Depressive symptom severity mediates the association between avoidant problem-solving style and suicidal ideation.

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Tytuł:: Depressive symptom severity mediates the association between avoidant problem-solving style and suicidal ideation.
Autorzy:: López R Jr; George Mason University, Department of Psychology. Electronic address: rlopez_.
Brick LA; Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior.
Defayette AB; George Mason University, Department of Psychology.
Whitmyre ED; George Mason University, Department of Psychology.
Wolff J; Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior.
Frazier E; Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior.
Spirito A; Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior.
Esposito-Smythers C; George Mason University, Department of Psychology.
Źródło:: Journal of affective disorders [J Affect Disord] 2020 Sep 01; Vol. 274, pp. 662-670. Date of Electronic Publication: 2020 May 23.
Typ publikacji:: Journal Article; Research Support, N.I.H., Extramural
Język:: English
Imprint Name(s):: Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
MeSH Terms:: Depression*
Suicidal Ideation*
Adolescent ; Child ; Humans ; Problem Solving ; Self Report
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Grant Information:: R01 AA020705 United States AA NIAAA NIH HHS
Contributed Indexing:: Keywords: Adolescence; Depression; Social problem-solving; Suicidal ideation
Entry Date(s):: Date Created: 20200716 Date Completed: 20210215 Latest Revision: 20210903
Update Code:: 20240105
PubMed Central ID:: PMC7401318
DOI:: 10.1016/j.jad.2020.05.120
PMID:: 32664000
: Czasopismo naukowe

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Background: The contemporaneous association between avoidant style, a maladaptive social problem-solving strategy, and adolescent suicidal ideation has been well established. However, the mechanisms underlying this association are not well understood. Using cross-lagged panel modeling, the present study examined whether depressive symptom severity mediates the relation between avoidant style and severity of suicidal ideation. The specificity of depressive symptom severity as a mediator was also evaluated by simultaneously testing whether avoidant style mediates the association between depressive symptom and suicidal ideation severity.
Methods: The sample included 110 adolescents enrolled in a randomized controlled clinical effectiveness trial. Avoidant style as well as depressive symptom and suicidal ideation severity were assessed via self-report with the Social Problem-Solving Inventory-Revised, Children's Depression Scale-2, and Suicidal Ideation Questionnaire-Junior, respectively, at baseline, 3-and 6-months.
Results: After accounting for participant age, sex, and treatment condition, path analyses supported the specificity of 3-month depressive symptom severity as a mediator of the association between baseline levels of avoidant style and 6-month suicidal ideation severity.
Limitations: Results may not be generalizable to non-clinical samples. Causality cannot be inferred from study results. Data were exclusively collected via self-report.
Conclusions: Findings suggest that avoidant style is indirectly related to suicidal ideation through depressive symptom severity. Thus, treatment targeted at improving social problem-solving skills, particularly avoidant style, may help reduce depressive symptoms and lower suicide risk.
Competing Interests: Declaration of Competing interests None.
(Copyright © 2020 Elsevier B.V. All rights reserved.)

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