Ego-resiliency moderates the risk of depression and social anxiety symptoms on suicidal ideation in medical students

Seo, Eun Hyun; Yang, Hae-Jung; Kim, Seung-Gon; Yoon, Hongsik

doi:10.1186/s12991-022-00399-x

Cited by 9 publications

(15 citation statements)

References 52 publications

(56 reference statements)

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“…Unexpectedly, in assonance with the postulations by Johnsons et al ( 2011), the outcomes of the present investigation demonstrated that although scores of the positive sociopsychological factors, i.e., conscientiousness and resilience, negatively correlated with suicidal ideations and attempts, they were not believed to be resilience-bolstering factors as they failed to moderate the link between daily life stress and suicidal ideation or suicidal attempts in a regression analysis. This could appear counterintuitive considering other studies' findings that concluded that conscientiousness (Straus et al, 2019;Lawson et al, 2022) and resilience (Seo et al, 2022) have moderated the effect of psychological problems on suicidal behaviors. This claim could have several explanations, but one is that higher scores of one of the constructs were compensated by the lower scores of another construct, and this observation was supported by the findings of several kinds of research (Johnson et al, 2011;Siegmann et al, 2018).…”

Section: Moderators For Suicidal Attemptsmentioning

confidence: 84%

“…Given the in-depth literature review, it was found that the constructs have various abilities and attitudes regarding buffering properties concerning suicidal psychopathologies (Johnson et al, 2011). Literature across Western cultures has concluded that a few of the sociopsychological constructs, despite not having a linear association, had a significant indirect association with psychological outcomes (mainly suicidal behaviors) through interaction with risk factors (hopelessness, depression, anxiety, or stressful life events), and acted as suicidal resilience factors (Siegmann et al, 2018; Brailovskaia et al, 2020; Teismann and Brailovskaia et al, 2020; Seo et al, 2022; Song and Bae, 2022). Hence, previous studies (Johnson et al, 2011; Brailovskaia et al, 2020; Seo et al, 2022) implied that mental well-being, life satisfaction, ego resiliency, and social support have moderated the influence of depression on suicidal ideation among college students and were especially noteworthy for the diminution and prevention of suicidal ideations, whereas self-efficacy, problem-solving abilities, and psychosocial stress resistance were identified to have weaker evidence as a moderator (Johnson et al, 2011).…”

Section: Positive Sociopsychological Constructs and Suicidal Psychopa...mentioning

confidence: 99%

“…Literature across Western cultures has concluded that a few of the sociopsychological constructs, despite not having a linear association, had a significant indirect association with psychological outcomes (mainly suicidal behaviors) through interaction with risk factors (hopelessness, depression, anxiety, or stressful life events), and acted as suicidal resilience factors (Siegmann et al, 2018; Brailovskaia et al, 2020; Teismann and Brailovskaia et al, 2020; Seo et al, 2022; Song and Bae, 2022). Hence, previous studies (Johnson et al, 2011; Brailovskaia et al, 2020; Seo et al, 2022) implied that mental well-being, life satisfaction, ego resiliency, and social support have moderated the influence of depression on suicidal ideation among college students and were especially noteworthy for the diminution and prevention of suicidal ideations, whereas self-efficacy, problem-solving abilities, and psychosocial stress resistance were identified to have weaker evidence as a moderator (Johnson et al, 2011). Recently, multiple researchers (Cheng et al, 2014; Stange et al, 2017) investigated coping flexibility as a resilience construct to depression and stress, as opposed to conventional approaches that concentrate on the effect of a specific coping mechanism, which is not considerably adaptive (Garg et al, 2022; Garg et al, 2023), whereas only two studies have investigated the association between coping flexibility and suicidal psychopathologies (Heffer and Willoughby, 2017; Kato, 2022).…”

Section: Positive Sociopsychological Constructs and Suicidal Psychopa...mentioning

confidence: 99%

“…First, there seemed to be a dearth of studies on medical students (Seo et al, 2022), even though much research concentrated on other university students (Kim and Cha, 2018; Siegmann et al, 2018; Song and Bae, 2022) or adolescents (Wei et al, 2022) or clinical populations (Kessler et al, 2019; Siegmann et al, 2019). Second, the existing literature is mainly conducted in Western (Kessler et al, 2019; Siegmann et al, 2019; Sher, 2019; Brailovskaia et al, 2020; Teismann and Brailovskaia et al, 2020; Seo et al, 2022) or Eastern cultures (Bae and Lee, 2018; Kim and Cha, 2018; Song and Bae, 2022), whereas no such data are available in Indian cultures with different characteristics such as lesser individualistic and self-centered, and more collectivistic, which might have impacted the suicidal resilience differently than more self-focused Western cultures. Third, there are ambiguous findings regarding the moderating or buffering function of the positive sociopsychological construct such as social support, optimism, ES, and resilience (Kim and Cha, 2018; Siegmann et al, 2018; Kumar et al, 2022; Vidal-Arenas et al, 2022).…”

Section: The Present Studymentioning

confidence: 99%

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A Moderation Model for Bolstering Resilience to Suicidal Psychopathology

Garg,

Kharb

2024

J Nerv Ment Dis

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Positive sociopsychological constructs and coping flexibility may be helpful for alleviating suicidal psychopathology, although relatively little research has examined this possibility among medical students. This survey aimed to investigate whether positive sociopsychological constructs and coping flexibility could buffer the negative impact of daily life stress and bolster the resilience to suicidal ideations and attempts among medical students. This cross-sectional model was based on a study of 787 Indian medical students (725 women and 62 men; mean age, 21.08 years; SD = 2.78; range, 19–37 years) who were asked to complete a battery of self-administered questionnaires. For the purpose of determining the independent and interaction impacts of potential variables of influence, hierarchical multiple linear regression models were used. The moderation analysis investigated that the association between daily life stress and suicidal ideation was buffered among the students having higher levels of positive mental health and coping flexibility, whereas this association was no longer significant at the highest level of positive mental health. Furthermore, the relationship between daily life stress and suicidal attempts continued to be buffered by above-average levels of coping flexibility, emotional stability (ES), and optimism. These findings represent that promoting positive mental health, coping flexibility, ES, and optimism may be a promising approach to mitigate suicidal thoughts and attempts in interventions for medical students at high risk. These modifiable moderating factors can be enhanced by empirically supported treatment and prevention efforts to bolster suicidal resilience.

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Section: Moderators For Suicidal Attemptsmentioning

confidence: 84%

Section: Positive Sociopsychological Constructs and Suicidal Psychopa...mentioning

confidence: 99%

Section: Positive Sociopsychological Constructs and Suicidal Psychopa...mentioning

confidence: 99%

Section: The Present Studymentioning

confidence: 99%

See 2 more Smart Citations

A Moderation Model for Bolstering Resilience to Suicidal Psychopathology

Garg,

Kharb

2024

J Nerv Ment Dis

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“…Suicidal ideation was a significant risk factor for developing low resilience in our surveyed students. Literature has supported, on many occasions, the buffering ability of resilience against suicidal ideation and attempts, especially among those with depression or anxiety [ 57 , 58 ].…”

Section: Discussionmentioning

confidence: 99%

Factors influencing stress and resilience among Egyptian medical students: a multi-centric cross-sectional study

Mohammed,

Bady,

Abdelhamid

et al. 2024

BMC Psychiatry

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Background Psychological stress is a common psychological comorbidity among medical students and worsens their quality of life. Psychological resilience is thought to have a protective role against stress. However, evidence regarding the prevalence of stress and resilience alongside their associated factors is scarce, especially in the Middle East. This is the first multicenter, cross-sectional study to investigate resilience and stress among Egyptian medical students. Methods The current cross-sectional study was conducted on 2465 university students in seven public universities in Egypt. The universities were selected using the simple randomization method. The data was collected using a self-administered questionnaire consisting of four parts: demographic data, socioeconomic tool represented in the Family Affluence Scale (FAS), the Kessler Psychological Distress Scale (K10), and the Brief Resilience Scale (BRS). Data was analyzed in SPSS version 26 software. Results The majority of the students were stressed (86.5%), most of whom had severe stress (48.9%). Most of the students had low resilience (49.9%), while only 3.2% had high resilience. In the logistic regression analysis, being a female, living alone, spending long hours on social media, and thinking of suicide or leaving medicine were associated with being stressed and having low resilience. Medical students with low resilience were significantly more liable to stress [Adjusted odds ratio (AOR) = 3.667, confidence interval (CI): 2.709–4.965, P = 0.000], and vice versa [AOR = 3.709, CI: 2.746–5.009, P = 0.000]. Interestingly, high socioeconomic status showed a significant association with high resilience (P = 0.004); nonetheless, it was not associated with stress (P = 0.993). Academic grades were not associated with both the level of stress and resilience. Aging, being in clinical or academic stages, smoking, having a chronic disease, and being financially-supported are neither associated with stress nor resilience. Conclusions The present study revealed that Egyptian medical students had low resilience and high stress, with a significant relationship between both of them. Further investigations via longitudinal study design to understand the resilience-stress relationship are recommended. Developing and implementing resilience-improving strategies in medical schools is highly recommended to decrease the prevalence of stress and its subsequent burdens.

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