Nöropsikiyatri Arşivi; 2014;51(3):263-266
Aşırı Aktif Mesane Hastalarının Afektif Mizaç Özellikleri
A Sarıbacak, K Altınbaş, H Yılmaz, A Özkan, L Özkan, T Oral
Konak Hospital, Kocaeli
with or without incontinence and increased frequency of voiding and nocturia. Although
animal studies have demonstrated the relationship between defective serotonergic
neurotransmission and OAB, its etiology is still unclarified. Temperament profiles
are hypothesized to be related with serotonergic activity and are studied in many
psychosomatic disorders. Thus, we assume that OAB is related with a certain type of
temperament.
Method: 29 patients, who were admitted to the urology outpatient clinic at Kocaeli
University and clinically diagnosed with OAB syndrome, were recruited for the study.
Temperament profiles were evaluated with the Temperament Evaluation of Memphis
Pisa Paris and San Diego Autoquestionnaire (TEMPS-A). Depressive, hyperthymic,
cyclothymic, anxious and irritable temperament scores in patients were compared with
those in 25 healthy controls.
Results: Patient and control groups were similar in terms of age (p=0.65), sex (p=0.64)
and educational level (p=0.90). Anxious temperament scores were higher (p=0.02) and
hyperthymic temperament scores were lower (p=0.02) in patients with OAB compared to
controls. Depressive, cyclothymic and irritable temperament scores were similar in both
groups. There was no significant differences between men and women in both groups in
terms of different temperament profile scores.
Conclusion: Hypothetically, there might be an association between anxious
temperament and OAB syndrome reflecting serotonergic dysfunction. However,
OAB syndrome must be considered from the aspect of the interdependence of
psychosomatic implications in a narrow sense and psychosomatic dimensions
due to the psychological predisposition in the individual case.
Affective Temperament Profiles of Overactive Bladder Patients
ani sikisma hissi, idrar sikliginda artma ve gece sik idrara çikma ile karakterizedir.
Hayvan çalismalarinin serotonerjik nörotransmisyondaki bozuklugu AAM ile iliskisini
göstermesine ragmen etyoloji hala belirsizdir. Mizaç profillerinin serotonerjik aktivite ile
iliskili oldugu iddia edilmis ve birçok psikosomatik bozuklukta çalismalar yapilmistir. Bu
bilgiler isiginda hipotezimiz AAM’nin belli bir mizaç türü ile iliskili olabilecegidir.
Yöntem: Kocaeli Üniversitesi üroloji poliklinigine basvuran ve AAM tanisi alan 29 hasta
çalismaya dahil edildi. Mizaç profilleri TEMPS-A ile degerlendirildi. Depresif, hipertimik,
siklotimik, aksiyöz ve iritabl mizaç profilleri 25 saglikli kontrol grubu ile karsilastirildi.
Bulgular: Hasta ve çalisma gruplari yas (p=0.65), cinsiyet (p=0.64) ve egitim seviyesi
(p=0.90) bakimindan benzerdi. Kontrol grubu ile karsilastirildiginda çalisma grubunda
anksiyöz mizaç profilleri daha yüksek (p=0.02), hipertimik mizaç profilleri daha düsük
(p=0.02) bulundu. Depresif, siklotimik ve iritabl mizaç profilleri her iki gruta benzer
bulundu. Her iki grupta, erkek ve kadin hastalar arasinda farkli mizaç profili puanlarinda
anlamli fark saptanmadi.
Sonuç: Kuramsal olarak anksiyöz mizaç ile AAM sendromu arasinda serotonerjik
disfonksiyonu isaret eden bir iliski olabilir. Bunun yani sira, AAM sendromu, dar
anlamda psikosomatik durumlarla iliskili ve olgu bazinda psikolojik hazirlayicilara bagli
psikosomatik boyutlar yaklasimiyla dikkate alinmalidir