when self-esteem, experiential avoidance and depression impact suicide idea. On one hand, the protective factor self-esteem can negatively predict suicide idea, while the risk factor experience avoidance can affect the suicide idea through the depression. On the other hand, Self-esteem could weaken the positive effect of experience avoidance on suicide idea. This study also provided a practical implication that rational coping style and proper self-esteem were very important factors to prevent negative emotion, as well as suicide idea.

Key words: Suicide Idea, Self-esteem, Experiential Avoidance, Depression