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Yıl:2013; Cilt: 50; Sayı: 4>> Özet
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Nöropsikiyatri Arşivi; 2013;50(4):344-351
Ruhsal Bozuklukların Yaygınlığı, Cinsiyetlere Göre Dağılımı ve Psikiyatrik Destek Alma ile İlişkisi
A Keskin, İ Ünlüoğlu, U Bilge, Ç Yenilmez
Çankaya Aile Sağlığı Merkezi, Ankara
Giriş: Bu çalışmanın amacı Eskişehir ili merkezinde ruhsal bozuklukların yaygınlığını ve psikiyatrik destek alma durumlarını sosyodemografik verileri de inceleyerek belirlemektir. Yöntem: Bu çalışmada Eskişehir ili merkezinde yer alan 24 birinci basamak sağlık kurumuna bağlı mahallelerde kota örneklemesi yoluyla seçilen 1475 kişiye PRIME MD ölçeği uygulanarak ruhsal bozuklukların yaygınlığı, cinsiyete göre dağılımı ve psikiyatrik destek alma eğilimlerinin saptanması amaçlanmıştır. Bulgular: Çalışmamızın sonucunda en az bir duygudurum bozukluğu %37, anksiyete bozukluğu %29, somatoform bozukluklar %18,6 ve olası alkol kullanımı %7,7 oranında bulunmuştur. Olası alkol kötüye kullanımı dışında tüm bozukluklar kadınlarda daha sık bulunmuştur. Ayrıca ruhsal bozukluk tanısı düşünülen kişilerden; duygudurum bozuklukları olanların %64’ünün, anksiyete bozuklukları olanların %67’sinin, somatoform bozukluklar olanların %70’inin, olası alkol kötüye kullanımı olanların %61’inin tedavi alabileceği bulunmuştur. Sonuç: Ruhsal bozuklukların yaygın görülmesi yanında uygun tedaviye yönlendirilmesi de önemlidir. Bu nedenle ülkemizin farklı bölgelerinde ruhsal bozukluklarla ilgili yaygınlık ve risk gruplarını belirleyen çalışmaların yanında psikiyatrik destek almama nedenlerinin ortaya çıkarılması için yeni çalışmalara ihtiyaç vardır.
The Prevalence of Psychiatric Disorders Distribution of Subjects Gender and its Relationship with Psychiatric Help-Seeking
Introduction: The aim of this study was to investigate the prevalance of psychiatric disorders and psychiatric help-seeking behaviours in central Eskisehir according to sociodemographic variables. Method: In this study, for the purpose of revealing the psychiatric disorder profile of Eskisehir city and evaluating the prevalance of psychiatric disorders according to gender differences and psychiatric help-seeking behaviours; The Primary Care Evaluation of Mental Disorders (PRIME-MD) scale and psychiatric help questionnaire were administered to 1475 subjects who were randomly selected from 24 primary health care centers in Eskisehir. Results: The prevalence of psychiatric disorders was as follows: at least one mood disorder 37%, anxiety disorders 29%, somatoform disorders - 8.6% and, possible alcohol abuse 7.7%. All diagnoses except possible alcohol abuse were found to be more frequent in women than men. Also It was found that in subjects who were thougth to have a psychiatric disorder, 64%of mood disorder patients, 67%of anxiety disorder patients, 70%of somatoform disorder patients and, 61%of possible alcohol abuse patients can receive appropriate treatment. Discussion: Since psychiatric disorders are common, it is important to direct such patients to appropriate treatment. Therefore, new studies are necessary to find out the prevalance of psychiatric disorders and risky groups as well as to identify the reasons that why such people do not seek for help in different regions of our country.

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