@article{ref1,
title="Suicidal ideation and hopelessness in PTSD: spiritual well-being mediates outcomes over time",
journal="Anxiety, stress, and coping",
year="2018",
author="Florez, Ivonne Andrea and Allbaugh, Lucy J. and Harris, Catherine E. and Schwartz, Ann C. and Kaslow, Nadine J.",
volume="31",
number="1",
pages="46-58",
abstract="BACKGROUND: There is an increased interest in understanding the mechanisms through which post-traumatic stress disorder (PTSD) relates with hopelessness and suicidal ideation. Spiritual well-being could help explain the link between PTSD and both hopelessness and suicidal ideation in African Americans. However, no study has examined the mediational role of existential and religious well-being among these variables. <br><br>OBJECTIVES: To examine if initial levels of existential and religious well-being mediated the relation between levels of PTSD symptoms and prospective levels of hopelessness and suicidal ideation in a sample of African American females. <br><br>DESIGN: The study used a longitudinal design with a 10-week time interval. <br><br>METHODS: The sample comprised of 113 disadvantaged African American women survivors of a recent suicide attempt recruited from a southern hospital. Self-report measures of PTSD symptoms, hopelessness, suicidal ideation, and spiritual well-being were administered to examine the variables of interest. Bootstrapping techniques were used to test the mediational models. <br><br>RESULTS: Existential, but not religious well-being, mediated the relationship between levels of PTSD symptoms severity and both levels of hopelessness and suicidal ideation over time. <br><br>CONCLUSIONS: Existential well-being appears to play a promising protective role against the negative effects of PTSD on both hopelessness and suicidal ideation.<p /> <p>Language: en</p>",
language="en",
issn="1061-5806",
doi="10.1080/10615806.2017.1369260",
url="http://dx.doi.org/10.1080/10615806.2017.1369260"
}