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Yıl:2013; Cilt: 50; Sayı: 1>> Özet
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Nöropsikiyatri Arşivi; 2013;50(1):15-22
Major Duygudurum Bozukluklarında Kişiliğin Üç Boyutlu Değerlendirilmesi ve Klinik Özelliklerle İlişkisi
O Ekinci, A Ekinci
Yozgat Devlet Hastanesi, Yozgat
Amaç: Kişilik özellikleri bireyleri belli duygulanımlara yatkın hale getirebilir ve dolayısı ile duygudurum bozukluklarının etiyolojisinde bir rol oynayabilir. Yaygın kullanılmasına bir ölçek olmasına rağmen rağmen, duygudurum bozukluklarında Eysenck kişilik envanteri az sayıda çalışmada kullanılmıştır. Bu çalışmanın amacı duygudurum bozukluğu olan bireylerde kişiliği değerlendirmek ve kişilik ile klinik görünüm arasındaki olası ilişkiyi araştırmaktır. Yöntem: Eysenck Kişilik Envanteri-Gözden Geçirilmiş Kısaltılmış Form (EKA-GGK) 60 iki uçlu bozukluklu, 50 tek uçlu bozukluklu ve 50 sağlıklı bireye uygulandı. Katılımcılar test uygulaması sırasında iyileşme dönemindeydi. Hasta grubuna tam remisyonu belirlemek amacı ile Hamilton Depresyon Ölçeği (HDÖ) ve Young Mani Ölçeği (YMÖ) uygulandı. Bu hastalardan YMÖ puanı< 6 ve HDÖ puanı<8 olan hastalar iyileşmiş kabul edildi (9). Klinik değişkenler hastalarla ve onların birinci derece yakınları ile gerçekleştirilen yapılandırılmış görüşmeler ile elde edildi. Bulgular: İki uçlu olgular sağlıklı kontrollerden ve tek uçlu depresyonlulardan daha yüksek dışadönüklük ve psikotisizm skorlarına sahipti. Tek uçlu olgular ise iki uçlu olgular ve sağlıklı kontrollerden anlamlı olarak daha yüksek nörotisizm skorlarına sahipti. Ayrıca her iki hasta grubunda klinik özelliklerle kişilik skorları arasında anlamlı ilişkiler bulundu. İntihar girişimi, psikotik özellikli atak ve karma atak varlığı ve baskın atak tipine göre kişilik boyutları farklılık gösteriyordu. Ayrıca sayısal değişkenlerden hastalık süresi, depresyon sayısı ve karma epizod sayısı gibi bazıları kişilik boyutları ile ilişkili bulundu. Sonuç: Çalışmamızın sonuçları kişilik profilinin iki uçlu bozukluk ve tek uçlu depresyonlu hastalar ile sağlıklı kontrollerde farklılaştığına ve farklı klinik görünümler bağlamında çeşitlilik kazanabileceğine işaret etmektedir.
An Investigation of the Three Factor Model of Personality and its Relationships with Clinical Characteristics inMajor Mood Disorders
Background: Personality make individuals prone to particular affective states and therefore, it may have a role in the etiology of mood disorders. Although Eysenck Personality Questionnaire is. one of the most used personality instruments, few studies have studied mood disorders using this scale. The purpose of this study was to examine personality of patients with bipolar and major depressive disorder and to explore the probable relationship between personality and clinical presentation of the disorders. Methods: The Eysenck Personality Questionnaire- Abbreviated (EPQR-A) was administered to 60 bipolar patients, 50 unipolar patients, and 50 controls. Both bipolar and unipolar patients were in remission in the evaluation time. Hamilton Depression Scale(HDS) and Young Mania Scale (YMS) were administrated to the patients to evaluate the remission. The patients who scored on HDS<8 and YMS<6 were accepted as remitted patients. Clinical variables were obtained from structured evaluations of patients and their first degree relatives. Results: Bipolar patients scored significantly higher on extraversion and psychoticism than major depressive patients and healthy controls. The patients with major depressive disorder had significantly higher neuroticism scores than bipolar patients and healthy subjects. In addition, we observed significant associations between clinical features and personality in both groups of patients. The personality dimensions varied according to the presence of suicide attempt, psychotic episode and mixed episode. In addition, some numerical variables, such as illness duration, number of depression and mixed episode, were found to be associated with personality dimensions Conclusion: These results show that, the personality profile differs between patients with bipolar disorder and unipolar depression and healthy subjects and, may vary according to different clinical presentations.

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