Mediating effect of resilience on the relationship between rumination and suicide attempts in Chinese adolescents with mood disorders

IF 5.3 3区医学 Q1 PSYCHIATRY

General Psychiatry Pub Date : 2024-04-01 DOI:10.1136/gpsych-2023-101233

Dianying Liu, Gang Lei, Hongdong Deng, Xiangyang Zhang, Yonghui Dang

{"title":"Mediating effect of resilience on the relationship between rumination and suicide attempts in Chinese adolescents with mood disorders","authors":"Dianying Liu, Gang Lei, Hongdong Deng, Xiangyang Zhang, Yonghui Dang","doi":"10.1136/gpsych-2023-101233","DOIUrl":null,"url":null,"abstract":"To the editor: Mood disorders (MD) are serious mental illnesses that commonly affect adolescents, leading to a high incidence of suicidal behaviour.1 In China, the suicide attempt (SA) rate for adolescents with MD is 51.96%,2 and over 500 000 adolescent SA are reported annually in the USA due to depression.3 Risk factors for SA include gender, hormone levels, family conflict and, particularly, negative cognitive styles such as rumination.2–6 Our recent study2 has demonstrated a significant positive association between rumination and SA in adolescents with MD; rumination fully mediated the relationship between depression and SA. Additionally, our previous finding has revealed a negative correlation between rumination and resilience and that resilience mediates the relationship between rumination and depression.5 Furthermore, the protective model of resilience suggests that higher resilience buffers the harmful effects of risk and adversity, reduces adverse consequences, enhances cognitive flexibility and reduces rumination tendencies.7 However, there is a lack of evidence on the potential mediating role of resilience in the relationship between rumination and SA among adolescents with MD. Therefore, the main aims of this study are as follows: (1) to examine possible associations between rumination, resilience and SA in Chinese adolescents with MD; and (2) to test whether resilience mediates the relationship between rumination and SA in Chinese adolescents with MD. ### Participants In our current cross-sectional study, 611 adolescents with depressive episodes were recruited from October 2019 to June 2022 in the child and adolescent outpatient and inpatient departments of the Third People’s Hospital (a psychiatric hospital) in Ganzhou, Jiangxi Province, China. All patients were included if they met the following criteria: (1) Han Chinese, aged 11–18 with at least 5 years of education; (2) met the criteria of a current depressive episode as independently determined by two experienced psychiatrists and according …","PeriodicalId":12549,"journal":{"name":"General Psychiatry","volume":"48 1","pages":""},"PeriodicalIF":5.3000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"General Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/gpsych-2023-101233","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

To the editor: Mood disorders (MD) are serious mental illnesses that commonly affect adolescents, leading to a high incidence of suicidal behaviour.1 In China, the suicide attempt (SA) rate for adolescents with MD is 51.96%,2 and over 500 000 adolescent SA are reported annually in the USA due to depression.3 Risk factors for SA include gender, hormone levels, family conflict and, particularly, negative cognitive styles such as rumination.2–6 Our recent study2 has demonstrated a significant positive association between rumination and SA in adolescents with MD; rumination fully mediated the relationship between depression and SA. Additionally, our previous finding has revealed a negative correlation between rumination and resilience and that resilience mediates the relationship between rumination and depression.5 Furthermore, the protective model of resilience suggests that higher resilience buffers the harmful effects of risk and adversity, reduces adverse consequences, enhances cognitive flexibility and reduces rumination tendencies.7 However, there is a lack of evidence on the potential mediating role of resilience in the relationship between rumination and SA among adolescents with MD. Therefore, the main aims of this study are as follows: (1) to examine possible associations between rumination, resilience and SA in Chinese adolescents with MD; and (2) to test whether resilience mediates the relationship between rumination and SA in Chinese adolescents with MD. ### Participants In our current cross-sectional study, 611 adolescents with depressive episodes were recruited from October 2019 to June 2022 in the child and adolescent outpatient and inpatient departments of the Third People’s Hospital (a psychiatric hospital) in Ganzhou, Jiangxi Province, China. All patients were included if they met the following criteria: (1) Han Chinese, aged 11–18 with at least 5 years of education; (2) met the criteria of a current depressive episode as independently determined by two experienced psychiatrists and according …

查看原文本刊更多论文

复原力对中国情绪障碍青少年的反刍与自杀企图之间关系的中介效应

致编辑：1 在中国，患有情绪障碍的青少年自杀未遂率（SA）为 51.96%，2 在美国，每年有超过 50 万青少年因抑郁症而自杀3。3 SA 的风险因素包括性别、激素水平、家庭冲突，尤其是消极的认知方式，如反刍2-6。我们最近的研究2 表明，反刍与 MD 青少年的 SA 有显著的正相关；反刍完全介导了抑郁与 SA 之间的关系。5 此外，抗逆力的保护模式表明，较高的抗逆力可以缓冲风险和逆境的有害影响，减少不良后果，增强认知灵活性，减少反刍倾向。7 然而，目前尚缺乏证据表明抗逆力在患有 MD 的青少年反刍与 SA 关系中的潜在中介作用。因此，本研究的主要目的如下：(1)研究中国多发性硬化症青少年的反刍、抗逆力和自闭症之间可能存在的关联；(2)检验抗逆力是否在中国多发性硬化症青少年的反刍和自闭症之间起中介作用。###参与者在我们目前的横断面研究中，我们于2019年10月至2022年6月在中国江西省赣州市第三人民医院（一家精神病医院）的儿童和青少年门诊及住院部招募了611名有抑郁发作的青少年。符合以下条件的患者均被纳入研究：(1)汉族，年龄在11-18岁之间，至少受过5年教育；(2)符合由两名经验丰富的精神科医生独立确定的当前抑郁发作的标准，并符合...

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

General Psychiatry 医学-精神病学

CiteScore

21.90

自引率

2.50%

发文量

848

期刊介绍： General Psychiatry (GPSYCH), an open-access journal established in 1959, has been a pioneer in disseminating leading psychiatry research. Addressing a global audience of psychiatrists and mental health professionals, the journal covers diverse topics and publishes original research, systematic reviews, meta-analyses, forums on topical issues, case reports, research methods in psychiatry, and a distinctive section on 'Biostatistics in Psychiatry'. The scope includes original articles on basic research, clinical research, community-based studies, and ecological studies, encompassing a broad spectrum of psychiatric interests.