Decision-making process and negative childhood experience in adolescents with autoagression
- Authors: Antokhina R.I.1, Vasilieva A.V.2
-
Affiliations:
- Orenburg State Medical University
- The St.Petersburg Psychoneurological Research Institute bearing named by V.M. Bekhterev
- Issue: Vol LIII, No 4 (2021)
- Pages: 11-22
- Section: Original study arcticles
- Submitted: 07.11.2021
- Accepted: 18.11.2021
- Published: 15.12.2021
- URL: https://journals.eco-vector.com/1027-4898/article/view/87225
- DOI: https://doi.org/10.17816/nb87225
- ID: 87225
Cite item
Abstract
BACKGROUND. Analysis of the literature indicates the need for a detailed study of the features of the decision-making process, adverse experiences in childhood, the severity of depression in adolescents with truly suicidal and non-suicidal self-injurious behavior.
AIM. To determine the level of depression, unfavorable childhood experience, the characteristics of the process of forming preferences, the choice of executive actions and the assessment of results in conditions of uncertainty in adolescents with suicidal attempts and non-suicidal self-injurious behavior.
MATERIAL AND METHODS. From September 2019 to May 2020, clinical and experimental psychological methods (semi-structured interview, A. Beck Depression Scale, Columbian Suicidal Intentions Severity Scale, Adverse Childhood Experience Questionnaire, Iowa Gambling Task) examined adolescents from14 to 17 years: 30 persons with suicidal self-harm (mean age 16.1 years, 26 girls, 4 boys) and 32 persons with non-suicidal self-harm (mean age 16.3 years, 26 girls, 6 boys). Statistical processing was carried out using the Kolmogorov–Smirnov and Liliefors tests, the Leuven test, the Mann–Whitney U-test, and the two-sided Fisher test.
RESULTS. All examined patients showed manifestations of depression of different levels. In the group with suicidal attempts, the manifestations of depression were significantly more pronounced, and they also had significantly more adverse childhood experience factors. The decision-making process is more effective in individuals with non-suicidal self-injurious behavior than in the group with suicidal auto-aggression (although the difference does not reach statistical significance).
CONCLUSIONS. Thus, we have determined the level of depression, unfavorable childhood experience, peculiarities of the process of formation of preferences, choice of executive actions and assessment of results in conditions of uncertainty in adolescents with suicidal attempts and non-suicidal self-injurious behavior.
Full Text
![Restricted Access](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
About the authors
Rozaliya I. Antokhina
Orenburg State Medical University
Author for correspondence.
Email: rozaliana8@mail.ru
ORCID iD: 0000-0003-1761-1337
SPIN-code: 2041-8844
Senior Lecturer at the Department of Clinical Psychology and Psychotherapy
Russian Federation, 6, Sovetskaya street, Orenburg, Russia, 460000Anna V. Vasilieva
The St.Petersburg Psychoneurological Research Institute bearing named by V.M. Bekhterev
Email: annavdoc@yahoo.com
ORCID iD: 0000-0002-5116-836X
SPIN-code: 2406-9046
Dr. Sci. (Med.), Professor
Russian Federation, 3, Bekhterev St., 192019 Saint Petersburg; 191015, Russian Federation, Saint-Petersburg, Kirochnaya street, 41References
- Lyubov E.B., Zotov P.B., Bannikov G.S. Self-harming behavior in adolescents: definitions, epidemiology, risk factors and protective factors. Report I. Suicidology. 2019; 4 (37): 16–46. (In Russ.)
- Agisheva D.I., Palaeva R.I., Antokhin E.Yu. Coping strategies in adolescents with autoaggressive behavior. Neurodynamics. Journal of Clinical Psychology and Psychiatry. 2019; 4: 20–27. (In Russ.)
- Antokhina R.I., Antokhin E.Yu., Boldyreva T.A. The neurocognitive profile of young people prone to self-harm. Psychiatry and psychopharmacotherapy. 2020; 22 (4): 25–30. (In Russ.)
- Medvedeva T.I., Vorontsova O.Yu., Enikolopov S.N., Kazmina O.Yu. Decision-making disorder and suicidal tendencies. Psychological research. 2016; 9 (46): 3–4. (In Russ.)
- Blakemore S.J., Robbins T.W. Decision-making in the adolescent brain. Nat. Neuroscience. 2012; 15: 1184–1191.
- Bridge J.A., McBee-Strayer S.M., Cannon E.A. et al. Impaired decision making in adolescent suicide attempters. J. Am. Acad. Child Adolesc Psychiatry. 2016; 51: 394–403.
- Ackerman J.P. Risk-sensitive decision-making deficit in adolescent suicide attempters. J. Child Adolesc. Psychopharmacol. 2017; 25 (2): 109–113.
- Chamberlain S.R., Odlaug B.L., Schreiber L.R., Grant J.E. Clinical and neurocognitive markers of suicidality in young adults. J. Psychiatr. Res. 2018; 47 (5): 586–591.
- Sheftall A.H., Davidson D.J. Decision-making in adolescents with suicidal ideation: A case-control study. Psychiatry Res. 2016; 228 (3): 928–931.
- Ackerman J.P., Mcbee-Strayer S.M., Mendoza K. et al. Risk-sensitive decision-making deficit in adolescent suicide attempters. J. Child Adolesc. Psychopharmacol. 2014; 25: 109–113.
- Keilp J.G., Gorlyn M., Russell M. et al. Neuropsychological function and suicidal behavior: Attention control, memory and executive dysfunction in suicide attempt. J. Psychol. Med. 2015; 43: 539–551.
- Marzuk P.M., Hartwell N., Leon A.C., Portera L. Executive functioning in depressed patients with suicidal ideation. Acta Psychiatr. Scand. 2009; 112: 294–301.
- Dinkler L., Lundström S., Gajwani R. et al. Maltreatment-associated neurodevelopmental disorders: a co-twin control ana-lysis. J. Child Psychol. Psychiatry. 2017; 58 (6): 691–701.
- Dube S.R., Anda R.F., Felitti V.J. et al. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the Adverse Childhood Experiences Study. JAMA. 2001; 286 (24): 3089–3096.
- Petersen A.C., Joseph J., Feit M. New directions in child abuse and neglect research. Washington, DC: National Aca-demies Press. 2014; 442 p.
- Katan E.A., Karpets V.V. Childhood abuse experience in drug addicts and methods of its retrospective assessment. Addiction issues. 2018; 9: 60–79. (In Russ.)
- Esaki N., Larkin H. Prevalence of adverse childhood experiences (ACEs) among child service providers. Families in Society. 2013; 94 (1): 31–37.
- Sacks V., Murphey D., Moore K. Adverse childhood experiences: national and state-level prevalenc. CVR Repository. 2014; 14. Р. 1–2.
- Kingree J.B., Thompson M.P., Kaslow N.J. Risk factors for suicide attempts among low-income women with a history of alcohol problems. Addict Behav. 1999; 24: 583–587.
- Brodsky B.S., Malone K.M., Ellis S.P. et al. Characteristics of borderline personality disorder asssociated with suicidal behavior. Am. J. Psychiatry. 1997; 154: 1715–1719.
- Dinwiddie S., Heath A.C., Dunne M.P. et al. Early sexual abuse and lifetime psychopathology: a co-twin-control study. Psychol. Med. 2000; 30: 41–52.
- Beautrais A.L., Joyce P.R., Mulder R.T. Risk factors for serious suicide attempts among youths aged 13 through 24 years. J. Am. Acad. Child Adolesc. Psychiatry. 1996; 35: 1174–1182.
- Ambrumova A.G., Trainina E.G., Ratinova N.A. Auto-aggressive behavior of adolescents with various forms of social deviations. Sixth All-Russian Congress of Psychiatrists. 2000; 1: 105–106. (In Russ.)
- Abramova A.A., Enikolopov S.N., Efremov A.G. et al. Auto-aggressive non-suicidal behavior as a way of coping with negative emotions. Clinical and special psychology. 2018; 7 (2): 1–20. (In Russ.)
- Kidger J., Heron J., Lewis G. et al. Adolescent self-harm and suicidal thoughts in the ALSPAC cohort: a self-report survey in England. BMC Psychiatry. 2012; 12: 69.
- Tsukarzi E.E. Suicide: Risk assessment and first aid. Determination of the level of suicidal risk using the Colombian Suicide Severity Scale (C-SSRS). Modern Therapy of Mental Disorders. 2011; 2: 30–40. (In Russ.)
- Bogolyubova O.N., Kiseleva E.V. Psychological and psychophysiological characteristics of the experience of shame: the role of adverse childhood experiences. Bulletin of St. Petersburg State University. 2015; 12 (2): 30–44. (In Russ.)
- Feliti V.J., Anda R.F., Nordenberg D. еt аl. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am. J. Prev. Med. 1998; 4 (2): 45–58.
- Tsehay M., Necho M., Mekonnen W. The role of adverse childhood experience on depression symptoms, prevalence, and severity among school going adolescents. Depress. Res. Treat. 2020; 2: 1–9.
- Kornilova T.V., Chumakova M.A., Kornilov S.A. The intelligence and success of predictive strategies when performing the Iowa Test (IGT). Psychology. Journal of the Higher School of Economics. 2018; 15 (1): 10–21. (In Russ.)
- Krasnov E.V. Personal properties and intelligence as predictors of decision making in the game strategies of the Iowa test (on a sample of military leaders). Experimental psychology. 2017; 10 (2): 54–66. (In Russ.)
- Bechara A., Damasio H., Damasio A.R. еt аl. The Iowa Gambling Task and the somatic marker hypothesis: some questions and answers. Trends in Cognitive Sciences. 2005; 9 (4): 159–162.
- Brevers D., Bechara A., Cleeremans A. еt аl. Iowa Gambling Task (IGT): twenty years after-gambling disorder and IGT. Frontiers in Psychology. 20134 4: 665.
- Taylor P.J., Jomar K., Dhingra K. et al. A meta-analysis of the prevalence of different functions of non-suicidal self-injury. Journal of Affective Disorders. 2018; 227: 759–769.
- Poliskaya N.A. The psychology of self-harming behavior. M.: Lenand. 2017; 320 p. (In Russ.)
Supplementary files
![](/img/style/loading.gif)