Anhedonia predicts suicidal ideation in a large psychiatric inpatient sample
Abstract This study examined the relationship among symptoms of anhedonia and suicidal ideation at baseline, at termination, and over time in 1529 adult psychiatric inpatients. Anhedonia was associated with suicidality cross-sectionally at baseline and at termination. In addition, change in anhedoni...
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| Veröffentlicht in: | Psychiatry research 2014-08, Vol.218 (1), p.124-128 |
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| creator | Winer, E. Samuel Nadorff, Michael R Ellis, Thomas E Allen, Jon G Herrera, Steve Salem, Taban |
| description | Abstract This study examined the relationship among symptoms of anhedonia and suicidal ideation at baseline, at termination, and over time in 1529 adult psychiatric inpatients. Anhedonia was associated with suicidality cross-sectionally at baseline and at termination. In addition, change in anhedonia from baseline to termination predicted change in suicidality from baseline to termination, as well as level of suicidality at termination; moreover, anhedonia remained a robust predictor of suicidal ideation independent of cognitive/affective symptoms of depression. Symptom-level analyses also revealed that, even after accounting for the physical aspect of anhedonia (e.g., loss of energy), loss of interest and loss of pleasure were independently associated with higher levels of suicidal ideation at baseline, over time, and at discharge. Loss of interest was most highly predictive of suicidal ideation, providing support for recent differential conceptualizations of anhedonia. Taken together, these findings indicate that the manner in which anhedonia is conceptualized is important in predicting suicidal ideation, and that anhedonia symptoms warrant particular clinical attention in the treatment of suicidal patients. |
| doi_str_mv | 10.1016/j.psychres.2014.04.016 |
| format | Article |
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Samuel ; Nadorff, Michael R ; Ellis, Thomas E ; Allen, Jon G ; Herrera, Steve ; Salem, Taban</creator><creatorcontrib>Winer, E. Samuel ; Nadorff, Michael R ; Ellis, Thomas E ; Allen, Jon G ; Herrera, Steve ; Salem, Taban</creatorcontrib><description>Abstract This study examined the relationship among symptoms of anhedonia and suicidal ideation at baseline, at termination, and over time in 1529 adult psychiatric inpatients. Anhedonia was associated with suicidality cross-sectionally at baseline and at termination. In addition, change in anhedonia from baseline to termination predicted change in suicidality from baseline to termination, as well as level of suicidality at termination; moreover, anhedonia remained a robust predictor of suicidal ideation independent of cognitive/affective symptoms of depression. Symptom-level analyses also revealed that, even after accounting for the physical aspect of anhedonia (e.g., loss of energy), loss of interest and loss of pleasure were independently associated with higher levels of suicidal ideation at baseline, over time, and at discharge. Loss of interest was most highly predictive of suicidal ideation, providing support for recent differential conceptualizations of anhedonia. Taken together, these findings indicate that the manner in which anhedonia is conceptualized is important in predicting suicidal ideation, and that anhedonia symptoms warrant particular clinical attention in the treatment of suicidal patients.</description><identifier>ISSN: 0165-1781</identifier><identifier>EISSN: 1872-7123</identifier><identifier>DOI: 10.1016/j.psychres.2014.04.016</identifier><identifier>PMID: 24774075</identifier><identifier>CODEN: PSRSDR</identifier><language>eng</language><publisher>Kidlington: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Anhedonia ; Anhedonia subscale ; Biological and medical sciences ; Depression ; Depression - psychology ; Depressive Disorder - psychology ; Depressive symptoms ; Female ; General aspects ; Humans ; Inpatients - psychology ; Loss of interest ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Mood disorders ; Psychiatry ; Psychology. Psychoanalysis. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-198446d29889d7f8cc5bd8429515d46749901208c3cd0581803481c21605941c3</citedby><cites>FETCH-LOGICAL-c453t-198446d29889d7f8cc5bd8429515d46749901208c3cd0581803481c21605941c3</cites><orcidid>0000-0002-3817-874X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.psychres.2014.04.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28546821$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24774075$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Winer, E. Samuel</creatorcontrib><creatorcontrib>Nadorff, Michael R</creatorcontrib><creatorcontrib>Ellis, Thomas E</creatorcontrib><creatorcontrib>Allen, Jon G</creatorcontrib><creatorcontrib>Herrera, Steve</creatorcontrib><creatorcontrib>Salem, Taban</creatorcontrib><title>Anhedonia predicts suicidal ideation in a large psychiatric inpatient sample</title><title>Psychiatry research</title><addtitle>Psychiatry Res</addtitle><description>Abstract This study examined the relationship among symptoms of anhedonia and suicidal ideation at baseline, at termination, and over time in 1529 adult psychiatric inpatients. Anhedonia was associated with suicidality cross-sectionally at baseline and at termination. In addition, change in anhedonia from baseline to termination predicted change in suicidality from baseline to termination, as well as level of suicidality at termination; moreover, anhedonia remained a robust predictor of suicidal ideation independent of cognitive/affective symptoms of depression. Symptom-level analyses also revealed that, even after accounting for the physical aspect of anhedonia (e.g., loss of energy), loss of interest and loss of pleasure were independently associated with higher levels of suicidal ideation at baseline, over time, and at discharge. Loss of interest was most highly predictive of suicidal ideation, providing support for recent differential conceptualizations of anhedonia. Taken together, these findings indicate that the manner in which anhedonia is conceptualized is important in predicting suicidal ideation, and that anhedonia symptoms warrant particular clinical attention in the treatment of suicidal patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anhedonia</subject><subject>Anhedonia subscale</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Depression - psychology</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive symptoms</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Inpatients - psychology</subject><subject>Loss of interest</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Suicidal Ideation</subject><subject>Suicidality</subject><subject>Suicide</subject><subject>Suicide - psychology</subject><subject>Young Adult</subject><issn>0165-1781</issn><issn>1872-7123</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2LFDEQQIMo7rj6F5a-CF56TKWTTnIRl8UvGPCgnkO2UuNm7Em3SffC_HszzqyCF6EgUHlVlbxi7Ar4Gjj0r3frqRzwLlNZCw5yzWtA_4itwGjRahDdY7aqGdWCNnDBnpWy45wLsPYpuxBSa8m1WrHNdbqjMKbomylTiDiXpiwRY_BDEwP5OY6pianxzeDzd2p-j41-zhFreqr3lOam-P000HP2ZOuHQi_O5yX79v7d15uP7ebzh08315sWpermFqyRsg_CGmOD3hpEdRuMFFaBCrLX0loOghvsMHBlwPBOGkABPVdWAnaX7NWp75THnwuV2e1jQRoGn2hcigPVqb7-0fKK9icU81hKpq2bctz7fHDA3dGk27kHk-5o0vEa0NfCq_OM5XZP4U_Zg7oKvDwDvqAfttknjOUvZ5TsjYDKvT1xVI3cR8quYHWGVXYmnF0Y4__f8uafFjjEFOvUH3SgshuXnKpvB64Ix92X496PawdZN26l7n4Btt2oUw</recordid><startdate>20140815</startdate><enddate>20140815</enddate><creator>Winer, E. Samuel</creator><creator>Nadorff, Michael R</creator><creator>Ellis, Thomas E</creator><creator>Allen, Jon G</creator><creator>Herrera, Steve</creator><creator>Salem, Taban</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3817-874X</orcidid></search><sort><creationdate>20140815</creationdate><title>Anhedonia predicts suicidal ideation in a large psychiatric inpatient sample</title><author>Winer, E. Samuel ; Nadorff, Michael R ; Ellis, Thomas E ; Allen, Jon G ; Herrera, Steve ; Salem, Taban</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-198446d29889d7f8cc5bd8429515d46749901208c3cd0581803481c21605941c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anhedonia</topic><topic>Anhedonia subscale</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>Depression - psychology</topic><topic>Depressive Disorder - psychology</topic><topic>Depressive symptoms</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Inpatients - psychology</topic><topic>Loss of interest</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Mood disorders</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Suicidal Ideation</topic><topic>Suicidality</topic><topic>Suicide</topic><topic>Suicide - psychology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Winer, E. Samuel</creatorcontrib><creatorcontrib>Nadorff, Michael R</creatorcontrib><creatorcontrib>Ellis, Thomas E</creatorcontrib><creatorcontrib>Allen, Jon G</creatorcontrib><creatorcontrib>Herrera, Steve</creatorcontrib><creatorcontrib>Salem, Taban</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatry research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winer, E. Samuel</au><au>Nadorff, Michael R</au><au>Ellis, Thomas E</au><au>Allen, Jon G</au><au>Herrera, Steve</au><au>Salem, Taban</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anhedonia predicts suicidal ideation in a large psychiatric inpatient sample</atitle><jtitle>Psychiatry research</jtitle><addtitle>Psychiatry Res</addtitle><date>2014-08-15</date><risdate>2014</risdate><volume>218</volume><issue>1</issue><spage>124</spage><epage>128</epage><pages>124-128</pages><issn>0165-1781</issn><eissn>1872-7123</eissn><coden>PSRSDR</coden><abstract>Abstract This study examined the relationship among symptoms of anhedonia and suicidal ideation at baseline, at termination, and over time in 1529 adult psychiatric inpatients. Anhedonia was associated with suicidality cross-sectionally at baseline and at termination. 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| subjects | Adolescent Adult Adult and adolescent clinical studies Anhedonia Anhedonia subscale Biological and medical sciences Depression Depression - psychology Depressive Disorder - psychology Depressive symptoms Female General aspects Humans Inpatients - psychology Loss of interest Male Medical sciences Middle Aged Miscellaneous Mood disorders Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Suicidal Ideation Suicidality Suicide Suicide - psychology Young Adult |
| title | Anhedonia predicts suicidal ideation in a large psychiatric inpatient sample |
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