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KMID : 0981220200200040469
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Congnitive Behavior Therapy in Korea
2020 Volume.20 No. 4 p.469 ~ p.490
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The Impact of Psychological Inflexibility and Family Connectedness on Suicidal Behavior in a Large-Scale Sample of Community Dwelling Old Adults
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Nam Sue-A
Cho Yong-Rae
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Abstract
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The purpose of this study was to examine the impact of psychological Inflexibility and family connectedness on suicidal behavior by using the 2014 survey data on community dwelling old adults living in a small and medium-sized city. Based on reviews of previous studies, we hypothesized that psychological Inflexibility would significantly affect suicidal behavior, and that family connectedness would play a moderating role in the relationship. Data on demographic and physical health variables, depressive symptoms, suicidal behavior, psychological inflexibility, and family connectedness were collected from 2,034 elderly people aged 65 years and over. Depressive symptoms, psychological inflexibility, and the number of chronic diseases were significantly positively correlated with suicidal behavior, whereas family connectedness was significantly negatively correlated with suicidal behavior. Hierarchical multiple regression analyses showed that psychological inflexibility was a significant predictor of suicidal behavior after controlling for gender, age, education, living arrangement, poverty, chronic disease, depressive symptoms, and family connectedness. Moreover, the impact of psychological inflexibility on suicide behavior was found to be stronger at the low level of family connectedness than at its high level. The results indicate that psychological inflexibility contributes significantly to suicidal behavior, and that this impact is moderated by family connectedness. Moreover, the findings suggest the importance of enhancing psychological flexibility and family connectedness for preventing suicidal behaviors of community dwelling old adults.
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KEYWORD
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psychological inflexibility, family connectedness, suicidal behavior, old adults
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