Relationship between Neuropsychological and Clinical Aspects and Suicide Attempts in Euthymic Bipolar Patients

被引：6

作者：

Paiva de Moraes, Paulo Henrique ^{[1
]}

Neves, Fernando Silva ^{[1
]}

Vasconcelos, Alina Gomide ^{[1
]}

Magalhaes Lima, Isabela M. ^{[2
]}

Brancaglion, Mayra ^{[1
]}

Sedyiama, Cristina Yumi ^{[1
]}

Fuentes, Daniel ^{[3
]}

Romano-Silva, Marco Aurelio ^{[1
]}

Correa, Humberto ^{[1
]}

Malloy-Diniz, Leandro Fernandes ^{[1
]}

机构：

[1] Univ Fed Minas Gerais, BR-30130100 Belo Horizonte, MG, Brazil

[2] Inst Nacl Ciencia & Tecnol Med Mol, Belo Horizonte, MG, Brazil

[3] Univ Sao Paulo, Sao Paulo, Brazil

来源：

PSICOLOGIA-REFLEXAO E CRITICA | 2013年 / 26卷 / 01期

关键词：

Impulsivity; suicidal behavior; bipolar disorder; decision making; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DECISION-MAKING; SUSTAINED ATTENTION; PORTUGUESE VERSION; IMPULSE CONTROL; BEHAVIOR; POLYMORPHISM; PERFORMANCE; CINGULATE; HISTORY;

D O I：

10.1590/S0102-79722013000100017

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

Some studies have investigated the possible relationship between suicide attempts and impulsivity in patients with bipolar disorder. The objective of this study was to assess the relationship between neuropsychological and clinical aspects and suicide behavior in euthymic bipolar patients. The Iowa Gambling Task and the Conner's Continuous Performance Test evaluated impulsivity in 95 euthymic bipolar patients - 42 suicide attempters and 115 normal control participants. A factorial analysis evaluated the adequacy of the instruments. Furthermore, a multiple regression analysis was done in order to develop a model to predict suicide attempts. Our results point to a specific type of impulsivity related to making decisions, lack of planning and borderline personality disorder comorbidity. This type of impulsivity is a risk factor for suicide attempts in patients with bipolar disorder.

引用

页码：160 / 167

页数：8

共 42 条

[1]

Amorim Patricia, 2000, Revista Brasileira de Psiquiatria, V22, P106

[2] Sustained attention as a potential endophenotype for bipolar disorder [J].

Ancin, I. ;

Santos, J. L. ;

Teijeira, C. ;

Sanchez-Morla, E. M. ;

Bescos, M. J. ;

Argudo, I. ;

Torrijos, S. ;

Vazquez-Alvarez, B. ;

De La Vega, I. ;

Lopez-Ibor, J. J. ;

Barabash, A. ;

Cabranes-Diaz, J. A. .

ACTA PSYCHIATRICA SCANDINAVICA, 2010, 122 (03) :235-245

[3]

[Anonymous], 1994, DSM 4

[4] Emotion, decision making and the orbitofrontal cortex [J].

Bechara, A ;

Damasio, H ;

Damasio, AR .

CEREBRAL CORTEX, 2000, 10 (03) :295-307

[5] Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective [J].

Bechara, A .

NATURE NEUROSCIENCE, 2005, 8 (11) :1458-1463

[6] Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions [J].

Bechara, A ;

Tranel, D ;

Damasio, H .

BRAIN, 2000, 123 :2189-2202

[7] Decision-making and impulse control after frontal lobe injuries [J].

Bechara, A ;

Van der Linden, M .

CURRENT OPINION IN NEUROLOGY, 2005, 18 (06) :734-739

[8] INSENSITIVITY TO FUTURE CONSEQUENCES FOLLOWING DAMAGE TO HUMAN PREFRONTAL CORTEX [J].

BECHARA, A ;

DAMASIO, AR ;

DAMASIO, H ;

ANDERSON, SW .

COGNITION, 1994, 50 (1-3) :7-15

[9] Continuous performance test performance in a normative epidemiological sample [J].

Conners, CK ;

Epstein, JN ;

Angold, A ;

Klaric, J .

JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 2003, 31 (05) :555-562

[10] Decision-making impairment is related to serotonin transporter promoter polymorphism in a sample of patients with obsessive-compulsive disorder [J].

da Rocha, Felipe Filardi ;

Malloy-Diniz, Leandro ;

Lage, Naira Vassalo ;

Romano-Silva, Marco Aurelio ;

de Marco, Luiz Armando ;

Correa, Humberto .

BEHAVIOURAL BRAIN RESEARCH, 2008, 195 (01) :159-163

← 1 2 3 4 5 →