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KMID : 1143820200160020076
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Anxiety and Mood
2020 Volume.16 No. 2 p.76 ~ p.82
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A Mediating Effect of Embitterment on the Effects of Anxiety & Depressive Symptoms on Suicide in Patients with Depressive and Anxiety Disorder
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Ryu Nam-Gil
Oh Ji-Hoon
Shim Hyeon-Hee
Chae Jeong-Ho
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Abstract
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Objective : Previous studies have shown that depression, anxiety and embitterment are highly related tosuicide. This study aims to investigate the mediating effect of embitterment between depression, anxiety andsuicide.
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 wasutilized 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, butembitterment significantly mediated the relationship between anxiety and suicide attempt
Conclusion : This suggests that embitterment may be a significant important factor to consider in the relationshipbetween depression, anxiety and suicide. Understanding the mediating role of embitterment onsuicide may helpful to prevent suicide.
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KEYWORD
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Depression, Anxiety, Embitterment·PTED, Suicidal ideation, Suicide attempt, Mediation
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