Awareness of illness and suicidal behavior in delusional disorder patients
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Archives of Clinical Psychiatry |
Texto Completo: | https://www.revistas.usp.br/acp/article/view/96862 |
Resumo: | Background The relationship between insight and suicidal behavior among psychotic patients is poorly studied and possibly mediated by clinical variables. Objectives Our goal was to investigate clinical differences in suicidal and non-suicidal delusional disorder (DD) patients, and to evaluate the relationship between insight, psychotic and depressive symptoms. Methods Cross-sectional study in 64 consecutive DD patients. For assessment, we used the Positive and Negative Syndrome Scale (PANSS), the Hamilton Rating Scale for Depression (HRSD-17), the Columbia Suicide Severity Rating Scale (C-SSRS), the Personal and Social Performance Scale (PSP), and the first three items of the SUMD scale for insight. The sample was divided according to the presence of suicide attempts. To investigate psychopathological associations, bivariate correlation coefficients were used. Age at onset served as covariate in subsequent analyses. Results Suicidal DD patients had higher depressive symptoms and were more frequently admitted than non-suicidal patients. A logistic regression model confirmed that insight, depressive symptoms and age at onset were predictors of suicidal behavior. Unawareness of the effects of medication was negatively related to depressive symptoms. After adjustment, depressive symptoms were weakly correlated to better insight into the effects of medication. No other statistically significant correlations were found. Discussion Depressive symptoms, insight and age at onset of disease may be potential predictors of suicidal behavior in DD patients. |
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Archives of Clinical Psychiatry |
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Awareness of illness and suicidal behavior in delusional disorder patients Background The relationship between insight and suicidal behavior among psychotic patients is poorly studied and possibly mediated by clinical variables. Objectives Our goal was to investigate clinical differences in suicidal and non-suicidal delusional disorder (DD) patients, and to evaluate the relationship between insight, psychotic and depressive symptoms. Methods Cross-sectional study in 64 consecutive DD patients. For assessment, we used the Positive and Negative Syndrome Scale (PANSS), the Hamilton Rating Scale for Depression (HRSD-17), the Columbia Suicide Severity Rating Scale (C-SSRS), the Personal and Social Performance Scale (PSP), and the first three items of the SUMD scale for insight. The sample was divided according to the presence of suicide attempts. To investigate psychopathological associations, bivariate correlation coefficients were used. Age at onset served as covariate in subsequent analyses. Results Suicidal DD patients had higher depressive symptoms and were more frequently admitted than non-suicidal patients. A logistic regression model confirmed that insight, depressive symptoms and age at onset were predictors of suicidal behavior. Unawareness of the effects of medication was negatively related to depressive symptoms. After adjustment, depressive symptoms were weakly correlated to better insight into the effects of medication. No other statistically significant correlations were found. Discussion Depressive symptoms, insight and age at onset of disease may be potential predictors of suicidal behavior in DD patients. Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/acp/article/view/9686210.1590/0101-60830000000034Archives of Clinical Psychiatry; v. 41 n. 6 (2014); 156-158Archives of Clinical Psychiatry; Vol. 41 No. 6 (2014); 156-158Revista de Psiquiatria Clínica; Vol. 41 Núm. 6 (2014); 156-1581806-938X0101-6083reponame:Archives of Clinical Psychiatryinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/acp/article/view/96862/95946Copyright (c) 2015 Archives of Clinical Psychiatryinfo:eu-repo/semantics/openAccessMolina-Andreu, Oriol González-Rodríguez, Alexandre Villanueva, Alexandre Pons Penadés, Rafael Catalán, Rosa Bernardo, Miquel 2015-03-27T11:38:08Zoai:revistas.usp.br:article/96862Revistahttp://www.hcnet.usp.br/ipq/revista/index.htmlPUBhttps://old.scielo.br/oai/scielo-oai.php||archives@usp.br1806-938X0101-6083opendoar:2015-03-27T11:38:08Archives of Clinical Psychiatry - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Awareness of illness and suicidal behavior in delusional disorder patients |
title |
Awareness of illness and suicidal behavior in delusional disorder patients |
spellingShingle |
Awareness of illness and suicidal behavior in delusional disorder patients Molina-Andreu, Oriol |
title_short |
Awareness of illness and suicidal behavior in delusional disorder patients |
title_full |
Awareness of illness and suicidal behavior in delusional disorder patients |
title_fullStr |
Awareness of illness and suicidal behavior in delusional disorder patients |
title_full_unstemmed |
Awareness of illness and suicidal behavior in delusional disorder patients |
title_sort |
Awareness of illness and suicidal behavior in delusional disorder patients |
author |
Molina-Andreu, Oriol |
author_facet |
Molina-Andreu, Oriol González-Rodríguez, Alexandre Villanueva, Alexandre Pons Penadés, Rafael Catalán, Rosa Bernardo, Miquel |
author_role |
author |
author2 |
González-Rodríguez, Alexandre Villanueva, Alexandre Pons Penadés, Rafael Catalán, Rosa Bernardo, Miquel |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Molina-Andreu, Oriol González-Rodríguez, Alexandre Villanueva, Alexandre Pons Penadés, Rafael Catalán, Rosa Bernardo, Miquel |
description |
Background The relationship between insight and suicidal behavior among psychotic patients is poorly studied and possibly mediated by clinical variables. Objectives Our goal was to investigate clinical differences in suicidal and non-suicidal delusional disorder (DD) patients, and to evaluate the relationship between insight, psychotic and depressive symptoms. Methods Cross-sectional study in 64 consecutive DD patients. For assessment, we used the Positive and Negative Syndrome Scale (PANSS), the Hamilton Rating Scale for Depression (HRSD-17), the Columbia Suicide Severity Rating Scale (C-SSRS), the Personal and Social Performance Scale (PSP), and the first three items of the SUMD scale for insight. The sample was divided according to the presence of suicide attempts. To investigate psychopathological associations, bivariate correlation coefficients were used. Age at onset served as covariate in subsequent analyses. Results Suicidal DD patients had higher depressive symptoms and were more frequently admitted than non-suicidal patients. A logistic regression model confirmed that insight, depressive symptoms and age at onset were predictors of suicidal behavior. Unawareness of the effects of medication was negatively related to depressive symptoms. After adjustment, depressive symptoms were weakly correlated to better insight into the effects of medication. No other statistically significant correlations were found. Discussion Depressive symptoms, insight and age at onset of disease may be potential predictors of suicidal behavior in DD patients. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/acp/article/view/96862 10.1590/0101-60830000000034 |
url |
https://www.revistas.usp.br/acp/article/view/96862 |
identifier_str_mv |
10.1590/0101-60830000000034 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/acp/article/view/96862/95946 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2015 Archives of Clinical Psychiatry info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2015 Archives of Clinical Psychiatry |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria |
dc.source.none.fl_str_mv |
Archives of Clinical Psychiatry; v. 41 n. 6 (2014); 156-158 Archives of Clinical Psychiatry; Vol. 41 No. 6 (2014); 156-158 Revista de Psiquiatria Clínica; Vol. 41 Núm. 6 (2014); 156-158 1806-938X 0101-6083 reponame:Archives of Clinical Psychiatry instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Archives of Clinical Psychiatry |
collection |
Archives of Clinical Psychiatry |
repository.name.fl_str_mv |
Archives of Clinical Psychiatry - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||archives@usp.br |
_version_ |
1800237623733649408 |