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Yıl:2012; Cilt: 49; Sayı: 4>> Özet
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Nöropsikiyatri Arşivi; 2012;49(4):255-259
Akne Vulgarisli Hastalarda Mizaç-Karakter Özelliklerinin İncelenmesi
P Öztürk, FÖ Orhan, N Dokur, A Özer
Sütçü İmam Üniversitesi, Kahramanmaraş
Amaç: Akne vulgaris toplumda sık görülmesi ve yüzde daha fazla yerleşmesi sebebiyle kişilerin sosyal ve psikolojik yönlerini olumsuz olarak etkilemektedir. Deri hastalıklarında kişilik yapısını araştıran çalışmaların sonuçları çelişkilidir. Bu çelişkiyi gidermek için, Cloninger’in psikobiyolojik kişilik modeli gibi kişiliği birçok boyutta incelemeye ve biyolojik yapı ile ilişki kurulmasına olanak sağlayan bir kişilik modeli düşünülebilir. Bu çalışmanın amacı akneli bireylerde mizaç-karakter profillerini ölçmektir. Yöntemler: Dermatolojik muayene ile akne vulgaris tanısı konan 30 hasta ile yaş ve cinsiyet uyumlu 30 sağlıklı birey çalışmayı alındı. Akne vulgaris hastaları aknenin şiddetine göre 2 gruba ayrıldı. Komedonal aknesi olanlar grup 1; papül, püstül ve nodüler aknesi olanlar grup 2 olarak kabul edildi. Hasta ve kontrol grubuna Mizaç ve Karakter Envanteri, Hastane anksiyete depresyon ölçeği uygulandı. Bulgular: Akne vulgarisi olan hastalar sağlıklı kontrollerle karşılaştırıldığında mizaç karakter özelliklerinin değişmediği (p>0,05), bununla birlikte anksiyete ve depresyon puanlarının kontrol grubuna oranla daha yüksek olduğu tespit edildi. Gruplar arasında TCI ve alt birimlerinin değerlendirilmesinde anlamlı farklılık olmadığı bulundu (p>0,05). Yapılan korelasyon analizinde ise TCI mizaç boyutunda yenilik arayışının (NS) alt ölçeklerinden NS3 (savurganlık), zarardan kaçınma alt ölçeklerinden HA4 (çabuk yorulma ve dermansızlık); karakter boyutunda ise işbirliği yapma alt ölçeklerinden olan C3(yardımseverlik) akne süresi ile pozitif ilişkili idi (p=0,001). So nuç: Çalışmamız sonucunda akne vulgarisli bireylerin anksiyete depresyon puanlarının yüksek olmasına karşın, mizaç karakter özelliklerinin değişmediği kanısındayız.
Assesment of Temperament and Character Profile of Patients with Acne Vulgaris
Objective: Acne vulgaris is a common disease in the community and it has negative social and psychological effects due to its location especially on the face. Results of the studies investigating the personality structure of patients with skin diseases are conflicting. To resolve this contradiction, Cloninger’s psychobiological model of personality, which sets a relation with the biological structure and examines the personality in many dimensions, may be considered. The purpose of this study was to measure the temperament and character profiles of patients with acne. Methods: 30 patients who were diagnosed with acne vulgaris by dermatological examination and a control group consisted of 30 age- and sex-matched healthy subjects were studied. According to lesion severity, the patients with acne vulgaris were divided into two groups: Group 1 - acne vulgaris with comedones, Group 2 - acne vulgaris with papules and pustules and nodules. The Temperament and Character Inventory and the Hospital Anxiety Depression Scale were administered to both patients and control group. Results: Temperament and character propertyies of patients with mild to moderate acne did not change (p>0.05); however, anxiety and depression scores were found to be increased. There has been no difference found in the temperament and character inventory (TCI) and subscales between the two groups (p>0.05). In the correlation analysis, the sub-scales NS3 (extravagance) of novelty seeking (NS), HA4 (fatigability) of harm avoidance and the sub-scale C3 (helpfulness) of cooperativeness were found positively correlated with acne period (p=0.001). Conclusion: We suggest that if predisposition to anxiety and depression are known the effectiveness of treatment in individuals with acne vulgaris may be enhanced

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