scholarly journals Marital status and suicidal ideation among Australian older adults: the mediating role of sense of belonging

2014 ◽  
Vol 27 (1) ◽  
pp. 145-154 ◽  
Author(s):  
Suzanne McLaren ◽  
Rapson Gomez ◽  
Peter Gill ◽  
Jessica Chesler

ABSTRACTBackground:Marriage has been identified as a protective factor in relation to suicide among older adults. The current study aimed to investigate whether sense of belonging mediated the marital status–suicidal ideation relationship, and whether gender moderated the mediation model. It was hypothesized that the relationship between being widowed and lower levels of sense of belonging, and between lower levels of belonging and higher levels of suicidal ideation, would be stronger for older men than older women.Methods:A community sample of Australian men (n = 286) and women (n = 383) aged from 65 to 98 years completed the psychological subscale of the Sense of Belonging Instrument and the suicide subscale of the General Health Questionnaire.Results:The results supported the moderated mediation model, with gender influencing the marital status–sense of belonging relation. For men, widowhood was associated with lower levels of belongingness, whereas for women, marital status was unrelated to sense of belonging.Conclusions:It would appear crucial to develop and implement interventions which assist older men to find new ways to feel important and valued after the death of their spouse.

2014 ◽  
Vol 27 (1) ◽  
pp. 155-155 ◽  
Author(s):  
Suzanne McLaren ◽  
Rapson Gomez ◽  
Peter Gill ◽  
Jessica Chesler

The authors regret errors in the reporting of the confidence intervals in the Results section. In relation to the first simple mediation model, the sentence “In this analysis, the β (95% CI) values of the direct effect and indirect effect of marital status on sense of belonging were 1.32 (−2.70, −0.05) and 0.72 (−1.43, −0.01), respectively.” Should read: “In this analysis, the β (95% CI) values of the direct effect and indirect effect of marital status on sense of belonging were 1.32 (−2.70, 0.05) and 0.72 (−1.43, 0.01), respectively.” In relation to the hypothesized mediation model, the sentence “The β (95% CI) values of the direct effect and indirect effect of marital status on suicidal ideation were 0.19 (−0.06, −0.43) and 0.22 (0.11, −0.35), respectively” should read: “The β (95% CI) values of the direct effect and indirect effect of marital status on suicidal ideation were 0.19 (−0.06, 0.43) and 0.22 (0.11, 0.35), respectively.” In relation to the moderated mediation model, the text “The relation between marital status and sense of belonging was significant for men as its bootstrapped 95% CI did not include zero (0.20, −0.67). In contrast, this relation was not significant for women as its bootstrapped 95% CI included zero (−0.03, −0.25)” should read: “The relation between marital status and sense of belonging was significant for men as its bootstrapped 95% CI did not include zero (0.20, 0.67). In contrast, this relation was not significant for women as its bootstrapped 95% CI included zero (−0.03, 0.25).”


2018 ◽  
Vol 7 (8) ◽  
pp. 222 ◽  
Author(s):  
Cho Nam ◽  
Da Lee ◽  
Ji Lee ◽  
A Choi ◽  
Sun Chung ◽  
...  

The behavioral inhibition/activation systems (BIS/BAS) have been considered to be predictors of Internet addiction, mediated by clinical variables such as anxiety and depression. However, resilience has been suggested as a protective factor toward Internet addiction, and certain sex differences in resilience buffering the effects of vulnerability have been reported. Thus, the aim of this study was to identify any role of resilience that might moderate the effects of BIS/BAS on Internet addiction through multiple clinical variables in boys and girls. A total of 519 middle-school students (268 boys and 251 girls, all 14 years old) were administered a questionnaire battery that measures Internet addiction, BIS/BAS, depression, anxiety, impulsivity, anger, and resilience. We used the PROCESS macro in SPSS to perform moderation and mediation analysis. Findings revealed that although a somewhat similar mediation model was supported in both sexes, moderating effects of resilience only emerged in girls. The results showed a protective role of resilience differing between sexes. These results suggest that clinicians should consider sex in the way resilience works as a protective factor against Internet addiction and focus on mitigating the effects of vulnerability by enhancing resilience in female Internet addicts.


2018 ◽  
Vol 37 (6) ◽  
pp. 405-430 ◽  
Author(s):  
Melissa Salmon ◽  
Hyoun S. Kim ◽  
Michael J. A. Wohl

Despite the low rate of behavior change among those engaged in addictive behaviors, some people can and do initiate change. We propose that attempting to self-regulate addictive behavior is a function of motivation and the belief that behavior is malleable. Specifically, feeling self-discontinuous (i.e., feeling that addiction has fundamentally changed the self) should motivate change by inducing nostalgia for the pre-addicted self. Importantly, we expected that discontinuity- induced nostalgia would only be associated with an attempted change among those who believe that behavior is malleable (i.e., incremental theorists). To test this moderated-mediation model, we recruited a community sample of disordered gamblers (N = 243) to assess self-reported change attempts over time. During the initial session, participants completed measures of self-discontinuity, nostalgia, and implicit theories of behavior. Three months later, participants (N = 120) reported whether they attempted to change their gambling behavior, as well as the method and extent to which they sustained this change. As expected, discontinuity-induced nostalgia was positively associated with an increased likelihood of self-reporting a change attempt, but only when behavior was believed to be malleable, rather than fixed. As very few disordered gamblers take action, these findings suggest novel psychological processes to promote positive behavior change.


2000 ◽  
Vol 34 (1) ◽  
pp. 98-106 ◽  
Author(s):  
Robert D. Goldney ◽  
David Wilson ◽  
Eleonora Dal Grande ◽  
Laura J. Fisher ◽  
Alexander C. McFarlane

Objective: To determine the attributable risk for suicidal ideation of depression and psychosocial and traumatic events in a random and representative population. Method: Data were gathered from a random and representative sample of 2501 South Australians. Suicidal ideation and clinical depression were determined by the general health questionnaire (GHQ-28) and the short-form health survey (SF-12) respectively, and information regarding psychosocial stressors and traumatic events was collated. These data were subjected to univariate and multivariate analyses to determine the population-attributable risks for suicidal ideation. Results: Overall, 5.6% of men and 5.3% of women had suicidal ideation. Univariate analyses demonstrated a significant attributable risk for suicidal ideation for depression and the majority of the psychosocial and traumatic events. Multivariate analysis demonstrated that clinical depression remained significantly associated with suicidal ideation, with a population-attributable risk of 46.9%. Because of the small number of people in the population who experience both suicidal ideation and specific events, multivariate analysis could not be applied to individual events. However, even when the psychosocial events were summed, they no longer remained significantly associated with suicidal ideation, whereas the summation of traumatic events remained significant, with a population-attributable risk of 38.0%. Conclusions: These results confirm the importance of traumatic events as significant factors in contributing to suicidal ideation. However, of even greater importance is that they indicate, unequivocally, the magnitude of the contribution of clinical depression to suicidal ideation, with the population-attributable risk of depression indicating that elimination of mood disorders would reduce suicidal ideation by up to 46.9%.


Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 161-165 ◽  
Author(s):  
Jinhui Joo ◽  
Seungyoung Hwang ◽  
Joseph J. Gallo

Abstract. Background: Suicide is strongly associated with depression, but many without depression have thoughts of death. Aims: To characterize persons who did not meet criteria for depressive illness but endorsed death ideation or suicidal ideation over the course of a 10-year follow-up. Method: Subjects included 753 participants of the Baltimore sample of the Epidemiologic Catchment Area Program, a population-based 10-year follow-up survey, who neither met criteria for major depressive disorder nor reported death or suicidal ideation in 1994. Results: Persons with death ideation or suicidal ideation in 2004 were generally distressed as measured by the General Health Questionnaire. At baseline, both groups endorsed difficulty with concentration, feeling unhappy, and taking things hard. Functional problems such as social withdrawal were endorsed by both groups. Those with suicidal ideation had a longer lifetime history of social phobia. Persons with death ideation did not use more health services but sought help from persons in their social network. Conclusion: Thoughts of death are associated with distress even in persons who do not have depressive illness. This group of persons may have subclinical depressive symptoms that will not be detected by depression screening. Detection of these persons will require broadening our concept of persons at risk.


Author(s):  
Hyerang Kim ◽  
Heesook Son

Little research has examined the pathways between psychological factors and fatigue in older adults with diabetes. This study explored the pathways between diet-related quality of life and depressive symptoms in predicting fatigue using a moderated-mediation model. A convenience sample of adults ≥65 years (n = 127) with diabetes completed a cross-sectional survey including measures of fatigue severity, diet-related quality of life, and depressive symptoms, and a moderated-mediation analysis assessed the relationships between them. Diet satisfaction was negatively related to fatigue, which was mediated by depressive symptoms. In the moderated-mediation model, diet satisfaction had a conditional effect on fatigue through the mediating effect of depressive symptoms, moderated by meal planning difficulty. At higher levels of perceived meal planning difficulty, lower diet satisfaction was indirectly associated with higher fatigue through depressive symptoms, but this pathway was non-significant at lower levels. Findings suggest that supportive care for diet therapy might improve psychological outcomes in older adults with diabetes, especially for those having difficulties with daily dietary practice. Meal planning difficulties in the dietary management of diabetes accompanied by low diet satisfaction may lead to negative psychological outcomes. Monitoring satisfaction and burdens associated with dietary practices could improve fatigue in this population.


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