RESUMO
BACKGROUND: Previous research has suggested that some individuals may obtain comfort from their suicidal cognitions. METHOD: This study explored clinical variables associated with comfort from suicidal cognition using a newly developed 5 item measure in 217 patients with a history of recurrent depression and suicidality, of whom 98 were followed up to at least one relapse to depression and reported data on suicidal ideation during the follow-up phase. RESULTS: Results indicated that a minority of patients, around 15%, reported experiencing comfort from suicidal cognitions and that comfort was associated with several markers of a more severe clinical profile including both worst ever prior suicidal ideation and worst suicidal ideation over a 12 month follow-up period. LIMITATIONS: Few patients self-harmed during the follow-up period preventing an examination of associations between comfort and repetition of self-harm. CONCLUSIONS: These results, although preliminary, suggest that future theoretical and clinical research would benefit from further consideration of the concept of comfort from suicidal thinking.
Assuntos
Cognição , Depressão/psicologia , Emoções , Suicídio/psicologia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Comportamento Autodestrutivo , Ideação SuicidaRESUMO
OBJECTIVES: Thought suppression is a strategy aimed at mental control that may paradoxically increase the frequency of unwanted thoughts. This preliminary study examined effects of mindfulness-based cognitive therapy (MBCT) on thought suppression and depression in individuals with past depression and suicidality. METHODS: In a randomized controlled trial design, 68 participants were allocated to an MBCT group or a treatment-as-usual waitlist control. Measures of thought suppression and depression were taken pre- and post-treatment. RESULTS: MBCT did not reduce thought suppression as measured by the White Bear Suppression Inventory, but significantly reduced self-reported attempts to suppress in the previous week. CONCLUSIONS: Preliminary evidence suggests that MBCT for suicidality may reduce thought suppression, but differential effects on thought suppression measures warrant further studies.
Assuntos
Terapia Cognitivo-Comportamental/métodos , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Suicídio/psicologia , Adolescente , Adulto , Idoso , Conscientização , Transtorno Depressivo/prevenção & controle , Feminino , Humanos , Masculino , Meditação/métodos , Pessoa de Meia-Idade , Inventário de Personalidade , Psicoterapia de Grupo/métodos , Projetos de Pesquisa , Prevenção Secundária , Resultado do Tratamento , Listas de Espera , Prevenção do SuicídioRESUMO
This study investigated the effects of a meditation-based treatment for preventing relapse to depression, mindfulness-based cognitive therapy (MBCT), on prefrontal alpha-asymmetry in resting electroencephalogram (EEG), a biological indicator of affective style. Twenty-two individuals with a previous history of suicidal depression were randomly assigned to either MBCT (N=10) or treatment-as-usual (TAU, N=12). Resting electroencephalogram was measured before and after an 8-week course of treatment. The TAU group showed a significant deterioration toward decreased relative left-frontal activation, indexing decreases in positive affective style, while there was no significant change in the MBCT group. The findings suggest that MBCT can help individuals at high risk for suicidal depression to retain a balanced pattern of baseline emotion-related brain activation.
