Future orientation moderates the relationship between functional status and suicide ideation in depressed adults

被引:51
作者
Hirsch, Jameson K.
Duberstein, Paul R.
Conner, Kenneth R.
Heisel, Marnin J.
Beckman, Anthony
Franus, Nathan
Conwell, Yeates
机构
[1] Rochester Inst Technol, Dept Psychol, Rochester, NY 14623 USA
[2] Univ Rochester, Sch Med & Dent, Dept Psychiat, Ctr Study & Prevent Suicide, Rochester, NY 14642 USA
[3] Univ Western Ontario, Schulich Sch Med & Dent, Dept Psychiat, London, ON, Canada
[4] Univ Western Ontario, Schulich Sch Med & Dent, Dept Epidemiol & Biostat, London, ON, Canada
关键词
future orientation; functional status; suicide ideation; ELDERLY-PEOPLE; RISK-FACTORS; INSTRUMENTAL ACTIVITIES; MEDICAL ILLNESS; MENTAL-HEALTH; OLDER-PEOPLE; OPTIMISM; SCALE; PERSONALITY; SYMPTOMS;
D O I
10.1002/da.20224
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Functional impairment might amplify suicide risk in later life. A positive view of the fixture may reduce this fisk. We tested the hypothesis that hopelessness and positive future orientation moderate the association between functional status and suicide ideation in a sample of 136 patients, 55 years of age or older, in treatment for depression. Future orientation moderated the association between functional status and suicide ideation; hopelessness did not. Although prospective research is needed to test more rigorously the hypothesized protective role of positive future orientation, our data suggest that treatments designed to enhance future orientation might decrease suicide risk. Published 2006 Wiley-Liss, Inc.dagger.
引用
收藏
页码:196 / 201
页数:6
相关论文
共 62 条
[51]   Optimism and survival in lung carcinoma patients [J].
Schofield, P ;
Ball, D ;
Smith, JG ;
Borland, R ;
O'Brien, P ;
Davis, S ;
Olver, I ;
Ryan, G ;
Joseph, D .
CANCER, 2004, 100 (06) :1276-1282
[52]   Optimism and immunity: Do positive thoughts always lead to positive effects? [J].
Segerstrom, SC .
BRAIN BEHAVIOR AND IMMUNITY, 2005, 19 (03) :195-200
[53]   Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: A comparative study [J].
Soloff, PH ;
Lynch, KG ;
Kelly, TM ;
Malone, KM ;
Mann, JJ .
AMERICAN JOURNAL OF PSYCHIATRY, 2000, 157 (04) :601-608
[54]   Identification of suicidal ideation and prevention of suicidal behaviour in the elderly [J].
Szanto, K ;
Gildengers, A ;
Mulsant, BH ;
Brown, G ;
Alexopoulos, GS ;
Reynolds, CF .
DRUGS & AGING, 2002, 19 (01) :11-24
[55]   Treatment outcome in suicidal vs. non-suicidal elderly patients [J].
Szanto, K ;
Mulsant, BH ;
Houck, PR ;
Miller, MD ;
Mazumdar, S ;
Reynolds, CF .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2001, 9 (03) :261-268
[56]   Suicide in elderly depressed patients - Is active vs passive suicidal ideation a clinically valid distinction? [J].
Szanto, K ;
Reynolds, CF ;
Frank, E ;
Stack, J ;
Fasiczka, AL ;
Miller, M ;
Mulsant, BH ;
Mazumdar, S ;
Kupfer, DJ .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 1996, 4 (03) :197-207
[57]   Mental health [J].
Vaillant, GE .
AMERICAN JOURNAL OF PSYCHIATRY, 2003, 160 (08) :1373-1384
[58]   Suicidal feelings in the last year of life in elderly people who commit suicide [J].
Waern, M ;
Beskow, J ;
Runeson, B ;
Skoog, I .
LANCET, 1999, 354 (9182) :917-918
[59]  
WILLIAMS JBW, 1988, ARCH GEN PSYCHIAT, V45, P742
[60]  
WILLIAMS JBW, 2001, EUR ARCH PSYCHIAT CL, V251