Executive functions and impulsivity in suicide attempter adolescents with major depressive disorder

被引：11

作者：

Onat, Merve ^{[1
]}

Emiroglu, Neslihan Inal ^{[2
]}

Baykara, Burak ^{[2
]}

Ozerdem, Aysegul ^{[3
]}

Ozyurt, Gonca ^{[4
]}

Ozturk, Yusuf ^{[5
]}

Sahin, Umit ^{[2
]}

Ildiz, Aysegul ^{[6
]}

Bilgic, Berrin Kaptancik ^{[2
]}

Ongun, Ceren Hidiroglu ^{[7
]}

Akay, Aynur Pekcanlar ^{[2
]}

机构：

[1] Nevsehir State Hosp, Nevsehir, Turkey

[2] Dokuz Eylul Univ, Fac Med, Dept Child & Adolescent Psychiat, Izmir, Turkey

[3] Dokuz Eylul Univ, Fac Med, Dept Psychiat, Izmir, Turkey

[4] Izmir Katip Celebi Univ, Fac Med, Dept Child & Adolescent Psychiat, Izmir, Turkey

[5] Abant Izzet Baysal Univ, Fac Med, Dept Child & Adolescent Psychiat, Bolu, Turkey

[6] Dokuz Eylul Univ, Fac Med, Dept Neurosci, Izmir, Turkey

[7] Dokuz Eylul Univ, Fac Arts, Dept Psychol, Izmir, Turkey

来源：

PSYCHIATRY AND CLINICAL PSYCHOPHARMACOLOGY | 2019年 / 29卷 / 03期

关键词：

Suicide; executive functions; impulsivity; adolescents; major depressive disorder; RISK-FACTORS; VERBAL FLUENCY; BEHAVIOR; CHILDREN; AGE; ATTENTION; IDEATION; FLEXIBILITY; AGGRESSION; SYMPTOMS;

D O I：

10.1080/24750573.2018.1541647

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

OBJECTIVE: The aim of this study was to examine the relationship between executive functions and suicidality in terms of impulsivity and depression severity. METHODS: Depressed adolescents who have made a suicide attempt in the last year (n = 32), depressed adolescents without a suicide attempt (n = 30), and healthy controls (n = 30) participated in the study in Dokuz Eylul University Faculty of Medicine, Department of Child and Adolescent Psychiatry. Clinical diagnoses were made according to the DSM-IV by applying Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL). Data were collected by using a sociodemographic data form, the Beck Depression Inventory (BDI), Barratt Impulsiveness Scale, and the Children's Depression Rating Scale - Revised (CDRS-R). To evaluate all participants' intelligence scores, the Wechsler Intelligence Scale for Children (WISC-R) was applied for adolescents aged under 16 years, and the Wechsler Adult Intelligence Scale (WAIS) was applied to adolescents aged 16-18 years. To determine the performance-based executive functions, Wisconsin Card Sorting Test and Stroop Test were applied to all participants. RESULTS: In this study, the participants who had made a suicide attempt displayed lower performance in the Stroop Test, especially in part 1 and part 4 compared with the controls (p = .04 and p = .011). Depressive patients also exhibited lower performance in the Stroop Test in part 3 compared with the controls (p = .049). Impulsivity was found more severe in depressive patients compared with controls (p < .001). There were no statistically significant differences between depressive patients with or without suicide attempt in terms of depression severity. CONCLUSION: Executive dysfunction appears to be associated with suicidal behaviour in adolescents with the major depressive disorder. This findings need to be replicated with a larger sample size in the future.

引用

页码：332 / 339

页数：8

共 62 条

[41] Differences in risk factors for self-harm with and without suicidal intent: Findings from the ALSPAC cohort [J].