1
|
Gorraiz G, Porta G, McMakin DL, Kennard BD, Douaihy AB, Biernesser C, Foxwell AA, Wolfe K, Goldstein T, Brent DA. Factors Associated With Reasons for Living Among Suicidal Adolescents. Arch Suicide Res 2024; 28:471-481. [PMID: 37013700 PMCID: PMC10548347 DOI: 10.1080/13811118.2023.2190367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
OBJECTIVE The objective of this study was to identify baseline demographic and clinical factors associated with higher scores on the Reasons for Living Inventory for Adolescents (RFL-A) at baseline and over follow-up. METHOD Using data from a pilot clinical trial of a brief intervention for suicidal youth transitioning from inpatient to outpatient, we identified univariate associations of baseline characteristics with RFL-A and used regression to identify the most parsimonious subset of these variables. Finally, we examined to what extent changes in these characteristics over time were related to changes in RFL-A. RESULTS Univariate analyses found that better external functional emotion regulation and social support were associated with higher RFL-A scores; more self-reported depression, internal dysfunctional emotion regulation, sleep disturbance, anxiety, and distress tolerance were associated with lower RFL-A scores. Multiple linear regression identified internal dysfunctional emotion regulation and external functional emotion regulation as the most parsimonious set of characteristics associated with RFL-A. Improvement in internal emotion regulation, sleep, and depression were related to improvements in RFL-A over time. CONCLUSION Our findings indicate that emotion regulation-specifically maladaptive internal strategies and use of external resources-is strongly associated with RFL-A. Improvements in internal emotion regulation (r = 0.57), sleep (r = -0.45), and depression (r = -0.34) were related to increases in RFL-A.
Collapse
Affiliation(s)
- G. Gorraiz
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
| | - G. Porta
- UPMC Western Psychiatric Hospital, Pittsburgh, PA, United States
| | - D. L. McMakin
- Department of Psychology, Florida International University, Miami, FL, United States
| | - B. D. Kennard
- Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, United States
| | - A. B. Douaihy
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
- UPMC Western Psychiatric Hospital, Pittsburgh, PA, United States
| | - C. Biernesser
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
| | - A. A. Foxwell
- Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, United States
- Children’s Health Medical Center, Dallas, TX, United States
| | - K. Wolfe
- Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, United States
- Children’s Health Medical Center, Dallas, TX, United States
| | - T. Goldstein
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
- UPMC Western Psychiatric Hospital, Pittsburgh, PA, United States
| | - D. A. Brent
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
- UPMC Western Psychiatric Hospital, Pittsburgh, PA, United States
| |
Collapse
|
2
|
Cummings LR, Graur S, McMakin DL, Fournier JC. 0973 Sleep Disturbance and Emotion Regulation Dysfunction in Depression: Self-Report and Neural Evidence. Sleep 2018. [DOI: 10.1093/sleep/zsy061.972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
| | - S Graur
- University of Pittsburgh, Pittsburgh, PA
| | | | | |
Collapse
|
3
|
Ricketts EJ, Sturm A, McMakin DL, McGuire JF, Tan PZ, Smalberg F, McCracken JT, Colwell CS, Piacentini J. 0764 Changes In Sleep Patterns across Attention-deficit/hyperactivity Disorder Treatment: Findings from The MTA Study. Sleep 2018. [DOI: 10.1093/sleep/zsy061.763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- E J Ricketts
- University of California, Los Angeles, Division of Child and Adolescent Psychiatry, Los Angeles, CA
| | - A Sturm
- University of California, Los Angeles, Division of Child and Adolescent Psychiatry, Los Angeles, CA
| | - D L McMakin
- Florida International University, Department of Psychology, Miami, FL
- Nicklaus Children’s Hospital, Department of Neurology, Miami, FL
| | - J F McGuire
- Johns Hopkins University School of Medicine, Division of Child and Adolescent Psychiatry, Baltimore, MD
| | - P Z Tan
- University of California, Los Angeles, Division of Child and Adolescent Psychiatry, Los Angeles, CA
| | - F Smalberg
- University of California, Los Angeles, Division of Child and Adolescent Psychiatry, Los Angeles, CA
| | - J T McCracken
- University of California, Los Angeles, Division of Child and Adolescent Psychiatry, Los Angeles, CA
| | - C S Colwell
- University of California, Los Angeles, Division of Child and Adolescent Psychiatry, Los Angeles, CA
| | - J Piacentini
- University of California, Los Angeles, Division of Child and Adolescent Psychiatry, Los Angeles, CA
| |
Collapse
|
4
|
Abstract
BACKGROUND Depression is a leading cause of worldwide disability. Adolescence represents a key developmental window in which rates of this disorder increase markedly. Children with an anxiety disorder show a particular risk of developing depression during adolescence. METHOD We present and review evidence for a developmental model that considers the intersection of two vulnerabilities relevant to the trajectory from anxiety to depression: difficulties in response to potential social evaluation and changes in reward processing at puberty. RESULTS Evidence suggests that these vulnerabilities (a) have been associated with depression, (b) are likely to be problematic in many, but not all, anxious youth, and (c) may be exacerbated by maturational processes that occur around pubertal development in ways that can create a negative spiral into a depressive disorder. CONCLUSIONS We discuss the possibility that early intervention strategies targeting key aspects of these vulnerabilities could alter the trajectory away from depression for many anxious youth.
Collapse
Affiliation(s)
- J S Silk
- University of Pittsburgh, Department of Psychiatry, Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213, USA.
| | | | | | | | | |
Collapse
|