Aggression is more strongly associated with suicidality, independent of depression, than emotional instability and impulsivity in people with epilepsy
DC Field | Value | Language |
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dc.contributor.author | Lee, S.-A. | - |
dc.contributor.author | Choi, E.J. | - |
dc.contributor.author | Jeon, J.-Y. | - |
dc.contributor.author | Han, S.-H. | - |
dc.contributor.author | Kim, H.-W. | - |
dc.contributor.author | Lee, G.-H. | - |
dc.contributor.author | Ryu, H.U. | - |
dc.contributor.author | Im, K. | - |
dc.contributor.author | Yang, H.-R. | - |
dc.date.accessioned | 2023-03-08T07:52:00Z | - |
dc.date.available | 2023-03-08T07:52:00Z | - |
dc.date.issued | 2022-04 | - |
dc.identifier.issn | 1525-5050 | - |
dc.identifier.issn | 1525-5069 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/61504 | - |
dc.description.abstract | Purpose: We evaluated the relative contributions of emotional instability, impulsivity, and aggression to the presence of suicide risk in people with epilepsy after adjusting for depressive symptoms. Methods: This was a cross-sectional study that used the short form of the Affective Lability Scale (ALS-18), the Barratt Impulsiveness Scale Version 11 (BIS-11), the Brief Aggression Questionnaire (BAQ), and the Patient Health Questionnaire-9 (PHQ-9). Suicidality was assessed using the Mini International Neuropsychiatric Interview (MINI), and the presence of suicide risk was defined as a MINI suicidality score ≥1. Stepwise logistic regression and mediation analyses using a two-stage regression method were performed. Results: Of the 171 subjects (63.2% men) included, suicide risk was present in 38 subjects (22.2%). The stepwise logistic regression analysis identified four variables that were independently associated with suicide risk: higher PHQ-9 score, higher BAQ score, longer duration of epilepsy, and unemployment. The univariate analysis showed that ALS-18 and BIS-11 scores were significantly associated with suicide risk; however, they were backward eliminated from the logistic model according to the criterion of p > 0.1. The mediating effects of ALS-18 and BIS-11 scores on suicide risk via PHQ-9 scores (but not BAQ scores) were significant, with the proportion mediated 61.5% and 54.0% of the total effect, respectively. Conclusions: Alongside depressive symptoms, aggression may be a more useful concept than emotional instability and impulsivity for identifying suicidal risk in people with epilepsy. © 2022 Elsevier Inc. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Academic Press Inc. | - |
dc.title | Aggression is more strongly associated with suicidality, independent of depression, than emotional instability and impulsivity in people with epilepsy | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.yebeh.2022.108613 | - |
dc.identifier.bibliographicCitation | Epilepsy and Behavior, v.129 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000761790000002 | - |
dc.identifier.scopusid | 2-s2.0-85125141863 | - |
dc.citation.title | Epilepsy and Behavior | - |
dc.citation.volume | 129 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Aggression | - |
dc.subject.keywordAuthor | Emotional instability | - |
dc.subject.keywordAuthor | Epilepsy | - |
dc.subject.keywordAuthor | Impulsivity | - |
dc.subject.keywordAuthor | Suicide | - |
dc.subject.keywordPlus | INTERICTAL DYSPHORIC DISORDER | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | PERSONALITY | - |
dc.subject.keywordPlus | CLASSIFICATION | - |
dc.relation.journalResearchArea | Behavioral Sciences | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Psychiatry | - |
dc.relation.journalWebOfScienceCategory | Behavioral Sciences | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Psychiatry | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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