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Yıl:2014; Cilt: 51; Sayı: 3>> Özet
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Nöropsikiyatri Arşivi; 2014;51(3):253-262
Disosiyatif Yaşantılar Klinik Olmayan Örneklemde Obsesif-Kompulsif Belirtilerle İlişkilidir:Gizil Profil Analiziyle Bir İnceleme
M Boysan
Yüzüncü Yıl University, Van
Introduction: There has been a burgeoning literature considering the significant associations between obsessive-compulsive symptoms and dissociative experiences. In this study, the relationsips between dissociative symtomotology and dimensions of obsessive-compulsive symptoms were examined in homogeneous sub-groups obtained with latent class algorithm in an undergraduate Turkish sample. Method: Latent profile analysis, a recently developed classification method based on latent class analysis, was applied to the Dissociative Experiences Scale (DES) item-response data from 2976 undergraduates. Differences in severity of obsessivecompulsive symptoms, anxiety and depression across groups were evaluated by running multinomial logistic regression analyses. Associations between latent class probabilities and psychological variables in terms of obsessive-compulsive subtypes, anxiety, and depression were assessed by computing Pearson’s productmoment correlation coefficients. Results: The findings of the latent profile analysis supported further evidence for discontinuity model of dissociative experiences. The analysis empirically justified the distinction among three sub-groups based on the DES items. A marked proportion of the sample (42%) was assigned to the high dissociative class. In the further analyses, all sub-types of obsessive-compulsive symptoms significantly differed across latent classes. Regarding the relationships between obsessivecompulsive symptoms and dissociative symptomatology, low dissociation appeared to be a buffering factor dealing with obsessive-compulsive symptoms; whereas high dissociation appeared to be significantly associated with high levels of obsessivecompulsive symptoms. Conclusion: It is concluded that the concept of dissociation can be best understood in a typological approach that dissociative symptomatology not only exacerbates obsessive-compulsive symptoms but also serves as an adaptive coping mechanism.
Dissociative Experiences are Associated with Obsessive-CompulsiveSymptoms in a Non-clinical Sample: A Latent Profile Analysis
Giris: Obsesif-kompulsif belirtiler ve disosiyatif yasantilar arasindaki manidar iliskilere dair çalismalarin sayisi artmaktadir. Bu arastirmada üniversite ögrencilerinden olusan bir Türk örnekleminde disosiyatif semptomotoloji ve obsesif-kompulsif belirtilerin alt boyutlari arasindaki iliskiler gizil sinif analizi kullanilarak elde edilen homojen alt gruplarda incelenmistir. Yöntem: 2976 üniversite ögrencisinden elde edilen Disosiyatif Yasantilar Ölçegi (DYÖ) maddelerinden olusan veriye, gizil sinif analizine dayali son zamanlarda gelistirilen bir siniflama yöntemi olarak gizil profil analizi uygulanmistir. Obsesif-kompulsif belirtiler, anksiyete ve depresyon siddeti bakimindan gruplar arasi farklar multinomial regresyon analizleriyle degerlendirilmistir. Gizil sinif olasiliklarinin obsesif-kompulsif alt ölçekleri, anksiyete ve depresyonla olan iliskisi Pearson momentler çarpimi korelasyon katsayilari hesaplanarak degerlendirilmistir. Bulgular: Gizil profil analizi sonuçlari disosiyasyon kavramina iliskin süreksizlik modellerini destekleyici ek kanitlar sunmustur. DYÖ maddelerine göre yapilan analiz sonucunda üç alt grup arasinda önemli farkliliklar oldugu anlasilmistir. Örneklemin önemli bir yüzdesi (%42) yüksek disosiyatif özellik gösteren sinif içinde kümelenmistir. Sonraki analizlerde obsesifkompulsif belirtilerin gizil siniflar arasinda manidar düzeyde farklilastigi görülmüstür. Obsessif-kompulsif belirtiler ve disosiyatif semptomotoloji arasindaki iliskiler ele alindiginda, düsük disosiyasyon düzeylerinin obsesif-kompulsif belirtilerle basa çikmada tampon islevi gördügü halde yüksek disosiyasyonun artmis obsesif-kompulsif belirtilerle iliskili oldugu gözlenmistir. Sonuç: Arastirma sonucunda disosiyasyon kavraminin en iyi tipolojik bir yaklasim içinde açiklanabilecegi, disosiyatif semptomotolojinin obsesifkompulsif belirtilerdeki artisa neden olurken uyuma yönelik bir basa çikma stratejisi olarak da islev gördügü sonucuna varilmistir.

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