Association between suicidal ideation, negative symptoms and theory of mind in first episode psychosis.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-02-01 Epub Date: 2024-07-17 DOI:10.1007/s00127-024-02709-y

Mai Abdel Samie, Mohamed Nasreldin, Mostafa Shahin, Dalal A Amer, Rania Mamdouh Mohamed, Dina Badie Taher, Talha Sayed, Nadine Ahmed, Ali Mabrouk, Joseph Mamdouh, Sherif M Gohar

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Abstract

Purpose: Suicidal thoughts are common among patients with first episode psychosis (FEP). The impact of symptoms' severity and social cognition on suicidal risk should be a focus of attention. This study aimed at assessment of the severity of suicidal ideation in patients with FEP and its potential association with the theory of mind (ToM) impairment and symptoms' severity.

Methods: Ninety-six participants were recruited consecutively and subdivided into three equal groups: FEP, schizophrenia, and healthy controls (HC). The symptoms' severity was assessed using Positive and Negative Syndrome Scale (PANSS) and Beck Depression Inventory (BDI). Suicidal ideation was evaluated using Beck Scale for Suicidal Ideation (BSSI). Reading the Mind in the Eyes revised version (RMET) was used to assess ToM.

Results: Suicidal ideation was significantly higher only in FEP compared to HC (p = 0.001). Both FEP and schizophrenia had substantially lower performance than HC on RMET (p < 0.001). Higher depression (β = 0.452, p = 0.007) and negative symptoms (β = 0.433, p = 0.027) appeared to be significantly associated with increased suicidal ideation severity in FEP while RMET did not.

Conclusion: Patients with FEP and chronic schizophrenia have comparable deficits in theory of mind dimension of social cognition. The severity of negative and depressive symptoms potentially contributes to the increased risk of suicide in FEP.

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初发精神病患者的自杀意念、消极症状和思维理论之间的关联。

目的：自杀念头在首发精神病（FEP）患者中很常见。症状严重程度和社会认知对自杀风险的影响应成为关注的焦点。本研究旨在评估 FEP 患者自杀意念的严重程度及其与心智理论（ToM）障碍和症状严重程度的潜在关联：连续招募了 96 名参与者，并将其分为三个相同的组别：FEP 组、精神分裂症组和健康对照组（HC）。症状严重程度采用阳性和阴性综合量表（PANSS）和贝克抑郁量表（BDI）进行评估。自杀意念采用贝克自杀意念量表（BSSI）进行评估。结果显示，只有在自杀意念显著高于正常人的情况下，才会出现自杀倾向：结果：只有 FEP 患者的自杀意念明显高于 HC 患者（P = 0.001）。FEP和精神分裂症患者在RMET上的表现均大大低于HC（p 结论：FEP和精神分裂症患者在RMET上的表现均大大低于HC：FEP 和慢性精神分裂症患者在社会认知的心智理论维度上存在相似的缺陷。阴性和抑郁症状的严重程度可能是导致 FEP 患者自杀风险增加的潜在原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.