Dergi Ara >>
Yıl:2012; Cilt: 13; Sayı: 4>> Özet
Anadolu Psikiyatri Dergisi; 2012;13(4):270-276
Endüstriyel bir patlama sonrasında gelişen akut stres bozukluğu ve TSSB'deki sosyodemografik ve bilişsel risk etkenleri
İ Taymur, MH Türkçapar, K Özdel, AE Sargın, L Çalışgan, E Zamkı, B Demirel
Dışkapı Y.B. Eğitim ve Araştırma Hastanesi, Ankara
Amaç: Şubat 2011'de Ankara'daki bir sanayi bölgesinde ölü ve yaralıların olduğu bir patlama gerçekleşmiştir. Çalış-manın amacı bu patlamaya maruz kalmış kişilerde akut stres bozukluğu(ASB) ve travma sonrası stres bozukluğu (TSSB) oranlarının belirlenmesi, ASB veya TSSB gelişen kişilerin kişilik örüntüleriyle ilgili bilişsel inançlarının değer-lendirilmesi ve böylece TSSB gelişmesinde risk etkeni olabilecek sosyodemografik ve bilişsel inançların saptanması-dır. Yöntem: Çalışmaya, patlamanın gerçekleştiği işyerine ait fabrika binası ve yakınındaki dört ayrı iş yerinde bulu-nan 197 kişi alınmıştır. Katılımcılara patlamadan sonraki birinci ayda sosyodemografik veri formu, Kişilik İnanç Ölçeği Kısa Türkçe Formu, klinisyen tarafından uygulanan TSSB Ölçeği uygulanmıştır. Katılımcıların psikiyatrik tanılarını saptamak için, DSM-IV eksen-I bozuklukları için yapılandırılmış klinik görüşme (SCID-I) uygulanmıştır. Bulgular: Katı-lımcıların %37.1'inde travmaya bağlı ASB, %13.7'si nde TSSB saptanmıştır. Majör depresif bozukluk öyküsüne sahip olma, travmada fiziksel zarar görme, ölen ve yaralananlar arasında tanıdık olması, olay yerinin merkezinde olma ve ölü görme TSSB gelişiminde risk etkeni olarak değerlendirilmiştir. TSSB gelişen bireylerde obsesif kompulsif kişilik inançları, ASB gelişen bireylerde çekingen kişilik inançları istatistiksel olarak anlamlı düzeyde daha yüksek bulunmuş-tur. Sonuç: Patlama sonrasında ASB ve TSSB gibi psikopatolojiler yüksek oranda saptanmıştır. ASB için geçirilmiş yaygın anksiyete bozukluğu, TSSB için majör depresyon birlikteliği sıktır. Travma sonrası stresle ilişkili belirtiler gelişti-ren kişilerde bağımlı ve obsesif kişilik özelliklerinin daha sık bulunduğu gözlenmiştir. Veriler ASB ve TSSB gelişiminde kişilikle ilgili özgül bazı inançların önemli olabileceğini göstermiştir.
Sociodemograhic and cognitive risk factors for acute stress disorder and PTSD after an industrial explosion
Objective: There have been deaths and casualties in an explosion which happened in an industrial region in Ankara in February 2011. The aim of this study is to determine the prevalence of acute stress disorder (ASD), and post-traumatic stress disorder (PTSD), to assess the cognitive beliefs about their personalities and to determine the sociodemographic variables and cognitive beliefs which can be the risk factors for PTSD. Methods: One hundred and ninety-seven individuals, who were present at the factory building where the explosion happened and at the four offices nearby, were included in the study. Sociodemographic information form, Personality and Belief Questionnaire-Short Version, clinician administered Post-Traumatic Stress Disorder Scale were applied to the participants one [month] after the explosion. The psychiatric assessments were done using the structured clinical interview for DSM-IV axis-1 disorders (SCID-I). Results: The prevalence of ASD and PTSD were 37.1% and 13.7% respectively. Having major depressive disorder before the incident, physical injury, acquaintances among the dead and the injured, being in the centre of the incident and seeing dead bodies were detected as risk factors for PTSD. Obsessive-compulsive personality beliefs in PTSD and avoidant personality beliefs in ASD were found higher statistically. Conclusion: ASD and PTSD was detected common after the explosion. Generalized anxiety disorder in the past for ASD, and major depression for PTSD were detected in the individuals. It was also determined that avoidant and obsessive personality traits were seen more common in the individuals who had symptoms related to post traumatic stress. It is important to detect the other psychopathologies, specific beliefs about personality and possible risk factors in the individuals who have PTSD and ASD for mental health protection.

http://www.simplehandbaga.com/hermes-constance-bag-23cm-togo-leather-black-gold.html http://www.simplehandbaga.com/hermes-garden-party-handbag-small-31cm-red.html http://www.simplehandbaga.com/hermes-birkin-35cm-cattle-skin-vein-handbags-orange-golden.html http://www.simplehandbaga.com/hermes-jige-clutch-29cm-croco-white-grey.html http://www.simplehandbaga.com/hermes-kelly-32cm-ostrich-vein-6108-black-golden.html http://www.simplehandbaga.com/hermes-jige-clutch-29cm-croco-dark-red.html http://www.simplehandbaga.com/hermes-herbag-31cm-green-canvas-bag.html http://www.simplehandbaga.com/hermes-epsom-leather-wallet-camel-silver.html http://www.simplehandbaga.com/hermes-calf-leather-men-h-belt-138-silver-blue.html http://www.simplehandbaga.com/hermes-so-kelly-28cm-togo-leather-shoulder-bag-green-silver.html http://www.simplehandbaga.com/hermes-kelly-32cm-togo-leather-6108-electric-blue-silver.html http://www.simplehandbaga.com/hermes-epsom-leather-jige-clutch-29cm-orange.html http://www.simplehandbaga.com/hermes-birkin-30cm-togo-leather-handbag-blue-gold.html http://www.simplehandbaga.com/hermes-medor-clutch-29cm-croco-burgundy.html http://www.simplehandbaga.com/hermes-bolide-31cm-togo-leather-pink-bag.html http://www.simplehandbaga.com/hermes-birkin-35cm-handbag-crocodile-leather-green-gold.html http://www.simplehandbaga.com/hermes-constance-23cm-croco-leather-black.html http://www.simplehandbaga.com/hermes-lindy-30cm-handbag-pink-silver.html http://www.simplehandbaga.com/hermes-garden-party-handbag-small-31cm-elephant-grey.html http://www.simplehandbaga.com/hermes-birkin-35cm-togo-leather-handbags-dark-blue-golden.html http://www.simplehandbaga.com/hermes-jige-wallet-togo-leather-black.html http://www.simplehandbaga.com/hermes-dogon-wallet-togo-leather-h001-brown.html http://www.simplehandbaga.com/hermes-kelly-cut-31cm-epsom-leather-clutch-orange.html http://www.simplehandbaga.com/hermes-jige-wallet-togo-leather-electric-blue.html http://www.simplehandbaga.com/hermes-jige-wallet-togo-leather-pink.html http://www.simplehandbaga.com/hermes-h-wallet-royal-blue-silver.html http://www.simplehandbaga.com/hermes-birkin-30cm-togo-leather-handbags-black-gold.html http://www.simplehandbaga.com/hermes-kelly-cut-31cm-epsom-leather-clutch-electric-blue.html http://www.simplehandbaga.com/hermes-lindy-30cm-handbag-blue-silver.html http://www.simplehandbaga.com/hermes-dogon-wallet-togo-leather-h001-burgundy.html http://www.simplehandbaga.com/hermes-medor-clutch-29cm-croco-grey.html http://www.simplehandbaga.com/hermes-constance-bag-23cm-epsom-leather-grey-gold.html http://www.simplehandbaga.com/hermes-kelly-cut-31cm-epsom-leather-clutch-elephant-grey.html http://www.simplehandbaga.com/hermes-calf-leather-wallet-h005-red.html http://www.simplehandbaga.com/hermes-lindy-30cm-handbag-camel-gold.html http://www.simplehandbaga.com/hermes-kelly-wallet-togo-leather-black.html http://www.simplehandbaga.com/hermes-epsom-leather-jige-clutch-29cm-orange.html http://www.simplehandbaga.com/hermes-mini-evelyne-tpm-bag-pink.html http://www.simplehandbaga.com/hermes-herbag-31cm-burgundy-canvas-bag.html http://www.simplehandbaga.com/hermes-mini-kelly-22cm-epsom-leather-yellow-silver-with-chain-strap.html http://www.simplehandbaga.com/hermes-constance-bag-23cm-togo-leather-blue-silver.html http://www.simplehandbaga.com/hermes-30cm-birkin-bag-togo-leather-with-strap-light-pink-gold.html http://www.simplehandbaga.com/hermes-jige-wallet-togo-leather-blue.html http://www.simplehandbaga.com/hermes-birkin-35cm-togo-leather-handbags-rose-silver.html http://www.simplehandbaga.com/hermes-garden-party-handbag-small-31cm-brown.html http://www.simplehandbaga.com/hermes-jige-clutch-29cm-croco-green.html http://www.simplehandbaga.com/hermes-epsom-leather-jige-clutch-29cm-brown.html http://www.simplehandbaga.com/hermes-garden-party-handbag-small-31cm-blue.html http://www.simplehandbaga.com/hermes-birkin-35cm-cattle-skin-vein-handbags-blue-gold.html http://www.simplehandbaga.com/hermes-birkin-25cm-handbag-6068-orange-silver.html http://www.simplehandbaga.com/hermes-garden-party-handbag-large-36cm-black.html http://www.simplehandbaga.com/hermes-birkin-35cm-togo-leather-handbags-red-silver.html http://www.simplehandbaga.com/hermes-constance-bag-23cm-epsom-leather-pink-silver.html http://www.simplehandbaga.com/hermes-kelly-cut-31cm-epsom-leather-clutch-pink.html http://www.simplehandbaga.com/hermes-calf-leather-wallet-h005-in-orange.html http://www.simplehandbaga.com/hermes-picotin-lock-togo-leather-red.html http://www.simplehandbaga.com/hermes-mini-kelly-22cm-epsom-leather-green-silver-with-chain-strap.html http://www.simplehandbaga.com/hermes-birkin-25cm-handbag-6068-orange-silver.html http://www.simplehandbaga.com/hermes-birkin-35cm-togo-leather-handbag-yellow-gold.html http://www.simplehandbaga.com/hermes-birkin-35cm-cattle-skin-vein-handbags-orange-golden.html http://www.simplehandbaga.com/hermes-constance-bag-23cm-togo-leather-camel-gold.html http://www.simplehandbaga.com/hermes-calf-leather-men-h-belt-138-gold-light-coffee.html http://www.simplehandbaga.com/hermes-kelly-28cm-bag-togo-leather-blue-gold.html http://www.simplehandbaga.com/hermes-garden-party-handbag-small-31cm-pink.html http://www.simplehandbaga.com/hermes-garden-party-handbag-large-36cm-red.html http://www.simplehandbaga.com/hermes-birkin-30cm-togo-leather-handbag-burgundy-gold.html http://www.simplehandbaga.com/hermes-mini-evelyne-tpm-bag-dark-blue.html http://www.simplehandbaga.com/hermes-birkin-35cm-cattle-skin-vein-handbags-light-coffee-silver.html http://www.simplehandbaga.com/hermes-so-kelly-28cm-togo-leather-shoulder-bag-hot-pink-silver.html http://www.simplehandbaga.com/hermes-birkin-30cm-togo-leather-handbags-black-gold.html http://www.simplehandbaga.com/hermes-medor-clutch-29cm-croco-white.html http://www.simplehandbaga.com/hermes-garden-party-36cm-leather-handbag-black-hot-pink.html http://www.simplehandbaga.com/hermes-birkin-35cm-handbag-crocodile-leather-brown-gold.html http://www.simplehandbaga.com/hermes-constance-wallet-togo-leather-rose.html http://www.simplehandbaga.com/hermes-bi-fold-wallet-h006-black.html http://www.simplehandbaga.com/hermes-constance-bag-23cm-epsom-leather-red-gold.html http://www.simplehandbaga.com/hermes-birkin-35cm-togo-leather-handbags-black-silver.html http://www.simplehandbaga.com/hermes-mini-evelyne-tpm-bag-blue.html http://www.simplehandbaga.com/hermes-calf-leather-men-h-belt-138-silver-blue.html http://www.simplehandbaga.com/hermes-epsom-leather-jige-clutch-29cm-black.html http://www.simplehandbaga.com/hermes-epsom-leather-jige-clutch-29cm-brown.html http://www.simplehandbaga.com/hermes-bolide-31cm-togo-leather-orange-bag.html http://www.simplehandbaga.com/hermes-calf-leather-wallet-h005-h-red.html http://www.simplehandbaga.com/hermes-medor-clutch-29cm-croco-burgundy.html http://www.simplehandbaga.com/hermes-birkin-35cm-crocodile-leather-handbag-grey-white-gold.html http://www.simplehandbaga.com/hermes-lindy-30cm-handbag-red-gold.html http://www.simplehandbaga.com/hermes-birkin-35cm-cattle-skin-vein-handbags-dark-khaki-silver.html http://www.simplehandbaga.com/hermes-garden-party-36cm-canvas-handbag-yellow.html http://www.simplehandbaga.com/hermes-calf-leather-8616-handbag-cherry-pink.html http://www.simplehandbaga.com/hermes-kelly-cut-31cm-epsom-leather-clutch-orange.html http://www.simplehandbaga.com/hermes-lindy-30cm-handbag-orange-silver.html http://www.simplehandbaga.com/hermes-dogon-wallet-togo-leather-h001-blue.html http://www.simplehandbaga.com/hermes-birkin-35cm-handbag-crocodile-leather-green-gold.html http://www.simplehandbaga.com/hermes-mini-kelly-22cm-epsom-leather-yellow-silver-with-chain-strap.html http://www.simplehandbaga.com/hermes-mini-evelyne-tpm-bag-camel.html http://www.simplehandbaga.com/hermes-constance-bag-23cm-togo-leather-black-gold.html http://www.simplehandbaga.com/hermes-mini-evelyne-tpm-bag-green.html http://www.simplehandbaga.com/hermes-dogon-wallet-togo-leather-h001-green.html http://www.simplehandbaga.com/hermes-birkin-35cm-cattle-skin-vein-handbags-blue-gold.html http://www.simplehandbaga.com/hermes-constance-23cm-togo-leather-orange-silver.html