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Anhedonia and Pain Avoidance in the Suicidal Mind: Behavioral Evidence for Motivational Manifestations of Suicidal Ideation in Patients With Major Depressive Disorder
Xie, Weizhen1; Li, Huanhuan1,2; Luo, Xinwei; Fu, Rong1; Ying, Xiangyu1; Wang, Ning1; Yin, Qifeng1; Zou, Yingmin1; Cui, Yanyan1; Wang, Xiang3; Shi, Chuan4
2014-07-01
Source PublicationJOURNAL OF CLINICAL PSYCHOLOGY
ISSN0021-9762
SubtypeArticle
Volume70Issue:7Pages:681-692
AbstractObjectives: Psychological pain may be helpful in conceptualizing suicidal behavior, in that high motivation to avoid pain combined with painful feelings may contribute to an increased risk of suicide. However, no experimental study has tested this hypothesis. The aim of the present study is to provide empirical evidence for the relationship between anhedonia, pain avoidance motivation, and suicidal ideation. Method: The sample comprised 40 depressed outpatients and 20 healthy control subjects. All participants completed the Beck Scale for Suicide Ideation (BSS), Beck Depression Inventory, Psychache Scale, Three-Dimensional Psychological Pain Scale, the monetary incentive delay (MID), and affective incentive delay (AID) tasks. Based on BSS scores, clinical participants were divided into high suicidal ideation (HSI) and low suicidal ideation (LSI) groups. Results: In the AID task, the HSI group had longer response times (RTs) under the reward condition than those under the punishment condition (p = .002). The LSI and control groups had shorter RTs under the reward condition compared with those under the neural condition (p < .001 and p = .008, respectively). The LSI group also had shorter RTs under the reward condition than under the punishment condition (p = .003). Pain arousal (r = -.33, p < .01) and BSS scores were significantly negatively correlated with differences in RTs between neutral and reward conditions. Pain avoidance (r = .35, p < .01) and BSS scores were positively correlated with differences in RTs between neutral and punishment conditions. Conclusions: The AID task was more sensitive than the MID task for the detection of participants' motivation in approaching hedonic experiences and avoiding pain. A suicidal mindset is manifested as decreased motivation to experience hedonia and increased motivation to avoid pain, which could be strong predictors of suicidal behavior. (C) 2013 Wiley Periodicals, Inc.
KeywordSuicide Suicidal Ideation Psychological Pain Anhedonia Pain Avoidance
Indexed BySSCI
Language英语
WOS IDWOS:000337623800007
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Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/14233
Collection健康与遗传心理学研究室
Affiliation1.Renmin Univ China, Beijing 100872, Peoples R China
2.Chinese Acad Sci, Inst Psychol, Beijing 100864, Peoples R China
3.Cent S Univ, Xiangya Hosp 2, Med Inst Psychol, Changsha, Hunan, Peoples R China
4.Peking Univ, Hosp 6, Beijing, Peoples R China
Recommended Citation
GB/T 7714
Xie, Weizhen,Li, Huanhuan,Luo, Xinwei,et al. Anhedonia and Pain Avoidance in the Suicidal Mind: Behavioral Evidence for Motivational Manifestations of Suicidal Ideation in Patients With Major Depressive Disorder[J]. JOURNAL OF CLINICAL PSYCHOLOGY,2014,70(7):681-692.
APA Xie, Weizhen.,Li, Huanhuan.,Luo, Xinwei.,Fu, Rong.,Ying, Xiangyu.,...&Shi, Chuan.(2014).Anhedonia and Pain Avoidance in the Suicidal Mind: Behavioral Evidence for Motivational Manifestations of Suicidal Ideation in Patients With Major Depressive Disorder.JOURNAL OF CLINICAL PSYCHOLOGY,70(7),681-692.
MLA Xie, Weizhen,et al."Anhedonia and Pain Avoidance in the Suicidal Mind: Behavioral Evidence for Motivational Manifestations of Suicidal Ideation in Patients With Major Depressive Disorder".JOURNAL OF CLINICAL PSYCHOLOGY 70.7(2014):681-692.
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