Insomnia, Social Disconnectedness, and Suicidal Ideation Severity in Underserved Veterans

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Joseph W. Boffa, Amanda M. Raines, C. Laurel Franklin, Jean C. Beckham, Tracy Stecker
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Abstract

Purpose

Insomnia, characterized by difficulty initiating or maintaining sleep, is a robust transdiagnostic correlate of suicidal ideation (SI). Nevertheless, there remains a lack of research exploring factors that may account for this association. One approach to advancing our understanding of these associations, is to draw from theoretical models of suicide including the interpersonal theory of suicide (IPTS). According to the IPTS, the desire for suicide emerges when one feels intractably socially disconnected (i.e., lonely and perceiving oneself as a burden). Initial research suggests that social disconnectedness explains, in part, the association between insomnia and suicidal ideation severity. However, less research has investigated this veterans in underserved communities, a sample at heightened risk for suicide.

Methods

Using an outpatient treatment seeking sample of veterans (N = 83; M age = 53.51 SD = 15.04; 52% Black/African American; 81% male), we modeled the indirect effect of insomnia severity on SI severity through social disconnectedness.

Results

Although insomnia severity was not directly associated with SI severity, there was a positive and statistically significant indirect effect of insomnia on SI severity through social disconnectedness.

Conclusion

These findings extend prior research examining mechanisms that may help explain the link between insomnia and suicidality. Results highlight the importance of including transdiagnostic risk markers like insomnia and social disconnectedness in comprehensive suicide risk assessment. Future research should seek to establish the temporal nature of these relationships.

Abstract Image

服务不足的退伍军人失眠、与社会脱节和自杀意念严重程度
目的以难以开始或维持睡眠为特征的失眠是自杀意念(SI)的一个强有力的跨诊断相关因素。然而,目前仍缺乏对造成这种关联的因素的研究。要加深我们对这些关联的理解,一种方法是借鉴自杀的理论模型,包括自杀的人际关系理论(IPTS)。根据人际关系自杀理论,当一个人感到与社会严重脱节(即感到孤独并认为自己是个负担)时,就会产生自杀的欲望。初步研究表明,与社会脱节在一定程度上解释了失眠与自杀意念严重程度之间的关联。方法利用寻求门诊治疗的退伍军人样本(N = 83;M 年龄 = 53.51 SD = 15.04;52% 为黑人/非裔美国人;81% 为男性),我们模拟了失眠严重程度通过社会脱节对自杀意念严重程度的间接影响。结果虽然失眠严重程度与SI严重程度没有直接关系,但失眠通过与社会脱节对SI严重程度产生了积极的间接影响,且具有统计学意义。研究结果凸显了将失眠和社交疏离等跨诊断风险标记纳入综合自杀风险评估的重要性。未来的研究应寻求确定这些关系的时间性质。
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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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