Negative affect is more strongly associated with suicidal thinking among suicidal patients with borderline personality disorder than those without.
Negative affect is more strongly associated with suicidal thinking among suicidal patients with borderline personality disorder than those without.
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DOI：
10.1016/j.jpsychires.2018.08.006
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发表时间：
2018-09
影响因子：
4.8
通讯作者：
Nock MK
中科院分区：
文献类型：
--
作者：
Mou D;Kleiman EM;Fedor S;Beck S;Huffman JC;Nock MK
患有边缘型人格障碍（BPD）的患者自杀想法和行为（STBs）的风险较高，但这种良好描述和临床重要的关联尚未得到充分理解。先前的研究表明，STBs通常作为一种逃避厌恶情绪的尝试，BPD患者比没有BPD的人经历更强的情绪反应和更大的情绪不适。在这里，我们测试了BPD患者的消极情感状态是否比没有这种疾病的人更容易预测自杀想法。研究人员每天多次收集35名精神病住院患者的情感状态和自杀想法的数据，并使用他们的智能手机来捕捉负面情绪和自杀想法之间的实时关联。结果显示，消极情感状态（例如，BPD患者自杀念头的严重程度比非BPD患者更强。这一发现对临床环境中的风险评估和干预具有重要意义：对于报告的一定程度的负面影响，BPD患者比没有BPD的患者经历更多的自杀意念。需要进一步的研究来阐明这种效应的机制。
Patients suffering from borderline personality disorder (BPD) are at elevated risk for suicidal thoughts and behaviors (STBs), but this well-described and clinically important association is not well-understood. Prior research suggests that STBs often function as an attempt to escape aversive affect, and that people with BPD experience stronger emotion reactivity and greater discomfort with emotion than those without BPD. Here, we tested whether negative affective states are more likely to predict suicidal thoughts among those with BPD than those without this disorder. Data on affective states and suicidal thoughts were collected several times per day from 35 psychiatric inpatients using their smartphones to capture real-time associations between negative affect and suicidal thoughts. Results revealed that the association between negative affective states (e.g., abandonment, desperation, guilt, hopelessness, loneliness, rage, self-hatred, and upset), and severity of suicidal thinking was stronger among those with BPD than among those without BPD. This finding has implications for risk assessment and intervention in the clinical setting: for a given degree of reported negative affect, patients with BPD experience more suicidal ideation than those without. Further research needs to be done to elucidate the mechanism of this effect.
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10.1097/00004583-199812000-00012
发表时间：
1998-12-01
影响因子：
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作者：
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