Early maladaptive schemas and suicidal ideation in depressed patients

• Autores: N. Flink, M. Lehto, Heli Koivumaa-Honkanen, Heimo Viinamäki, A. Ruusunen, M. Valkonen Korhonen, Kirsi Honkalampi
• Localización: European journal of psychiatry, ISSN 0213-6163, Vol. 31, Nº 3, 2017, págs. 87-92
• Idioma: inglés
• DOI: 10.1016/j.ejpsy.2017.07.001
• Texto completo no disponible (Saber más ...)
• Dialnet Métricas: 7 Citas
• Resumen

  • Background and objectives:

    Suicidal ideation is a key risk factor for suicidal behaviour among depressed individuals.

    To explore underlying cognitive patterns associated with suicidal ideation, the present study compared early maladaptive schemas (EMSs) among psychiatric out- patients in treatment for major depressive disorder with and without current suicidal ideation.

    Methods:

    The sample consisted of 79 depressed patients who responded to the background questionnaire and completed the Young Schema Questionnaire short form-extended, 21-item Beck Depression Inventory and Beck Hopelessness Scale.

    Results:

    Patients with suicidal ideation were more maladaptive in respect to the majority of EMSs compared to those without.

    After controlling for the concurrent depressive symptom severity and hopelessness ‘Vulnerability to Harm or Illness’ EMS, which concerns catastrophising beliefs, remained a predictor for suicidal ideation.

    Conclusion:

    EMSs may contribute to suicidal ideation among depressed individuals regardless of their mood and future orientation.

    These results offer implications for the assessment and treatment of suicidality

• Referencias bibliográficas
  • G. Arsenault-Lapierre, C. Kim, G. Turecki. Psychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry, 4 (2004), p. 37
  • J. Hintikka, H. Viinamäki, H.-T. Koivumaa-Tanskanen, P. Saarinen, A. Tanskanen, J. Lehtonen. Risk factors for suicidal ideation in psychiatric...
  • T.P. Sokero, T.K. Melartin, H.J. Rytsälä, U.S. Leskelä, P.S. Lestelä-Mielonen, E.T. Isometsä. Suicidal ideation and attempts among psychiatric...
  • J. Hintikka, T. Pesonen, P. Saarinen, A. Tanskanen, J. Lehtonen, H. Viinamäki. Suicidal ideation in the Finnish general population. A 12-month...
  • R.C. Kessler, G. Borges, E.E. Walters. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arc...
  • S. Ando, K. Kasai, M. Matamura, Y. Hasegawa, H. Hirakawa, N. Asukai. Psychosocial factors associated with suicidal ideation in clinical patients...
  • M. Pompili, P. Venturini, M. Palermo, H. Stefani, M.E. Seretti, D.A. Lamis, et al. Mood disorders medications: predictors of nonadherence...
  • F. Renner, J. Lobbestael, F. Peeters, A. Arntz, M. Huibers. Early maladaptive schemas in depressed patients: stability and relation with depressive...
  • C.E. Wang, M. Halvorsen, M. Eisemann, K. Waterloo. Stability of dysfunctional attitudes and early maladaptive schemas: a 9-year follow-up...
  • M. Halvorsen, C.E. Wang, J. Richter, I. Myrland, S.K. Pedersen, M. Eisemann, et al. Early maladaptive schemas, temperament and character traits...
  • K.K. Nilsson. Early maladaptive schemas in bipolar disorder patients with and without suicide attempts. J Nerv Ment Dis, 204 (2016), pp. 236-239
  • E. Pauwels, E. Dierckx, K. Schoevaerts, L. Claes. Early maladaptive schemas in eating disordered patients with or without non-suicidal self-injury....
  • L. Dutra, K. Callahan, E. Forman, M. Mendelsohn, J. Herman. Core schemas and suicidality in a chronically traumatized population. J Nerv Ment...
  • J.E. Young, J.S. Klosko, M.E. Weishaar. Schema therapy: a practitioner's guide. Guilford Press, New York, NY (2003)
  • M.B. First, R.L. Spitzer, M. Gibbon, J.B. Williams. Structured clinical interview for DSM-IV axis I disorders – patient edition (SCID-I/P,...
  • T.H. Saariaho, A.S. Saariaho, I.A. Karila, M.I. Joukamaa. The psychometric properties of the Finnish Young Schema Questionnaire in chronic...
  • A.T. Beck, C.H. Ward, M. Mendelson, J. Mock, J. Erbaugh. An inventory for measuring depression. Arch Gen Psychiatry, 4 (1961), pp. 561-571
  • R.F.W. Diekstra, N. Garnefski. On the nature, magnitude, and causality of suicidal behaviors: an international perspective. Suicide Life Threat...
  • A.T. Beck, A. Weissman, D. Lester, L. Trexler. The measurement of pessimism: the Hopelessness Scale. J Consult Clin Psychol, 42 (1974), pp....
  • J. Cohen. Statistical power analysis for the behavioral sciences. Lawrence Erlbaum, Hillsdale, NJ (1988)
  • J.M.G. Williams. Suicide and attempted suicide. Penguin, London, UK (2001)
  • R. Shah, G. Waller. Parental style and vulnerability to depression: the role of core beliefs. J Nerv Ment Dis, 188 (2000), pp. 19-25
  • V. Nanni, R. Uher, A. Danese. Childhood maltreatment predicts unfavorable course of illness and treatment outcome in depression: a meta-analysis....
  • S.R. Dube, R.F. Anda, V.J. Felitti, D.P. Chapman, D.F. Williamson, W.H. Giles. Childhood abuse, household dysfunction, and the risk of attempted...