Reduciendo la ideación suicida en adolescentes con terapia de perspectiva temporal. Un estudio experimental

Abstract

Suicide is one of the leading causes of death in the world, a problem that has been steadily increasing in recent years for the adolescent population. In particular, suicidal ideation has been strongly associated with suicide attempt, a direct predictor of suicide; however, few strategies to decrease suicidal ideation designed primarily for depression are found. Considering the therapeutic possibilities of Zimbardo's theory on balanced time perspective, in the present study a brief intervention for adolescents based on that theory was designed with the aim of evaluating the effect of a time perspective intervention on the modification of indicators of suicidal ideation and behavior in adolescents. Thus, an experimental study was conducted, where 82 participants aged 15 to 19 were assigned to either an experimental intervention or a control group. The participants of the experimental group (n = 43) engaged in eight sessions of the time perspective intervention program called "Serenity". Pre-post measurements were made on the variables of suicidal ideation (Okasha), time profile (ZTPI) and quality of life (SF36). Results show that the intervention reduces suicidal ideation by 41%; and that, possibly, it improves the physical health of those who receive this type of treatment. The results are a promising advance for preventive purposes in educational and health contexts.

Keywords:

Adolescent Suicide ideation Time perspective Experimental study Quality of life

References

American Psychiatric Association [APA]. (2003). Practice guideline for the assessment and treatment of patients with suicidal behaviors. APA. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/suicide. pdf

Asociación Americana de Psiquiatría [APA]. (2013). Guía de Consulta de los criterios diagnósticos del DSM 5. APA

Avendaño-Prieto, B. L., Betancort-Montesinos, M., Bernal Aguirre, A., González-Martínez, L. A., Gómez-Sánchez, S. M., & Villalobos-Sánchez, C. F. (2020). Celos, desesperanza e ideación suicida en población con orientación sexual diversa. Universitas Psychologica, 18(4), 1-12. https://doi. org/10.11144/javeriana.upsy18-4.cdis

Bahamón-Muñetón, M. J., & Alarcón-Vásquez, Y. (2018). Diseño y validación de una escala para evaluar el Riesgo Suicida (ERS) en adolescentes colombianos. Universitas Psychologica, 17(4), 1-15. https://doi.org/10.11144/javeriana.upsy17-4.dvee

Boniwell, I., Osin, E., Linely, P.A., & Ivanchenko, G.V. (2010). A question of balance: Time perspective and wellbeing in British and Russian samples. Journal of Positive Psychology. 5, 24-40. https://doi.org/10.1080/17439760903271181

Bourdon, O., Raymond, C., Marin, M. F., Olivera-Figueroa, L., Lupien, S. J., & Juster, R. P. (2020). A time to be chronically stressed? Maladaptive time perspectives are associated with allostatic load. Biological Psychology, 152. https://doi. org/10.1016/j.biopsycho.2020.107871

Ceballos-Ospino, G., Suárez-Colorado, Y. P., & Campo-Arias, A. (2019). Asociación entre matoneo escolar, síntomas depresivos e ideación suicida. CES Psicología, 12(3), 91-104. https://doi.org/10.21615/cesp.12.3.7

Cuijpers, P., de Beurs, D., van Spijker, B., Berking, M., & Andersson, G. (2013). The effects of psychotherapy for adult depression on suicidality and hopelessness: A systematic review and meta-analysis. Journal of Affective Disorders, 144(3), 183-190. https://doi.org/10.1016/j.jad.2012.06.025

Didonna, F. (2011). Manual Clínico de Mindfulness. Desclée: Bilbao.

Fernandes-Eloi, J., & Costa Lourenço, J. R. (2019). Suicídio na Velhice – Um Estudo de Revisão Integrativa da Literatura. CES Psicología, 12(1), 80-95. https://doi.org/10.21615/ cesp.12.1.7

Ghahramanlou-Holloway, M., Cox, D. W., & Greene, F. N. (2012). Post-admission cognitive therapy: A brief intervention for psychiatric inpatients admitted after a suicide attempt. Cognitive and Behavioral Practice, 19(2), 233-244. https://doi.org/10.1016/j.cbpra.2010.11.006

Guille, C., Zhao, Z., Krystal, J., Nichols, B., Brady, K., & Sen, S. (2015). Web-based cognitive behavioral therapy intervention for the prevention of suicidal ideation in medical interns: a randomized clinical trial. JAMA psychiatry, 72(12), 1192- 1198. https://doi.org/10.1001/jamapsychiatry.2015.1880

Ioannidis, J.P.A. (2018). The proposal to lower P value thresholds to .005. JAMA, 319(14), 1429-1430. https://doi.

org/10.1001/jama.2018.1536

Kinoshita, K. et al. (2012). Not only body weight perception but also body mass index is relevant to suicidal ideation and self-harming behavior in Japanese adolescents. The Journal of Nervous and Mental Disease. 200(4), 305-309. https://doi.org/10.1097/NMD.0b013e31824cb29b

LaCroix, J. M., Perera, K. U., Neely, L. L., Grammer, G., Weaver, J., & Ghahramanlou-Holloway, M. (2018). Pilot trial of post-admission cognitive therapy: inpatient program for suicide prevention. Psychological services, 15(3), 279. https://doi.org/10.1037/ser0000224

Laghi, F., Baiocco, R., D?Alessio, M. y Gurrieri, G (2009). Suicidal ideation and time perspective in high school students. European Psychiatry, 24, 41-46. https://doi.org/10.1016/j.eurpsy.2008.08.006

Martínez-Baquero, L.C., Vianchá-Pinzón, M.A., Pérez-Prada, M.P. & Avendaño-Prieto, B.L. (2017). Asociación entre conducta suicida y síntomas de anorexia y bulimia nerviosa en escolares de Boyacá, Colombia. Acta Colombiana de Psicología. 20(2), 178-188. doi: http://www.dx.doi.org/10.14718/ACP.2017.20.2.9

Ministerio de Salud de Chile. (2013). Plan Nacional de Prevención del Suicidio, orientaciones para su implementación. MINSAL

Ministerio de Salud de Chile. (2017), Plan nacional de Salud Mental.2017-2025. MINSAL

Olivares, P. (2006). Estado de Salud de Beneficiarios del Sistema de Salud de Chile, 2004-2005. Superintendencia de Isapres, Departamento de Estudios y Desarrollo.

Olivera-figueroa, L. A., Asthana, S., Odisho, N., Velez, A. L. O., Cuebas, K., & Cordova, N. M. L. (2016). Emerging Cross-Cultural research: The role of time perspective on well-being, life satisfaction and mindfulness. Advances in Psychology Research. Nova Science Publishers.

Olivera-Figueroa, L. A., Juster, R., Morin-Major, J., Marin, M., & Lupien, S. (2015). A time to be stressed? Time perspectives and cortisol dynamicsamong healthy adults. Biological Psychology, 111, 90-99. https://doi.org/ 10.1016/j.biopsycho.2015.09.002

Organización Mundial de la Salud [OMS]. (2014). Prevención del suicidio. Un imperativo Global. https://www.who.int/ mental_health/suicide-prevention/es/

Oyanadel, C. & Buela-Casal, G. (2011). La percepción del tiempo: influencias en la salud física y mental. Universitas Psychologica, 10, 149-161. https://doi.org/10.11144/Javeriana.upsy10-1.ptis

Oyanadel, C. & Buela-Casal, G. (2014). Percepción del tiempo y psicopatología: Influencia de la orientación temporal en la calidad de vida de los trastornos mentales graves. Actas Españolas de Psiquiatría. 42, 99-107. https://actaspsiquiatria.es/repositorio/16/89/ESP/16-89-ESP-99-107-549711.pdf

Oyanadel, C., & Buela-Casal, G. (2017). Percepción del tiempo y salud: La influencia del perfil temporal equilibrado (BTP) y el perfil temporal negativo (NTP) en la salud física y mental. Revista Argentina de Clínica Psicológica, 26(3), 296- 306. https://doi.org/10.24205/03276716.2017.103

Oyanadel, C., Buela-Casal, G. & Pérez-Fortis, A. (2014). Propiedades psicométricas del Inventario de Orientación Temporal en una muestra chilena. Terapia Psicológica, 32(1), 57-66. http://dx.doi.org/10.4067/S0718-48082014000100005

Oyanadel, C., Buela-Casal, G., Araya, T., Olivares, C., & Vega, H. (2014). Percepción del tiempo: Resultados de una intervención grupal para modificar el perfil temporal. Suma Psicológica, 21, 1-7. https://doi. org/10.1016/S0121-4381(14)70001-3

Papastamatelou J., Unger, A., Giotakos, O., & Athanasiadou, F. (2015). Is Time Perspective a Predictor of Anxiety and Perceived Stress? Some Preliminary Results from Greece. Psychological Studies, 60(4), 468-477. https://doi. org/10.1007/s12646-015-0342-6

Papastamatelou, J., & Unger, A. (2018). Diferences in Burnout Proneness depend on Time Perspective – Evidence from an Occupational Sample of Industrial Employees and MBAStudents. Dialogues in Clinical Neuroscience & Mental Health, 1(1), 52-57. https://doi.org/10.26386/obrela.v1i1.8

Pospos, S., Young, I. T., Downs, N., Iglewicz, A., Depp, C., Chen, J. Y., Newton, I., Lee, K., Light, G., & Zisook, S. (2018). Web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Academic psychiatry, 42(1), 109-120. https://doi.org/10.1007/ s40596-017-0868-0

Rönnlund, M., Koudriavtseva, A., Germundsjö, L., Eriksson, T., Åström, E., & Carelli, M. G. (2019). Mindfulness Promotes a More Balanced Time Perspective: Correlational and Intervention-Based Evidence. Mindfulness, 10, 1579- 1591. https://doi.org/10.1007/s12671-019-01113-x

Salvo, L., Melipillan, R., Castro, A. (2009). Confiabilidad, validez y punto de corte para la escala de screening de suicidalidad en adolescentes. Revista Chilena de NeuroPsiquiatría, 47(1), 16-23. http://dx.doi.org/10.4067/

S0717-92272009000100003

Sánchez-García, M., Pérez, A., Paino, M., Fonseca-Pedrero, E (2018). Ajuste Emocional y Comportamental en una Muestra de Adolescentes Españoles. Actas Españolas de Psiquiatría, 46(6), 205-216. https://www.actaspsiquiatria.es/repositorio/20/116/ESP/20-116-ESP-205-16-980875.pdf

Sarmiento-Hernández, E., Ulloa-Flores, R., Camarena-Medellín, B., Sanabrais-Jiménez, M., Aguilar-García, A., Hernández-Muñoz, S (2019). Asociación entre el polimorfismo 5-HTTLPR, el intento suicida y la comorbilidad en adolescentes mexicanos con trastorno depresivo mayor. Actas Españolas Psiquiatria;47(1), 1-6. https://

www.actaspsiquiatria.es/repositorio/21/117/ESP/21-117-ESP-1-6-364762.pdf

Seema, R. & Sircova, A (2013). Mindfulness-A time perspective? Estonian study. Baltic Journal of Psychology, 14 (1), 4-21.https://www.researchgate.net/publication/262790161_Mindfulness__a_Time_Perspective_Estonian_Study

Stolarski, M., Bitner, J. & Zimbardo, P. (2011). Time perspective, emotional intelligence and discounting of delayed awards. Time and Society, 20(3), 346-363. https://doi.org/10.1177/0961463X11414296

Suárez-Colorado, Y., Palacio-Sañudo, J., Caballero-Domínguez, C., & Pineda-Roa, C. (2019). Adaptación, validez de constructo y confiabilidad de la escala de riesgo suicida Plutchik en adolescentes colombianos. Revista Latinoamericana de Psicología, 51(3), 145-152. http://dx.doi.org/10.14349/ rlp.2019.v51.n3.1

Sword R. M., Sword R. K. M., & Brunskill S .R. (2015). Time Perspective Therapy: Transforming Zimbardo’s Temporal Theory into Clinical Practice. En M. Stolarski, N. Fieulaine & W. van Beek (eds.), Time Perspective Theory; Review, Research and Application (pp. 481-498). Springer, Cham. https://doi.org/10.1007/978-3-319-07368-2_31

Sword, R. M., Sword, R., Brunskill, S., & Zimbardo, P. (2014). Time Perspective Therapy: A New Time-Based Metaphor Therapy for PTSD. Journal of Loss and Trauma, 19(3), 197-201. https://doi.org/10.1080/15325024.2013.763632

Turecki, G., & Brent, D. (2016). Suicide and suicidal behaviour. The Lancet, 387(10024), 1227-1239. https://doi. org/10.1016/S0140-6736(15)00234-2

Van Beek, W., Kerkhof, A., & Beekman A (2009). Future oriented group training for suicidal patients: a randomized clinical trial. BMC Psychiatry. https://doi.org/10.1186/1471-244X-9-65

Ventura-Juncá, R., Carvajal, C., Undurraga, S., Vicuña, P., Egaña, J. et al. (2010). Prevalencia de ideación e intento suicida en adolescentes de la Región Metropolitana de Santiago de Chile. Revista Médica de Chile, 138, 309-315.

Revista Médica de Chile, 138, 309-315. https://doi.org/10.4067/s0034-98872010000300008

Vera-Romero, O. & Díaz-Vélez, C. (2012). Suicidio en adolescentes de Sudamérica: Un problema creciente. Salud

Pública de México, 54(4), 363-364. https://doi.org/10.1590/S0036-36342012000400003

Yufit, R.I., Benzies, B., Fonte, M.E., & Fawcett, J.A. (1970). Suicide potential and time perspective. Archives of General Psychiatry, 23, 158-163. https://doi.org/10.1001/archpsyc.1970.01750020062008

Zimbardo, P. & Boyd, J. (1999). Putting time in perspective: A valid, reliable, individual-differences metric. Journal

of Personality and Social Psychology, 77(6), 1271-1288. https://doi.org/10.1037/0022-3514.77.6.1271

Zimbardo, P. & Boyd, J (2009). La paradoja del tiempo. Paidós

Zimbardo, P., Sword R., & Sword, R (2012). The time cure: Overcoming PTSD with the new psychology of time perspective therapy. Jossey-Bass

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