Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans

被引：21

作者：

Cunningham, Katherine C. ^{[1
,2
]}

LoSavio, Stefanie T. ^{[3
]}

Dennis, Paul A. ^{[3
]}

Farmer, Chloe ^{[4
]}

Clancy, Carolina P. ^{[1
]}

Hertzberg, Michael A. ^{[1
,3
]}

Kimbrel, Nathan A. ^{[1
,2
,3
]}

Calhoun, Patrick S. ^{[1
,2
,3
]}

Beckham, Jean C. ^{[1
,2
,3
]}

机构：

[1] Durham Vet Affairs Med Ctr, Durham, NC USA

[2] VA Midatlantic Mental Illness Res Educ & Clin Ctr, 3022 Croasdaile Dr, Durham, NC 27705 USA

[3] Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USA

[4] NeuroCog Trials, Durham, NC USA

来源：

JOURNAL OF AFFECTIVE DISORDERS | 2019年 / 243卷

关键词：

Shame; Emotions; Posttraumatic stress disorder; Suicide; Suicidal ideation; Veterans; TRAUMA-RELATED SHAME; RANDOMIZED CLINICAL-TRIAL; GUILT; THERAPY; RISK; VIOLENCE; WOMEN;

D O I：

10.1016/j.jad.2018.09.040

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Suicidal ideation is a problem that disproportionately affects veterans. Moreover, veterans with posttraumatic stress disorder (PTSD) appear to be at particularly high risk for suicide. Objective: The purpose of the present research was to examine whether shame mediates the association between PTSD and suicidal ideation. Methods: Secondary analyses were conducted in a sample of 201 veterans with PTSD seeking care through an outpatient Veterans Affairs specialty PTSD clinic. Results: Path analysis revealed that shame fully accounted for the effects of PTSD on suicidal ideation, suggesting that shame may represent a key link between PTSD and suicidal ideation among veterans. Limitations: Although the reverse mediation effect was also examined, the present sample was cross-sectional and predominantly male. Conclusions: The present findings suggest that shame may be an effective point of treatment intervention to reduce suicidal ideation among veterans with PTSD; however, additional prospective research is still needed to delineate the precise nature of these associations over time.

引用

页码：216 / 219

页数：4

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