Relationship between anhedonia and suicidal ideation in patients with first-episode untreated depressive disorder
10.3969/j.issn.1000-6729.2024.05.002
- VernacularTitle:首发未治疗抑郁障碍患者快感缺失与自杀意念的关系
- Author:
Weili WU
1
;
Ziyang JI
;
Qingqing ZHANG
;
Tongtong XIN
;
Yunhong DU
Author Information
1. 新乡医学院第二附属医院,河南省精神病医院,河南新乡 453002
- Keywords:
depressive disorder;
anhedonia;
suicidal ideation
- From:
Chinese Mental Health Journal
2024;38(5):383-387
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between anhedonia and suicidal ideation and the effects of anhedonia on suicidal ideation in patients with first-episode untreated depressive disorder.Methods:Totally 106 in-patients who met the diagnostic criteria for depressive disorder of the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5)were invited to participate in the study.Anhedonia,depressive symptoms and sui-cidal ideation were assessed with the Snaith-Hamilton Pleasure Scale(SHAPS),Hamilton Depression Scale(HAMD)and Beck Scale for Suicide Ideation(BSI),respectively.If both items 4 and 5 of BSI were 0,it indicated non-suicidal ideation,the subjects were divided into a group of suicidal ideation(n=66)and a group non-suicidal ideation(n=40).Spearman correlation analysis and multivariate binary logistic regression analysis were used for a-nalysis.Results:The correlation between the scores of SHAPS and HAMD was not statistically significant(P＞0.05).The SHAPS scores were positively correlated with the BSI scores(r=0.70,P＜0.01).Meanwhile,binary logistic regression analysis showed that anhedonia was one of a risk factor for suicidal ideation(OR=2.34,95％CI:1.58-3.47,P＜0.001).Conclusion:It suggests that anhedonia maybe partially independent of other depres-sive symptoms and it is one of the risk factors for suicidal ideation in first-episode untreated patients with depressive disorder.
