کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6236446 | 1608197 | 2010 | 8 صفحه PDF | دانلود رایگان |

ObjectiveTo study two aspects of interpersonal function - attachment security and social adjustment - in relation to suicide attempt and major depressive episode (MDE) during naturalistic follow-up of up to one year after presentation with MDE.Method136 adults who presented with a DSM-IV MDE completed the Adult Attachment Scale and the Social Adjustment Scale-Self Report at study entry. Based on follow-up interviews at three months and one year, we used survival analysis to investigate the relationship of scores on these measures with time to a suicide attempt and time to recurrent MDE.ResultsLess secure/more avoidant attachment predicted increased risk of suicide attempt during the 1-year follow-up (Wald Ï2 = 9.14, df = 1, p = 0.003, HR = 1.16, 95% CI = 1.05 to 1.27). Poorer social adjustment predicted increased risk of recurrent MDE (Wald Ï2 = 6.95, df = 1, p = 0.008, HR = 2.36, 95% CI = 1.25 to 4.46), and that in turn increased the risk of a suicide attempt (z = 4.19, df = 1, p < 0.001, HR = 17.3, 95% CI = 4.6 to 65.5).ConclusionsAvoidant attachment in the setting of major depressive disorder is a potential therapeutic target to prevent suicidal behavior. Enhancing social adjustment may reduce relapse in major depressive disorder and thereby reduce risk of a suicide attempt. Study limitations include small sample size and use of a self-report attachment scale.
Journal: Journal of Affective Disorders - Volume 123, Issues 1â3, June 2010, Pages 123-130