Examining heterogeneity in the affect-regulating function of suicidal ideation: Person-specific analyses in male inpatients with depression.

IF 2.7 3区 医学 Q2 PSYCHIATRY
Nina Hallensleben, Jannis Kraiss, Heide Glaesmer, Thomas Forkmann, Lena Spangenberg
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引用次数: 0

Abstract

Introduction: Men have an increased risk to die by suicide compared to women but are underrepresented in suicide research. To improve individual risk prediction for suicide-related thoughts and behaviors (STBs), risk factors are increasingly being studied at an individual level. The possible affect-regulatory function of suicidal ideation has hardly been investigated ideographically and has not yet been tested in a male sample.

Methods: We investigated the bidirectional associations between suicidal ideation and negative and positive affect in a sample of n = 21 male inpatients with unipolar depression and a history of suicidal ideation both at the group level and at the individual level. Participants underwent an intensive ecological momentary assessment for 6 days with 10 data points per day.

Results: We found no evidence for an affect-regulatory function of suicidal ideation at the group level, neither for effects of affect on subsequent suicidal ideation (antecedent affect-regulatory hypothesis) nor for effects of suicidal ideation on subsequent affect (consequence affect-regulatory hypothesis). Person-specific analyses revealed substantial variability in strength and direction of the considered associations, especially for the associations representing the antecedent hypothesis.

Conclusion: The demonstrated between-person heterogeneity points to the necessity to individualize the investigation of risk factors to enhance prediction and prevention of STBs.

研究自杀意念的情感调节功能的异质性:对男性抑郁症住院患者进行个体分析。
导言:与女性相比,男性自杀身亡的风险更高,但在自杀研究中,男性的比例却很低。为了改善与自杀相关的想法和行为(STBs)的个体风险预测,越来越多的风险因素正在个体层面上进行研究。自杀意念可能具有的情感调节功能几乎没有在意念学上进行过研究,也没有在男性样本中进行过测试:我们对 n = 21 名患有单相抑郁症并有自杀倾向的男性住院患者进行了群体和个体层面的研究,调查了自杀意念与消极和积极情绪之间的双向关联。参与者接受了为期 6 天、每天 10 个数据点的强化生态瞬间评估:在群体层面,我们没有发现自杀意念具有情感调节功能的证据,既没有发现情感对随后自杀意念的影响(前因情感调节假说),也没有发现自杀意念对随后情感的影响(后果情感调节假说)。针对特定人群的分析表明,所考虑的关联在强度和方向上存在很大差异,尤其是代表前因假设的关联:结论:所显示的人际异质性表明,有必要对风险因素进行个性化调查,以加强对 STB 的预测和预防。
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
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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