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
Hauptverfasser: Zielinski, Melissa J, Veilleux, Jennifer C, Samuel Winer, E, Nadorff, Michael R
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container_title Comprehensive psychiatry
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creator Zielinski, Melissa J
Veilleux, Jennifer C
Samuel Winer, E
Nadorff, Michael R
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 &amp; numerical data ; Suicides &amp; 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. 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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 &amp; numerical data</topic><topic>Suicides &amp; 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 &amp; 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 &amp; 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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. 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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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