Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive Disorder
Caner Yeşiloğlu,1 Lut Tamam,2 Mehmet Emin Demirkol,2 Zeynep Namlı,2 Mahmut Onur Karaytuğ2 1Department of Psychiatry, Kırşehir Training and Research Hospital, Kırşehir, Turkey; 2Department of Psychiatry, Çukurova...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-10-01
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| Series: | Neuropsychiatric Disease and Treatment |
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| Online Access: | https://www.dovepress.com/associations-between-the-suicidal-ideation-and-the-tolerance-for-psych-peer-reviewed-fulltext-article-NDT |
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| author | Yeşiloğlu C Tamam L Demirkol ME Namlı Z Karaytuğ MO |
| author_facet | Yeşiloğlu C Tamam L Demirkol ME Namlı Z Karaytuğ MO |
| author_sort | Yeşiloğlu C |
| collection | DOAJ |
| description | Caner Yeşiloğlu,1 Lut Tamam,2 Mehmet Emin Demirkol,2 Zeynep Namlı,2 Mahmut Onur Karaytuğ2 1Department of Psychiatry, Kırşehir Training and Research Hospital, Kırşehir, Turkey; 2Department of Psychiatry, Çukurova University, School of Medicine, Adana, TurkeyCorrespondence: Mehmet Emin Demirkol, Department of Psychiatry, Çukurova University, School of Medicine, Adana, Turkey, Email emindemirkol@gmail.comPurpose: Patients with major depressive disorder (MDD) may experience more frequent and severe psychological and physical pain complaints compared to those without depression. As the tolerance to psychological pain decreases in patients with MDD, the severity of suicidal ideation tends to increase. Furthermore, the tolerance for physical pain (TPP) has been related with suicidal behavior. We aimed to demonstrate the impact of TPP on suicidal ideation in patients with MDD in the presence of psychological pain.Patients and Methods: We included 123 patients with MDD and 114 healthy volunteers who had no previous psychiatric diagnosis. Sociodemographic data form, Psychache Scale (PS) and Tolerance for Mental Pain Scale (TMPS) were used to assess psychological pain. Beck Scale for Suicide Ideation (BSIS) and Beck Depression Inventory (BDI) were administered to participants. To assess the TPP, we used a device based on the principle of electronic dynamometry.Results: The mean BDI, BSIS, PS, and TPP scores in the MDD group were higher, and the mean TMPS score was lower than those in the control group (p < 0.001 for each, p = 0.03 for TPP). We found statistically significant correlations between BDI, TMPS, BSIS, PS, and TPP scores (p < 0.05 for each). TPP was a partial mediator in the relationship between TMPS and BSIS scores (β = − 1.814; p < 0.001).Conclusion: We found that tolerance of psychological pain was a strong predictor of suicidal ideation, and TPP was mediating this relationship. These findings suggest that considering both tolerance to psychological pain and TPP may be beneficial when assessing the risk of suicide in individuals with MDD.Keywords: depression, tolerance of psychological pain, tolerance of physical pain, psychache, suicide |
| first_indexed | 2024-03-11T15:36:22Z |
| format | Article |
| id | doaj.art-9d2c74fcaafc494a833b5a490aace08d |
| institution | Directory Open Access Journal |
| issn | 1178-2021 |
| language | English |
| last_indexed | 2024-03-11T15:36:22Z |
| publishDate | 2023-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj.art-9d2c74fcaafc494a833b5a490aace08d2023-10-26T17:06:53ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212023-10-01Volume 192283229487612Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive DisorderYeşiloğlu CTamam LDemirkol MENamlı ZKaraytuğ MOCaner Yeşiloğlu,1 Lut Tamam,2 Mehmet Emin Demirkol,2 Zeynep Namlı,2 Mahmut Onur Karaytuğ2 1Department of Psychiatry, Kırşehir Training and Research Hospital, Kırşehir, Turkey; 2Department of Psychiatry, Çukurova University, School of Medicine, Adana, TurkeyCorrespondence: Mehmet Emin Demirkol, Department of Psychiatry, Çukurova University, School of Medicine, Adana, Turkey, Email emindemirkol@gmail.comPurpose: Patients with major depressive disorder (MDD) may experience more frequent and severe psychological and physical pain complaints compared to those without depression. As the tolerance to psychological pain decreases in patients with MDD, the severity of suicidal ideation tends to increase. Furthermore, the tolerance for physical pain (TPP) has been related with suicidal behavior. We aimed to demonstrate the impact of TPP on suicidal ideation in patients with MDD in the presence of psychological pain.Patients and Methods: We included 123 patients with MDD and 114 healthy volunteers who had no previous psychiatric diagnosis. Sociodemographic data form, Psychache Scale (PS) and Tolerance for Mental Pain Scale (TMPS) were used to assess psychological pain. Beck Scale for Suicide Ideation (BSIS) and Beck Depression Inventory (BDI) were administered to participants. To assess the TPP, we used a device based on the principle of electronic dynamometry.Results: The mean BDI, BSIS, PS, and TPP scores in the MDD group were higher, and the mean TMPS score was lower than those in the control group (p < 0.001 for each, p = 0.03 for TPP). We found statistically significant correlations between BDI, TMPS, BSIS, PS, and TPP scores (p < 0.05 for each). TPP was a partial mediator in the relationship between TMPS and BSIS scores (β = − 1.814; p < 0.001).Conclusion: We found that tolerance of psychological pain was a strong predictor of suicidal ideation, and TPP was mediating this relationship. These findings suggest that considering both tolerance to psychological pain and TPP may be beneficial when assessing the risk of suicide in individuals with MDD.Keywords: depression, tolerance of psychological pain, tolerance of physical pain, psychache, suicidehttps://www.dovepress.com/associations-between-the-suicidal-ideation-and-the-tolerance-for-psych-peer-reviewed-fulltext-article-NDTdepressiontolerance of psychological paintolerance of physical painpsychachesuicide |
| spellingShingle | Yeşiloğlu C Tamam L Demirkol ME Namlı Z Karaytuğ MO Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive Disorder Neuropsychiatric Disease and Treatment depression tolerance of psychological pain tolerance of physical pain psychache suicide |
| title | Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive Disorder |
| title_full | Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive Disorder |
| title_fullStr | Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive Disorder |
| title_full_unstemmed | Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive Disorder |
| title_short | Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive Disorder |
| title_sort | associations between the suicidal ideation and the tolerance for psychological pain and tolerance for physical pain in patients diagnosed with major depressive disorder |
| topic | depression tolerance of psychological pain tolerance of physical pain psychache suicide |
| url | https://www.dovepress.com/associations-between-the-suicidal-ideation-and-the-tolerance-for-psych-peer-reviewed-fulltext-article-NDT |
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