کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
949680 926773 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prevalence and risk factors for suicidal ideation in a multiple sclerosis population
ترجمه فارسی عنوان
شیوع و عوامل خطر ابتلا به افکار خودکشی در جمعیت مولتیپل اسکلروزیس
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
چکیده انگلیسی

ObjectiveTo estimate the prevalence, incidence and determinants of suicidal ideation in the multiple sclerosis (MS) population.MethodsA sample of 188 subjects were randomly selected from a community-based MS clinic registry and participated in as many as 13 interviews over 6 months. Thoughts of “being better off dead” or of “harming oneself” were assessed using item 9 on the Patient Health Questionnaire, Brief (PHQ-9).ResultsAt baseline, the 2-week period prevalence of suicidal ideation was 8.3%. Over the course of 6 months, 22.1% of respondents reported having such thoughts at least once. Survival analysis incorporating baseline PHQ-8 scores as a covariate confirmed that being age 65 and over (HR = 4.3, 95% CI 1.7–11.3) and having lower quartile self-efficacy ratings (HR = 3.5, 95% CI 1.5–8.2) predicted suicidal ideation. Lower levels of task-oriented coping (treated as a continuous variable) also predicted suicidal ideation after adjustment for depressive symptoms (p = 0.015), as did self-reported bladder or bowel symptoms (HR = 2.6, 95% CI 1.1–6.0) and difficulties with speaking and swallowing (HR = 2.9, 95% CI 1.3–6.8). Associations with MS symptoms were not confounded by depressive symptoms.ConclusionThis study identified several potentially modifiable factors that may be useful for preventing suicide in people with MS.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Psychosomatic Research - Volume 76, Issue 4, April 2014, Pages 312–316
نویسندگان
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