Problem solving deteriorates following mood challenge in formerly depressed patients with a. history of suicidal ideation

被引:167
作者
Williams, JMG [1 ]
Barnhofer, T
Crane, C
Beck, AT
机构
[1] Univ Oxford, Warneford Hosp, Dept Psychiat, Oxford OX3 7JX, England
[2] Univ Penn, Philadelphia, PA 19104 USA
基金
英国惠康基金;
关键词
depression; suicide; differential activation; problem solving; autobiographical memory;
D O I
10.1037/0021-843X.114.3.421
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The authors divided 34 participants who had a history of depression into 2 groups, those having previous suicidal ideation or behavior (n = 19) and those having no such symptoms (n = 15), then compared the 2 groups with a group of participants who had no history of depression (n 22). Assessment of interpersonal problem-solving performance using the Means-Ends Problem-Solving (MEPS) task before and after a mood-induction procedure showed that only those formerly depressed people with a history of suicidal ideation. shifted in MEPS performance, producing significantly less effective problem solutions following mood challenge, consistent with a differential activation account of vulnerability for recurrence of suicidal ideation and behavior. The deterioration in effectiveness following mood challenge was moderated by lack of specificity in autobiographical memory.
引用
收藏
页码:421 / 431
页数:11
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