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Yıl:2014; Cilt: 15; Sayı: 1>> Özet
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Anadolu Psikiyatri Dergisi; 2014;15(1):31-38
İlaçla intihar girişiminde bulunan bireylerde mizaç ve karakter özellikleri ile sosyal sorun çözme arasındaki ilişkilerin belirlenmesi: Öncü sonuçlar
İ Taymur, K Özdel, V Duyan, AE Sargın, G Demiran, MH Türkçapar
Şevket Yılmaz Eğitim ve Araştırma Hastanesi, Bursa
Amaç: Bu öncü çalışmanın amacı, 1) ilaçla intihar girişiminde bulunan kişilerde önceki intihar girişimi ve düşüncelerinin saptanması ve psikiyatrik tanılarının belirlenmesi, 2) bu hastaların sosyodemografik özellikleri ile sosyal sorun çözme ve mizaç karakterleri arasındaki ilişkiyi saptamaktır. Yöntem: Bu çalışmaya 16-49 yaşları arasındaki 60 hasta alınmıştır. Veriler DSM-IV Eksen I Tanıları için Yapılandırılmış Klinik Görüşme (SCID-I), sosyodemografik veri formu, Beck Depresyon Ölçeği (BDÖ), Mizaç Karakter Envanteri (MKE) ve Sosyal Sorun Çözme Envanteri (SSÇE) ile toplanmıştır. Bulgular: SCID-I ile uyumlu olarak hastaların 23’ü (%38.3) majör depresif bozukluğa sahip olduğu, 39’unun (%65.0) hastaneye başvurmadan önce en az bir intihar girişimi öyküsünün bulunduğu saptanmıştır. Mizaç Karakter Ölçeğinin zarardan kaçınma, ödül bağımlılığı, kendini yönlendirme ve işbirliği boyutları ile SSÇE’nin sorun yönelimi ve sorun çözme becerileri arasında ters yönde anlamlı ilişki belirlenmiştir. Tartışma: İlaçla intihar girişiminde bulunmuş bireylerde psikiyatrik tanılar yaygın olarak görülmektedir. Bu bireylerin hastaneye kabulden önce en az bir intihar girişimi öyküsü bulunmaktadır. İntihar girişiminde bulunan bireyler, mizaç ve karakter özelliklerindeki farklılıklara ilave olarak anlamlı düzeyde biliş ve davranış bozuklukları sergilemektedir. Bu çalışma, mizaç ve karakter boyutlarının bilişsel ve davranışsal bozuklukları belirlemek için önemli bir veri sağladığını ortaya koymaktadır.
The relationship between temperament and character features and social problem solving in psychiatric patients who attempted suicide with drugs: preliminary results
Objective: The aims of this preliminary study were: 1) to identify psychiatric diagnoses and any history of suicidal thoughts and attempts in people who attempt suicide with drugs, 2) to evaluate the temperament and character features, social problem solving skills of these patients in relation to socio-demographic data. Methods: Sixty patients between 16 and 49 years old participated in this study. A Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), a Socio-demographic data form, the Beck Depression Inventory (BDI), Temperament and Character Inventory (TCI) and Social Problem Solving Inventory (SPSI) were administered to the participants. Results: According to the SCID-I, 23 (38.3%) of the participants had a major depressive disorder, and 39 (65%) of the participants had a history of previous suicide attempts before this admission. There were significant (negative) correlations between the harm avoidance, reward dependence, self-directedness and cooperativeness dimensions of the TCI and the Problem Orientation and Problem Solving skills subscales of the SPSI. Conclusion: Psychiatric disorders are common in individuals who attempt suicide with drugs. These individuals may have a history of one or more suicide attempts before admission. In addition to differences in temperament and character features, this study found significant disorders of cognition and behavior in individuals that had attempted suicide. This result may indicate that dimensions of temperament and character can provide significant indications for cognitive and behavioral disorders.

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