title: Efficacy of psychological pain theory-based cognitive therapy in suicidal patients with major depressive disorder: A pilot study.
abstract: The present study aimed to explore the effects of psychological pain theory-based cognitive therapy (PPTBCT) on suicide among depressed patients, compared with a control group who received usual psychological care (UPC). The sample consisted of 32 depressed patients and 32 healthy control subjects. All participants completed the Beck Scale for Suicide Ideation (BSI), Beck Depression Inventory, Three-Dimensional Psychological Pain Scale (TDPPS), and Problem Solving Inventory(PSI), and Automatic Thoughts Questionnaire (ATQ). All measures differed significantly between depressed patients and healthy controls. Then clinical participants were assigned randomly to the PPTBCT (n=19) and control (n=13) groups. During the 8-week intervention, scores related to depression, suicidal ideation, psychological pain, and automatic thoughts were decreased in both groups at the post-intervention and 4-week follow-up time points, compared with pre-intervention scores. BSI scores remained low at follow up and did not differ significantly from post-intervention scores in the PPTBCT group, but were significantly higher at follow up than at post-intervention in the control group. PPTBCT may effectively reduce suicide risk in patients with major depressive disorder, although the effects of its application need to be confirmed.
authors.affiliation: Department of Psychology, Renmin University of China, Beijing 100872, PR China; Key Laboratory of Mental Health, Institute of Psychology, Chinese Academic of Sciences, Beijing, PR China.
authors.forename: Yingmin
authors.initials: Y
authors.lastname: Zou
authors.affiliation: Department of Psychology, Renmin University of China, Beijing 100872, PR China. Electronic address: psylihh@ruc.edu.cn.
authors.forename: Huanhuan
authors.initials: H
authors.lastname: Li
authors.affiliation: Peking University Sixth Hospital, Beijing 100191, PR China.
authors.forename: Chuan
authors.initials: C
authors.lastname: Shi
authors.affiliation: Department of Psychology, Renmin University of China, Beijing 100872, PR China.
authors.forename: Yixuan
authors.initials: Y
authors.lastname: Lin
authors.affiliation: Department of Psychology, Renmin University of China, Beijing 100872, PR China.
authors.forename: Hanyu
authors.initials: H
authors.lastname: Zhou
authors.affiliation: Department of Psychology, Renmin University of China, Beijing 100872, PR China.
authors.forename: Jiaqi
authors.initials: J
authors.lastname: Zhang
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003865:Major Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D058748:Pain Perception; D010865:Pilot Projects; D011569:Psychiatric Status Rating Scales; D011582:Psychological Theory; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Cognitive behavioral therapy; Major depression; Psychological pain; Suicide