The Mediating Role of Social Disconnection in the Relation of Cognitive Flexibility with Suicidal Thoughts in Elderly

Basharpoor, Sajjad; Mohamadnezhad, Arefearefe; Heidari, Fazeleh

doi:10.22098/jrp.2025.17648.1323

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	The Mediating Role of Social Disconnection in the Relation of Cognitive Flexibility with Suicidal Thoughts in Elderly
Journal of Research in Psychopathology
مقاله 1، دوره 7، شماره 1 - شماره پیاپی 23، اردیبهشت 2026، صفحه 1-8 اصل مقاله (972.52 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2025.17648.1323
نویسندگان
Sajjad Basharpoor^* ¹؛ Arefearefe Mohamadnezhad²؛ Fazeleh Heidari³
¹Department of Psychology, Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardebil, Iran
²Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili
³Department of psychology, Faculty of educational science and psychology, University of Mohaghegh Ardabili
چکیده
Suicidal thoughts are common in elderly, while few studies have been conducted on the psychological factors related to this issue. The present study aimed to examine the mediating role of social disconnection in the relation of cognitive flexibility with suicidal thoughts in the elderly. This research was a descriptive-correlational study. The population of this study included all elderly individuals in nursing homes in Ardabil City in 2024. Two hundred thirty-seven elderly individuals were selected using purposive sampling and participated in this study. To collect data, Dennis and Vander Wal Cognitive Flexibility Inventory, Beck et al.'s Suicidal Thoughts Scale, and Saito et al.'s the Social Disconnection Scale were used. The data was analyzed using structural equation modeling via the LISREL 8.8 software. The results of structural equating modeling showed that both cognitive flexibility and social disconnection had a significant direct effect on suicidal thoughts among the elderly. Furthermore, cognitive flexibility, through the mediation of social disconnection, had a significant indirect effect on suicidal thoughts (p<0.05). Furthermore, the fitness indexes showed that the hypothesized model has good fitness based on data. These results reveal that the low cognitive flexibility can indirectly expose individuals to suicidal thoughts through the creation of social disconnection. Based on these results, increasing cognitive flexibility and social connection are suggested for preventing suicidal thoughts in elderly.
کلیدواژه‌ها
Cognitive flexibility؛ Elderly؛ Suicidal thoughts؛ Social disconnection

مراجع
Altwaijri, Y., Benjet, C., Al-Habeeb, A., Al-Subaie, A., Akkad, M., Alammar, S., ... & Naseem, T. (2024). Suicidal thoughts and behaviors in the Kingdom of Saudi Arabia. Journal of Affective Disorders, 352, 429-436. doi:10.1016/j.jad.2024. 02.060 Anisi, J., Fathi-Ashtiani, A., Salimi, H. and Ahmmadi, K.H. (2005). Evaluation of Validity and Reliability of Beck Suicide Scale Ideation (BSSI) in Soldiers. Journal of Military and Medication, 7, 33-37. Barrenetxea, J., Yang, Y., Pan, A., Feng, Q., & Koh, W. P. (2022). Social disconnection and living arrangements among Elderly: The Singapore Chinese health study. Gerontology, 68(3), 330-338. doi: 10.1159/000516626 Beck, A. T., & Steer, R. A. (1991). Manual for the Beck Scale for suicide ideation. San Antonio, TX: Psychological Corporation. 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, 343-352. doi:10.1037/0022-006X.47.2.343 Cai, Z., & Qi, B. (2023). Cognitive flexibility as a protective factor for empathy. Frontiers in Psychology, 13, 1064494.doi:10.3389/fpsyg.2022.1064494 Chang, J. C., Lai, M. C., Chang, S. S., & Gau, S. S. F. (2024). Factors mediating pre-existing autism diagnosis and later suicidal thoughts and behaviors: A follow-up cohort study. Autism, 13623613231223626. doi:10.1177/1362361323122362 Cui, R., Gujral, S., Galfalvy, H., & Szanto, K. (2022). The role of perceived and objective social connectedness on risk for suicidal thoughts and behavior in late life and their moderating effect on cognitive deficits. The American Journal of Geriatric Psychiatry, 30(4), 527-532. doi:10.1016/j.jagp.2021.08.014 Dennis, J. P., & Vander Wal, J. S.(2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cogn Ther Res, 34, 241-253. doi:10.1007/s10608-009-9276-4 Donovan, N. J. (2020). Timely insights into the treatment of social disconnection in lonely, homebound Elderly. The American Journal of Geriatric Psychiatry, 28(7), 709. doi: 10.1016/j. jagp.2020.04.002 Esfahani, M, Hashemi, Y., & Alavi, K. (2015). Psychometric assessment of beck scale for suicidal ideation (BSSI) in general population in Tehran. Medical Journal of the Islamic Republic of Iran (MJIRI), 3(29), 268-278. Flynn, M. K., Berkout, O. V., & Alde, E. (2024). Suicidality, gender identity-related stressors, and psychological flexibility among transgender and non-binary adults. Journal of Contextual Behavioral Science, 100732. doi:10.1016/j.jcbs.2024.100732 Gill, P. R., Arena, M., Rainbow, C., Hosking, W., Shearson, K. M., Ivey, G., & Sharples, J. (2023). Social connectedness and suicidal ideation: the roles of perceived burdensomeness and thwarted belongingness in the distress to suicidal ideation pathway. BMC psychology, 11(1), 312. doi:10.1186/s40359-023-01338-5 Haddadi, A., Matinnia, N., & Yazdi‐Ravandi, S. (2024). The relationship between coronadisease anxiety and sleep disturbances and suicidal ideation in medical staff: The mediating role of resiliency and cognitive flexibility: A cross‐sectional study. Health Science Reports, 7(8), e2282. doi:10.1002/hsr2.2282 He, J., Ouyang, F., Qiu, D., Li, L., Li, Y., & Xiao, S. (2021). Time trends and predictions of suicide mortality for people aged 70 years and over from 1990 to 2030 based on the global burden of disease study 2017. Frontiers in psychiatry, 12, 721343. doi:10.3389/fpsyt.2021.721343 Houman, H. (2005). Structural equation modeling with the application of LISREL software. Tehran: Organization for the Study and Compilation of Humanities Books for Universities (SAMT). Jang, J. S., Seo, W. S., Koo, B. H., Kim, H. G., Yun, S. H., Jo, S. H., ... & Cheon, E. J. (2024). The characteristics of elderly suicidal attempters in the emergency department in Korea: a retrospective study. Journal of Yeungnam Medical Science, 41(1), 30. doi:10.12701/jyms.2023.01004 Lutz, J., Van Orden, K. A., Bruce, M. L., & Conwell, Y. (2021). Social disconnection in late life suicide: an NIMH workshop on the state of the research in identifying mechanisms, treatment targets, and interventions. The American Journal of Geriatric Psychiatry, 29(8), 731-744. doi:10.1016/j.jagp.2021.01.137 Mahdavi, H., Abbasi, A., Zangi Darstani, E., & Manzari Tavakoli, R. (2024). The effect of compassion therapy on psychological toughness and suicidal thoughts in the elderly with depression. Journal of Gerontology, 8(4), 39-46. Mahmoudian, L. , Zangane Motlagh, F. and Dehestani, M. (2024). A comparative analysis of the effectiveness of reality therapy and cognitive behavioral therapy training on the development of preventive and interventive self-control in incompatible couples. Journal of Research in Psychopathology, 5(15), 39-45. doi: 10.22098/jrp.2024.11619.1137 Mikaeili, N., Teymoori, R. & Salmani, A. (2023). The relationship between the emotional nature, adult attachment and aggression in depressed patients. Journal of Research in Psychopathology, 4(11), 40-46. doi:10.22098/jrp.2023.9601.1043 Mohamadi, S. Y., Sotoodeh Asl, N., Jahan, F. and Moazedian, A. (2024). A causal model on adolescents' high-risk behaviors based on religious beliefs and self-compassion mediated by emotion regulation and social support. Journal of Research in Psychopathology, 5(16), 27-35. doi: 10.22098/jrp.2022.10741.1097 Ong, C. W., & Eustis, E. H. (2023). Psychological flexibility. The oxford handbook of acceptance and commitment therapy, 169-181. doi:10.1093/oxfordhb/9780197550076.013.7 Roth, A. R. (2022). Social connectedness and cognitive decline. The Lancet Healthy Longevity, 3(11), e723-e724. doi: 10.1016/S2666-7568(22)00217-3 Saito, M., Watanabe, R., Tamada, Y., Takeuchi, K., Tani, Y., Kondo, K., & Ojima, T. (2024). Social disconnection and suicide mortality among Japanese Elderly: A seven-year follow-up study. Social Science & Medicine, 347, 116778. doi:10.1016/j.socscimed.2024.116778 Siraj, S., Belete, H., Beka, M., Shegaw, M., Belete, A., & Birhan, Z. (2025). Determinants of suicidal behavior among elders in Northwest Ethiopia: implications for prevention. Frontiers in Psychiatry, 16, 1538877. doi.org/10.3389/fpsyt.2025.1538877 Soltani, E., Shareh, H., Bahrainian, A., & Farmani, A. (2013). The Mediating Role of Cognitive Flexibility in Correlation of Coping Styles and Resilience with Depression. Pajoohandeh Journal, 18, 88-96. Swarnalakshmi, S., Manjula, M., & Reddi, V. S. K. (2025). A Preliminary Outcome Study of Brief Cognitive Therapy for Management of Suicidal Thoughts and Behaviors: An Open-label Trial Protocol. Indian Journal of Psychological Medicine, 02537176251315390. doi:10.1177/025371762513153 Teo, R. H., Cheng, W. H., Cheng, L. J., Lau, Y., & Lau, S. T. (2023). Global prevalence of social isolation among community-dwelling Elderly: a systematic review and meta-analysis. Archives of gerontology and geriatrics, 107, 104904. doi:10.1016/j.archger.2022.104904 Turk, N., Arslan, G., Kaya, A., Güç, E., & Turan, M. E. (2024). Psychological maltreatment, meaning-centered coping, psychological flexibility, and suicide cognitions: A moderated mediation model. Child Abuse & Neglect, 152, 106735. doi:10.1016/j.chiabu.2024.106735 World Health Organization. (2023). The mental health of the Elderly. https:// www.who.int/news-room/fact-sheets/ detail/mental-health-of-older-adults Zardi Nahr, M. and Abdi, R. (2022). The role of chronotype (morning-evening) in predicting depression and suicidal ideation. Journal of Research in Psychopathology, 3(7), 10-16. doi: 10.22098/jrp.2022.9848.1045
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The Mediating Role of Social Disconnection in the Relation of Cognitive Flexibility with Suicidal Thoughts in Elderly