The Relationship Of Suicide Risk With Cognitive Flexibility And Social Cognition In Patients With Obsessive Compulsory Disorder
Research Article
DOI:
https://doi.org/10.5281/zenodo.8248486Keywords:
Obsessive-Compulsive Disorder,, Cognitive Flexibility,, Suicide.Abstract
Objective: There is a relationship between disease severity and suicide risk in individuals diagnosed with obsessive-compulsive disorder.Within the scope of this research, we aimed to elucidate the importance of treatments aimed at improving social cognitive skills and cognitive flexibility in preventing suicide by evaluating the effect of social cognition and cognitive flexibility on suicide risk in obsessive-compulsive disorder in a descriptive setting.
Method: Thisprospective, descriptive, cross-sectional studywas conducted by face-to-face survey and data collection method. A total of 51 patients aged between 18 and 65, diagnosed with OCD according to DSM–5 criteria were randomized in this research. Yale-Brown Obsession Compulsion Scale(Y – BOCS), Suicide Probability Scale(SPS), Cognitive Flexibility Inventory(CFI), Implicit Test, and Reading Mind from Eyes Test(RMET) were applied to the study participants.
Results: When sociodemographic and clinical data were compared with SPS, suicidal ideation and suicide attempt, no statistically significant difference was found (p>0.05). A positive correlation was found between the Y-BOCS scale and the SPS total and subscales. This correlation was statistically significant (p<0.05). A negative correlation was found between the Y-BOCS scale and CFI, and a negative correlation was found between the total subscales of the SPS and CFI(p<0.05). The CFI scores of people with past suicidal ideation were found to be low (p<0.05). No statistically significant relationship was found between social cognition assessment scales and SPS (p>0.05).
Conclusion: Our study observed that the severity of obsessions and compulsions increased with low cognitive flexibility. Cognitive rigidity can also increase the risk of suicide by increasing the severity of the disease. A significant negative correlation exists between suicidal ideation and cognitive flexibility in OCD patients. It has been evaluated that therapeutic interventions to cognitive flexibility will contribute positively to suicide risk and disease prognosis.
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