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Yıl:2000; Cilt: 3; Sayı: 1>> Özet
Klinik Psikiyatri Dergisi; 2000;3(1):61-66
Dağcılarda kişilik yapısının araştırılması: Kısa semptom envanteri
MM Mazıcıoğlu, M Baştürk, F Çetinkaya
Erciyes Üniversitesi, Kayseri
Yüksek irtifada oksijen saturasyonu düşüklüğüne bağlı olarak birtakım nöropsikiyatrik değişiklikler olduğu bilinmektedir. Bunun bir göstergesi davranış değişiklikleri olup, kişiliği değiştirebilmektedir. Bu çalışma; dağcılığa yönelmede kişilik özelliklerinin rolü ve yüksek irtifanın bu özelliklerde ortaya çıkarabileceği muhtemel değişikliklerin belirlenmesi amacıyla planlanmıştır.Kayseri Hacılar dağcılık kulübü tarafından düzenlenen Erciyes dağı zirve tırmanışına katılmak üzere farklı bölgelerden gelen 29 kişilik dağcı grubu Kısa Semptom Envanteri kullanılarak kişilik özellikleri yönünden değerlendirildi. Elde edilen sonuçlar dağcılar; yaş grubu, sigara kullanımı, alkol kullanımı ve meslekleri bakımından benzer özellikte randomize seçilen kontrol grubu ile karşılaştırıldı. Çalışma grubumuzla kontrol grupları arasında sürekli yaşadıkları irtifa, yaşları, sigara, alkol kullanımı ve meslekleri açısından belirgin farklılık gözlenmedi. Kısa Semptom Envanteri alt ölçeklerinden; anksiyete, obsesif kompulsif bozukluk ve somatizasyon açısından iki grup arasında önemli bir farklılık saptanmazken; depresyon, fobik anksiyete, hostilite, kişiler arası ilişkilerde duyarlılık, paranoid düşünceler, psikotizm alt ölçekleri ile üç global indeksten; semptom rahatsızlık indeksi ve rahatsızlık ciddiyeti indekslerinde dağcılarda belirgin şekilde yüksek skorlar elde edildi.Yüksek irtifada gözlenen kişilik özelliklerinin normal populasyondan farklılık gösterdiği ortaya konmakla beraber bu farklılığın ne kadarının yüksek irtifaya bağlı değişiklikler, ne kadarının kalıcı kişilik özellikleri olduğu tırmanış öncesi Kısa Semptom Envanteri uygulanamaması nedeniyle ayırt edilememiştir. Yapılan çalışmalar yüksek irtifada oksijen saturasyonunun düşmesine bağlı oluşan beyin hipoksisi sonucunda nöropsikiyatrik değişikliklerin oluşabildiğini ve bunların kısa süre sonra kaybolabildiğini veya bir kısmının uzun süre kalabildiğini göstermiştir. Buradan hareketle dağcılarda görülen davranış değişikliklerinin "akut organik kişilik sendromu" olarak kabul edilebileceğini ve bunun geçici ya da sürekli olabileceğini düşündürmüştür.Bulgularımız; yüksek irtifada oluşan organik değişiklikler veya dağcıların temel kişilik özellikleri ile bağlantılı olarak kısa Semptom Envanterlerinde dağcı olmayanlara göre farklılıklar olduğunu ortaya koymuştur.
Investigation of Personality Profiles of Mountaineer: The Brief Symptom Inventory It's known that some neuropsyhci
Behavioural alterations being an indicator of neuropsyhciatric alterations can change the personality. This study is planned to detect the role of characteristics of personality tending to direct to alpinism and probable effects of high altitude on these changes. By using Brief Symptom Inventory, a group of alpinist consisting of 29 person attending to Mount Erciyes summit climb from different locations organised by Kayseri Hacylar alpinism club, evaatric alterations occuring at high altitude depends on the decrease in Oxygen saturation. luated for personality profiles. Collected data compared with a similar randomised selected group for; age group, smoking, alcohol consumption, and jobs. Between our study and control group no apparent difference were detected for; altitude used to be lived, age group, smoking, alcohol consumption and jobs. While no apparent difference were detected between the to groups for; anxiety, obsessive compulsive disorder and somatisation sub tests of Brief Symptom Inventory, apparently high scores obtained for depression, phobic anxiety, hostility, sensitivity in interpersonal relations together with the; symptom disturbance index and importance of disturbance index of the three global indexes. Although it has been put forward that personality profiles observed at high altitude differs from normal population because the application of Brief Symptom Inventory was not performed at low altitude before the climb; how much of these differences are due to high altitude or due to personality profiles could not be able to detected. Previous studies showed that neuropsychiatric alterations can occur as a result of brain hypoxia resulting from the decrease of oxygen saturation at high altitude and these alterations can disappear in a short while persists permanently. Starting from this point we consider that behavioural alterations observed in alpinists can accepted as "Acute organic personality syndrome" and we consider that these alterations can be permanent or temporary. Our results put forward that connected with organic alterations occurring at high altitude or principal personality profiles of alpinists there are differences of Brief Symptom Inventory compared with non alpinists.

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