Изучение эффективности CBT-SP в регуляции эмоций, атрибутивных стилей и импульсивного поведения у студентов с наличием суицидальных мыслей
Аннотация
Обоснование. Наличие суицидальных мыслей среди студентов представляет собой серьёзный психологический кризис, который может оказывать негативное влияние на их физическое и психическое здоровье. Когнитивно-поведенческая терапия, ориентированная на предотвращение суицида (CBT-SP), признана эффективным методом лечения суицидального поведения. Актуальность данного исследования заключается в использовании CBT-SP для укрепления психического здоровья студентов с суицидальными мыслями и в восполнении существующих исследовательских пробелов в этой сфере. Настоящее исследование может способствовать расширению применения CBT-SP в данной области.
Цель. Целью исследования является изучение влияния когнитивно-поведенческой терапии, ориентированной на предотвращение суицида (CBT-SP), на эмоциональную регуляцию, атрибутивный стиль, импульсивное поведение у студентов с наличием суицидальных мыслей.
Материалы и методы. Исследование проводилось по квазиэкспериментальному дизайну с предтестом и посттестом и контрольной группой. Популяция включала всех студентов Государственного университета Алтая, которые по шкале суицидальных мыслей Бека (SSI) набрали более 6 баллов. В исследовании добровольно приняли участие 22 студента, которые случайным образом были распределены на экспериментальную и контрольную группы. Экспериментальная группа прошла 12 сессий CBT-SP, а контрольная группа вмешательства не получала. Инструменты исследования включали шкалу суицидальных мыслей Бека (SSI), опросник атрибутивного стиля (ASQ), укороченную шкалу импульсивного поведения (UPPS-P) и опросник эмоциональной регуляции (ERQ). Данные были проанализированы с использованием программного обеспечения SPSS.
Результаты. Результаты исследования расширяют представления о возможности использования когнитивно-поведенческой терапии, ориентированной на предотвращение суицида (CBT-SP), как эффективного подхода к снижению импульсивности, улучшению эмоциональной регуляции и коррекции атрибутивных стилей у студентов с наличием суицидальных мыслей. Результаты исследования могут быть полезны специалистам психологической службы в образовательной сфере с целью профилактики суицида среди учащихся, суицидолгам, психотерапевтам.
EDN: VDDSFU
Скачивания
Литература
Kim, S., et al. (2025). Global, regional and national trends in suicide mortality rates across 102 countries from 1990 to 2021 with projections up to 2050. Nature Mental Health, 1–11. https://doi.org/10.1038/s44220-025-00474-8. EDN: https://elibrary.ru/DOQCHD
Klonsky, E. D., Dixon Luinenburg, T., & May, A. M. (2021). The critical distinction between suicidal ideation and suicide attempts. World Psychiatry, 20(3), 439. https://doi.org/10.1002/wps.20909. EDN: https://elibrary.ru/AVLKZV
Васягина, Н., Баринова, Е., & Григорян, Е. (2024). Ресурсный подход к профилактике суицидального поведения. В Ресурсный подход к профилактике суицидального поведения. Екатеринбург: Уральский государственный педагогический университет.
Клейн, С. Ю., & Мисюк, М. Н. (2024). Выявление и профилактика суицидальных наклонностей в студенческой среде. Научный форум: Инновационная наука, 17. EDN: https://elibrary.ru/TAXOMU
Seligman, M. E., Abramson, L. Y., Semmel, A., & Von Baeyer, C. (1979). Depressive attributional style. Journal of Abnormal Psychology, 88(3), 242. https://doi.org/10.1037/0021-843X.88.3.242
Kleiman, E. M., Miller, A. B., & Riskind, J. H. (2012). Enhancing attributional style as a protective factor in suicide. Journal of Affective Disorders, 143(1–3), 236–240. https://doi.org/10.1016/j.jad.2012.05.014
Khameneh, Z. K., Hajebi, M. Z., & Jalali, M. R. (2023). Development of a suicidal tendency model in borderline personality disorder patients based on perceived burden and suicidal acquisition capacity through pessimistic attribution style. Adolescent and Youth Psychological Studies, 4(9), 99–109. https://doi.org/10.61838/kman.jayps.4.9.11
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well being. Journal of Personality and Social Psychology, 85(2), 348. https://doi.org/10.1037/0022-3514.85.2.348. EDN: https://elibrary.ru/GXTOMF
Chamarro, A., Díaz Moreno, A., Bonilla, I., Cladellas, R., Griffiths, M. D., Gómez Romero, M. J., & Limonero, J. T. (2024). Stress and suicide risk among adolescents: the role of problematic internet use, gaming disorder and emotional regulation. BMC Public Health, 24(1), 326. https://doi.org/10.1186/s12889-024-17860-z. EDN: https://elibrary.ru/QNTSPW
Benight, C. C., Hurd, J. A., Morison, M., & Ricca, B. P. (2024). Big ideas series: self regulation shift theory: trauma, suicide, and violence. Anxiety, Stress, & Coping, 37(1), 1–15. https://doi.org/10.1080/10615806.2023.2242281. EDN: https://elibrary.ru/OINOWG
Colmenero Navarrete, L., García Sancho, E., & Salguero, J. M. (2022). Relationship between emotion regulation and suicide ideation and attempt in adults and adolescents: a systematic review. Archives of Suicide Research, 26(4), 1702–1735. https://doi.org/10.1080/13811118.2021.1999872. EDN: https://elibrary.ru/GRUGAX
Cyders, M. A., Smith, G. T., Spillane, N. S., Fischer, S., Annus, A. M., & Peterson, C. (2007). Integration of impulsivity and positive mood to predict risky behavior: development and validation of a measure of positive urgency. Psychological Assessment, 19(1), 107. https://doi.org/10.1037/1040-3590.19.1.107
Murni, N. I., & Ibrahim, M. A. (2020). Moderation effect of impulsivity in the relationship between depression and suicide ideation among late adolescent in Malaysia. Sciences, 10(10), 110–119. https://doi.org/10.6007/IJARBSS/v10-i10/7920. EDN: https://elibrary.ru/SOFQWC
Martin, A., Oehlman, M., Hawgood, J., & O’Gorman, J. (2023). The role of impulsivity and self control in suicidal ideation and suicide attempt. International Journal of Environmental Research and Public Health, 20(6), 5012. https://doi.org/10.3390/ijerph20065012. EDN: https://elibrary.ru/PGMMSX
Royter, E., Sudak, D., & Plakun, E. M. (2024). Cognitive behavioral therapy approaches for chronic suicidality. Journal of Psychiatric Practice, 30(1), 46–50. https://doi.org/10.1097/PRA.0000000000000757. EDN: https://elibrary.ru/SUJUOB
Stanley, B., Brown, G., Brent, D. A., Wells, K., Poling, K., Curry, J., Kennard, B. D., Wagner, A., Cwik, M. F., & Klomek, A. B. (2009). Cognitive behavioral therapy for suicide prevention (CBT SP): treatment model, feasibility, and acceptability. Journal of the American Academy of Child & Adolescent Psychiatry, 48(10), 1005–1013. https://doi.org/10.1097/CHI.0b013e3181b5dbfe
Bryan, C. J. (2019). Cognitive behavioral therapy for suicide prevention (CBT SP): Implications for meeting standard of care expectations with suicidal patients. Behavioral Sciences & the Law, 37(3), 247–258. https://doi.org/10.1002/bsl.2411
Carey, M., & Wells, C. (2019). Cognitive Behavioural Therapy Suicide Prevention (CBT SP) imagery intervention: a case report. The Cognitive Behaviour Therapist, 12, e31. https://doi.org/10.1017/S1754470X19000175
Холмогорова, А. Б. (2016). Суицидальное поведение: теоретическая модель и практика помощи в когнитивно бихевиоральной терапии. Консультативная психология и психотерапия, 24(3), 144–163. https://doi.org/10.17759/cpp.2016240309. EDN: https://elibrary.ru/WMJCOP
Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: the Scale for Suicide Ideation. Journal of Consulting and Clinical Psychology, 47(2), 343. https://doi.org/10.1037/0022-006X.47.2.343
Peterson, C., Semmel, A., Von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. (1982). The attributional style questionnaire. Cognitive Therapy and Research, 6(3), 287–299. https://doi.org/10.1007/BF01173577. EDN: https://elibrary.ru/VPGRPK
Cyders, M. A., Littlefield, A. K., Coffey, S., & Karyadi, K. A. (2014). Examination of a short English version of the UPPS P Impulsive Behavior Scale. Addictive Behaviors, 39(9), 1372–1376. https://doi.org/10.1016/j.addbeh.2014.02.013
Панкратова, А. А., & Корниенко, Д. С. (2017). Русскоязычная адаптация опросника ERQ (Emotion Regulation Questionnaire) Дж. Гросса. Вопросы психологии, 5, 139–149. EDN: https://elibrary.ru/YNMATX
Rejaei, M., Nasri, M., & Shahabizadeh, F. (2024). The Effectiveness of Cognitive Behavioral Therapy on Cognitive Fusion and Emotional Self Regulation of Spouses of Veterans. Medical Journal of Mashhad University of Medical Sciences, 67(2), 661–676. https://doi.org/10.22038/mjms.2024.81115.4670
Nobakht, H., Arjandi, M. M. D., & Herafteh, F. S. K. (2023). The Effectiveness of Cognitive Behavioral Therapy on Emotion Self regulation and its Components in Patients with Schizophrenia: A Semi experimental Study. Jundishapur Journal of Chronic Disease Care, 12(2). https://doi.org/10.5812/jjcdc-135134. EDN: https://elibrary.ru/QLDGBA
Shahijan, M. K. (2023). The effectiveness of spirituality based cognitive behavioral therapy on psychological well being and emotional self regulation of women with addicted spouses. International Journal of Education and Cognitive Sciences, 4(2), 20–28. Получено с: https://www.journalecs.com/index.php/ecs/article/view/89. https://doi.org/10.61838/kman.ijecs.4.2.3. EDN: https://elibrary.ru/MEAPGB
Parvaneh, P., Khalatbari, J., & Saeedpoor, F. (2021). Comparison of the effectiveness of dialectical behavioral and cognitive behavioral therapy on irrational beliefs, emotion regulation, and impulsive behaviors of high school female students. Community Health Journal, 15(2), 69–81. Получено с: https://dor.isc.ac/dor/20.1001.1.23456248.1400.15.2.8.8
Radmehr, F., & Karami, J. (2022). The effect of mindfulness based cognitive therapy on the students attribution styles of with major depressive disorders. Journal of Psychological Studies, 18(1), 25–38. Получено с: https://psychstudies.alzahra.ac.ir/article_5253.html?lang=en
Sachsenweger, M. (2010). The impact of attributional style and homework experiences in Cognitive Behaviour Therapy for depression: a longitudinal investigation employing multilevel analysis (Doctor of Clinical Psychology dissertation). Massey University, Albany, New Zealand.
Petersen, T., Harley, R., Papakostas, G., Montoya, H., Fava, M., & Alpert, J. (2004). Continuation cognitive behavioural therapy maintains attributional style improvement in depressed patients responding acutely to fluoxetine. Psychological Medicine, 34(3), 555–561. https://doi.org/10.1017/S0033291703001028. EDN: https://elibrary.ru/FOPQFT
Aguilar Yamuza, B., Trenados, Y., Herruzo, C., Pino, M. J., & Herruzo, J. (2024). A systematic review of treatment for impulsivity and compulsivity. Frontiers in Psychiatry, 15, 1430409. https://doi.org/10.3389/fpsyt.2024.1430409. EDN: https://elibrary.ru/LZOLHK
Sedighrad, G., Asgari, P., Heidari, A., & Khorami, N. S. (2021). Effectiveness of Cognitive Behavioral Therapy on Reducing Impulsive Behaviors, Alexithymia, and Despair in Depressed Patients at Counseling Centers in Ahvaz: Alexithymia and Despair in Depressed Patients. Shahroud Journal of Medical Sciences, 16–20. https://doi.org/10.22100/ijhs.v7i3.879
Diefenbach, G. J., Lord, K. A., Stubbing, J., Rudd, M. D., Levy, H. C., Worden, B., Sain, K. S., Bimstein, J. G., Rice, T. B., & Everhardt, K. (2024). Brief cognitive behavioral therapy for suicidal inpatients: a randomized clinical trial. JAMA Psychiatry, 81(12), 1177–1186. https://doi.org/10.1001/jamapsychiatry.2024.2349. EDN: https://elibrary.ru/VLJTYX
Baker, J. C., Starkey, A., Ammendola, E., Bauder, C. R., Daruwala, S. E., Hiser, J., Khazem, L. R., Rademacher, K., Hay, J., & Bryan, A. O. (2024). Telehealth brief cognitive behavioral therapy for suicide prevention: A randomized clinical trial. JAMA Network Open, 7(11), e2445913. https://doi.org/10.1001/jamanetworkopen.2024.45913. EDN: https://elibrary.ru/YMLMZO
References
Kim, S., et al. (2025). Global, regional, and national trends in suicide mortality rates across 102 countries from 1990 to 2021 with projections up to 2050. Nature Mental Health, 1–11. https://doi.org/10.1038/s44220-025-00474-8. EDN: https://elibrary.ru/DOQCHD
Klonsky, E. D., Dixon Luinenburg, T., & May, A. M. (2021). The critical distinction between suicidal ideation and suicide attempts. World Psychiatry, 20(3), 439. https://doi.org/10.1002/wps.20909. EDN: https://elibrary.ru/AVLKZV
Vasyagina, N., Barinova, E., & Grigoryan, E. (2024). Resource based approach to preventing suicidal behavior. In Resource based approach to preventing suicidal behavior. Yekaterinburg: Ural State Pedagogical University.
Klein, S. Yu., & Misyuk, M. N. (2024). Identifying and preventing suicidal tendencies in the student population. Scientific Forum: Innovative Science, 17. EDN: https://elibrary.ru/TAXOMU
Seligman, M. E., Abramson, L. Y., Semmel, A., & Von Baeyer, C. (1979). Depressive attributional style. Journal of Abnormal Psychology, 88(3), 242. https://doi.org/10.1037/0021-843X.88.3.242
Kleiman, E. M., Miller, A. B., & Riskind, J. H. (2012). Enhancing attributional style as a protective factor in suicide. Journal of Affective Disorders, 143(1–3), 236–240. https://doi.org/10.1016/j.jad.2012.05.014
Khameneh, Z. K., Hajebi, M. Z., & Jalali, M. R. (2023). Development of a suicidal tendency model in borderline personality disorder patients based on perceived burden and suicidal acquisition capacity through pessimistic attribution style. Adolescent and Youth Psychological Studies, 4(9), 99–109. https://doi.org/10.61838/kman.jayps.4.9.11
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well being. Journal of Personality and Social Psychology, 85(2), 348. https://doi.org/10.1037/0022-3514.85.2.348. EDN: https://elibrary.ru/GXTOMF
Chamarro, A., Díaz Moreno, A., Bonilla, I., Cladellas, R., Griffiths, M. D., Gómez Romero, M. J., & Limonero, J. T. (2024). Stress and suicide risk among adolescents: the role of problematic internet use, gaming disorder, and emotional regulation. BMC Public Health, 24(1), 326. https://doi.org/10.1186/s12889-024-17860-z. EDN: https://elibrary.ru/QNTSPW
Benight, C. C., Hurd, J. A., Morison, M., & Ricca, B. P. (2024). Big ideas series: self regulation shift theory: trauma, suicide, and violence. Anxiety, Stress, & Coping, 37(1), 1–15. https://doi.org/10.1080/10615806.2023.2242281. EDN: https://elibrary.ru/OINOWG
Colmenero Navarrete, L., García Sancho, E., & Salguero, J. M. (2022). Relationship between emotion regulation and suicide ideation and attempt in adults and adolescents: a systematic review. Archives of Suicide Research, 26(4), 1702–1735. https://doi.org/10.1080/13811118.2021.1999872. EDN: https://elibrary.ru/GRUGAX
Cyders, M. A., Smith, G. T., Spillane, N. S., Fischer, S., Annus, A. M., & Peterson, C. (2007). Integration of impulsivity and positive mood to predict risky behavior: development and validation of a measure of positive urgency. Psychological Assessment, 19(1), 107. https://doi.org/10.1037/1040-3590.19.1.107
Murni, N. I., & Ibrahim, M. A. (2020). Moderation effect of impulsivity in the relationship between depression and suicide ideation among late adolescents in Malaysia. Sciences, 10(10), 110–119. https://doi.org/10.6007/IJARBSS/v10-i10/7920. EDN: https://elibrary.ru/SOFQWC
Martin, A., Oehlman, M., Hawgood, J., & O’Gorman, J. (2023). The role of impulsivity and self control in suicidal ideation and suicide attempt. International Journal of Environmental Research and Public Health, 20(6), 5012. https://doi.org/10.3390/ijerph20065012. EDN: https://elibrary.ru/PGMMSX
Royter, E., Sudak, D., & Plakun, E. M. (2024). Cognitive behavioral therapy approaches for chronic suicidality. Journal of Psychiatric Practice, 30(1), 46–50. https://doi.org/10.1097/PRA.0000000000000757. EDN: https://elibrary.ru/SUJUOB
Stanley, B., Brown, G., Brent, D. A., Wells, K., Poling, K., Curry, J., Kennard, B. D., Wagner, A., Cwik, M. F., & Klomek, A. B. (2009). Cognitive behavioral therapy for suicide prevention (CBT SP): treatment model, feasibility, and acceptability. Journal of the American Academy of Child & Adolescent Psychiatry, 48(10), 1005–1013. https://doi.org/10.1097/CHI.0b013e3181b5dbfe
Bryan, C. J. (2019). Cognitive behavioral therapy for suicide prevention (CBT SP): Implications for meeting standard of care expectations with suicidal patients. Behavioral Sciences & the Law, 37(3), 247–258. https://doi.org/10.1002/bsl.2411
Carey, M., & Wells, C. (2019). Cognitive behavioural therapy suicide prevention (CBT SP) imagery intervention: a case report. The Cognitive Behaviour Therapist, 12, e31. https://doi.org/10.1017/S1754470X19000175
Kholmogorova, A. B. (2016). Suicidal behaviour: theoretical model and practice of assistance in cognitive behavioural therapy. Consultative Psychology and Psychotherapy, 24(3), 144–163. https://doi.org/10.17759/cpp.2016240309. EDN: https://elibrary.ru/WMJCOP
Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: the Scale for Suicide Ideation. Journal of Consulting and Clinical Psychology, 47(2), 343. https://doi.org/10.1037/0022-006X.47.2.343
Peterson, C., Semmel, A., Von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. (1982). The attributional style questionnaire. Cognitive Therapy and Research, 6(3), 287–299. https://doi.org/10.1007/BF01173577. EDN: https://elibrary.ru/VPGRPK
Cyders, M. A., Littlefield, A. K., Coffey, S., & Karyadi, K. A. (2014). Examination of a short English version of the UPPS P Impulsive Behavior Scale. Addictive Behaviors, 39(9), 1372–1376. https://doi.org/10.1016/j.addbeh.2014.02.013
Pankratova, A. A., & Kornienko, D. S. (2017). Russian adaptation of the ERQ (Emotion Regulation Questionnaire) by J. Gross. Voprosy Psychologii (Questions of Psychology), 5, 139–149. EDN: https://elibrary.ru/YNMATX
Rejaei, M., Nasri, M., & Shahabizadeh, F. (2024). The effectiveness of cognitive behavioural therapy on cognitive fusion and emotional self regulation of spouses of veterans. Medical Journal of Mashhad University of Medical Sciences, 67(2), 661–676. https://doi.org/10.22038/mjms.2024.81115.4670
Nobakht, H., Arjandi, M. M. D., & Herafteh, F. S. K. (2023). The effectiveness of cognitive behavioural therapy on emotion self regulation and its components in patients with schizophrenia: a semi experimental study. Jundishapur Journal of Chronic Disease Care, 12(2). https://doi.org/10.5812/jjcdc-135134. EDN: https://elibrary.ru/QLDGBA
Shahijan, M. K. (2023). The effectiveness of spirituality based cognitive behavioural therapy on psychological well being and emotional self regulation of women with addicted spouses. International Journal of Education and Cognitive Sciences, 4(2), 20–28. Retrieved from: https://www.journalecs.com/index.php/ecs/article/view/89. https://doi.org/10.61838/kman.ijecs.4.2.3. EDN: https://elibrary.ru/MEAPGB
Parvaneh, P., Khalatbari, J., & Saeedpoor, F. (2021). Comparison of the effectiveness of dialectical behavioural and cognitive behavioural therapy on irrational beliefs, emotion regulation, and impulsive behaviours of high school female students. Community Health Journal, 15(2), 69–81. Retrieved from: https://dor.isc.ac/dor/20.1001.1.23456248.1400.15.2.8.8
Radmehr, F., & Karami, J. (2022). The effect of mindfulness based cognitive therapy on the attribution styles of students with major depressive disorders. Journal of Psychological Studies, 18(1), 25–38. Retrieved from: https://psychstudies.alzahra.ac.ir/article_5253.html?lang=en
Sachsenweger, M. (2010). The impact of attributional style and homework experiences in cognitive behaviour therapy for depression: a longitudinal investigation employing multilevel analysis (Doctor of Clinical Psychology dissertation). Massey University, Albany, New Zealand.
Petersen, T., Harley, R., Papakostas, G., Montoya, H., Fava, M., & Alpert, J. (2004). Continuation cognitive behavioural therapy maintains attributional style improvement in depressed patients responding acutely to fluoxetine. Psychological Medicine, 34(3), 555–561. https://doi.org/10.1017/S0033291703001028. EDN: https://elibrary.ru/FOPQFT
Aguilar Yamuza, B., Trenados, Y., Herruzo, C., Pino, M. J., & Herruzo, J. (2024). A systematic review of treatment for impulsivity and compulsivity. Frontiers in Psychiatry, 15, 1430409. https://doi.org/10.3389/fpsyt.2024.1430409. EDN: https://elibrary.ru/LZOLHK
Sedighrad, G., Asgari, P., Heidari, A., & Khorami, N. S. (2021). Effectiveness of cognitive behavioural therapy on reducing impulsive behaviours, alexithymia, and despair in depressed patients at counselling centres in Ahvaz: alexithymia and despair in depressed patients. Shahroud Journal of Medical Sciences, 16–20. https://doi.org/10.22100/ijhs.v7i3.879
Diefenbach, G. J., Lord, K. A., Stubbing, J., Rudd, M. D., Levy, H. C., Worden, B., Sain, K. S., Bimstein, J. G., Rice, T. B., & Everhardt, K. (2024). Brief cognitive behavioural therapy for suicidal inpatients: a randomized clinical trial. JAMA Psychiatry, 81(12), 1177–1186. https://doi.org/10.1001/jamapsychiatry.2024.2349. EDN: https://elibrary.ru/VLJTYX
Baker, J. C., Starkey, A., Ammendola, E., Bauder, C. R., Daruwala, S. E., Hiser, J., Khazem, L. R., Rademacher, K., Hay, J., & Bryan, A. O. (2024). Telehealth brief cognitive behavioural therapy for suicide prevention: a randomized clinical trial. JAMA Network Open, 7(11), e2445913. https://doi.org/10.1001/jamanetworkopen.2024.45913. EDN: https://elibrary.ru/YMLMZO
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