Childhood Maltreatment, Emotional Response Inhibition, and Suicide in Psychiatric Inpatients.
Childhood Maltreatment, Emotional Response Inhibition, and Suicide in Psychiatric Inpatients.
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DOI:
10.1016/j.beth.2021.05.006
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发表时间:
2021-11
期刊:
影响因子:
3.7
通讯作者:
Schatten HT
中科院分区:
文献类型:
--
作者:
Allen KJD;Bozzay ML;Armey MF;Nugent NR;Miller Iii IW;Schatten HT
Childhood abuse and/or neglect adversely influences development of neurocognitive systems that regulate affect and behavior. Poor inhibitory control over emotional reactions is thus one potential pathway from maltreatment to suicide. Adult psychiatric inpatients completed the Childhood Trauma Questionnaire and an emotional stop-signal task indexing negative emotional action termination (NEAT): the ability to inhibit ongoing motor reactions to aversive stimuli triggered by negative affect. Clinical interviews assessed suicidal thoughts and behaviors during hospitalization (n = 131) and at follow-up assessments six months later (n = 87). Our primary aim was to examine whether maltreatment history and NEAT explain overlapping variance in suicidal behaviors (1) retrospectively and (2) six months following hospital discharge. Contrary to prediction, childhood maltreatment was unrelated to history of suicidal behaviors. However, NEAT was consistently associated with prior suicidal acts, even controlling for suicidal ideation and demographic covariates. NEAT similarly contributed to the prediction of post-discharge suicidal behaviors, whereas we found no effect of maltreatment history. The present study suggests that NEAT captures suicide risk independently of childhood maltreatment. Results implicated NEAT impairment specifically, rather than broader response inhibition deficits (e.g., to positive stimuli), in past and future suicidal behaviors. These findings provide preliminary support for NEAT as a behavioral vulnerability marker for suicide, with implications for understanding links between maltreatment history and suicidal acts.
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影响因子:
2.8
作者:
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通讯作者:
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影响因子:
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DOI:
10.1097/00004583-199703000-00012
发表时间:
1997-03-01
影响因子:
13.3
作者:
Bernstein, DP;Ahluvalia, T;Handelsman, L
通讯作者:
Handelsman, L