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Thought–action fusion in individuals with a history of recurrent depression and suicidal depression: findings from a community sample
- Source :
- Cognitive Therapy and Research
- Publication Year :
- 2018
- Publisher :
- Springer US, 2018.
-
Abstract
- Although suicidal ideation is one of the most consistent symptoms across recurrent episodes of depression, the mechanisms underpinning its maintenance are poorly understood. In order to develop effective treatments for suicidally depressed patients, understanding what maintains suicidal distress is critical. We hypothesised that Thought–Action Fusion (TAF), i.e., to assume that having a thought has real world consequences, originally described in Obsessive–Compulsive Disorder, might be a bias in recurrently suicidally depressed people. To assess this, we revised the original TAF scale, and assessed TAF in three samples: healthy controls, recurrently depressed individuals with no history of suicidality (D-NS) and individuals with a history of recurrent suicidal depression (D-S). Exploratory and confirmatory factor analyses indicated a three-factor solution of TAF: (1) TAF for uncontrollable events, (2) self-suicidal TAF for suicidal acts related to oneself, and (3) TAF for positive controllable events. Compared to healthy controls, the D-NS group reported significantly higher total TAF, TAF uncontrollable, and TAF self-suicidal subscales, whilst positive controllable TAF was lower compared to healthy controls. Both D-S and D-NS samples reported higher TAF for suicidal thought compared to healthy controls, i.e., believing that having suicidal thoughts means they will act on them, however in the context of low mood this became more pronounced for the D-S group. These findings suggest that targeting TAF both in suicidal and non-suicidal depression has merit. Electronic supplementary material The online version of this article (10.1007/s10608-018-9924-7) contains supplementary material, which is available to authorized users.
- Subjects :
- 050103 clinical psychology
Experimental and Cognitive Psychology
Context (language use)
Suicidal thought
03 medical and health sciences
0302 clinical medicine
Suicidal ideation
medicine
Self-harm
0501 psychology and cognitive sciences
Depression (differential diagnoses)
Thought–action fusion
Quality of Life Research
Depression
05 social sciences
SUICIDAL DEPRESSION
030227 psychiatry
Clinical Psychology
Distress
Suicide
Mood
Original Article
medicine.symptom
Psychology
Clinical psychology
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Cognitive Therapy and Research
- Accession number :
- edsair.doi.dedup.....e8767dcd1b74190d706750ef419d39f4