Hopelessness and the anticipation of positive and negative future experiences in older parasuicidal adults
Hopelessness and the anticipation of positive and negative future experiences in older parasuicidal adults
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DOI：
10.1348/014466502760379208
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发表时间：
2002-09-01
影响因子：
3.1
通讯作者：
Davidson, KM
中科院分区：
文献类型：
--
作者：
Conaghan, S;Davidson, KM
目标。与社区控制组相比，该研究考察了抑郁或有准自杀行为的老年人是否可以通过积极的未来导向思维减少而没有任何消极的未来导向思维增加来识别。采用混合设计，比较三组（社区控制组、抑郁控制组和准自杀者）与未来三个时间段（一周、一年和5-10年）有关的未来导向思维（积极和消极）。总共有22名65岁以上的参与者因非致命的自杀行为而入院，他们与22名正在接受抑郁症治疗的老年人和22名没有任何明显心理症状的老年社区志愿者进行了比较。主要的测量是对传统语言流畅性范式的适应，并试图量化未来导向思维。与社区对照组相比，准自杀和抑郁的参与者表现出积极的未来思维减少，但消极的未来思维没有增加。结果证实，老年准自杀者和老年抑郁症参与者的特征是积极预期的减少，这可能是由抑郁而不是绝望造成的。
Objectives. This study examined whether older people who were depressed or had engaged in parasuicidal behaviour could be identified by a decrease in positive future-directed thinking in the absence of any increase in negative future-directed thinking, in comparison with a community control group.Design. A mixed design was used that compared three groups (community controls, depressed controls and parasuicidal participants) in terms of future-directed thinking (positive and negative), in relation to three future time periods (one week, one year and 5-10 years).Methods. In all, 22 participants over 65 years of age, who had been admitted to hospital following a non-fatal suicidal act, were compared with 22 older people being treated for depression and 22 older community volunteers who were not experiencing any significant psychological symptoms. The main measure was an adaptation of the traditional verbal fluency paradigm and attempted to quantify future-directed thinking.Results. Parasuicidal and depressed participants showed decreased positive future thinking, but no increase in negative future thinking, in comparison with the community control group.Conclusions. The results confirm that older parasuicidal and older depressed participants are characterized by a reduction in positive anticipation and that this may be accounted for by depression rather than hopelessness.