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03-05-2016 | Original Article

Stress-Related Symptoms and Suicidal Ideation: The Roles of Rumination and Depressive Symptoms Vary by Gender

Auteurs: Lillian Polanco-Roman, Judelysse Gomez, Regina Miranda, Elizabeth Jeglic

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2016

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Abstract

There is a growing body of literature suggesting that reactions to stressful life events, such as intrusive thoughts, physiological hyperarousal, and cognitive/behavioral avoidance (i.e., stress-related symptoms) may increase risk for thinking about and attempting suicide. Cognitive vulnerability models have identified rumination (i.e., perseverating on a negative mood) as a maladaptive response that may increase risk for suicidal behavior, as it has also been linked to depression. The present study examined the direct and indirect effects of stress-related symptoms on suicidal ideation through rumination and depressive symptoms. Participants were 1375 young adults, primarily non-White (78 %) females (72 %), recruited from a public university in the Northeastern U.S., who completed measures of stress-related symptoms (as a response to a stressful event), rumination, depressive symptoms, and suicidal ideation. The relation between stress-related symptoms and suicidal ideation was accounted for by the brooding subtype of rumination and depressive symptoms among females. Depressive symptoms, but not rumination, better accounted for suicidal ideation among males. These findings suggest that the role of brooding and depressive symptoms in the relationship between stress-related symptoms and suicidal ideation may vary by gender.
Voetnoten
1
To rule out moderation (vs. mediation), a linear regression analysis was conducted to examine brooding as a potential moderator of the relation between stress-related symptoms and suicidal ideation, adjusting for age and gender. There was a significant main effect of stress-related symptoms (b = 0.005, 95 % CI 0.002–0.007, p < .001), and a significant main effect of brooding (b = 0.04, 95 % CI 0.03–0.05, p < .001) on suicidal ideation. However, the interaction between stress-related symptoms and brooding was not significant (b = 0.0001, 95 % CI −0.0003 to 0.0006, p = .46).
 
2
A linear regression analysis was conducted to examine reflection rumination as a potential moderator of the relation between stress-related symptoms and suicidal ideation, adjusting for age and gender. There was a significant main effect of stress-related symptoms (b = 0.007, 95 % CI 0.005–0.009, p < .001), and a significant main effect of reflection (b = 0.02, 95 % CI 0.01–0.03, p < .001). However, the interaction effect between stress-related symptoms and reflection was not significant (b = 0.0002, 95 % CI −0.0003–0.001, p = .48).
 
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Metagegevens
Titel
Stress-Related Symptoms and Suicidal Ideation: The Roles of Rumination and Depressive Symptoms Vary by Gender
Auteurs
Lillian Polanco-Roman
Judelysse Gomez
Regina Miranda
Elizabeth Jeglic
Publicatiedatum
03-05-2016
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-016-9782-0

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