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Yıl:1999; Cilt: 1; Sayı: 1>> Özet
Türkiye Klinikleri Psikiyatri Dergisi; 1999;1(1):68-78
Kadın Hastalarda Somatizasyon: çok Yönlü Bir Değerlendirme
Ö Çermik, A Çevik, A Soykan, O Aksakal
Somatizasyon, altta yatan bir psikiyatrik, psikolojik ya da sosyal sorunun tıbbi açıklaması yapılmayan bedensel yakınmalarla anlatımı olarak tanımlanmaktadır. Tıbbi yardım arama davranışı da somatizasyon için gerekli bir koşul sayılmaktadır. Bu araştırmada, somatizasyonun sık görüldüğü düşünülen bir kadın hastalıkları polikliniğine başvuran 252 hastada, tıbbi açıklaması yapılamayan bedensel belirtiler, depresyon düzeyi, iş-güç kaybı ve sosyodemografik özellikler arasındaki ilişkiler incelenmiştir. Örneklem grubunda bedensel belirti sayısı arttıkça depresyon düzeyi de artmaktadır. Bir başka deyişle, somatizasyon, depresyonu maskeleyememektedir. Somatizasyon, düşük sosyokültürel düzey, eğitimsizlik ve kırsal bölgede yetişmiş olmakla ilişkili görülmektedir. Sonuçlar, başta somatizasyon ve depresyon olmak üzere, temel sağlık hizmetlerinde görülen psikiyatrik durumların oldukça yoğun olduğunu doğrulamaktadır. İhmal edilmiş bir sorun alanı sayılabilecek bu konuya ilişkin neler yapılabileceği üzerine başka araştırmalara da gerek olduğu açıktır.
Somatization In Female Patients: A Multi-dimentional Assessment
Somatization is defined as a tendency to experience and communicate somatic distress and somatic symptoms unaccounted for by pathological findings, and to seek medical help for them. Presented here is an assessment of the medically unexplained symptoms of 252 female outpatients admitted to a gynecological facility working on a primary health care basis. The highly significant correlation between somatization and depression suggests that, somatic symptoms cannot actually "mask" the depression. Somatization is related to lower sociocultural and educational levels and also having been raised in rural Turkey. The results as a whole, confirm the observation that there is a vast number of psychiatric morbidity in the primary health care facilities. Further research is probably needed to find out what could be done for this neglected problem area.

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