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学科主题: 精神卫生
题名:
Anhedonia and Pain Avoidance in the Suicidal Mind: Behavioral Evidence for Motivational Manifestations of Suicidal Ideation in Patients With Major Depressive Disorder
作者: Xie, Weizhen1; Li, Huanhuan1,2; Luo, Xinwei1; Fu, Rong1; Ying, Xiangyu1; Wang, Ning1; Yin, Qifeng1; Zou, Yingmin1; Cui, Yanyan1; Wang, Xiang3; Shi, Chuan4
关键词: suicide ; suicidal ideation ; psychological pain ; anhedonia ; pain avoidance
刊名: JOURNAL OF CLINICAL PSYCHOLOGY
发表日期: 2014-07-01
DOI: 10.1002/jclp.22055
卷: 70, 期:7, 页:681-692
收录类别: SSCI
文章类型: Article
WOS标题词: Social Sciences
类目[WOS]: Psychology, Clinical
研究领域[WOS]: Psychology
关键词[WOS]: PSYCHIATRIC OUTPATIENTS ; MONETARY ; SCALE ; TASK
英文摘要:

Objectives: Psychological pain may be helpful in conceptualizing suicidal behavior, in that high motivation to avoid pain combined with painful feelings may contribute to an increased risk of suicide. However, no experimental study has tested this hypothesis. The aim of the present study is to provide empirical evidence for the relationship between anhedonia, pain avoidance motivation, and suicidal ideation. Method: The sample comprised 40 depressed outpatients and 20 healthy control subjects. All participants completed the Beck Scale for Suicide Ideation (BSS), Beck Depression Inventory, Psychache Scale, Three-Dimensional Psychological Pain Scale, the monetary incentive delay (MID), and affective incentive delay (AID) tasks. Based on BSS scores, clinical participants were divided into high suicidal ideation (HSI) and low suicidal ideation (LSI) groups. Results: In the AID task, the HSI group had longer response times (RTs) under the reward condition than those under the punishment condition (p = .002). The LSI and control groups had shorter RTs under the reward condition compared with those under the neural condition (p < .001 and p = .008, respectively). The LSI group also had shorter RTs under the reward condition than under the punishment condition (p = .003). Pain arousal (r = -.33, p < .01) and BSS scores were significantly negatively correlated with differences in RTs between neutral and reward conditions. Pain avoidance (r = .35, p < .01) and BSS scores were positively correlated with differences in RTs between neutral and punishment conditions. Conclusions: The AID task was more sensitive than the MID task for the detection of participants′ motivation in approaching hedonic experiences and avoiding pain. A suicidal mindset is manifested as decreased motivation to experience hedonia and increased motivation to avoid pain, which could be strong predictors of suicidal behavior. (C) 2013 Wiley Periodicals, Inc.

语种: 英语
WOS记录号: WOS:000337623800007
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52278
Appears in Collections:北京大学精神卫生研究所_期刊论文

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作者单位: 1.Renmin Univ China, Beijing 100872, Peoples R China
2.Peking Univ, Hosp 6, Beijing, Peoples R China
3.Chinese Acad Sci, Inst Psychol, Beijing 100864, Peoples R China
4.Cent S Univ, Xiangya Hosp 2, Med Inst Psychol, Changsha, Hunan, Peoples R China

Recommended Citation:
Xie, Weizhen,Li, Huanhuan,Luo, Xinwei,et al. Anhedonia and Pain Avoidance in the Suicidal Mind: Behavioral Evidence for Motivational Manifestations of Suicidal Ideation in Patients With Major Depressive Disorder[J]. JOURNAL OF CLINICAL PSYCHOLOGY,2014,70(7):681-692.
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