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04-06-2018 | Original Article | Uitgave 6/2018 Open Access

Cognitive Therapy and Research 6/2018

Thought–Action Fusion in Individuals with a History of Recurrent Depression and Suicidal Depression: Findings from a Community Sample

Tijdschrift:
Cognitive Therapy and Research > Uitgave 6/2018
Auteurs:
B. Gjelsvik, N. Kappelmann, T. von Soest, V. Hinze, R. Baer, K. Hawton, C. Crane
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10608-018-9924-7) contains supplementary material, which is available to authorized users.

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.

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Extra materiaal
Supplementary material 1 (DOCX 34 KB)
10608_2018_9924_MOESM1_ESM.docx
Supplementary material 2 (DOCX 29 KB)
10608_2018_9924_MOESM2_ESM.docx
Supplementary material 3 (DOCX 26 KB)
10608_2018_9924_MOESM3_ESM.docx
Supplementary material 4 (DOCX 29 KB)
10608_2018_9924_MOESM4_ESM.docx
Supplementary material 5 (DOCX 35 KB)
10608_2018_9924_MOESM5_ESM.docx
Supplementary material 6 (DOCX 13 KB)
10608_2018_9924_MOESM6_ESM.docx
Supplementary material 7 (DOCX 72 KB)
10608_2018_9924_MOESM7_ESM.docx
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