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Yıl:2014; Cilt: 1; Sayı: 3>> Özet
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Literatür Sempozyum; 2014;1(3):32-39
Fibromiyaljili Hastaların Anksiyete Düzeylerinin İncelenmesi
EE Erşan, D Şencan, HC Gürbüz, Ha Deveci, A Karadağ
Numune Hastanesi, Sivas
Amaç: Çalışmanın temel amacı, Fibromiyalji (FMS) tanısı konulmuş hastaların anksiyete düzeylerini belirlemek ve sosyodemografik değişkenlerle ilişkilerini incelemektir. Yöntem: Çalışmaya; Sivas Numune Hastanesi Fizik Tedavi polikliniğine başvuran, çalışmayı kabul eden, Amerikan Romatoloji Birliği (ACR) kriterlerine göre FTR uzmanları tarafından FMS tanısı konulduktan sonra psikiyatri polikliniğinde değerlendirilmeye alınan toplam 81 hasta alınmıştır. Sosyodemografik veri toplama formu, Spielberger Durumluk ve Süreklik Kaygı Envanteri (STAI 1-2), Beck Anksiyete Ölçeği (BAÖ) içeren test formları doldurularak veriler elde edildi. Bulgular: Çalışmamızda evli olmayanların evli olanlara göre durumluk kaygı puanları anlamlı derecede yüksek bulunmuştur. Çalışma grubunda hem durumluk-sürekli kaygı düzeyi hemde anksiyete düzeyleri yüksek olarak bulunmuştur. Çalışmaya katılanların %63.2’ sinde orta ya da ciddi düzeyde anksiyete tespit edilmiştir. Psikiyatri hastalık öyküsü olanlarda olmayanlara göre durumluk-sürekli kaygı ve anksiyete düzeyleri anlamlı düzeyde yüksek çıkmıştır. Durumluk kaygı düzeyleri, sürekli kaygı düzeyleri ve anksiyete düzeylerinin birbirleri arasında pozitif bir korelasyon vardır. Tartışma ve Sonuç: Çalışmamızda FMS hastalarında yoğun anksiyete tespit edilmiştir. FMS tanı ve tedavi planlanmasında anksiyete ilişkisine ve psikiyatrik hastalık öyküsüne özel önem verilmelidir. Bu hastalara psikiyatri konsültasyonu yapılmalı ve tedavi buna göre planlanmalıdır.
A Study on Anxiety Levels of Patients with Fibromyalgia
Purpose: The fundamental objective of this study is to determine the anxiety levels and to review its relations with socio-demographic variables in cases presenting with fibromyalgia (FMS). Methods: Eighty one patients participated in this study. These patients referred to Sivas Numune Hospital Physiotherapy Department, and approved to participate in this study, and they were diagnosed with FMS by physiotherapists according to American Rheumatology Association and they were referred to psychiatry department, afterwards. The relevant data were obtained by filling the test forms such as socio-demographic data acquisition form, Spielberger State and Continuous Anxiety Inventory (STAI 1- 2) as well as Beck Anxiety Inventory. Findings: In our study, we found out that single people demonstrated significantly higher state anxiety scores compared to those married people. In study group both state-continuous anxiety levels and anxiety levels were determined to be high. Moderate or severe anxiety was detected in 63,2% of the participants. In those patients with history of psychiatric disease state-continuous anxiety and anxiety levels were higher compared to naïve patients. State anxiety levels, continuous anxiety levels and anxiety levels have a positive correlation. Discussion and Conclusion: In this study, severe anxiety was detected in patients with FMS. In planning FMS diagnosis and treatment, anxiety relation and psychiatric disease history should be specifically considered. Psychiatry consultation should be delivered to such patients and treatment should be planned, accordingly.

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