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A model of the relationship between PMDD and suicidal behaviour, and the effects of childhood abuse among South African university students.

Thesis (MA)--Stellenbosch University, 2024.

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Main Author: Coetzee, Courtney
Other Authors: Roomaney, Rizwana
Format: Thesis
Published: Stellenbosch : Stellenbosch University 2025
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access_status_str Open Access
author Coetzee, Courtney
author2 Roomaney, Rizwana
author_browse Coetzee, Courtney
Roomaney, Rizwana
author_facet Roomaney, Rizwana
Coetzee, Courtney
author_sort Coetzee, Courtney
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MA)--Stellenbosch University, 2024.
format Thesis
id oai:scholar.sun.ac.za:10019.1/131981
institution Stellenbosch University (South Africa)
last_indexed 2026-06-10T12:46:37.536Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/131981 A model of the relationship between PMDD and suicidal behaviour, and the effects of childhood abuse among South African university students. Coetzee, Courtney Roomaney, Rizwana Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology. Premenstrual syndrome College students -- Mental health Suicidal behavior -- South Africa Child abuse -- Psychological aspects Women college students -- Health and hygiene -- South Africa UCTD Thesis (MA)--Stellenbosch University, 2024. ENGLISH ABSTRACT: Premenstrual Dysphoric Disorder is a mood disorder that is characterised by a cluster of debilitating cognitive, behavioural, and somatic symptoms. Studies have shown an inextricable link between exposure to childhood abuse and PMDD. There is a paucity of quantitative research showing relationships between PMDD and all phases on the spectrum of suicidal behaviour. Little research has attempted to predict risk for suicidality in the face of both PMDD symptoms and a history of child abuse in an integrated model. Utilising Joiner’s Interpersonal Psychological Theory of suicide, the study aimed to determine a structural model of the relationships between PMDD symptoms, suicidal behaviour, and child abuse (CA). This cross-sectional study utilised an online survey questionnaire to collect self-report data from a sample of 1218 female students from Stellenbosch University between March and June 2023. Data were analysed using Statistical Package for Social Sciences. Structural Equation Modeling was used to examine the 10 hypothesized structural relationships between PMDD symptoms, the constructs of IPT, and child abuse. Findings revealed that a positive screening for PMDD symptoms predicted both Thwarted belongingness (TB)and Perceived Burdensomeness (PB). CA had a direct positive effect on both PMDD symptoms and an Acquired Capability for Suicide (ACS). PB also significantly mediated the relationship between PMDD symptoms and an ACS. Additionally, CA moderated the relationship between TB and an ACS. This study provides support for the IPT, emphasizing the roles of PB and CA in the development of an ACS among women who screen positive for PMDD. Future research needs to include additional factors contributing towards suicide risk in future models to provide support for and strengthen the current model. AFRIKAANSE OPSOMMING: Premenstruele Disforiese versteuring (PMDD) is 'n gemoedsversteuring wat gekenmerk word deur uitputtende simptome. Navorsing ondersteun ‘n sterk verhouding tussen kinders met blootstellling aan kindermishandeling en simptome van PMDD. Daar is ‘n tekort aan kwantitatiewe navorsing wat die verhouding tussen PMDD en verskeie fases van selfmoordgedra ondersoek. Min navorsing het gepoog om die risiko van selfmoord te voorspel in die lig van beide PMDD simptome en 'n geskiedenis van kindermishandeling, in 'n geïntegreerde model. Deur gebruik te maak van Joiner se IPT van selfmoord, was die studie daarop gemik om 'n strukturele model van die verwantskappe tussen PMDDsimptome, die IPT-konstrukte van selfmoordgedrag en kindermishandeling te bepaal. Hierdie korrelasie-ontwerp navorsingstudie het 'n aanlyn vopnameraelys gebruik gemaak en selfverslagdata van 'n steekproef van 1218 vroulike studente van die Universiteit Stellenbosch oor Maart – Junie 2023 ingesamel. Data was geanaliseerd met behulp van SPSS en R. SVM was gebruik om die 10 veronderstelde strukturele verwantskappe tussen PMDD simptome, die konstrukte van IPT en kindermishandeling te ondersoek. PMDD-simptome het beide Verhinderde Behoort (TB) en Waargenome Lasbaarheid (PB) voorspel. Kindermishandeling het 'n direkte positiewe uitwerking op PMDD simptome so wel as die vermoë om selfmoord te pleeg (ACS), vermeerder. Waargenome lastigheid het ook die verhouding tussen PMDD-simptome en 'n vermoë tot selfmoord aansienlik bemiddel. Die studie ondersteun IPT se teorie van selfmoord, beklemtoon die rol van PB en kinderlike mishandeling in selfmoordrisiko onder vroue met PMDD. Intervensies wat fokus op gevoelens van lasbaarheid mag die selfmoordrisiko verminder. Toekomstige navorsing moet bykomende faktore wat bydra tot selfmoordrisiko in toekomstige modelle insluit om ondersteuning te bied en die huidige model te versterk. Masters 2025-05-05T14:10:18Z 2025-05-05T14:10:18Z 2024-12 Thesis https://scholar.sun.ac.za/handle/10019.1/131981 Stellenbosch University xvii, 175 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Premenstrual syndrome
College students -- Mental health
Suicidal behavior -- South Africa
Child abuse -- Psychological aspects
Women college students -- Health and hygiene -- South Africa
UCTD
Coetzee, Courtney
A model of the relationship between PMDD and suicidal behaviour, and the effects of childhood abuse among South African university students.
title A model of the relationship between PMDD and suicidal behaviour, and the effects of childhood abuse among South African university students.
title_full A model of the relationship between PMDD and suicidal behaviour, and the effects of childhood abuse among South African university students.
title_fullStr A model of the relationship between PMDD and suicidal behaviour, and the effects of childhood abuse among South African university students.
title_full_unstemmed A model of the relationship between PMDD and suicidal behaviour, and the effects of childhood abuse among South African university students.
title_short A model of the relationship between PMDD and suicidal behaviour, and the effects of childhood abuse among South African university students.
title_sort model of the relationship between pmdd and suicidal behaviour and the effects of childhood abuse among south african university students
topic Premenstrual syndrome
College students -- Mental health
Suicidal behavior -- South Africa
Child abuse -- Psychological aspects
Women college students -- Health and hygiene -- South Africa
UCTD
url https://scholar.sun.ac.za/handle/10019.1/131981
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