Intolerance of Uncertainty Predicts Suicidal Ideation Among Adolescents Through Maladaptive Cognitive Emotion Regulation Strategies and Psychache.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2025-04-01 DOI:10.1111/sltb.70001

Jinglei Wu, Chuhan Wang, Yue Zheng, Xin Han, Jiaqi Guo, Yimeng Cui, Jing Hu, Min-Pei Lin, Jianing You

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Abstract

Introduction: As an important transdiagnostic factor, intolerance of uncertainty (IU) can predict suicidal ideation (SI). But little is known about the underlying mechanisms. The present study examined the chain mediating roles of three maladaptive cognitive emotion regulation (CER) strategies and psychache in the relation between IU and SI, as well as gender differences.

Methods: A number of 1532 Chinese adolescents (43.1% males; baseline mean age = 15.00 years, SD = 1.57) completed self-report questionnaires on IU, self-blame, rumination, catastrophizing, psychache and SI for two waves, 6 months apart.

Results: The results indicated that IU predicted SI through psychache and the serial mediation of the three maladaptive CER strategies and psychache, but IU did not predict SI through the three maladaptive CER strategies. The relation between IU and catastrophizing, the relation between catastrophizing and psychache, and the relation between psychache and SI were stronger among females than males.

Conclusion: The results advance our understanding of how IU predicts SI, highlighting the importance of psychache in the development of SI.

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不确定性不耐受通过不良认知、情绪调节策略和心理疼痛预测青少年自杀意念。

不确定性不耐受（IU）作为一个重要的跨诊断因素，可以预测自杀意念（SI）。但人们对其潜在机制知之甚少。本研究考察了三种适应不良认知情绪调节策略和心理疼痛在IU和SI关系中的链式中介作用，以及性别差异。方法：1532名中国青少年(男性43.1%；基线平均年龄= 15.00岁，SD = 1.57)完成IU、自责、反刍、灾难化、精神疼痛和SI两波自我报告问卷，间隔6个月。结果：研究结果表明，IU可通过心理疼痛以及三种适应不良CER策略与心理疼痛的串联中介作用预测SI，但IU不能通过三种适应不良CER策略预测SI。IU与灾难化、灾难化与心理痛苦、心理痛苦与SI的关系在女性中强于男性。结论：研究结果促进了我们对IU如何预测SI的理解，强调了精神疼痛在SI发展中的重要性。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.