A Short-Term Longitudinal Examination of the Relations between Depression, Anhedonia, and Self-Injurious Thoughts and Behaviors in Adults with a History of Self-Injury
Abstract Background Limited research has addressed the role of anhedonia in predicting suicidality and/or nonsuicidal self-injury (NSSI) in adults, despite evidence suggesting that loss of interest or pleasure may increase vulnerability for self-inflicted harm, even beyond other depressive symptoms....
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Veröffentlicht in: | Comprehensive psychiatry 2017-02, Vol.73, p.187-195 |
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description | Abstract Background Limited research has addressed the role of anhedonia in predicting suicidality and/or nonsuicidal self-injury (NSSI) in adults, despite evidence suggesting that loss of interest or pleasure may increase vulnerability for self-inflicted harm, even beyond other depressive symptoms. Methods In the current study, we explored the role of symptoms of depression and recent changes in anhedonia in predicting suicidality, NSSI ideation and behavior, and perceptions of NSSI helpfulness among individuals with a history of NSSI or suicide attempts ( N = 187). Results We found that changes in anhedonia partially mediated the effect of depression on suicidality, and fully mediated the effect of depression on perceptions of NSSI helpfulness. Anhedonia did not predict NSSI ideation above and beyond depression symptoms, and did not significantly predict NSSI frequency when accounting for suicidality. Compared to individuals with a history of NSSI only or suicide attempt only, people with a history of both NSSI and suicide attempt evidenced greater risk and symptomatology. Conclusions Results confirm the relation between anhedonia and suicidality evidenced in past research, but suggest a complex relationship between anhedonia, depression, and facets of non-suicidal self-injury. |
doi_str_mv | 10.1016/j.comppsych.2016.11.013 |
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Methods In the current study, we explored the role of symptoms of depression and recent changes in anhedonia in predicting suicidality, NSSI ideation and behavior, and perceptions of NSSI helpfulness among individuals with a history of NSSI or suicide attempts ( N = 187). Results We found that changes in anhedonia partially mediated the effect of depression on suicidality, and fully mediated the effect of depression on perceptions of NSSI helpfulness. Anhedonia did not predict NSSI ideation above and beyond depression symptoms, and did not significantly predict NSSI frequency when accounting for suicidality. Compared to individuals with a history of NSSI only or suicide attempt only, people with a history of both NSSI and suicide attempt evidenced greater risk and symptomatology. Conclusions Results confirm the relation between anhedonia and suicidality evidenced in past research, but suggest a complex relationship between anhedonia, depression, and facets of non-suicidal self-injury.</description><identifier>ISSN: 0010-440X</identifier><identifier>EISSN: 1532-8384</identifier><identifier>DOI: 10.1016/j.comppsych.2016.11.013</identifier><identifier>PMID: 28040576</identifier><identifier>CODEN: COPYAV</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Anhedonia ; Comorbidity ; Depression - psychology ; Emotions ; Employment ; Female ; Hispanic Americans ; Humans ; Longitudinal Studies ; Male ; Mental depression ; Psychiatry ; Risk Factors ; Self destructive behavior ; Self-Injurious Behavior - epidemiology ; Self-Injurious Behavior - psychology ; Suicidal Ideation ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data ; Suicides & suicide attempts ; United States - epidemiology ; Young Adult</subject><ispartof>Comprehensive psychiatry, 2017-02, Vol.73, p.187-195</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Feb 01, 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c558t-67ff3b08f7d661d5e17da3e9ef6c6fe6f5dd22a2f7758c21b23fb44a111e07ad3</citedby><cites>FETCH-LOGICAL-c558t-67ff3b08f7d661d5e17da3e9ef6c6fe6f5dd22a2f7758c21b23fb44a111e07ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0010440X1630222X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28040576$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zielinski, Melissa J</creatorcontrib><creatorcontrib>Veilleux, Jennifer C</creatorcontrib><creatorcontrib>Samuel Winer, E</creatorcontrib><creatorcontrib>Nadorff, Michael R</creatorcontrib><title>A Short-Term Longitudinal Examination of the Relations between Depression, Anhedonia, and Self-Injurious Thoughts and Behaviors in Adults with a History of Self-Injury</title><title>Comprehensive psychiatry</title><addtitle>Compr Psychiatry</addtitle><description>Abstract Background Limited research has addressed the role of anhedonia in predicting suicidality and/or nonsuicidal self-injury (NSSI) in adults, despite evidence suggesting that loss of interest or pleasure may increase vulnerability for self-inflicted harm, even beyond other depressive symptoms. Methods In the current study, we explored the role of symptoms of depression and recent changes in anhedonia in predicting suicidality, NSSI ideation and behavior, and perceptions of NSSI helpfulness among individuals with a history of NSSI or suicide attempts ( N = 187). Results We found that changes in anhedonia partially mediated the effect of depression on suicidality, and fully mediated the effect of depression on perceptions of NSSI helpfulness. Anhedonia did not predict NSSI ideation above and beyond depression symptoms, and did not significantly predict NSSI frequency when accounting for suicidality. Compared to individuals with a history of NSSI only or suicide attempt only, people with a history of both NSSI and suicide attempt evidenced greater risk and symptomatology. Conclusions Results confirm the relation between anhedonia and suicidality evidenced in past research, but suggest a complex relationship between anhedonia, depression, and facets of non-suicidal self-injury.</description><subject>Adult</subject><subject>Anhedonia</subject><subject>Comorbidity</subject><subject>Depression - psychology</subject><subject>Emotions</subject><subject>Employment</subject><subject>Female</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mental depression</subject><subject>Psychiatry</subject><subject>Risk Factors</subject><subject>Self destructive behavior</subject><subject>Self-Injurious Behavior - epidemiology</subject><subject>Self-Injurious Behavior - psychology</subject><subject>Suicidal Ideation</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicide, Attempted - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0010-440X</issn><issn>1532-8384</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNksFuEzEQhlcIREPhFcASFw7dYHt3vZtLpVAKrRQJiQSpN8uxx1mHXTvY3pQ8Ea-J05QUeuJke-bzP57xn2VvCB4TTNj79Vi6frMJO9mOaQqMCRljUjzJRqQqaN4UTfk0G2FMcF6W-OYkexHCGmPcNE35PDuhDS5xVbNR9muK5q3zMV-A79HM2ZWJgzJWdOjyp-jTJhpnkdMotoC-Qnd3DmgJ8RbAoo-w8RBCip2hqW1BOWvEGRJWoTl0Or-268EbNwS0aN2wamO4y32AVmyN8wEZi6Zq6FL81sQWCXRlQnR-ty_5oLB7mT3Togvw6n49zb59ulxcXOWzL5-vL6azXFZVE3NWa10scaNrxRhRFZBaiQImoJlkGpiulKJUUF3XVSMpWdJCL8tSEEIA10IVp9n5QXczLHtQEmz0ouMbb3rhd9wJw__NWNPyldvyqqyagtZJ4N29gHc_BgiR9yZI6DphIY2Bk6Yq68mEsUlC3z5C127wafR7ihFSloQViaoPlPQuBA_6-BiC-d4MfM2PZuB7M3BCeDJDuvn6716O9_78fgKmBwDSRLcGPA_SgJWgjAcZuXLmP4qcP9KQnbFGiu477CA8dMQD5ZjP957cWzK1himlN8VvMTXjaQ</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Zielinski, Melissa J</creator><creator>Veilleux, Jennifer C</creator><creator>Samuel Winer, E</creator><creator>Nadorff, Michael R</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170201</creationdate><title>A Short-Term Longitudinal Examination of the Relations between Depression, Anhedonia, and Self-Injurious Thoughts and Behaviors in Adults with a History of Self-Injury</title><author>Zielinski, Melissa J ; Veilleux, Jennifer C ; Samuel Winer, E ; Nadorff, Michael R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c558t-67ff3b08f7d661d5e17da3e9ef6c6fe6f5dd22a2f7758c21b23fb44a111e07ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Anhedonia</topic><topic>Comorbidity</topic><topic>Depression - psychology</topic><topic>Emotions</topic><topic>Employment</topic><topic>Female</topic><topic>Hispanic Americans</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mental depression</topic><topic>Psychiatry</topic><topic>Risk Factors</topic><topic>Self destructive behavior</topic><topic>Self-Injurious Behavior - epidemiology</topic><topic>Self-Injurious Behavior - psychology</topic><topic>Suicidal Ideation</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicide, Attempted - statistics & numerical data</topic><topic>Suicides & suicide attempts</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zielinski, Melissa J</creatorcontrib><creatorcontrib>Veilleux, Jennifer C</creatorcontrib><creatorcontrib>Samuel Winer, E</creatorcontrib><creatorcontrib>Nadorff, Michael R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>ProQuest_Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Comprehensive psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zielinski, Melissa J</au><au>Veilleux, Jennifer C</au><au>Samuel Winer, E</au><au>Nadorff, Michael R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Short-Term Longitudinal Examination of the Relations between Depression, Anhedonia, and Self-Injurious Thoughts and Behaviors in Adults with a History of Self-Injury</atitle><jtitle>Comprehensive psychiatry</jtitle><addtitle>Compr Psychiatry</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>73</volume><spage>187</spage><epage>195</epage><pages>187-195</pages><issn>0010-440X</issn><eissn>1532-8384</eissn><coden>COPYAV</coden><abstract>Abstract Background Limited research has addressed the role of anhedonia in predicting suicidality and/or nonsuicidal self-injury (NSSI) in adults, despite evidence suggesting that loss of interest or pleasure may increase vulnerability for self-inflicted harm, even beyond other depressive symptoms. Methods In the current study, we explored the role of symptoms of depression and recent changes in anhedonia in predicting suicidality, NSSI ideation and behavior, and perceptions of NSSI helpfulness among individuals with a history of NSSI or suicide attempts ( N = 187). Results We found that changes in anhedonia partially mediated the effect of depression on suicidality, and fully mediated the effect of depression on perceptions of NSSI helpfulness. Anhedonia did not predict NSSI ideation above and beyond depression symptoms, and did not significantly predict NSSI frequency when accounting for suicidality. Compared to individuals with a history of NSSI only or suicide attempt only, people with a history of both NSSI and suicide attempt evidenced greater risk and symptomatology. Conclusions Results confirm the relation between anhedonia and suicidality evidenced in past research, but suggest a complex relationship between anhedonia, depression, and facets of non-suicidal self-injury.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28040576</pmid><doi>10.1016/j.comppsych.2016.11.013</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Anhedonia Comorbidity Depression - psychology Emotions Employment Female Hispanic Americans Humans Longitudinal Studies Male Mental depression Psychiatry Risk Factors Self destructive behavior Self-Injurious Behavior - epidemiology Self-Injurious Behavior - psychology Suicidal Ideation Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data Suicides & suicide attempts United States - epidemiology Young Adult |
title | A Short-Term Longitudinal Examination of the Relations between Depression, Anhedonia, and Self-Injurious Thoughts and Behaviors in Adults with a History of Self-Injury |
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