Imagery about suicide in depression - "Flash-forwards"?
Imagery about suicide in depression - "Flash-forwards"?
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DOI：
10.1016/j.jbtep.2007.10.004
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发表时间：
2007-12-01
影响因子：
1.8
通讯作者：
Williams, J. Mark G.
中科院分区：
文献类型：
--
作者：
Holmes, Emily. A.;Crane, Catherine;Williams, J. Mark G.
自杀是一个重大的世界卫生问题，全球自杀死亡人数多于战争死亡人数。我们需要更好地理解自杀思维背后的认知过程，以改进治疗方法的开发。认知心理学表明，心理意象在决定未来行为方面可能具有因果关系，但此前尚未对与自杀相关的意象的出现进行过研究。对15名处于缓解期的抑郁且有过自杀史的患者进行的访谈发现，所有患者都报告说，在他们最绝望的时候，除了有言语上的想法外，还会有详细的心理意象，例如未来自杀尝试的画面。一种对自杀意念严重程度的临床测量与对自杀相关意象的专注程度以及感知到的意象的真实性都有关联。与创伤后应激障碍中的闪回类似，当前的意象看起来像是对自杀的“闪前”。这些结果提供了据我们所知的关于自杀倾向中存在心理意象的首批数据，为研究开辟了一条有希望的新途径。（C）2007爱思唯尔有限公司。保留所有权利。
Suicide is a significant world health problem, with more deaths by suicide globally than by war. We need to better understand the cognitive processes underlying suicidal thinking for improved treatment development. Cognitive psychology indicates that mental imagery can be causal in determining future behavior, yet the occurrence of suicide-related imagery has not previously been investigated. Interviews with 15 depressed and formerly suicidal patients in remission found that all patients reported experiencing detailed mental imagery in addition to verbal thoughts when at their most despairing, for example images of making a future suicide attempt. A clinical measure of the severity of suicidal ideation was associated with both preoccupation with suicide-related imagery and perceived imagery realness. Echoing flashbacks in posttraumatic stress disorder, the current images appeared like "flash-forwards" to suicide. These results provide the first data to our knowledge on the existence of mental imagery in suicidality, opening a promising new avenue for research. (C) 2007 Elsevier Ltd. All rights reserved.