Understanding suicidal ideation through psychological flexibility and inflexibility: A network analysis perspective

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI:10.1016/j.jcbs.2024.100853

Alberto Misitano , Giovanni Michelini , Annalisa Oppo

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引用次数: 0

Abstract

Background

psychological flexibility and inflexibility represent complex sets of modifiable processes that may influence suicidal ideation, a major risk factor for suicide in clinical and non-clinical populations. The relationship between each psychological (in)flexibility process, suicidal ideation, and two ideation-specific risk factors (thwarted belongingness and perceived burdensomeness) was investigated.

Methods

409 Italian participants from the general population (M_age = 30.1, SD = 12.3, 76.5% female; 24.7% reporting recent suicidal ideation) completed an online battery of questionnaires, including the Multidimensional Psychological Flexibility Inventory, the Patient Health Questionnaire-9, and the Interpersonal Needs Questionnaire-15. Relationships between variables were explored using network analysis.

Results

cognitive fusion (responding to mental contents as objectively true) and Self-as-Context (flexible perspective-taking) emerged as the most central inflexibility and flexibility processes, respectively. Both processes were directly connected to suicidal ideation.

Conclusion

cognitive fusion and Self-as-Context may be suitable processes to be targeted in future research about suicidal ideation. Further long-term studies, possibly conducted with larger and more diverse samples and including a wider range of suicide-specific risk factors, are warranted to better elucidate the role of psychological (in)flexibility processes in suicidal individuals and to inform clinical practice.

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通过心理灵活性和非灵活性理解自杀意念：网络分析视角

背景心理灵活性和不灵活性代表着一系列复杂的可改变过程，它们可能会影响自杀意念，而自杀意念是临床和非临床人群自杀的一个主要风险因素。方法 409 名来自普通人群的意大利参与者（平均年龄 30.1 岁，平均标准偏差 12.3 岁，76.5% 为女性；24.7% 近期有自杀倾向）完成了一系列在线问卷，包括多维心理灵活性量表、患者健康问卷-9 和人际需求问卷-15。结果认知融合（将心理内容反应为客观真实）和 "自我即背景"（灵活的视角）分别成为最核心的不灵活和灵活过程。结论认知融合和 "自我即情境 "可能是未来有关自杀意念研究的合适目标过程。为了更好地阐明心理（不）灵活性过程在自杀者中的作用并为临床实践提供参考，我们有必要开展进一步的长期研究，这些研究可能会使用更大、更多样化的样本，并包括更广泛的自杀特定风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.