Anhedonia and suicidal thoughts and behaviors in psychiatric outpatients: The role of acuity

Hawes Mariah; Galynker Igor; Barzilay Shira; Yaseen Zimri S.

摘要

Background >Anhedonia—impairment related to the experience of pleasure—has been identified as a potential risk factor for suicide, with some mixed findings. The current study sought to clarify the role of acuity of anhedonia in the relationship between anhedonia and suicidal thoughts and behaviors by comparing acutely and chronically anhedonic subjects on severity of suicidal ideation (SI) and suicide attempt (SA) history. </section> <section xml:id="da22814-sec-0020"> <title type="main">Methods > Psychiatric outpatients ( N ?=?395) were administered the Columbia Suicide Severity Rating Scale, the Beck Scale for Suicidal Ideation and a modified version of the Snaith–Hamilton Pleasure Scale (SHPS); SI measures were readministered at a 1‐month follow‐up ( N ?=?289, 73%). Participants were classified as acutely anhedonic, chronically anhedonic and nonanhedonic based on their responses to the SHPS at initial assessment. </section> <section xml:id="da22814-sec-0030"> <title type="main">Results >Controlling for symptoms of anxiety and depression, acute anhedonia was cross‐sectionally and prospectively associated with greater severity of SI compared to the nonanhedonic group; no differences in severity of SI were found between the chronically anhedonic and nonanhedonic group at either time point. Anhedonia grouping was not associated with SA history. </section> <section xml:id="da22814-sec-0040"> <title type="main">Conclusion >Changes in capacity to experience pleasure may be more informative of near‐term SI than typically low pleasure levels. Future investigation should focus on the relationship between acute anhedonia and imm </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract Type =“Main”XML：Lang =“en”> <第XML：ID =“da22814-ec-0010”> <标题类型=“main”>背景</ title> >与anhedonia损伤相关快乐的经验 - 已被确定为自杀的潜在危险因素，具有一些混合发现。目前的研究试图澄清安赤炎敏锐度在厌备症和自杀思想和行为之间的作用，通过比较急性和慢性的厌氧对象对自杀性想象（Si）和自杀企图（SA）历史的严重程度。</ p> < /截面> <第X章：ID =“DA22814-SEC-0020”> <标题类型=“main”>方法</ title> >精神科门诊（ n </ i>？=？395）是管理哥伦比亚自杀严重程度评级规模，自杀式思想的贝克规模和Snaith-Hamilton快乐秤的修改版本（SHPS）; SI措施以1个月的跟进（ n </ i>？=？289,73％）。参与者被归类为急性Anhedonic，慢性厌氧和非裔裔美国人在初步评估时对SHP的回应。 </ p> </ section> <section XML：ID =“DA22814-SEC-0030”> <标题类型=“main”>结果</标题> >控制焦虑和抑郁症状，急性Anhedonia是十字架与非洲裔裔群体相比，与Si的更严重程度相比，与术术相比;在任一时间的慢性嗜肺和嗜肾上腺素组之间没有发现Si的严重程度。 Anhedonia分组与SA历史无关。</ p> </ section> <section xml：id =“da22814-sec-0040”> <标题类型=“main”>结论</ title> >容量的变化享受乐趣可能与近期SI的乐趣比通常低的乐趣水平更有信息。未来的调查应侧重于急性安赤炎和IMM的关系 </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-32884/'>《Depression and anxiety》</a> <b style="margin: 0 2px;">|</b><span>2018年第12期</span><b style="margin: 0 2px;">|</b><span>共10页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hawes Mariah&option=202" target="_blank" rel="nofollow">Hawes Mariah;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Galynker Igor&option=202" target="_blank" rel="nofollow">Galynker Igor;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Barzilay Shira&option=202" target="_blank" rel="nofollow">Barzilay Shira;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Yaseen Zimri S.&option=202" target="_blank" rel="nofollow">Yaseen Zimri S.;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Department of PsychiatryMount Sinai Beth Israel Medical CenterNew York New York;</p> <p>Department of PsychiatryMount Sinai Beth Israel Medical CenterNew York New York;</p> <p>Department of PsychiatryMount Sinai Beth Israel Medical CenterNew York New York;</p> <p>Department of PsychiatryMount Sinai Beth Israel Medical CenterNew York New York;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span>R749.72; </span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=assessment/diagnosis&option=203" rel="nofollow">assessment/diagnosis;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=depression&option=203" rel="nofollow">depression;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=dysthymic disorder&option=203" rel="nofollow">dysthymic disorder;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=measurement/psychometrics&option=203" rel="nofollow">measurement/psychometrics;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=suicide/self‐harm&option=203" rel="nofollow">suicide/self‐harm;</a> </p> <div class="translation"> 机译：评估/诊断;抑郁症;心肌障碍;测量/精神仪;自杀/自我伤害; </div> </li> </ul> </div> </div> <div class="literature cardcommon" id="literaturereference" style="display:none"> <div class="similarity "> <h3 class="all_title" id="enpatent111">引文网络</h3> <div class="referencetab clearfix"> <ul id="referencedaohang"> <li dataid="referenceul">参考文献</li> <li dataid="citationul">引证文献</li> <li dataid="commonreferenceul">共引文献</li> <li dataid="commoncitationul">同被引文献</li> <li dataid="tworeferenceul">二级参考文献</li> <li dataid="twocitationul">二级引证文献</li> </ul> </div> <div class="reference_details" id="referenceList"> <ul id="referenceul"></ul> <ul id="citationul"></ul> <ul id="commonreferenceul"></ul> <ul id="commoncitationul"></ul> <ul id="tworeferenceul"></ul> <ul id="twocitationul"></ul> </div> 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