重复的负面思维作为自杀想法的独特跨诊断风险因素
M M Caudle1, N N Dugas2, K Patel3
1San Diego State University, University of California San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, United States.
重复的负面思维 (RNT) 与更高的自杀风险有关,即使考虑到抑郁和焦虑. 准RNT可能有助于评估和减少情绪和焦虑障碍患者的自杀风险.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 重复的负面思维 (RNT) 是情绪和焦虑障碍的一个常见症状.
- RNT的特点是频繁,痛苦和无法控制的想法.
- 之前关于RNT和自杀风险的研究通常集中在特定疾病和RNT亚型上.
研究的目的:
- 调查跨诊断RNT与自杀念头之间的关联.
- 为了确定RNT是否与自杀风险相关,而不依赖于疾病特异性临床症状.
- 探索评估RNT对自杀风险分层的临床实用性.
主要方法:
- 招募了54名心情,焦虑和/或创伤性压力障碍的参与者.
- 使用哥伦比亚-自杀严重程度评级表 (C-SSRS) 评估了自杀风险.
- 跨诊断的RNT,抑郁和焦虑都通过自我报告问卷进行了测量.
主要成果:
- 根据C-SSRS得分,参与者被分为高或低自杀风险组.
- 发现RNT与自杀风险组有独特的关联.
- 在控制抑郁症和焦虑症严重程度后,这种关联仍然显著.
结论:
- 跨诊断的RNT是自杀风险的重要指标,超出了抑郁症和焦虑症的一般症状严重程度.
- 评估RNT可能会提高对个体自杀风险的临床理解.
- 针对RNT的临床干预可能对自杀风险较高的个体有益.
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