Corruble E, Damy C, Guelfi J D
Service de psychiatrie, Groupe Hospitalier Paul Brousse, AP-HP Université Paris XI, Villejuif, France.
J Affect Disord. 1999 Jun;53(3):211-5. doi: 10.1016/s0165-0327(98)00130-x.
This study focuses on clinical impulsivity in depressed patients, regarding suicide attempts.
Fifty depressed in-patients were assessed for impulsivity with the Impulsivity Rating Scale and the Baratt Impulsivity Scale, at admission (W0) and after 4 weeks of treatment (W4), with special attention to suicide attempts.
In the whole sample, impulsivity scores decreased significantly between W0 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 W0 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.
本研究聚焦于抑郁症患者中与自杀未遂相关的临床冲动性。
50名住院抑郁症患者在入院时（W0）和治疗4周后（W4），使用冲动性评定量表和巴拉特冲动性量表对冲动性进行评估，特别关注自杀未遂情况。
在整个样本中，W0和W4之间冲动性得分显著降低。该量表和问卷之间的相关性较弱，表明患者和临床医生在冲动性评估方面存在一些差异。患者的两个亚组，即自杀未遂者（SA）（n = 16）和非自杀未遂者（NSA）（n = 34），在样本特征、抗抑郁治疗、抑郁和一般精神病理学评估方面均无差异。然而，在W0和W4时，SA患者在冲动性量表和问卷上的得分均高于NSA患者。这些结果首先表明，冲动性在抑郁自杀未遂者中可能既是一种特质也是一种状态，其次表明它在抑郁症自杀未遂方面可能具有相关性。
