Clinical Research Development Center of Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Psychology, Payame Noor University, Tehran, Iran.
Psychiatry Res. 2019 Jan;271:351-359. doi: 10.1016/j.psychres.2018.11.067. Epub 2018 Dec 1.
The present study aimed to assess the associations of early maladaptive schemas (EMSs) and clinical factors (hypomanic/manic and depressive symptoms) with suicidal risk (current suicidal ideation and lifetime suicide attempts) in inpatients with bipolar disorder (BD). One hundred inpatients with BD completed the Young Schema Questionnaire-Short Form (YSQ-SF), the Bipolar Depression Rating Scale (BDRS), the Young Mania Rating Scale (YMRS), and the Beck Scale for Suicide Ideation (BSSI). 59% of patients had lifetime suicide attempts and 59% showed high suicidal risk (BSSI ≥ 6). BD patients with lifetime suicide attempts had higher scores on the entitlement and social isolation schemas, depression, and hypomanic/manic symptoms than those without such attempts. Patients with high suicidal risk had higher levels of depressive and hypomanic/manic symptoms as well as some EMSs than those without high suicidal risk. Logistic regression analyses revealed that hypomanic/manic symptoms as well as the entitlement and defectiveness schemas were significantly associated with current suicidal ideation. Also, the entitlement and social isolation schemas were associated with lifetime suicide attempts. These results suggest that the entitlement, social isolation, and defectiveness schemas may relate to suicidal risk in patients with BD.
本研究旨在评估早期适应不良模式（EMS）和临床因素（轻躁狂/躁狂和抑郁症状）与双相情感障碍（BD）住院患者自杀风险（当前自杀意念和终生自杀企图）的相关性。100 名 BD 住院患者完成了 Young 模式问卷-短表（YSQ-SF）、双相抑郁评定量表（BDRS）、Young 躁狂评定量表（YMRS）和 Beck 自杀意念量表（BSSI）。59%的患者有过自杀企图，59%的患者自杀风险较高（BSSI≥6）。有自杀企图的 BD 患者在权利和社会孤立模式、抑郁和轻躁狂/躁狂症状上的得分高于没有自杀企图的患者。自杀风险较高的患者在抑郁和轻躁狂/躁狂症状以及某些 EMS 上的水平高于自杀风险较低的患者。Logistic 回归分析显示，轻躁狂/躁狂症状以及权利和缺陷模式与当前自杀意念显著相关。此外，权利和社会孤立模式与终生自杀企图有关。这些结果表明，权利、社会孤立和缺陷模式可能与 BD 患者的自杀风险有关。
