Decision making and implicit suicidality in schizophrenia spectrum disorders
Introduction Research shows that mental illnesses increase suicidal risk. Studies have found that suicidal risk is associated with impaired decision-making. Objectives To analyze decision making based on emotional learning in implicit suicidality. Methods 56 male patients with schizophrenia sp...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821021349/type/journal_article |
| _version_ | 1797616317632610304 |
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| author | O. Vorontsova T. Medvedeva S. Enikolopov O. Boyko G. Rupchev |
| author_facet | O. Vorontsova T. Medvedeva S. Enikolopov O. Boyko G. Rupchev |
| author_sort | O. Vorontsova |
| collection | DOAJ |
| description |
Introduction
Research shows that mental illnesses increase suicidal risk. Studies have found that suicidal risk is associated with impaired decision-making.
Objectives
To analyze decision making based on emotional learning in implicit suicidality.
Methods
56 male patients with schizophrenia spectrum disorder (F20) and denied presence of suicidal ideation were involved into the study (mean age 23±2.7),. Methods: Iowa gambling task (IGT) - integral indicators were used: the prevalence of “good” choices over “bad” ones, total score; and an indicator reflecting the ignorance of consequences of one’s choice - the subject remains on a “bad deck” after a loss. The Rorschach test (Rorschach Comprehensive system) was administered: Suicide Constellation «S-CON» and its components were used.
Results
According to the analysis, prevalence of “good” choices (IGT) negatively correlates with «S-CON» (Spearman’s correlation -0.328*, hereinafter significance level: ~ - p<0.1; * - p<0.05). A decrease in the total IGT score is associated with the following cognitive indicators: disregard for social conventions, non-conformism («P») (Spearman’s, 0.337*); a tendency to react defensively to a problem situation, blocking activity in terms of making decisions («R») (0.308*). Ignoring the consequences of one’s choice (IGT) correlates with such emotional factors as emotional incontinence, superficiality of emotions, emotional lability («FC:CF+C») (-.0382*), ambivalence of emotions («Blcol-shd») (statistical tendency, 0.277~), expressed dissatisfaction with the existing situation, internal tension and dysphoria («S») (0.291~).
Conclusions
The relationship of implicit suicidality with decision-making was found to be similar to the relationship of pronounced suicidality with decision-making. Suicidality is associated with impaired ability to make decisions based on emotional learning.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:39:21Z |
| format | Article |
| id | doaj.art-b8ffaa3cd7c94265826afd608a6f413c |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:39:21Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-b8ffaa3cd7c94265826afd608a6f413c2023-11-17T05:08:55ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S807S80710.1192/j.eurpsy.2021.2134Decision making and implicit suicidality in schizophrenia spectrum disordersO. Vorontsova0T. Medvedeva1S. Enikolopov2O. Boyko3G. Rupchev4Clinical Psychology, Federal State Budgetary Scientific institution “Mental health research center”, Moscow, Russian FederationClinical Psychology, Federal State Budgetary Scientific institution “Mental health research center”, Moscow, Russian FederationClinical Psychology, Federal State Budgetary Scientific institution “Mental health research center”, Moscow, Russian FederationClinical Psychology, Federal State Budgetary Scientific institution “Mental health research center”, Moscow, Russian FederationLaboratory Of Psychopharmacology, FSBSI Mental Health Research Center, Moscow, Russian Federation Introduction Research shows that mental illnesses increase suicidal risk. Studies have found that suicidal risk is associated with impaired decision-making. Objectives To analyze decision making based on emotional learning in implicit suicidality. Methods 56 male patients with schizophrenia spectrum disorder (F20) and denied presence of suicidal ideation were involved into the study (mean age 23±2.7),. Methods: Iowa gambling task (IGT) - integral indicators were used: the prevalence of “good” choices over “bad” ones, total score; and an indicator reflecting the ignorance of consequences of one’s choice - the subject remains on a “bad deck” after a loss. The Rorschach test (Rorschach Comprehensive system) was administered: Suicide Constellation «S-CON» and its components were used. Results According to the analysis, prevalence of “good” choices (IGT) negatively correlates with «S-CON» (Spearman’s correlation -0.328*, hereinafter significance level: ~ - p<0.1; * - p<0.05). A decrease in the total IGT score is associated with the following cognitive indicators: disregard for social conventions, non-conformism («P») (Spearman’s, 0.337*); a tendency to react defensively to a problem situation, blocking activity in terms of making decisions («R») (0.308*). Ignoring the consequences of one’s choice (IGT) correlates with such emotional factors as emotional incontinence, superficiality of emotions, emotional lability («FC:CF+C») (-.0382*), ambivalence of emotions («Blcol-shd») (statistical tendency, 0.277~), expressed dissatisfaction with the existing situation, internal tension and dysphoria («S») (0.291~). Conclusions The relationship of implicit suicidality with decision-making was found to be similar to the relationship of pronounced suicidality with decision-making. Suicidality is associated with impaired ability to make decisions based on emotional learning. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821021349/type/journal_articleRorschach testIowa gambling taskschizophréniaimplicit suicidality |
| spellingShingle | O. Vorontsova T. Medvedeva S. Enikolopov O. Boyko G. Rupchev Decision making and implicit suicidality in schizophrenia spectrum disorders European Psychiatry Rorschach test Iowa gambling task schizophrénia implicit suicidality |
| title | Decision making and implicit suicidality in schizophrenia spectrum disorders |
| title_full | Decision making and implicit suicidality in schizophrenia spectrum disorders |
| title_fullStr | Decision making and implicit suicidality in schizophrenia spectrum disorders |
| title_full_unstemmed | Decision making and implicit suicidality in schizophrenia spectrum disorders |
| title_short | Decision making and implicit suicidality in schizophrenia spectrum disorders |
| title_sort | decision making and implicit suicidality in schizophrenia spectrum disorders |
| topic | Rorschach test Iowa gambling task schizophrénia implicit suicidality |
| url | https://www.cambridge.org/core/product/identifier/S0924933821021349/type/journal_article |
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