@article{ref1,
title="Differentiating acute suicidal affective disturbance (ASAD) from anxiety and depression Symptoms: A network analysis",
journal="Journal of affective disorders",
year="2019",
author="Rogers, Megan L. and Hom, Melanie A. and Joiner, Thomas E.",
volume="250",
number="",
pages="333-340",
abstract="BACKGROUND: A growing body of literature supports the potential existence of a new clinical entity, Acute suicidal affective disturbance (ASAD), which is characterized by rapid-onset, acute suicidality. This study aimed to evaluate whether current ASAD symptoms (i.e., suicidal intent, thwarted belongingness, perceived burdensomeness, disgust with others and oneself, agitation, irritability, insomnia, and nightmares) comprise a psychopathological network distinct from anxiety and depression symptoms. <br><br>METHODS: A sample of 167 psychiatric inpatients completed self-report measures of current ASAD, anxiety, and depression symptoms. <br><br>RESULTS: Network analyses revealed three distinct clusters of symptoms corresponding to ASAD, anxiety, and depression symptom self-report measure items. Namely, ASAD symptoms not only demonstrated strong associations with each other, but they also exhibited weak associations with symptoms of anxiety and depression. LIMITATIONS: This study utilized a cross-sectional design and distinct self-report measures to assess all constructs, which may have led to methodological confounds that influenced the observed network structure. <br><br>CONCLUSIONS: Overall, our findings provide further evidence for ASAD as a syndrome with strongly interrelated symptoms. Furthermore, results indicate that ASAD may represent a construct distinct from anxiety and depression, underscoring its potential diagnostic value. Additional research is needed to replicate these findings across other high-risk populations, as well as to examine how ASAD symptoms may relate to other psychiatric symptoms.<br><br>Copyright © 2019 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2019.03.005",
url="http://dx.doi.org/10.1016/j.jad.2019.03.005"
}