Association of Pain Intensity and Sensitivity with Suicidal Ideation in Adolescents with Depressive Disorder

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL Psychology Research and Behavior Management Pub Date : 2024-09-09 DOI:10.2147/prbm.s473074

Qingqing Shen, Qing Zhang, Yunxiao Liu, Yingao Cui, Jingwen Shang, Xiaoping Yuan, Feng Geng, Liang Sun, Zhiwei Liu, Rongchun Yang, Kai Zhang, Huanzhong Liu

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Abstract

Purpose: The purpose of this study was to further explore the association of pain intensity and sensitivity with suicidal ideation in adolescents with depressive disorder by comparing the differences in pain intensity and sensitivity between adolescent patients with depressive disorders and healthy controls.
Patients and Methods: A consecutive enrollment method was used to select 158 adolescent patients with depressive disorders from three hospitals in Anhui Province as the MDD group, and 47 healthy adolescents were recruited as the Control group. The subjects’ suicidal ideation was assessed using the Positive and Negative Suicide Ideation scale (PANSI), and the intensity of somatic pain was assessed using the Numerical Rating Scale-11 (NRS-11). Subjects were assessed for forearm and tibial pain sensitivity using a hand-held pressure pain instrument, and experimental pain sensitivity measures included pressure pain threshold (PPT) and pressure pain tolerance (PTO). Differences in pain intensity and sensitivity between the MDD group and the Control group were compared, and the association of pain intensity and sensitivity with suicidal ideation was analyzed.
Results: The incidence of physical pain in adolescent depressive disorder was higher at 88.6%, which was significantly higher than the Control group (P< 0.001), and the pain intensity in the MDD group (3.77± 2.48) was significantly higher than the Control group (0.617± 0.99) (P < 0.001).The Pain tolerance was significantly higher in the MDD group (forearm 105.37 ± 41.46; tibia 121.29 ± 41.60) than in the Control group (forearm 91.92 ± 37.62; tibia 105.47 ± 35.52) (P < 0.05).Linear regression analysis showed that the greater the pain intensity and pain tolerance, the higher the total PANSI score.Binary logistic regression showed that pain intensity was an influencing factor for suicidal ideation.
Conclusion: Adolescents with depressive disorders have higher pain intensity and lower pain sensitivity than healthy adolescents. Increased pain intensity and pain tolerance were positively correlated with suicidal ideation.

Keywords: adolescents, depressive disorder, pain intensity, pain sensitivity, suicidal ideation

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抑郁症青少年的疼痛强度和敏感性与自杀意念的关系

目的：本研究旨在通过比较青少年抑郁障碍患者与健康对照组在疼痛强度和敏感性方面的差异，进一步探讨疼痛强度和敏感性与青少年抑郁障碍患者自杀意念的相关性：采用连续入组的方法，从安徽省3家医院选取158名青少年抑郁障碍患者作为MDD组，47名健康青少年作为对照组。受试者的自杀意念采用阳性和阴性自杀意念量表（PANSI）进行评估，躯体疼痛强度采用数字评定量表-11（NRS-11）进行评估。使用手持式压痛仪对受试者的前臂和胫骨疼痛敏感性进行评估，实验性疼痛敏感性测量包括压痛阈值（PPT）和压痛耐受性（PTO）。比较了 MDD 组和对照组在疼痛强度和敏感性上的差异，并分析了疼痛强度和敏感性与自杀意念的关联：青少年抑郁症患者躯体疼痛发生率为88.6%，明显高于对照组（P< 0.001），MDD组疼痛强度（3.77± 2.48）明显高于对照组（0.617± 0.99）（P< 0.001）。MDD组疼痛耐受性明显高于对照组（前臂105.线性回归分析显示，疼痛强度和疼痛耐受性越大，PANSI总分越高。二元逻辑回归显示，疼痛强度是自杀意念的影响因素：结论：与健康青少年相比，患有抑郁障碍的青少年具有更高的疼痛强度和更低的疼痛敏感性。关键词：青少年抑郁症疼痛强度疼痛敏感性自杀倾向

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来源期刊

Psychology Research and Behavior Management Multiple-

CiteScore

4.50

自引率

4.70%

发文量

341

审稿时长

16 weeks

期刊介绍： Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.