The Relationship Between Attention and Suicidal Ideation Among Patients With Adult-Onset Chronic Schizophrenia

IF 2.6 3区心理学 Q2 BEHAVIORAL SCIENCES Brain and Behavior Pub Date : 2024-10-08 DOI:10.1002/brb3.70079

Qiongzhang Wang, Yurou Zhou, Weiqian Xu, Wei Tang, Jing Liu

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Abstract

Background

Patients with chronic schizophrenia (SZ) have a high risk of suicide, and their cognition function is impaired. We aimed to explore the relationship between attention and suicidal ideation among patients with adult-onset chronic SZ.

Methods

A total of 416 patients with adult-onset chronic SZ were enrolled in this study. We divided patients into suicidal ideation group and non-suicidal ideation group according to the evaluation results of the Beck Scale for Suicide Ideation. Psychotic symptoms were measured by Positive and Negative Syndrome Scale (PANSS), and cognitive function was measured by Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Insomnia symptoms were measured by Insomnia Severity Index (ISI).

Results

Age was significantly different (44.28 ± 10.58 vs. 48.46 ± 12.23, t = 10.64, p = 0.001) between the two groups, and the patients with suicidal ideation were younger than patients without suicidal ideation. The positive symptom scores of the PANSS, the scores of ISI, and attention scores of RBANS were higher in patients with suicidal ideation than patients without suicidal ideation (17.30 ± 5.67 vs. 15.58 ± 4.90, t = 9.633, p = 0.002; 3.00 [1.00–6.00] vs. 2.00 [1.00–3.50], Z = −2.048, p = 0.041; 81.80 ± 14.99 vs. 76.91 ± 13.88, t = 10.101, p = 0.002). In the logistic regression analysis, age (odds ratio [OR], 0.973; 95% confidence interval [95%CI], [0.955–0.992]; p = 0.005), positive symptom scores of PANSS (OR, 1.063; 95%CI, [1.019–1.109]; p = 0.005), ISI scores (OR, 1.098; 95%CI, [1.037–1.163]; p = 0.001), and attention scores of RBANS (OR, 1.029; 95%CI, [1.013–1.047]; p = 0.001) were independently associated with the occurrence of suicidal ideation among patients with adult-onset chronic SZ.

Conclusions

High attention scores of RBANS were a risk factor for suicidal ideation among patients with adult-onset chronic SZ.

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成年慢性精神分裂症患者的注意力与自杀意念之间的关系

背景：慢性精神分裂症（SZ）患者自杀风险高，且认知功能受损。我们旨在探讨成年慢性精神分裂症患者的注意力与自杀意念之间的关系：本研究共招募了 416 名成年慢性 SZ 患者。根据贝克自杀意念量表的评估结果，将患者分为自杀意念组和非自杀意念组。精神症状由阳性和阴性综合量表（PANSS）测量，认知功能由神经心理状态评估可重复性电池（RBANS）测量。失眠症状通过失眠严重程度指数（ISI）进行测量：两组患者的年龄有明显差异（44.28 ± 10.58 vs. 48.46 ± 12.23，t = 10.64，p = 0.001），有自杀意念的患者比无自杀意念的患者年轻。自杀意念患者的 PANSS 阳性症状评分、ISI 评分和 RBANS 注意力评分均高于无自杀意念患者（17.30 ± 5.67 vs. 15.58 ± 4.90，t = 9.633，p = 0.002；3.00 [1.00-6.00] vs. 2.00 [1.00-3.50]，Z = -2.048，p = 0.041；81.80 ± 14.99 vs. 76.91 ± 13.88，t = 10.101，p = 0.002）。在逻辑回归分析中，年龄（几率比 [OR]，0.973；95% 置信区间 [95%CI]，[0.955-0.992]；P = 0.005）、PANSS 阳性症状评分（OR，1.063；95%CI，[1.019-1.109]；P = 0.005）、ISI 评分（OR，1.098；95%CI，[1.037-1.163]；p = 0.001）和RBANS的注意力得分（OR，1.029；95%CI，[1.013-1.047]；p = 0.001）与成年慢性SZ患者自杀意念的发生独立相关：结论：RBANS的高注意力评分是成年慢性SZ患者出现自杀意念的一个危险因素。

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来源期刊

Brain and Behavior BEHAVIORAL SCIENCES-NEUROSCIENCES

CiteScore

5.30

自引率

0.00%

发文量

352

审稿时长

14 weeks

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