Social Support and Social Stress Among Suicidal Inpatients at Military Treatment Facilities: A Multidimensional Investigation.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2024-05-01 Epub Date: 2024-02-05 DOI:10.1097/NMD.0000000000001761

Charles A Darmour, Jeremy W Luk, Jessica M LaCroix, Kanchana U Perera, David B Goldston, Alyssa A Soumoff, Jennifer J Weaver, Marjan Ghahramanlou-Holloway

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引用次数: 0

Abstract

Abstract: The associations between social support and stress with internalizing symptoms (depressive symptoms and hopelessness) and hazardous drinking were tested in an inpatient sample of suicidal military personnel. Baseline data from a randomized clinical trial were analyzed. Different sources of support and stressors in the social context of military personnel were differentially linked to internalizing symptoms and hazardous drinking. In the full sample ( n = 192), family and nonfamily support were both inversely associated with internalizing symptoms but not hazardous drinking. Family stress was positively associated with internalizing symptoms. In a subsample of service members who had a history of deployment ( n = 98), postdeployment social support was protective against internalizing symptoms, whereas deployment harassment was associated with increased odds of hazardous drinking. Results underscore the need for assessment of various dimensions of social support and stress to guide case formulation and optimize strategies to support patients' mental well-being and adaptive coping.

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军事治疗机构中有自杀倾向的住院病人的社会支持和社会压力：多维度调查

摘要：在有自杀倾向的住院军人样本中测试了社会支持和压力与内化症状（抑郁症状和绝望情绪）和危险饮酒之间的关联。研究分析了一项随机临床试验的基线数据。在军人的社会背景中，不同的支持来源和压力因素与内化症状和危险饮酒有着不同的联系。在全部样本（n = 192）中，家庭和非家庭支持均与内化症状成反比，但与危险饮酒无关。家庭压力与内化症状呈正相关。在有部署史的军人子样本（n = 98）中，部署后的社会支持对内化症状具有保护作用，而部署骚扰则与危险饮酒几率的增加有关。研究结果表明，有必要对社会支持和压力的各个方面进行评估，以指导病例的制定并优化策略，支持患者的心理健康和适应性应对。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.