COVID-19大流行期间的时间感知和自杀意念:纵向研究

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Journal of affective disorders Pub Date : 2025-01-15 Epub Date: 2024-10-22 DOI:10.1016/j.jad.2024.10.094
Sergio Sanz-Gómez, Jonathan Dubois, Adrián Alacreu-Crespo, Lucas Giner, Aiste Lengvenyte, Emilie Olié, Philippe Courtet
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引用次数: 0

摘要

背景:在整个 COVID-19 大流行期间,有多份关于封锁期间时间感知紊乱的报告。我们的目的是研究主观时间流(SFT)在引发有自杀未遂史(SA)患者自杀意念中的作用,并与无自杀未遂史的情感对照组(AC)进行比较:这项研究涉及 296 名精神病患者,他们在 2020 年至 2021 年期间接受了五次评估。我们使用混合逻辑模型对 SFT 进行了分析,并对政府限制的重要时期的 SFT 进行了特征描述。多变量逻辑回归用于识别独立的 SFT 特征。考虑到与抑郁、失眠、孤独和社会支持的交互作用,我们评估了 SFT 与自杀意念之间的关联:研究结果表明,SFT 发生了重大变化,这与政府限制的实施和放松密切相关。在最初的封锁期间,与 AC 相比,SA 的 SFT 水平较低。此外,SFT 与自杀意念之间的关系受到抑郁症的影响。在两次封锁之间的过渡时期,SFT对自杀意念的影响受失眠的调节:讨论:SFT的紊乱可能与对封锁条件的适应性有关,也可能是抑郁、失眠、自杀意念和整体心理困扰的一种应对机制。了解SFT与这些因素的相互作用,有助于深入了解其中的复杂心理机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Time perception and suicidal ideation during COVID-19 pandemic: A longitudinal study.

Background: There are several reports of disruptions in time perception during lockdown periods throughout the COVID-19 pandemic. Our aim was to study the role of subjective flow of time (SFT) in the triggering of suicidal ideation in patients with a history of suicide attempt (SA), as compared with affective controls without such history (AC).

Methods: This study involved 296 psychiatric patients that were assessed five times between 2020 and 2021. We analyzed the SFT using a mixed logistic model and characterized SFT during significant periods of governmental restrictions. Multivariate logistic regressions were used to identify independent SFT characteristics. We evaluated the association between SFT and suicidal ideation, considering interactions with depression, insomnia, loneliness, and social support.

Results: The findings revealed a significant alteration in SFT, closely linked to the implementation and easing of governmental restrictions. During the initial lockdown, SA exhibited lower SFT levels compared to AC. Furthermore, the relationship between SFT and suicidal ideation was influenced by depression. In the interim period between lockdowns, SFT's impact on suicidal ideation was mediated by insomnia.

Discussion: Disturbances in SFT could be related to adaptability to lockdown conditions or may be a coping mechanism with depression, insomnia, suicidal ideation and overall psychological distress. Understanding the interplay of SFT with these factors provides crucial insights into the complex psychological mechanisms involved.

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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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