کمالگرایی، خودشیفتگی، و افسردگی در بیماران نوجوان خودکشی و غیرخودکشی
|کد مقاله||سال انتشار||مقاله انگلیسی||ترجمه فارسی||تعداد کلمات|
|32248||2012||7 صفحه PDF||سفارش دهید||4080 کلمه|
Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)
Journal : Comprehensive Psychiatry, Volume 53, Issue 6, August 2012, Pages 746–752
Objective The aim of this study was to investigate the relationship between 2 psychological profiles: (a) the intrapersonal profile, involving self-critical depression, self-oriented perfectionism, and narcissism, and (b) the interpersonal profile, involving dependent depression and socially prescribed perfectionism, and the association of these 2 profiles with suicidal behavior among adolescent inpatients. Methods One hundred adolescents, admitted to a university-affiliated psychiatric adolescent inpatient unit in Israel, completed the Depressive Experience Questionnaire for Adolescents, the Child and Adolescent Perfectionism Scale, and the Narcissistic Personality Inventory. The Suicidal Potential Interview was used to evaluate suicidal behavior and separate them into low-risk and high-risk groups. Results Dependent depression correlated positively and significantly with severity of suicidal behavior. Adolescent inpatients with high levels of suicidal behavior (n = 54) were more dependent in terms of depression and were more inclined to socially prescribed perfectionism compared with adolescent inpatients with low levels of suicidal behavior (n = 45). The components of the intrapersonal profile did not correlate with severity of suicidal behavior; however, low narcissism scores characterized the psychological function that strongly predicted severe suicidal behavior. Conclusions The findings indicated that the conceptualization of 2 broad intrapersonal and interpersonal profiles in adolescent inpatients may have some validity in terms of the interpersonal dimension. The components of the interpersonal profile related to severe suicidal behavior and may be important in planning treatment strategy.
Adolescent inpatients often have a history of repeated suicide attempts, and a high percentage of these patients go on to commit suicide  and . Many studies have suggested that up to 90% of youngsters who complete or attempt suicide have at least 1 diagnosable mental disorder including personality disorders at the time of their attempt . Personality development can be conceptualized as the result of a complex interaction of 2 fundamental developmental processes: the development of increasingly integrated self-definition or identity and the development of increasingly mature interpersonal relationships. These developmental aspects, known as the intrapersonal and the interpersonal, normally evolve throughout life in a complex dialectical process . Three affective-personality constructs, depression, perfectionism, and narcissism, are important for the understanding of suicidal phenomena and can be conceptualized in relationship to the intrapersonal/interpersonal developmental dialectic.