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Yıl:2011; Cilt: 22; Sayı: 4>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2011;22(4):245-254
Bedensel Hastalıkları Olan Bireylerde Stres, Kendilik Algısı, Kişilerarası Tarz ve Öfke İlişkisi
AD Batıgün, NH Şahin, EK Demirel
Ankara Üniversitesi, Ankara
Amaç: Bu araştırmada, koroner arter hastalığı, mide hastalığı, cilt hastalığı ve şeker hastalığı türünden bedensel hastalıklara sahip bireylerdeki stres yaşantısında, kendilik algısı, kişilerarası tarz ve öfkenin rolü değerlendirilmeye çalışılmıştır. Yöntem: Araştırmanın örneklemini bedensel hastalığı olan bireyler (n=124) ile sağlıklı bireyler (n=209) oluşturmaktadır. Araştırmada stres yaşantısı (stresin fizyolojik ve psikolojik belirtileri) ‘Stres Belirtileri Ölçeği’ ile, kendilik algısı ‘Sosyal Karşılaştırma Ölçeği’ ile, kişilerarası ilişki tarzı ‘Kişilerarası Tarz Ölçeği’ ile, öfke yaşantıları ise ‘Çok Boyutlu Öfke Envanteri’ ile değerlendirilmiştir. Hasta grubunun yaşadığı stres belirtileri ile hasta olmayanların yaşadıkları stres belirtilerinde kendilik algısı, kişilerarası tarz ve öfkenin rolü kıyaslanmıştır. Bulgular: Yapılan analiz sonuçlarına göre bedensel hastalığı olan bireylerin, stres belirtilerinin yüksek, kendilik algılarının olumsuz, kişilerarası ilişkilerinin sorunlu, öfkelerinin de daha yoğun olduğu söylenebilir. Bu hastaların daha yüksek düzeydeki stres belirtileri ile herhangi bir hastalığı olmayan kişilerin daha hafif düzeydeki stres belirtilerinin yordayıcısı olarak ortaya çıkan ortak değişkenler ise olumsuz kendilik algısı, kişilerarası ilişkilerden duyulan memnuniyetsizlik yaşam memnuniyetsizliği ve saldırgan öfke davranışları olarak belirlenmiştir. Ortak olmayan değişkenler ise bedensel hastalığı olan hastalarda yaş, hastalığı olmayanlarda da cinsiyettir. Sonuç: Bedensel hastalıklar aynı zamanda “stres hastalıkları” olarak da düşünüldüğü için tedavi protokollerine iletişim becerileri, stres ve öfke yönetimi, kendilik algısını güçlendirmeye yönelik psikososyal müdahalelerin de eklenmesinin yararlı olabileceği düşünülmektedir.
Stress, Self-Perception and Interpersonal Style in Patients with Physical Illnesses
Objective: This study aimed to investigate the role of self-perception, interpersonal style, and anger in the context of stress in patients with physical illnesses, including coronary artery disease, gastrointestinal disorders, dermatological disorders, and diabetes. Materials and Methods: The study sample included patients with physical illnesses (n = 124) and healthy controls (n = 209). Symptoms of stress, self-perception, interpersonal style, and anger were evaluated using the Stress Symptoms Scale, Social Comparison Scale, Interpersonal Style Scale, and Multidimensional Anger Questionnaire, respectively. The role of self-perception, interpersonal style, and anger in stress experienced in the patients and controls was compared. Results: The patients had higher stress symptoms, perceived themselves more negatively, had more problematic interpersonal styles, and more intense anger than the controls. The higher stress symptoms in the patients and the lower symptoms in the controls was predicted by 4 common variables¾dissatisfaction with life, dissatisfaction with interpersonal relationships, negative self-perception, and aggressive expression of anger. Another predictive variable in the psychosomatic group was age, whereas in the control group gender and internalized anger were predictive variables. Conclusion: As the physical illnesses had by those in the patient group are stress-related, inclusion of psychosocial interventions in treatment protocols, such as communication skills, and stress and anger management training, and interventions aimed at increasing a positive self-perception might improve their QoL.

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