Apoyo parental, psicopatología e ideación suicida

  1. Mellado Yáñez, Carlos 1
  2. Méndez-Bustos, Pablo Ignacio 2
  3. López-Castroman, Jorge 3
  4. Vega Vega, Catalina 2
  5. Olivari Medina, Cecilia 2
  6. Cárcamo Vásquez, Héctor 4
  1. 1 Universidad Santo Tomás. Chile
  2. 2 Universidad Católica del Maule. Chile
  3. 3 - INSERM, University Montpellier, Neuropsychiatry: Epidemiological and Clinical Research. - Nimes University Hospital, Nimes, France
  4. 4 Universidad del Bío-Bío. Chile
Zeitschrift:
Psychology, Society & Education

ISSN: 1989-709X 2171-2085

Datum der Publikation: 2021

Ausgabe: 13

Nummer: 2

Seiten: 103-115

Art: Artikel

DOI: 10.25115/PSYE.V13I2.3012 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Andere Publikationen in: Psychology, Society & Education

Zusammenfassung

Con el objeto de estimar el efecto diferencial de la sintomatología ansiosa-depresiva y la impulsividad sobre los pensamientos suicidas en adolescentes en función del tipo de apoyo parental, se evaluaron a 440 estudiantes chilenos que cursaban estudios secundarios. Se administraron la subescala de ideación suicida de la Columbia-Suicide Severity Rating Scale (C-SSRS), las Escalas Abreviadas de Depresión, Ansiedad y Estrés (DASS-21), la sub-escala del Inventario Internacional de Trastornos de la Personalidad (IPDE-SQ) y la Escala Parental Breve (EPB). Se realizó un análisis de regresión lineal múltiple para estimar los efectos principales y de interacción de las variables estudiadas sobre la ideación suicida de los adolescentes. Las mujeres reportaron mayor sintomatología depresiva, mayor sintomatología ansiosa, mayor impulsividad e ideación suicida que los hombres. El apoyo materno moderó el efecto de la sintomatología depresiva/ansiosa y la impulsividad sobre la ideación suicida. En un nivel alto de apoyo materno, el efecto de la sintomatología depresiva/ansiosa y la impulsividad sobre la ideación suicida fue menor. El apoyo paterno, en tanto, no fue un moderador significativo. Este estudio analizó los efectos del apoyo parental en las conductas suicidas de los adolescentes incorporando nuevos antecedentes a la discusión. En nuevas líneas de investigación, la relación entre los padres y sus hijos deberían ser analizadas con mayor detalle e incluidas en la elaboración de programas de intervención y prevención del suicidio adolescente.

Bibliographische Referenzen

  • Agerbo, E., Nordentoft, M., y Mortensen, P. B. (2002). Familial, psychiatric, and socioeconomic risk factors for suicide in young people: Nested case-control study. BMJ (Clinical Research Ed.), 325(74), 1-5. https://doi.org/10.1136/bmj.325.7355.74
  • Aguayo, F., Kimelman, E., y Correa, P. (2012). Estudio sobre la participación de los padres en el sistema público de salud de Chile. Informe final. CulturaSalud - MINSAL. http://www.crececontigo.gob.cl/wp-content/uploads/2015/11/14-Informe-final-Estudio-sobre-la-participacion-de-los-padres-en-el-sistema-publico-de-salud-de-Chile.pdf
  • Aiken, L.S., y West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Sage Publications, Inc.
  • Antúnez, Z., y Vinet, E. V. (2012). Escalas de depresión, ansiedad y estrés (DASS- 21): Validación de la versión abreviada en estudiantes universitarios chilenos. Terapia Psicológica, 30(3), 49–55.
  • Banstola, R. S., Ogino, T., y Inoue, S. (2020). Impact of parents’ knowledge about the development of self-esteem in adolescents and their parenting practice on the self-esteem and suicidal behavior of urban high school students in Nepal. International Journal of Environmental Research and Public Health, 17(17), 1–19. https://doi.org/10.3390/ijerph17176039
  • Barber, B. K., Maughan, S. L., y Olsen, J. A. (2005). Patterns of parenting across adolescence. New Directions for Child and Adolescent Development, 108, 5–16. https://doi.org/10.1002/cd.124
  • Baumrind, D. (1967). Child care practices anteceding three patterns of preschool behavior. Genetic Psychology Monographs, 75(1), 43–88.
  • Baumrind, D. (2005). Patterns of parental authority and adolescent autonomy. New Directions for Child and Adolescent Development, 2005(108), 61–69. https://doi.org/10.1002/cd.128
  • Belsky, J., y Pluess, M. (2009). Beyond diathesis stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135(6), 885–908. https://doi.org/10.1037/a0017376
  • Blum, R. W., Astone, N. M., Decker, M. R., y Mouli, V. C. (2014). A conceptual framework for early adolescence: A platform for research. International Journal of Adolescent Medicine and Health, 26(3), 321–331. https://doi.org/10.1515/ijamh-2013-0327
  • Bridge, J. A., Goldstein, T. R., y Brent, D. A. (2006). Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry, 47(3–4), 372–394. https://doi.org/10.1111/j.1469-7610.2006.01615.x
  • Bridge, J. A., McBee-Strayer, S. M., Cannon, E. A., Sheftall, A. H., Reynolds, B., Campo, J. V., Pajer, K. A., Barbe, R. P., y Brent, D. A. (2012). Impaired decision making in adolescent suicide attempters. Journal of the American Academy of Child & Adolescent Psychiatry, 51(4), 394–403. https://doi.org/10.1016/j.jaac.2012.01.002
  • Center for Disease Control and Prevention [CDC]. (2019). Injury prevention and control: Web-based injury statistics query and reporting system (WISQARSTM). https://www.cdc.gov/injury/wisqars/
  • Chamberlain, P., Goldney, R., Delfabbro, P., Gill, T., y Dal Grande, L. (2009). Suicidal ideation. Crisis, 30(1), 39–42. https://doi.org/10.1027/0227-5910.30.1.39
  • Chou, W. J., Liu, T. L., Hu, H. F., y Yen, C. F. (2016). Suicidality and its relationships with individual, family, peer, and psychopathology factors among adolescents with attention-deficit/hyperactivity disorder. Research in Developmental Disabilities, 53–54, 86–94. https://doi.org/10.1016/j.ridd.2016.02.001
  • Cumsille, P., Martínez, M. L., Rodríguez, V., y Darling, N. (2014). Análisis psicométrico de la escala parental breve (EPB): Invarianza demográfica y longitudinal en adolescentes Chilenos. Psykhe, 23(2), 1–14. https://doi.org/10.7764/psykhe.23.2.665
  • Czyz, E. K., y King, C. A. (2015). Longitudinal trajectories of suicidal ideation and subsequent suicide attempts among adolescent inpatients. Journal of Clinical Child & Adolescent Psychology, 44(1), 181–193. https://doi.org/10.1080/15374416.2013.836454
  • Dale, R., Power, K., Kane, S., Stewart, A. M., y Murray, L. (2010). The role of parental bonding and early maladaptive schemas in the risk of suicidal behavior repetition. Archives of Suicide Research, 14(4), 311–328. https://doi.org/10.1080/13811118.2010.524066
  • Dardas, L. A. (2019). Family functioning moderates the impact of depression treatment on adolescents’ suicidal ideations. Child and Adolescent Mental Health, 24(3), 251–258. https://doi.org/10.1111/camh.12323
  • De Luca, S. M., Wyman, P., y Warren, K. (2012). Latina adolescent suicide ideations and attempts: Associations with connectedness to parents, peers, and teachers. Suicide and Life-Threatening Behavior, 42(6), 672–683. https://doi.org/10.1111/j.1943-278X.2012.00121.x
  • Donath, C., Graessel, E., Baier, D., Bleich, S., y Hillemacher, T. (2014). Is parenting style a predictor of suicide attempts in a representative sample of adolescents? BMC Pediatrics, 14(1), 1–13. https://doi.org/10.1186/1471-2431-14-113
  • Enns, M. W., Cox, B. J., y Clara, I. (2002). Parental bonding and adult psychopathology: Results from the US National Comorbidity Survey. Psychological Medicine, 32(6), 997–1008. https://doi.org/10.1017/S0033291702005937
  • Essau, C. A., Lewinsohn, P. M., Seeley, J. R., y Sasagawa, S. (2010). Gender differences in the developmental course of depression. Journal of Affective Disorders, 127(1–3), 185–190. https://doi.org/10.1016/j.jad.2010.05.016
  • Ewing, E. S. K., Diamond, G., y Levy, S. (2015). Attachment-based family therapy for depressed and suicidal adolescents: theory, clinical model and empirical support. Attachment & Human Development, 17(2), 136–156. https://doi.org/10.1080/14616734.2015.1006384
  • Fernando, K., Carter, J. D., Frampton, C. M. A., Luty, S. E., McKenzie, J., Mulder, R. T., y Joyce, P. R. (2011). Childhood-, teenage-, and adult-onset depression: diagnostic and individual characteristics in a clinical sample. Comprehensive Psychiatry, 52(6), 623–629. https://doi.org/10.1016/j.comppsych.2010.12.006
  • Freudenstein, O., Zohar, A., Apter, A., Shoval, G., Weizman, A., y Zalsman, G. (2011). Parental bonding in severely suicidal adolescent inpatients. European Psychiatry, 26(8), 504–507. https://doi.org/10.1016/j.eurpsy.2011.01.006
  • Garcia, F., Serra, E., Garcia, O. F., Martinez, I., y Cruise, E. (2019). A third emerging stage for the current digital society? Optimal parenting styles in Spain, the United States, Germany, and Brazil. International Journal of Environmental Research and Public Health, 16(13), 1-20. https://doi.org/10.3390/ijerph16132333
  • Goldston, D. B., Erkanli, A., Daniel, S. S., Heilbron, N., Weller, B. E., y Doyle, O. (2016). Developmental trajectories of suicidal thoughts and behaviors from adolescence through adulthood. Journal of the American Academy of Child & Adolescent Psychiatry, 55(5), 400-407.e1. https://doi.org/10.1016/j.jaac.2016.02.010
  • Gómez-Ortiz, O., Del Rey, R., Casas, J. A., y Ortega-Ruiz, R. (2014). Parenting styles and bullying involvement / Estilos parentales e implicación en bullying. Cultura y Educación, 26(1), 132–158. https://doi.org/10.1080/11356405.2014.908665
  • Goschin, S., Briggs, J., Blanco-Lutzen, S., Cohen, L. J., y Galynker, I. (2013). Parental affectionless control and suicidality. Journal of Affective Disorders, 151(1), 1–6. https://doi.org/10.1016/j.jad.2013.05.096
  • Greening, L., Stoppelbein, L., y Luebbe, A. (2010). The moderating effects of parenting styles on African-American and caucasian children’s suicidal behaviors. Journal of Youth and Adolescence, 39(4), 357–369. https://doi.org/10.1007/s10964-009-9459-z
  • Hawton, K., Saunders, K. E. A., y O’Connor, R. C. (2012). Self-harm and suicide in adolescents. The Lancet, 379(9834), 2373–2382. https://doi.org/10.1016/S0140-6736(12)60322-5
  • King, C. A., Arango, A., y Ewell Foster, C. (2018). Emerging trends in adolescent suicide prevention research. Current Opinion in Psychology, 22, 89–94. https://doi.org/10.1016/j.copsyc.2017.08.037
  • Kissil, K. (2011). Attachment-based family therapy for adolescent self-injury. Journal of Family Psychotherapy, 22(4), 313–327. https://doi.org/10.1080/08975353.2011.627801
  • Kochanska, G., Boldt, L. J., Kim, S., Yoon, J. E., y Philibert, R. A. (2015). Developmental interplay between children’s biobehavioral risk and the parenting environment from toddler to early school age: Prediction of socialization outcomes in preadolescence. Development and Psychopathology, 27(3), 775–790. https://doi.org/10.1017/S0954579414000777
  • Lai, K. W., y McBride-Chang, C. (2001). Suicidal ideation, parenting style, and family climate among Hong Kong adolescents. International Journal of Psychology, 36(2), 81–87. https://doi.org/10.1080/00207590042000065
  • Loranger, A. W., Janca, A., y Sartorius, N. (Eds.). (1997). Assessment and diagnosis of personality disorders: The ICD-10 International Personality Disorder Examination (IPDE). University Press. https://doi.org/10.1017/CBO9780511663215
  • Macalli, M., Tournier, M., Galéra, C., Montagni, I., Soumare, A., Côté, S. M., y Tzourio, C. (2018). Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study. BMC Psychiatry, 18(373), 1-11. https://doi.org/10.1186/s12888-018-1957-7
  • McDonnell, C., Luke, N., y Short, S. E. (2019). Happy moms, happier dads: Gendered caregiving and parents’ affect. Journal of Family Issues, 40(17), 2553–2581. https://doi.org/10.1177/0192513X19860179
  • Merchant, C., Kramer, A., Joe, S., Venkataraman, S., y King, C. A. (2009). Predictors of multiple suicide attempts among suicidal black adolescents. Suicide and Life-Threatening Behavior, 39(2), 115–124. https://doi.org/10.1521/suli.2009.39.2.115
  • Ministerio de Desarrollo Social. (2016). Encuesta de caracterización socioeconómica - CASEN 2015. http://observatorio.ministeriodesarrollosocial.gob.cl/casen-multidimensional/casen/casen_2015.php
  • Miranda, R., De Jaegere, E., Restifo, K., y Shaffer, D. (2014). Longitudinal follow-up study of adolescents who report a suicide attempt: aspects of suicidal behavior that increase risk of a future attempt. Depression and Anxiety, 31(1), 19–26. https://doi.org/10.1002/da.22194
  • Nock, M. K., Hwang, I., Sampson, N. A., y Kessler, R. C. (2010). Mental disorders, comorbidity and suicidal behavior: Results from the national comorbidity survey replication. Molecular Psychiatry, 15(8), 868–876. https://doi.org/10.1038/mp.2009.29
  • Nock, Matthew K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., y Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents. JAMA Psychiatry, 70(3), 300-310. https://doi.org/10.1001/2013.jamapsychiatry.55
  • Nock, Matthew K., y Kessler, R. C. (2006). Prevalence of and risk factors for suicide attempts versus suicide gestures: Analysis of the National Comorbidity Survey. Journal of Abnormal Psychology, 115(3), 616–623. https://doi.org/10.1037/0021-843X.115.3.616
  • Núñez, D., Arias, V., Méndez-Bustos, P., y Fresno, A. (2019). Is a brief self-report version of the Columbia severity scale useful for screening suicidal ideation in Chilean adolescents? Comprehensive Psychiatry, 88, 39–48. https://doi.org/10.1016/j.comppsych.2018.11.002
  • Park, S., y Jang, H. (2018). Correlations between suicide rates and the prevalence of suicide risk factors among Korean adolescents. Psychiatry Research, 261, 143–147. https://doi.org/10.1016/j.psychres.2017.12.055
  • Paulson, S. E., Hill, J. P., y Holmbeck, G. N. (1991). Distinguishing between perceived closeness and parental warmth in families with seventh-grade boys and girls. The Journal of Early Adolescence, 11(2), 276–293. https://doi.org/10.1177/0272431691112007
  • Perez-Gramaje, A. F., Garcia, O. F., Reyes, M., Serra, E., y Garcia, F. (2019). Parenting styles and aggressive adolescents: Relationships with self-esteem and personal maladjustment. The European Journal of Psychology Applied to Legal Context, 12(1), 1–10. https://doi.org/10.5093/ejpalc2020a1
  • Portzky, G., Audenaert, K., y van Heeringen, K. (2005). Suicide among adolescents: A psychological autopsy study of psychiatric, psychosocial and personality-related risk factors. Social Psychiatry and Psychiatric Epidemiology, 40(11), 922–930. https://doi.org/10.1007/s00127-005-0977-x
  • Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., y Mann, J. J. (2011). The Columbia–Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168(12), 1266–1277. https://doi.org/10.1176/appi.ajp.2011.10111704
  • Sharaf, A. Y., Thompson, E. A., y El-Salam, H. F. A. (2016). Perception of parental bonds and suicide intent among Egyptian adolescents. Journal of Child and Adolescent Psychiatric Nursing, 29(1), 15–22. https://doi.org/10.1111/jcap.12130
  • Simonetti, J. A., Mackelprang, J. L., Rowhani-Rahbar, A., Zatzick, D., y Rivara, F. P. (2015). Psychiatric comorbidity, suicidality, and in-home firearm access among a nationally representative sample of adolescents. JAMA Psychiatry, 72(2), 152–159. https://doi.org/10.1001/jamapsychiatry.2014.1760
  • Turgeon, L., O’Connor, K. P., Marchand, A., y Freeston, M. H. (2002). Recollections of parent-child relationships in patients with obsessive-compulsive disorder and panic disorder with agoraphobia. Acta Psychiatrica Scandinavica, 105(4), 310–316. https://doi.org/10.1034/j.1600-0447.2002.1188.x
  • Wasserman, D., Cheng, Q., y Jiang, G.-X. (2005). Global suicide rates among young people aged 15-19. World Psychiatry: Official journal of the World Psychiatric Association (WPA), 4(2), 114–120.
  • Wilkinson, R. B. (2012). Parents and adolescents. In P. Noller, y G. C. Karantzas, The Wiley-Blackwell handbook of couples and family relationships (pp. 66–81). Wiley-Blackwell. https://doi.org/10.1002/9781444354119.ch5
  • Wong, J. P. S., Stewart, S. M., Ho, S. Y., y Lam, T. H. (2007). Risk factors associated with suicide attempts and other self-injury among Hong Kong adolescents. Suicide and Life-Threatening Behavior, 37(4), 453–466. https://doi.org/10.1521/suli.2007.37.4.453
  • Zaborskis, A., Sirvyte, D., y Zemaitiene, N. (2016). Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014. BMC Public Health, 16(554), 1-15. https://doi.org/10.1186/s12889-016-3211-x
  • Zhai, H., Bai, B., Chen, L., Han, D., Wang, L., Qiao, Z., Qiu, X., Yang, X., y Yang, Y. (2015). Correlation between family environment and suicidal ideation in university students in China. International Journal of Environmental Research and Public Health, 12(2), 1412–1424. https://doi.org/10.3390/ijerph120201412