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A short-term longitudinal examination of the relations between depression, anhedonia, and self-injurious thoughts and behaviors in adults with a history of self-injury.
Compr Psychiatry. 2017 02; 73:187-195.CP

Abstract

BACKGROUND

Limited research has addressed the role of anhedonia in predicting suicidality and/or nonsuicidal self-injury (NSSI) in adults, despite evidence suggesting that loss of interest or pleasure may increase vulnerability for self-inflicted harm, even beyond other depressive symptoms.

METHODS

In the current study, we explored the role of symptoms of depression and recent changes in anhedonia in predicting suicidality, NSSI ideation, and perceptions of NSSI helpfulness among individuals with a history of NSSI or suicide attempts (N=187).

RESULTS

We found that changes in anhedonia partially mediated the effect of depression on suicidality, and fully mediated the effect of depression on perceptions of NSSI helpfulness. Anhedonia did not predict NSSI ideation above and beyond depression symptoms, and did not significantly predict NSSI frequency when accounting for suicidality. Compared to individuals with a history of NSSI only or suicide attempt only, people with a history of both NSSI and suicide attempt evidenced greater risk and symptomatology.

CONCLUSIONS

Results confirm the relation between anhedonia and suicidality evidenced in past research, but suggest a complex relationship between anhedonia, depression, and facets of non-suicidal self-injury.

Authors+Show Affiliations

University of Arkansas for Medical Sciences, Psychiatric Research Institute, Brain Imaging Research Center, Little Rock, AR 72205; University of Arkansas, Department of Psychological Science, Fayetteville, AR 72701, USA. Electronic address: MJZielinski@uams.edu.University of Arkansas, Department of Psychological Science, Fayetteville, AR 72701, USA.Mississippi State University, Department of Psychology, Starkville, MS 39762, USA.Mississippi State University, Department of Psychology, Starkville, MS 39762, USA; Baylor College of Medicine, Department of Psychiatry and Behavioral Sciences, Houston, TX 77077.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28040576

Citation

Zielinski, Melissa J., et al. "A Short-term Longitudinal Examination of the Relations Between Depression, Anhedonia, and Self-injurious Thoughts and Behaviors in Adults With a History of Self-injury." Comprehensive Psychiatry, vol. 73, 2017, pp. 187-195.
Zielinski MJ, Veilleux JC, Winer ES, et al. A short-term longitudinal examination of the relations between depression, anhedonia, and self-injurious thoughts and behaviors in adults with a history of self-injury. Compr Psychiatry. 2017;73:187-195.
Zielinski, M. J., Veilleux, J. C., Winer, E. S., & Nadorff, M. R. (2017). A short-term longitudinal examination of the relations between depression, anhedonia, and self-injurious thoughts and behaviors in adults with a history of self-injury. Comprehensive Psychiatry, 73, 187-195. https://doi.org/10.1016/j.comppsych.2016.11.013
Zielinski MJ, et al. A Short-term Longitudinal Examination of the Relations Between Depression, Anhedonia, and Self-injurious Thoughts and Behaviors in Adults With a History of Self-injury. Compr Psychiatry. 2017;73:187-195. PubMed PMID: 28040576.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A short-term longitudinal examination of the relations between depression, anhedonia, and self-injurious thoughts and behaviors in adults with a history of self-injury. AU - Zielinski,Melissa J, AU - Veilleux,Jennifer C, AU - Winer,E Samuel, AU - Nadorff,Michael R, Y1 - 2016/12/07/ PY - 2016/04/17/received PY - 2016/11/17/revised PY - 2016/11/29/accepted PY - 2017/1/4/pubmed PY - 2017/8/9/medline PY - 2017/1/2/entrez SP - 187 EP - 195 JF - Comprehensive psychiatry JO - Compr Psychiatry VL - 73 N2 - BACKGROUND: Limited research has addressed the role of anhedonia in predicting suicidality and/or nonsuicidal self-injury (NSSI) in adults, despite evidence suggesting that loss of interest or pleasure may increase vulnerability for self-inflicted harm, even beyond other depressive symptoms. METHODS: In the current study, we explored the role of symptoms of depression and recent changes in anhedonia in predicting suicidality, NSSI ideation, and perceptions of NSSI helpfulness among individuals with a history of NSSI or suicide attempts (N=187). RESULTS: We found that changes in anhedonia partially mediated the effect of depression on suicidality, and fully mediated the effect of depression on perceptions of NSSI helpfulness. Anhedonia did not predict NSSI ideation above and beyond depression symptoms, and did not significantly predict NSSI frequency when accounting for suicidality. Compared to individuals with a history of NSSI only or suicide attempt only, people with a history of both NSSI and suicide attempt evidenced greater risk and symptomatology. CONCLUSIONS: Results confirm the relation between anhedonia and suicidality evidenced in past research, but suggest a complex relationship between anhedonia, depression, and facets of non-suicidal self-injury. SN - 1532-8384 UR - https://www.unboundmedicine.com/medline/citation/28040576/A_short_term_longitudinal_examination_of_the_relations_between_depression_anhedonia_and_self_injurious_thoughts_and_behaviors_in_adults_with_a_history_of_self_injury_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-440X(16)30222-X DB - PRIME DP - Unbound Medicine ER -