Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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A Mediating Effect of Embitterment on the Effects of Anxiety & Depressive Symptoms on Suicide in Patients with Depressive and Anxiety Disorders

우울과 불안 증상이 자살에 미치는 영향에서의 울분의 매개효과

  • Ryu, Namgil (Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Oh, Jihoon (Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Shim, Hyeon-Hee (The Catholic Emotion Research Laboratory, Catholic Biomedical Industrial Institute, The Catholic University of Korea) ;
  • Chae, Jeong-Ho (Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 류남길 (가톨릭대학교 의과대학 서울성모병원 정신건강의학교실, 서울성모병원 정신건강의학과) ;
  • 오지훈 (가톨릭대학교 의과대학 서울성모병원 정신건강의학교실, 서울성모병원 정신건강의학과) ;
  • 심현희 (가톨릭대학교 의과대학 서울성모병원 정신건강의학교실, 가톨릭대학교 의생명 산업연구원 정서연구실) ;
  • 채정호 (가톨릭대학교 의과대학 서울성모병원 정신건강의학교실, 서울성모병원 정신건강의학과)
  • Received : 2020.03.05
  • Accepted : 2020.05.06
  • Published : 2020.10.30
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Abstract

Objective : Previous studies have shown that depression, anxiety and embitterment are highly related to suicide. This study aims to investigate the mediating effect of embitterment between depression, anxiety and suicide. Methods : A total of 174 participants with depressive and anxiety disorders were evaluated with STAI-S, STAI-T, PHQ-9, PTED scale, SSI and suicide attempt history. A mediation analysis using bootstrapping was utilized in order to estimate the indirect effects of depression and anxiety on suicide through embitterment. Results : Embitterment significantly mediated the relationship between depression and suicidal ideation [b=0.291, 95% CI(0.18, 0.40)], and also it mediated the relationship between depression and suicide attempt [b=0.066, 95% CI(0.02, 0.16)]. Although a direct effect of anxiety on suicide attempt was not significant, but embitterment significantly mediated the relationship between anxiety and suicide attempt Conclusion : This suggests that embitterment may be a significant important factor to consider in the relationship between depression, anxiety and suicide. Understanding the mediating role of embitterment on suicide may helpful to prevent suicide.

Keywords

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