Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Early maladaptive schemas and suicidal risk in an Iranian sample of patients with obsessive-compulsive disorder

Mon Apr 15 20:39:12 2024

(2017) Early maladaptive schemas and suicidal risk in an Iranian sample of patients with obsessive-compulsive disorder. Psychiatry Research. pp. 441-448. ISSN 0165-1781

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There are few studies on suicidal risk and its related factors in patients diagnosed with obsessive-compulsive disorder (OCD). This study investigated the associations of early maladaptive schemas, OC symptom dimensions, OCD severity, depression and anxiety with suicidality (i.e., suicidal ideation and suicide attempts) in OCD patients. Sixty OCD outpatients completed the Scale for Suicide Ideation (SSI), the Young Schema Questionnaire Short Form (YSQ-SF), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), the Dimensional Obsessive Compulsive Scale (DOCS) and the Depression Anxiety Stress Scales (DASS-21). 51.7 of patients had lifetime suicide attempts and 75 had suicidal ideation. OCD patients with lifetime suicide attempts exhibited significantly higher scores on early maladaptive schemas than those without such attempts. Logistic regression analysis revealed that the mistrust/abuse schema and the OC symptom dimension of unacceptable thoughts explained lifetime suicide attempts. The mistrust/abuse schema, unacceptable thoughts and depression significantly predicted suicidal ideation. These findings indicated that the mistrust/abuse schema may contribute to high suicidality in OCD patients. Also, patients suffering from unacceptable thoughts need to be assessed more carefully for warning signs of suicide.

Item Type: Article
Keywords: Early maladaptive schemas Unacceptable thoughts Lifetime suicide attempt Suicidal risk Obsessive-compulsive disorder behavioral inhibition/approach systems depressed older-adults stress scales dass symptom dimensions response prevention bipolar disorder thought suppression defense styles panic disorder ideation Psychiatry
Page Range: pp. 441-448
Journal or Publication Title: Psychiatry Research
Journal Index: ISI
Volume: 255
Identification Number:
ISSN: 0165-1781
Depositing User: مهندس مهدی شریفی

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