Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt
| Autor: | Zoltán Janka, Bernadett Ildikó Gál, Klára Mária Hegedűs, Péter Álmos, Bálint Andó, A. Szkaliczki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Emotions Social Sciences Suicide Attempted Anxiety Cognition Medicine and Health Sciences Psychology Major depressive episode media_common Multidisciplinary Depression Middle Aged Suicide Harm avoidance Major depressive disorder Medicine Female medicine.symptom Research Article Personality Clinical psychology Adult Impulsivity Patients media_common.quotation_subject Science Decision Making Clinical Decision-Making Personality Disorders Mental Health and Psychiatry medicine Humans Personality Traits Behavior Depressive Disorder Major Suicide attempt Mood Disorders Cognitive Psychology Cooperativeness Biology and Life Sciences medicine.disease Personality disorders Health Care Impulsive Behavior Cognitive Science Temperament Neuroscience |
| Zdroj: | PLoS ONE, Vol 16, Iss 5, p e0251935 (2021) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Background Multiple psychological factors of suicidal behaviour have been identified so far; however, little is known about state-dependent alterations and the interplay of the most prominent components in a suicidal crisis. Thus, the combined effect of particular personality characteristics and decision-making performance was observed within individuals who recently attempted suicide during a major depressive episode. Methods Fifty-nine medication-free major depressed patients with a recent suicide attempt (within 72 h) and forty-five healthy control individuals were enrolled in this cross-sectional study. Temperament and character factors, impulsivity and decision-making performance were assessed. Statistical analyses aimed to explore between-group differences and the most powerful contributors to suicidal behaviour during a depressive episode. Results Decision-making and personality differences (i.e. impulsivity, harm avoidance, self-directedness, cooperativeness and transcendence) were observed between the patient and the control group. Among these variables, decision-making, harm avoidance and self-directedness were shown to have the strongest impact on a recent suicide attempt of individuals with a diagnosis of major depressive disorder according to the results of the binary logistic regression analysis. The model was significant, adequately fitted the data and correctly classified 79.8% of the cases. Conclusions The relevance of deficient decision-making, high harm avoidance and low self-directedness was modelled in the case of major depressed participants with a recent suicide attempt; meaning that these individuals can be described with the myopia for future consequences, a pessimistic, anxious temperament; and a character component resulting in the experience of aimlessness and helplessness. Further studies that use a within-subject design should identify and confirm additional characteristics specific to the suicidal mind. |
| Databáze: | OpenAIRE |
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