Attachment and social adjustment : relationships to suicide attempt and major depressive episode in a prospective study
Copyright 2009 Elsevier B.V. All rights reserved..
OBJECTIVE: To study two aspects of interpersonal function - attachment security and social adjustment - in relation to suicide attempt and major depressive episode (MDE) during naturalistic follow-up of up to one year after presentation with MDE.
METHOD: 136 adults who presented with a DSM-IV MDE completed the Adult Attachment Scale and the Social Adjustment Scale-Self Report at study entry. Based on follow-up interviews at three months and one year, we used survival analysis to investigate the relationship of scores on these measures with time to a suicide attempt and time to recurrent MDE.
RESULTS: Less secure/more avoidant attachment predicted increased risk of suicide attempt during the 1-year follow-up (Wald chi(2)=9.14, df=1, p=0.003, HR=1.16, 95% CI=1.05 to 1.27). Poorer social adjustment predicted increased risk of recurrent MDE (Wald chi(2)=6.95, df=1, p=0.008, HR=2.36, 95% CI=1.25 to 4.46), and that in turn increased the risk of a suicide attempt (z=4.19, df=1, p<0.001, HR=17.3, 95% CI=4.6 to 65.5).
CONCLUSIONS: Avoidant attachment in the setting of major depressive disorder is a potential therapeutic target to prevent suicidal behavior. Enhancing social adjustment may reduce relapse in major depressive disorder and thereby reduce risk of a suicide attempt. Study limitations include small sample size and use of a self-report attachment scale.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2010 |
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| Erschienen: |
2010 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:123 |
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| Enthalten in: |
Journal of affective disorders - 123(2010), 1-3 vom: 30. Juni, Seite 123-30 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Grunebaum, Michael F [VerfasserIn] |
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| Anmerkungen: |
Date Completed 26.07.2010 Date Revised 20.10.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jad.2009.09.010 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM19196090X |
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| 100 | 1 | |a Grunebaum, Michael F |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Attachment and social adjustment |b relationships to suicide attempt and major depressive episode in a prospective study |
| 264 | 1 | |c 2010 | |
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| 500 | |a Date Completed 26.07.2010 | ||
| 500 | |a Date Revised 20.10.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright 2009 Elsevier B.V. All rights reserved. | ||
| 520 | |a OBJECTIVE: To study two aspects of interpersonal function - attachment security and social adjustment - in relation to suicide attempt and major depressive episode (MDE) during naturalistic follow-up of up to one year after presentation with MDE | ||
| 520 | |a METHOD: 136 adults who presented with a DSM-IV MDE completed the Adult Attachment Scale and the Social Adjustment Scale-Self Report at study entry. Based on follow-up interviews at three months and one year, we used survival analysis to investigate the relationship of scores on these measures with time to a suicide attempt and time to recurrent MDE | ||
| 520 | |a RESULTS: Less secure/more avoidant attachment predicted increased risk of suicide attempt during the 1-year follow-up (Wald chi(2)=9.14, df=1, p=0.003, HR=1.16, 95% CI=1.05 to 1.27). Poorer social adjustment predicted increased risk of recurrent MDE (Wald chi(2)=6.95, df=1, p=0.008, HR=2.36, 95% CI=1.25 to 4.46), and that in turn increased the risk of a suicide attempt (z=4.19, df=1, p<0.001, HR=17.3, 95% CI=4.6 to 65.5) | ||
| 520 | |a CONCLUSIONS: Avoidant attachment in the setting of major depressive disorder is a potential therapeutic target to prevent suicidal behavior. Enhancing social adjustment may reduce relapse in major depressive disorder and thereby reduce risk of a suicide attempt. Study limitations include small sample size and use of a self-report attachment scale | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Galfalvy, Hanga C |e verfasserin |4 aut | |
| 700 | 1 | |a Mortenson, Lindsey Y |e verfasserin |4 aut | |
| 700 | 1 | |a Burke, Ainsley K |e verfasserin |4 aut | |
| 700 | 1 | |a Oquendo, Maria A |e verfasserin |4 aut | |
| 700 | 1 | |a Mann, J John |e verfasserin |4 aut | |
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