The alexithymia, emotion regulation, emotion regulation difficulties, positive and negative affects, and suicidal risk in alcohol-dependent outpatients
The alexithymia, emotion regulation, emotion regulation difficulties, positive and negative affects, and suicidal risk in alcohol-dependent outpatients
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DOI：
10.1016/j.psychres.2017.03.005
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发表时间：
2017-06-01
影响因子：
11.3
通讯作者：
Ardakani, Razieh Jamaati
中科院分区：
文献类型：
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作者：
Ghorbani, Fatemeh;Khosravani, Vahid;Ardakani, Razieh Jamaati
本研究的目的是评估潜在的影响因素，如述情障碍，情绪调节和情绪调节的困难，积极/消极的影响和临床因素，包括酒精依赖的严重程度和抑郁症与高自杀的门诊酒精依赖患者。205名酒精依赖门诊患者和100名正常对照者完成了人口统计学问卷、波斯语版本的多伦多述情障碍量表（FTAS-20）、情绪调节困难量表（DERS）、情绪调节问卷（ERQ）、正/负情感量表、酒精使用障碍识别测试（AUDIT）和贝克抑郁量表-II（BDI-II）。采用自杀意念量表（SSI）和病史采集评估自杀风险。门诊酒精依赖患者在述情障碍、情绪调节困难、抑制因子、负性情感和自杀意念上的平均值均高于正常对照组。Logistic回归分析显示，负面影响，饮酒时间，外向型思维，酒精依赖的严重程度解释终身自杀企图。抑郁、冲动、酒精依赖的严重程度、重新评价（reappraisal，REPRACTIVE）、外向型思维、难以从事目标导向的行为和负面情绪显著预测自杀风险。本研究结果为酒精中毒患者的述情障碍、情绪调节、情绪调节困难及情绪与自杀行为的相关性提供了有用的证据。
The aim of this study was to evaluate the potential contributing factors such as alexithymia, emotion regulation and difficulties in emotion regulation, positive/negative affects and clinical factors including severity of alcohol dependence and depression connected to high suicidality in alcohol-dependent outpatients. 205 alcohol dependent outpatients and 100 normal controls completed the demographic questionnaire, the Persian version of the Toronto Alexithymia Scale (FTAS-20), the Difficulties in Emotion Regulation Scale (DERS), the Emotion Regulation Questionnaire (ERQ), the Positive/Negative Affect Scales, the Alcohol Use Disorders Identification Test (AUDIT), and the Beck Depression Inventory-II (BDI-II). The suicidal risk was assessed using the Scale for Suicide Ideation (SSI) and history taking. Alcohol-dependent outpatients showed higher means in alexithymia, difficulties in emotion regulation, suppression subscale, negative affect, and suicide ideation than normal controls. Logistic regression analysis revealed that negative affect, duration of alcohol use, externally-oriented thinking, and severity of alcohol dependence explained lifetime suicide attempts. Depression, impulsivity, severity of alcohol dependence, reappraisal (reversely), externally-oriented thinking, difficulties engaging in goal-directed behaviors, and negative affect significantly predicted the suicidal risk. The findings may constitute useful evidence of the relevancies of alexithymia, emotion regulation, emotion regulation difficulties, and affects to suicidality in alcoholic patients.