Mediation effect of anxious attachment on relationship between childhood trauma and suicidal ideation sensitive to psychological pain levels - Institut de génomique fonctionnelle Accéder directement au contenu
Article Dans Une Revue European Psychiatry Année : 2023

Mediation effect of anxious attachment on relationship between childhood trauma and suicidal ideation sensitive to psychological pain levels

Résumé

Introduction: Childhood trauma (CT), depression and psychological pain are known predictors of suicidal ideation. Recent literature additionally highlights the importance of the attachment system.Methods: We aimed to predict suicidal ideation through CT, attachment, and psychological and social pain by using mediation models aiming to predict suicidal ideation through CT (predictor) and attachment (mediator). In the same models, we introduced psychological or social pain as moderator of the relationship between attachment, CT, and suicidal ideation. We included 161 depressed patients and assessed depression, attachment, CT, suicidal ideation, psychological pain, and social pain.Results: We found I) a complete mediating effect of anxious attachment (a2b2 = 0.0035, CI95% = [0.0010; 0.0069]) on the relationship between CT on suicidal ideation, and II) a significant complete conditional mediating effect of anxious attachment and psychological pain (Index of moderated mediation VAS: 0.0014; CI95% = [0.0002; 0.0032]) but not social pain on the relationship between CT and suicidal ideation. Both models were controlled for history of suicidal attempt, depression severity, and sex.Conclusion: Our results suggest a developmental profile of suicidal ideation in mood disorder that is characterized by the presence of CT and insecure attachment, especially anxious attachment, that is sensitive to experiences of psychological pain. Nevertheless, we cannot conclude that avoidantly attached individuals do not present the same mechanism, as they may not disclose those ideas.
Fichier principal
Vignette du fichier
Ihme et al 2023.pdf (565.34 Ko) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte
licence

Dates et versions

hal-04220283 , version 1 (21-05-2024)

Licence

Identifiants

Citer

H. Ihme, Philippe Courtet, Nathan Risch, Jonathan Dubois, R. Belzeaux, et al.. Mediation effect of anxious attachment on relationship between childhood trauma and suicidal ideation sensitive to psychological pain levels. European Psychiatry, 2023, 66 (1), pp.e79. ⟨10.1192/j.eurpsy.2023.2452⟩. ⟨hal-04220283⟩
18 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More