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Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans.
J Affect Disord. 2019 01 15; 243:216-219.JA

Abstract

BACKGROUND

Suicidal ideation is a problem that disproportionately affects veterans. Moreover, veterans with posttraumatic stress disorder (PTSD) appear to be at particularly high risk for suicide.

OBJECTIVE

The purpose of the present research was to examine whether shame mediates the association between PTSD and suicidal ideation.

METHODS

Secondary analyses were conducted in a sample of 201 veterans with PTSD seeking care through an outpatient Veterans Affairs specialty PTSD clinic.

RESULTS

Path analysis revealed that shame fully accounted for the effects of PTSD on suicidal ideation, suggesting that shame may represent a key link between PTSD and suicidal ideation among veterans.

LIMITATIONS

Although the reverse mediation effect was also examined, the present sample was cross-sectional and predominantly male.

CONCLUSIONS

The present findings suggest that shame may be an effective point of treatment intervention to reduce suicidal ideation among veterans with PTSD; however, additional prospective research is still needed to delineate the precise nature of these associations over time.

Authors+Show Affiliations

Durham Veterans Affairs Medical Center, Durham, NC, United States; The VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center,Durham, NC, United States. Electronic address: katherine-cunningham@utulsa.edu.Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.NeuroCog Trials, Durham, NC, United States.Durham Veterans Affairs Medical Center, Durham, NC, United States.Durham Veterans Affairs Medical Center, Durham, NC, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.Durham Veterans Affairs Medical Center, Durham, NC, United States; The VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center,Durham, NC, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.Durham Veterans Affairs Medical Center, Durham, NC, United States; The VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center,Durham, NC, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.Durham Veterans Affairs Medical Center, Durham, NC, United States; The VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center,Durham, NC, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

30248631

Citation

Cunningham, Katherine C., et al. "Shame as a Mediator Between Posttraumatic Stress Disorder Symptoms and Suicidal Ideation Among Veterans." Journal of Affective Disorders, vol. 243, 2019, pp. 216-219.
Cunningham KC, LoSavio ST, Dennis PA, et al. Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans. J Affect Disord. 2019;243:216-219.
Cunningham, K. C., LoSavio, S. T., Dennis, P. A., Farmer, C., Clancy, C. P., Hertzberg, M. A., Kimbrel, N. A., Calhoun, P. S., & Beckham, J. C. (2019). Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans. Journal of Affective Disorders, 243, 216-219. https://doi.org/10.1016/j.jad.2018.09.040
Cunningham KC, et al. Shame as a Mediator Between Posttraumatic Stress Disorder Symptoms and Suicidal Ideation Among Veterans. J Affect Disord. 2019 01 15;243:216-219. PubMed PMID: 30248631.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans. AU - Cunningham,Katherine C, AU - LoSavio,Stefanie T, AU - Dennis,Paul A, AU - Farmer,Chloe, AU - Clancy,Carolina P, AU - Hertzberg,Michael A, AU - Kimbrel,Nathan A, AU - Calhoun,Patrick S, AU - Beckham,Jean C, Y1 - 2018/09/17/ PY - 2018/06/01/received PY - 2018/08/20/revised PY - 2018/09/15/accepted PY - 2018/9/25/pubmed PY - 2019/3/1/medline PY - 2018/9/25/entrez KW - Emotions KW - Posttraumatic stress disorder KW - Shame KW - Suicidal ideation KW - Suicide KW - Veterans SP - 216 EP - 219 JF - Journal of affective disorders JO - J Affect Disord VL - 243 N2 - BACKGROUND: Suicidal ideation is a problem that disproportionately affects veterans. Moreover, veterans with posttraumatic stress disorder (PTSD) appear to be at particularly high risk for suicide. OBJECTIVE: The purpose of the present research was to examine whether shame mediates the association between PTSD and suicidal ideation. METHODS: Secondary analyses were conducted in a sample of 201 veterans with PTSD seeking care through an outpatient Veterans Affairs specialty PTSD clinic. RESULTS: Path analysis revealed that shame fully accounted for the effects of PTSD on suicidal ideation, suggesting that shame may represent a key link between PTSD and suicidal ideation among veterans. LIMITATIONS: Although the reverse mediation effect was also examined, the present sample was cross-sectional and predominantly male. CONCLUSIONS: The present findings suggest that shame may be an effective point of treatment intervention to reduce suicidal ideation among veterans with PTSD; however, additional prospective research is still needed to delineate the precise nature of these associations over time. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/30248631/Shame_as_a_mediator_between_posttraumatic_stress_disorder_symptoms_and_suicidal_ideation_among_veterans_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(18)31211-4 DB - PRIME DP - Unbound Medicine ER -