Perception of pain in patients suffering from endogenous depressions accompanied by non-suicidal autoaggressive behavior
DOI:
https://doi.org/10.54359/ps.v18i103.1981Abstract
The article presents the results of an empirical study aimed at examining pain perception in adolescents and young adults suffering from endogenous depression accompanied by non-suicidal self-injurious behavior (NSSI). The relevance of this issue is determined by the growing interest in psychological practice in preventing self-harming and suicidal behaviors among various populations, including patients with depression, as well as by the lack of research on the relationship between pain perception and the severity of non-suicidal self-injurious behavior in cases of endogenous depression. Research hypotheses. (1) Adolescent and young adult patients with depression would exhibit greater fear of pain and lower tolerance for unpleasant physical sensations compared to respondents in the control group, with the highest levels expected among patients with depression and self-harm. (2) Patients with endogenous depression and self-harm would show higher scores of feeling burdened and feeling impaired belonging compared to patients without self-harm. The study involved 194 participants (137 females) aged 17–25 years (M = 20.19, SD = 3.37). Participants were divided into three groups: (1) patients with endogenous depression and NSSI, (2) patients with endogenous depression without NSSI, and (3) a control group. The following instruments were used: the Fear of Pain Questionnaire–Short Form, the Pain Catastrophizing Scale, the Interpersonal Needs Questionnaire, and the Discomfort Intolerance Scale. Participants with depression and self-harm showed significantly higher scores on several scales, including Fear of Severe Pain, Fear of Minor Pain, Total Fear of Pain, Total Pain Catastrophizing, Pain-Related Anxiety, Helplessness, Perceived Burdensomeness, Discomfort Avoidance, and Thwarted Belongingness, compared to the control group. Despite similar general attitudes toward pain in both clinical groups, the emotional responses associated with pain differed, particularly in the Perceived Burdensomeness scale values. The findings indicate that with a similar attitude to pain among the respondents of both clinical groups, the emotional attitude associated with this phenomenon may differ significantly, which is manifested in the values of the “Feeling of burden" scale.
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