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Yıl:2014; Cilt: 15; Sayı: 4>> Özet
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Anadolu Psikiyatri Dergisi; 2014;15(4):313-317
Bipolar bozuklukta doğum mevsimi bir risk faktörü müdür?
S Çörekçioglu, T Öztav, K Altınbaş, KF Yavuz, DY Lordoğlu, E Kurt
Bakırköy Prof.Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Hastanesi, İstanbul
Amaç: Literatürde bipolar bozukluk tanısı konan hastaların doğum aylarının/mevsimlerinin hastalığın etiyoloji ve gidişinin tanımlanması açısından önem taşıdığına ilişkin veriler vardır. Bu çalışma ile bir duygudurum bozuklukları kliniğinde izlenen hastaların doğum aylarının klinik özelliklerle ilişkisinin incelemesi amaçlanmıştır. Yöntem: Araştırmacılar tarafından oluşturulan veri formu kullanılarak, Prof.Dr. Mazhar Osman Bakırköy Ruh Sağlığı ve Sinir Hastalıkları Hastanesi Raşit Tahsin Duygudurum Bozuklukları Merkezi’nde izlenen 1600 hastadan 375’i ile yapılan görüşmeler ve hasta dosyalarından edinilen bilgiler aracılığıyla doğum ayları ve sosyodemografik özellikleri ile hastalık başlangıç yaşı, klinik gidiş özellikleri, ailede psikiyatrik bozukluk öyküsüne ilişkin veriler toplanmıştır. Bulgular: Hastaların 228’i (%60.8) kadındı. Hastaların 363’ü (%96.8) BP (bipolar bozukluk) I, 12’si (%3.2) BP II tanısı ile izlenmekteydi. Mevsimlere göre gruplandırma yapıldığında 102 (%27.2) hastanın kış aylarında, 108 (%28.8) hastanın ilkbahar aylarında, 91 (%24.3) hastanın yaz aylarında, 74 (%19.7) hastanın sonbahar aylarında doğduğu saptanmıştır. Doğum mevsimleriyle ilk nöbet türü, ailede psikiyatrik bozukluk öyküsü arasında istatistiksel olarak anlamlı ilişki saptanmazken, doğum mevsimleriyle hastalık başlangıç yaşı arasında istatistiksel olarak anlamlı ilişki saptanmıştır. Sonuç: Sonuç olarak, kış ve ilkbahar aylarında doğum oranlarının yaz ve sonbahar aylarından daha yüksek olduğu saptanmış, ancak istatistiksel bir fark olup olmadığı, bu çalışmada sağlıklı kontrollerle karşılaştırma yapılmamış olduğundan ortaya konamamıştır. Klinik özellikler ve hastalığın gidiş özellikleri ile doğum ayları/mevsimleri arasında istatistiksel olarak anlamlı ilişki bulunamamıştır.
Is season of birth a risk factor in bipolar disorder?
Objective: In literature, there’s data about how the season of birth of bipolar disorder patients is important to determine the etiology and the course of the disorder. In this study, it’s intended to find out the relationship between season of birth and clinical characteristics of patients in a mood disorders clinic. Methods: Three hundred and seventy-five cases out of 1600 patients from Prof.Dr. Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital were included in the study. Using the data form created by the researchers, birth months, social and demographical characteristics, age of onset of the disorder, clinical course and family history data were collected. Results: Two hundred and twenty-eight (60.8%) patients were female. The diagnosis of 363 (96.8%) patients were BP (bipolar disorder) I, 12 (3.2%) patients were BP II. When grouping according to the seasons; birth month of 102 (27.2%) patients were winter months, 108 (28.8%) patients were born in spring, 91 (24.3%) patients during the summer months, and 74 (19.7%) patients were born in the autumn. There was no statistically significant relationship between season/month of birth and type of first-episode, positive family history of psychiatric disorder. Statistically significant relationship was found between age of onset and season of birth. Conclusion: To conclude the birth rates of winter and spring season is higher than summer and autumn season. Because a control group was not included in the study, statistical significance could not be revealed. There was no statistical significance between season of birth and course features and clinical characteristics.

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