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Yıl:2013; Cilt: 23; Sayı: 4>> Özet
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Klinik Psikofarmakoloji Bülteni; 2013;23(4):326-334
Alopesi areata hastaların mizaç-karakter profilleri
BB Annagür, O Bilgiç, KK Şimsek, O Güler
Selcuk University, Konya
Alopesi areata hastaların mizaç-karakter profilleri Amaç: Alopesia Areata (AA) yuvarlak ya da oval iz bırakmayan saç dökülmesi ile karakterize süreğen bir immünolojik deri hastalığıdır. Güncel psikosomatik tıp stresle tetiklenen değişik hastalıklara ve psikoimmünolojik değişikliklere odaklanmıştır. Literatürde AA’da görülen kişilik özelliklerine ilişkin araştırma oldukça azdır. Bu çalışmanın amacı AA hastalarının mizaç ve karakter özelliklerini ve bunlarla ilişkili psikopatolojik özellikleri araştırmak ve sağlıklı kontrol grubu ile karşılaştırmaktır. Yöntem: Dermatoloji kliniğine başvuran AA tanılı 73 hasta çalışmaya dâhil edildi. Sağlıklı kontrol grubunu 78 hasta oluşturdu. Genel psikopatoloji SCL-90-R ölçeği kullanılarak değerlendirildi. Kişilik özellikleri ise Mizaç ve Karakter Envanteri (TCI) kullanılarak değerlendirildi. Bulgular: Hasta grubunda ruhsal belirti düzeyi ve depresyon alt puanları kontrol grubuna göre anlamlı olarak yüksekti. Mizaç ve karakter özellikleri değerlendirildiğinde; AA tanısı alanlarda yenilik arayışı (NS), ödül bağımlılığı (RD) ve kendini aşma (ST) alt ölçek puanları kontrol grubuna kıyasla anlamlı olarak düşüktü. Depresyon ve anksiyete eş-değişken olarak göz önüne alındığında ve ANCOVA analizi yaptığımızda, t-testi ile NS, RD ve ST için saptanan anlamlılık geçerliydi. Sonuç: AA tanısı alan hastalarda psikiyatrik belirtilerin yaygın olduğu bilinmektedir. Bu çalışma AA hastalarının sağlıklı kontrollerle karşılaştırıldığında yenilik arayışı, ödül bağımlılığı ve kendini aşma gibi bazı mizaç özelliklerinin sağlıklı kontrollerden farklı olabileceğini göstermektedir. Yenilik arayışı, ödül bağımlılığı kendini aşma gibi özellikleri daha düşük olan AA hastaları depresyona daha yatkın olabilir.
Temperament-Character Profiles in Patients with Alopecia Areata
Temperament-character profiles in patients with alopecia areata Objective: Alopecia areata (AA) is a chronic immunological skin disorder characterized by round or oval patches of non-scarring hair loss. Current psychosomatic medicine focuses on the triggering of various diseases by stress and on psychoimmunological changes related to psychosocial stress. There has been little research on the personality traits in alopecia areata. The aim of this study is to examine temperament– character profiles and psychopathology of AA patients and to compare the findings with healthy controls. Method: Seventy-three patients who applied to outpatient clinics of dermatology for AA were included. The control group (n=78) was recruited from a nonclinical population. General psychopathology was assessed with the revised version of the Symptom Checklist-90 (SCL-90-R). Personality was assessed using the Temperament and Character Inventory (TCI). Results: The Global Severity Index (GSI) and depression subscale of the SCL-90-R scores were higher in the AA than in the control group (p

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