{"title":"童年不良经历、人格组织与自杀念头：心理痛苦的中介作用","authors":"Mojtaba Rahimian Bougar, Siamak Khodarahimi, Zahra Faraji, Raziye Khavasi, Sajede Moradi, Banafsheh Hasanvand, Marzieh Sadeghi","doi":"10.1111/bjp.12950","DOIUrl":null,"url":null,"abstract":"<p>This study examined the relationships between adverse childhood experiences (ACEs) and personality organization with suicidal thoughts through the mediating role of psychache using structural equation modeling (SEM). A total of 200 adult outpatients with mental disorders were included in the descriptive cross-sectional study using the purposive sampling method based on self-referral. The data were collected using the Beck Scale for Suicidal Ideation (BSSI), Adverse Childhood Experience International Questionnaire (ACE-IQ), Inventory of Personality Organization (IPO) and Orbach and Mikulincer Mental Pain Scale (OMMP). The results indicated that ACEs, personality organization and psychache explained 72.3% of variations in suicidal thoughts. ACEs, personality organization and psychache have significant positive direct associations with suicidal thoughts. ACEs and personality organization have significantly positive indirect connections to suicidal thoughts through the mediating role of psychache. This study has shown a fitted SEM for the direct and indirect relationships of ACEs and personality organization with suicidal thoughts concerning the mediating role of psychache. These results have implications for the development of psychodynamic interventions and community-based initiatives for individuals dealing with suicidal thoughts.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 2","pages":"217-235"},"PeriodicalIF":0.5000,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adverse Childhood Experiences, Personality Organization and Suicidal Thoughts: The Mediating Role of Psychache\",\"authors\":\"Mojtaba Rahimian Bougar, Siamak Khodarahimi, Zahra Faraji, Raziye Khavasi, Sajede Moradi, Banafsheh Hasanvand, Marzieh Sadeghi\",\"doi\":\"10.1111/bjp.12950\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>This study examined the relationships between adverse childhood experiences (ACEs) and personality organization with suicidal thoughts through the mediating role of psychache using structural equation modeling (SEM). A total of 200 adult outpatients with mental disorders were included in the descriptive cross-sectional study using the purposive sampling method based on self-referral. The data were collected using the Beck Scale for Suicidal Ideation (BSSI), Adverse Childhood Experience International Questionnaire (ACE-IQ), Inventory of Personality Organization (IPO) and Orbach and Mikulincer Mental Pain Scale (OMMP). The results indicated that ACEs, personality organization and psychache explained 72.3% of variations in suicidal thoughts. ACEs, personality organization and psychache have significant positive direct associations with suicidal thoughts. ACEs and personality organization have significantly positive indirect connections to suicidal thoughts through the mediating role of psychache. This study has shown a fitted SEM for the direct and indirect relationships of ACEs and personality organization with suicidal thoughts concerning the mediating role of psychache. These results have implications for the development of psychodynamic interventions and community-based initiatives for individuals dealing with suicidal thoughts.</p>\",\"PeriodicalId\":54130,\"journal\":{\"name\":\"British Journal of Psychotherapy\",\"volume\":\"41 2\",\"pages\":\"217-235\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2025-02-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British Journal of Psychotherapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/bjp.12950\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Psychotherapy","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bjp.12950","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Adverse Childhood Experiences, Personality Organization and Suicidal Thoughts: The Mediating Role of Psychache
This study examined the relationships between adverse childhood experiences (ACEs) and personality organization with suicidal thoughts through the mediating role of psychache using structural equation modeling (SEM). A total of 200 adult outpatients with mental disorders were included in the descriptive cross-sectional study using the purposive sampling method based on self-referral. The data were collected using the Beck Scale for Suicidal Ideation (BSSI), Adverse Childhood Experience International Questionnaire (ACE-IQ), Inventory of Personality Organization (IPO) and Orbach and Mikulincer Mental Pain Scale (OMMP). The results indicated that ACEs, personality organization and psychache explained 72.3% of variations in suicidal thoughts. ACEs, personality organization and psychache have significant positive direct associations with suicidal thoughts. ACEs and personality organization have significantly positive indirect connections to suicidal thoughts through the mediating role of psychache. This study has shown a fitted SEM for the direct and indirect relationships of ACEs and personality organization with suicidal thoughts concerning the mediating role of psychache. These results have implications for the development of psychodynamic interventions and community-based initiatives for individuals dealing with suicidal thoughts.
期刊介绍：
The British Journal of Psychotherapy is a journal for psychoanalytic and Jungian-analytic thinkers, with a focus on both innovatory and everyday work on the unconscious in individual, group and institutional practice. As an analytic journal, it has long occupied a unique place in the field of psychotherapy journals with an Editorial Board drawn from a wide range of psychoanalytic, psychoanalytic psychotherapy, psychodynamic, and analytical psychology training organizations. As such, its psychoanalytic frame of reference is wide-ranging and includes all schools of analytic practice. Conscious that many clinicians do not work only in the consulting room, the Journal encourages dialogue between private practice and institutionally based practice. Recognizing that structures and dynamics in each environment differ, the Journal provides a forum for an exploration of their differing potentials and constraints. Mindful of significant change in the wider contemporary context for psychotherapy, and within a changing regulatory framework, the Journal seeks to represent current debate about this context.
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