Abstract

Objective

Explicitly addressing suicidality in group therapy is often avoided due to the fear of contagion effects. However, there is some evidence that this fear is not valid. Therefore, the present study aims at contributing to this question by investigating the session-specific effects of two modules on suicidality that are part of the Metacognitive Training for Depression (D-MCT/S).

Methods

Forty-four patients with depression participated in the two modules on suicidality of the D-MCT/S. Before and after each group session, patients filled out a questionnaire asking for symptoms of suicidality, associated cognitions (e.g., hopelessness), and associated emotions (e.g., anger). Data were analyzed by linear mixed-effect models.

Results

Approximately 84% of the patients had experienced lifetime suicidal ideation. No within- or between-session effects were found for the modules on suicidality. Sample size was large enough to find small to medium effects (within-session analyses) and medium to large effects (between-session analyses).

Conclusion

The modules on suicidality did not specifically change suicidal symptoms or associated cognitions and emotions immediately or by the next session. Most importantly, our results disconfirm evidence on deterioration when suicidality is addressed in a highly structured group setting. Whether the current findings also apply to other forms of group therapies needs to be investigated in future studies.

• HIGHLIGHTS

• Session-specific investigations allow a thoroughly examination of an intervention

• Metacognitive Training for Depression showed no contagion effect on suicidality

中文翻译：

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团体治疗中特定疗程对自杀的影响：没有传染的证据

摘要

客观的

由于担心传染效应，通常避免在团体治疗中明确解决自杀问题。然而，有一些证据表明这种恐惧是不成立的。因此，本研究旨在通过调查作为抑郁症元认知训练 (D-MCT/S) 一部分的两个模块对自杀的会话特定影响来解决这个问题。

方法

44 名抑郁症患者参加了 D-MCT/S 的两个自杀模块。在每次小组会议之前和之后，患者填写一份问卷，询问自杀症状、相关认知（例如，绝望）和相关情绪（例如，愤怒）。通过线性混合效应模型分析数据。

结果

大约 84% 的患者一生中有过自杀意念。对于自杀模块，未发现会话内或会话间的影响。样本量足够大，可以发现小到中等效应（会话内分析）和中到大效应（会话间分析）。

结论

关于自杀的模块并没有立即或在下一次会议之前具体改变自杀症状或相关的认知和情绪。最重要的是，我们的结果否定了在高度结构化的群体环境中解决自杀问题时恶化的证据。目前的研究结果是否也适用于其他形式的团体治疗需要在未来的研究中进行调查。

• 强调

• 特定会话的调查允许对干预进行彻底检查

• 抑郁症的元认知训练显示对自杀没有传染效应