Department of Psychiatry & Laboratory of Psychiatric Research (ULB 266), Cliniques Universitaires de Bruxelles, Université Libre de Bruxelles, Belgium.
Omega (Westport). 2023 Sep;87(4):1280-1292. doi: 10.1177/00302228211037300. Epub 2021 Aug 3.
The aim of the study was to explore the relationships between recent changes of anhedonia or particular symptoms of recent changes of anhedonia and suicidal ideation taking into account the severity of suicidal ideations. In a group of 173 medical students, scores of the anhedonia subscale (ANH-BDI) of the BDI-II (i.e. 4 anhedonia items: loss of pleasure, loss of interest, loss of energy and loss of interest in sex) were compared between 95 subjects without suicidality, 24 subjects with life-time suicidal ideation, 28 subjects with recent suicidal ideation and 26 planners. Analyses of covariance (ANCOVA) were performed referring to groups as independent variables, the cognitive-affective subscale (CA-BDI) of the BDI-II as a covariate, the ANH-BDI and each of the four anhedonia items as dependent variables. High levels of loss of interest characterized planners when compared to the other three groups. Loss of interest could be associated with recent and severe suicidal ideation.
本研究旨在探讨快感缺失的近期变化或快感缺失的特定症状的近期变化与自杀意念之间的关系，同时考虑自杀意念的严重程度。在一组 173 名医学生中，对 BDI-II 的快感缺失分量表（ANH-BDI）的评分（即 4 个快感缺失项目：乐趣丧失、兴趣丧失、精力丧失和性欲丧失）进行了比较，其中 95 名无自杀倾向、24 名有终生自杀意念、28 名有近期自杀意念和 26 名自杀计划者。协方差分析（ANCOVA）以组为自变量，BDI-II 的认知-情感分量表（CA-BDI）为协变量，ANH-BDI 和四个快感缺失项目中的每一个为因变量。与其他三组相比，计划者表现出较高的兴趣丧失水平。兴趣丧失可能与近期严重的自杀意念有关。
