Impulsivity: a relevant dimension in depression regarding suicide attempts?
Impulsivity: a relevant dimension in depression regarding suicide attempts?
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DOI：
10.1016/s0165-0327(98)00130-x
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发表时间：
1999-06-01
影响因子：
6.6
通讯作者：
Guelfi, JD
中科院分区：
文献类型：
--
作者：
Corruble, E;Damy, C;Guelfi, JD
背景。本研究的重点是抑郁症患者的临床冲动，与自杀企图。采用冲动性评定量表和Baratt冲动性量表对50例抑郁症住院患者在入院时（WO）和治疗4周后（W4）的冲动性进行评估，并特别关注自杀企图。在整个样本中，冲动性得分在WO和W4之间显著下降。量表与问卷之间存在轻微的相关性，提示患者与临床医生在冲动性评估上存在一定差异。两组患者，自杀未遂者（SA） （n = 16）和非自杀未遂者（NSA） （n = 34），在样本特征和抗抑郁治疗方面，在抑郁和一般精神病理学评估方面均无差异。然而，SA患者在冲动性量表和问卷上的得分高于NSA患者，无论是在WO还是W4。这些结果表明，首先，冲动可能是抑郁症自杀企图者的一种特征和状态，其次，它可能与抑郁症的自杀企图有关。(C) 1999 Elsevier Science B.V.版权所有
Background. This study focuses on clinical impulsivity in depressed patients, regarding suicide attempts.Methods. Fifty depressed in-patients were assessed for impulsivity with the Impulsivity Rating Scale and the Baratt Impulsivity Scale, at admission (WO) and after 4 weeks of treatment (W4), with special attention to suicide attempts.Results. In the whole sample, impulsivity scores decreased significantly between WO and W4. The scale and the questionnaire correlated slightly with each other, suggesting some differences in impulsivity assessment between patients and clinicians. The two subgroups of patients, suicide attempters (SA) (n = 16) and non-suicide attempters (NSA) (n = 34), were different neither in terms of sample characteristics and antidepressant treatments nor in terms of depression and general psychopathology assessments. However, SA patients scored higher on the impulsivity scale and questionnaire than NSA patients, both at WO and W4. These results suggest first that impulsivity may be both a trait and a state in depressed suicide attempters and second that it may be relevant in terms of suicide attempts in depression. (C) 1999 Elsevier Science B.V. All rights reserved.