Suicide ideation as a predictor of treatment outcomes in cognitive-behavioral therapy for unipolar mood disorders

• Ruth von Brachel ^[1] ; Tobias Teismann ^[1] ; Lisa Feider ^[1] ; Jürgen Margraf ^[1]
  1. [1] Ruhr University Bochum

     Ruhr University Bochum

     Kreisfreie Stadt Bochum, Alemania

     
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 19, Nº. 1, 2019, págs. 80-84
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2018.09.002
• Títulos paralelos:
  • La ideación suicida como predictor de los resultados del tratamiento en terapia cognitivo-conductual para los trastornos del estado de ánimo unipolares
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 6 Citas
• Resumen
  • español

    Antecedentes/Objetivo: La ideación suicida es común en pacientes deprimidos. No obstante, hasta la fecha no hay estudios que hayan examinado si la ideación suicida previa al tratamiento está asociada con resultados más pobres de la terapia cognitivo-conductual para la depresión en adultos. Método: 475 pacientes ambulatorios deprimidos (edad: M = 39,9 años; DT = 11,71; 60,2% mujeres) participaron en una evaluación previa al tratamiento y posterior al tratamiento. La ideación suicida previa al tratamiento medida con el ítem “suicidio” del BDI se consideró como predictor de los resultados del tratamiento – controlando la edad, el género, el número de sesiones de terapia recibidas así como la gravedad de la depresión previa al tratamiento. Resultados: la regresión jerárquica reveló que la edad, el género, el número de sesiones de terapia recibidas y la gravedad de la depresión al inicio del estudio pudieron explicar el 25% de la varianza de las puntuaciones del BDI después del tratamiento. Añadir la ideación suicida elevó significativamente el procentaje de varianza explicada al 27%. Los resultados del tratamiento fueron peores para los pacientes con depresión más grave, pacientes con tendencias suicidas, pacientes que recibieron más sesiones de terapia y pacientes mayores. Conclusiones: la ideación suicida agregó solo una pequeña variación incremental a la predicción prospectiva de la gravedad de la depresión posterior al tratamiento. Los pacientes deprimidos con ideación suicida obtienen casi el mismo beneficio de la terapia cognitivo-conductual que los pacientes deprimidos sin ideación suicida, siendo este un resultado alentador desde un punto de vista clínico.

  • English

    Background/Objective: Suicide ideation is common in depressed patients. However, no studies to date have examined whether pretreatment suicide ideation is associated with poorer outcomes after cognitive-behavioral therapy for adult depression. Method: 475 depressed outpatients (age: M = 39.9 years, SD = 11.71; 60.2% female) took part in a pre-treatment and a post-treatment assessment. Pre-treatment suicide ideation measured with the BDI suicide item was considered as a predictor of treatment outcomes – controlling for age, gender, number of attended therapy sessions, as well as pre-treatment depression severity. Results: Hierarchical regression revealed that age, gender, number of completed therapy sessions and depression severity at baseline could explain 25% of the variance in post-treatment BDI-scores. Adding suicide ideation significantly improved the amount of variance explained to 27%. Treatment outcomes were worse for patients with more severe depression, suicidal patients, patients receiving more therapy-sessions and older patients. Conclusions: Suicide ideation added only little incremental variance to the prospective prediction of post-treatment depression severity. Depressed patients with suicide ideation can attain almost as good treatment outcomes as patients without suicide ideation, which is a clinically encouraging result.

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