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Gepubliceerd in: Cognitive Therapy and Research 6/2012

01-12-2012 | Brief Report

Emotion Dysregulation and Vulnerability to Suicidal Ideation and Attempts

Auteurs: Kristin Rajappa, Michelle Gallagher, Regina Miranda

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2012

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Abstract

This study investigated the predictive utility of a six-dimensional conceptualization of emotion dysregulation for suicidal ideation, as well as its ability to distinguish among individuals with differing histories of suicidality. Young adults (N = 96) with current suicidal ideation but no suicide attempt history (n = 17), a history of a single (n = 20) or multiple attempts (n = 17), or no current ideation/no past attempts (n = 42) completed measures of emotion dysregulation, suicidal ideation, depression, hopelessness, and a diagnostic interview. Multiple suicide attempters differed from participants with no suicidal ideation/no past attempts on two emotion dysregulation dimensions—nonacceptance of emotional responses and perceived limited access to emotion regulation strategies. After adjusting for depression symptoms and the presence of a mood or anxiety diagnosis, limited access to emotion regulation strategies significantly predicted current suicidal ideation, a relation that was found to be statistically mediated by hopelessness.
Literatuur
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef
go back to reference Beck, A. T., & Steer, R. A. (1988). Beck hopelessness scale manual. San Antonio, TX: The Psychological Corporation. Beck, A. T., & Steer, R. A. (1988). Beck hopelessness scale manual. San Antonio, TX: The Psychological Corporation.
go back to reference Beck, A. T., & Steer, R. A. (1993). Beck scale for suicidal ideation. San Antonio, TX: The Psychological Corporation. Beck, A. T., & Steer, R. A. (1993). Beck scale for suicidal ideation. San Antonio, TX: The Psychological Corporation.
go back to reference Brown, G. K., Beck, A. T., Steer, R. A., & Grisham, J. R. (2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 68, 371–377.PubMedCrossRef Brown, G. K., Beck, A. T., Steer, R. A., & Grisham, J. R. (2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 68, 371–377.PubMedCrossRef
go back to reference Ciarrochi, J., Deane, F. P., & Anderson, S. (2002). Emotional intelligence moderates the relationship between stress and mental health. Personality and Individual Differences, 32, 197–209.CrossRef Ciarrochi, J., Deane, F. P., & Anderson, S. (2002). Emotional intelligence moderates the relationship between stress and mental health. Personality and Individual Differences, 32, 197–209.CrossRef
go back to reference Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientific construct: Methodological challenges and directions for child development research. Child Development, 75, 317–333.PubMedCrossRef Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientific construct: Methodological challenges and directions for child development research. Child Development, 75, 317–333.PubMedCrossRef
go back to reference Esposito, C., Spirito, A., Boergers, J., & Donaldson, D. (2003). Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts. Suicide and Life-Threatening Behavior, 33, 389–399.PubMedCrossRef Esposito, C., Spirito, A., Boergers, J., & Donaldson, D. (2003). Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts. Suicide and Life-Threatening Behavior, 33, 389–399.PubMedCrossRef
go back to reference Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.CrossRef Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.CrossRef
go back to reference Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: The Guilford Press. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: The Guilford Press.
go back to reference McKeown, R. E., Garrison, C. Z., Cuffe, S. P., Waller, J. L., Jackson, K. L., & Addy, C. L. (1998). Incidence and predictors of suicidal behaviors in a longitudinal sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 612–619.PubMedCrossRef McKeown, R. E., Garrison, C. Z., Cuffe, S. P., Waller, J. L., Jackson, K. L., & Addy, C. L. (1998). Incidence and predictors of suicidal behaviors in a longitudinal sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 612–619.PubMedCrossRef
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMedCrossRef Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMedCrossRef
go back to reference Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.PubMedCrossRef Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.PubMedCrossRef
go back to reference Spitzer, R. L., Kroenke, K., Williams, J. B. W., et al. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Journal of the American Medical Association, 282, 1737–1744.PubMedCrossRef Spitzer, R. L., Kroenke, K., Williams, J. B. W., et al. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Journal of the American Medical Association, 282, 1737–1744.PubMedCrossRef
go back to reference Surrence, K., Miranda, R., Marroquín, B. M., & Chan, S. (2009). Brooding and reflective rumination among suicide attempters: Cognitive vulnerability to suicidal ideation. Behavior Research and Therapy, 47, 803–808.CrossRef Surrence, K., Miranda, R., Marroquín, B. M., & Chan, S. (2009). Brooding and reflective rumination among suicide attempters: Cognitive vulnerability to suicidal ideation. Behavior Research and Therapy, 47, 803–808.CrossRef
go back to reference Tamás, Z., Kovacs, M., Gentzler, A. L., Tepper, P., Gádoros, J., Kiss, E., et al. (2007). The relations of temperament and emotion self-regulation with suicidal behaviors in a clinical sample of depressed children in Hungary. Journal of Abnormal Child Psychology, 35, 640–652.PubMedCrossRef Tamás, Z., Kovacs, M., Gentzler, A. L., Tepper, P., Gádoros, J., Kiss, E., et al. (2007). The relations of temperament and emotion self-regulation with suicidal behaviors in a clinical sample of depressed children in Hungary. Journal of Abnormal Child Psychology, 35, 640–652.PubMedCrossRef
go back to reference Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59, 25–52.PubMedCrossRef Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59, 25–52.PubMedCrossRef
go back to reference Wagner, B. M., & Zimmerman, J. H. (2006). Developmental influences on suicidality among adolescents: Cognitive, emotional, and neuroscience aspects. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 287–308). Washington, DC: American Psychological Association.CrossRef Wagner, B. M., & Zimmerman, J. H. (2006). Developmental influences on suicidality among adolescents: Cognitive, emotional, and neuroscience aspects. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 287–308). Washington, DC: American Psychological Association.CrossRef
go back to reference Weinberg, A., & Klonsky, E. D. (2009). Measurement of emotion dysregulation in adolescents. Psychological Assessment, 21, 616–621.PubMedCrossRef Weinberg, A., & Klonsky, E. D. (2009). Measurement of emotion dysregulation in adolescents. Psychological Assessment, 21, 616–621.PubMedCrossRef
go back to reference Westefeld, J. S., Homaifar, B., Spotts, J., Furr, S., Range, L., & Werth, J. L. (2005). Perceptions concerning college student suicide: Data from four universities. Suicide and Life-Threatening Behavior, 35, 640–645.PubMedCrossRef Westefeld, J. S., Homaifar, B., Spotts, J., Furr, S., Range, L., & Werth, J. L. (2005). Perceptions concerning college student suicide: Data from four universities. Suicide and Life-Threatening Behavior, 35, 640–645.PubMedCrossRef
go back to reference Williams, J. M. G. (1997). Cry of pain: Understanding suicide and self-harm. Harmondsworth, England: Penguin. Williams, J. M. G. (1997). Cry of pain: Understanding suicide and self-harm. Harmondsworth, England: Penguin.
go back to reference Williams, J. M. G., Barnhofer, T., Crane, C., & Duggan, D. S. (2006). The role of overgeneral memory in suicidality. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 173–192). Washington, DC: American Psychological Association.CrossRef Williams, J. M. G., Barnhofer, T., Crane, C., & Duggan, D. S. (2006). The role of overgeneral memory in suicidality. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 173–192). Washington, DC: American Psychological Association.CrossRef
go back to reference Zlotnick, C., Donaldson, D., Spirito, A., & Pearlstein, T. (1997). Affect regulation and suicide attempts in adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 793–798.PubMedCrossRef Zlotnick, C., Donaldson, D., Spirito, A., & Pearlstein, T. (1997). Affect regulation and suicide attempts in adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 793–798.PubMedCrossRef
go back to reference Zlotnick, C., Wolfsdorf, B. A., Johnson, B., & Spirito, A. (2003). Impaired self-regulation and suicidal behavior among adolescent and young adult psychiatric inpatients. Archives of Suicide Research, 7, 149–157.CrossRef Zlotnick, C., Wolfsdorf, B. A., Johnson, B., & Spirito, A. (2003). Impaired self-regulation and suicidal behavior among adolescent and young adult psychiatric inpatients. Archives of Suicide Research, 7, 149–157.CrossRef
Metagegevens
Titel
Emotion Dysregulation and Vulnerability to Suicidal Ideation and Attempts
Auteurs
Kristin Rajappa
Michelle Gallagher
Regina Miranda
Publicatiedatum
01-12-2012
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2012
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-011-9419-2

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