Cognitive effort avoidance in veterans with suicide attempt histories

Suicide attempts (SA) are increasing in the United States, especially in veterans. Discovering individual cognitive features of the subset of suicide ideators who attempt suicide is critical. Cognitive theories attribute SA to facile schema-based negative interpretations of environmental events. Ove...

Full description

Bibliographic Details
Main Authors: James M. Bjork, Chelsea K. Sawyers, Lisa K. Straub, David M.N. Garavito, Andrew Westbrook
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Acta Psychologica
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0001691822003031
_version_ 1811244270210777088
author James M. Bjork
Chelsea K. Sawyers
Lisa K. Straub
David M.N. Garavito
Andrew Westbrook
author_facet James M. Bjork
Chelsea K. Sawyers
Lisa K. Straub
David M.N. Garavito
Andrew Westbrook
author_sort James M. Bjork
collection DOAJ
description Suicide attempts (SA) are increasing in the United States, especially in veterans. Discovering individual cognitive features of the subset of suicide ideators who attempt suicide is critical. Cognitive theories attribute SA to facile schema-based negative interpretations of environmental events. Over-general autobiographical memory and facile solutions in problem solving tasks in SA survivors suggest that aversion to expending cognitive effort may be a neurobehavioral marker of SA risk. In veterans receiving care for mood disorder, we compared cognitive effort discounting and evidence-gathering in a beads task between veterans with (SAHx+; n = 26) versus without (SAHx-; n = 22) a history of SA. Groups did not differ in depressed mood or in a proxy metric of premorbid intelligence. Compared to SAHx- participants, SAHx+ participants self-reported significantly more severe cognitive problems in most domains, and also eschewed choice to earn higher monetary reward if earning it required a slightly increased working memory (WM) demand relative to an easy WM task. There was no group difference, however, in extent of evidence-gathering before declaring a conclusion in a beads task. These preliminary data suggest that aversion to expenditure of cognitive effort, potentially as a component of cognitive difficulties, may be a marker for SA risk.
first_indexed 2024-04-12T14:23:04Z
format Article
id doaj.art-67553b4fa6ae4bfcace3a6fd1f7b6341
institution Directory Open Access Journal
issn 0001-6918
language English
last_indexed 2024-04-12T14:23:04Z
publishDate 2022-11-01
publisher Elsevier
record_format Article
series Acta Psychologica
spelling doaj.art-67553b4fa6ae4bfcace3a6fd1f7b63412022-12-22T03:29:31ZengElsevierActa Psychologica0001-69182022-11-01231103788Cognitive effort avoidance in veterans with suicide attempt historiesJames M. Bjork0Chelsea K. Sawyers1Lisa K. Straub2David M.N. Garavito3Andrew Westbrook4Institute for Drug and Alcohol Studies, Virginia Commonwealth University, 203 E Cary St Room 202, Richmond, VA 23219, United States of America; Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond VA, United States of America; Corresponding author.Institute for Drug and Alcohol Studies, Virginia Commonwealth University, 203 E Cary St Room 202, Richmond, VA 23219, United States of AmericaInstitute for Drug and Alcohol Studies, Virginia Commonwealth University, 203 E Cary St Room 202, Richmond, VA 23219, United States of AmericaInstitute for Drug and Alcohol Studies, Virginia Commonwealth University, 203 E Cary St Room 202, Richmond, VA 23219, United States of AmericaInstitute for Drug and Alcohol Studies, Virginia Commonwealth University, 203 E Cary St Room 202, Richmond, VA 23219, United States of America; Department of Cognitive, Linguistic & Psychological Sciences, Brown University, Providence, RI, United States of AmericaSuicide attempts (SA) are increasing in the United States, especially in veterans. Discovering individual cognitive features of the subset of suicide ideators who attempt suicide is critical. Cognitive theories attribute SA to facile schema-based negative interpretations of environmental events. Over-general autobiographical memory and facile solutions in problem solving tasks in SA survivors suggest that aversion to expending cognitive effort may be a neurobehavioral marker of SA risk. In veterans receiving care for mood disorder, we compared cognitive effort discounting and evidence-gathering in a beads task between veterans with (SAHx+; n = 26) versus without (SAHx-; n = 22) a history of SA. Groups did not differ in depressed mood or in a proxy metric of premorbid intelligence. Compared to SAHx- participants, SAHx+ participants self-reported significantly more severe cognitive problems in most domains, and also eschewed choice to earn higher monetary reward if earning it required a slightly increased working memory (WM) demand relative to an easy WM task. There was no group difference, however, in extent of evidence-gathering before declaring a conclusion in a beads task. These preliminary data suggest that aversion to expenditure of cognitive effort, potentially as a component of cognitive difficulties, may be a marker for SA risk.http://www.sciencedirect.com/science/article/pii/S0001691822003031SuicideCognitionDecision-makingMental effortDepressionVeterans
spellingShingle James M. Bjork
Chelsea K. Sawyers
Lisa K. Straub
David M.N. Garavito
Andrew Westbrook
Cognitive effort avoidance in veterans with suicide attempt histories
Acta Psychologica
Suicide
Cognition
Decision-making
Mental effort
Depression
Veterans
title Cognitive effort avoidance in veterans with suicide attempt histories
title_full Cognitive effort avoidance in veterans with suicide attempt histories
title_fullStr Cognitive effort avoidance in veterans with suicide attempt histories
title_full_unstemmed Cognitive effort avoidance in veterans with suicide attempt histories
title_short Cognitive effort avoidance in veterans with suicide attempt histories
title_sort cognitive effort avoidance in veterans with suicide attempt histories
topic Suicide
Cognition
Decision-making
Mental effort
Depression
Veterans
url http://www.sciencedirect.com/science/article/pii/S0001691822003031
work_keys_str_mv AT jamesmbjork cognitiveeffortavoidanceinveteranswithsuicideattempthistories
AT chelseaksawyers cognitiveeffortavoidanceinveteranswithsuicideattempthistories
AT lisakstraub cognitiveeffortavoidanceinveteranswithsuicideattempthistories
AT davidmngaravito cognitiveeffortavoidanceinveteranswithsuicideattempthistories
AT andrewwestbrook cognitiveeffortavoidanceinveteranswithsuicideattempthistories