"Le comportement social, l'appréciation des interactions, et les idées suicidaires dans la schizophrénie: Les dangers d'être seul"
Titre original Social behavior, interaction appraisals, and suicidal ideation in schizophrenia: The dangers of being alone
Colin A. Depp
a, b, , , Raeanne C. Moore
a, Dimitri Perivoliotis
a, b, Jason L. Holden
b, Joel Swendsen
c, Eric L. Granholm
a, b
a Department of Psychiatry, UC San Diego, La Jolla, CA, United States
b VA San Diego Healthcare System, La Jolla, CA, United States
c Université of Bordeaux, Bordeaux, Ecole Pratique des Hautes Etudes, La Sorbonne, Paris, France
Schizophrenia Research Volume 172, Issues 1–3, April 2016, Pages 195–200
Abstrait Despite the increasing attention to social appraisals in suicide risk,
the interpersonal correlates of suicidal thoughts and behavior in
schizophrenia are not well understood. Ecological momentary assessment
could reveal whether dysfunctional social appraisals and behavior are
evident in people with schizophrenia with suicidal ideation. A total of
93 outpatients with diagnoses of schizophrenia with (n = 18, 19%) and
without (N = 75; 81%) suicidal ideation participated in one week of
intensive daily monitoring via mobile devices, generating real-time
reports on the quantity of social interactions and appraisals about
them, as well as information concerning concurrent affect and symptoms.
The presence of suicidal ideation was not associated with the quantity
of social interactions or time spent alone, but it was associated with
the anticipation of being alone as well as greater negative and lower
positive affect when alone. Despite this aversive experience of being
alone, people with suicidal ideation reported negative appraisals about
the value of recent and potential social interactions. These findings
suggest that suicidal ideation in schizophrenia may not be associated
with the quantity of social interactions, but with negative expectations
about the quality of social interactions coupled with an aversive
experience of being alone. Cognitive therapy interventions that address
negative expectations and pleasure about social interactions, especially
when alone, may reduce suicidal ideation.
http://www.sciencedirect.com/science/article/pii/S0920996416300834