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Yıl:2015; Cilt: 26; Sayı: 2>> Özet
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Türk Psikiyatri Dergisi; 2015;26(2):107-115
Endişe ve Ruminasyonun Kaygı ve Depresyon Belirtileri Üzerindeki Rolü
AE Yılmaz
Dokuz Eylül Üniversitesi, İzmir
Amaç: Bu araştırmanın amacı kaygı ve depresyon belirtilerinin açıklanmasında endişe ve ruminasyonun oynadığı bireysel ve etkileşimsel rolü incelemektir. Yöntem: Çalışmaya katılan toplam 328 üniversite öğrencisi endişe, ruminasyon, iki farklı kaygı türü ve depresyon belirtileri ile ilgili ölçümler için sırasıyla Penn Eyalet Endişe Ölçeği, Ruminatif Tepkiler Ölçeği-Kısa Formu, Beck Anksiyete Envanteri, Sürekli Kaygı Envanteri ve Beck Depresyon Envanteri’ni doldurmuştur. Bulgular: Regresyon bulguları endişe ile depresif belirtiler arası ilişkinin sadece saplantılı düşünme tarzındaki ruminasyon düzeyi yüksek olanlar için anlamlı olduğunu ortaya koymaktadır. Endişe temel etkisi sürekli kaygıyı yordamakta, ancak somatik kaygı belirtilerinin açıklanmasına anlamlı bir katkıda bulunmamaktadır. Saplantılı düşünme yalnızca depresif belirtilerle değil, aynı zamanda her iki tür kaygıyla da bağlantılı bulunmuştur. Derin düşünme tarzındaki ruminasyon ise depresif belirtiler, kaygı belirtileri ya da sürekli kaygının anlamlı bir yordayıcısı olmamıştır. Sonuç: Bulgular endişe ve ruminasyonun hem kaygıya hem de depresyona özgü olduğuna işaret etmektedir. İlgili klinik doğurgular güncel araştırmalar ışığında tartışılmıştır.
The Role of Worry and Rumination in the Symptoms of Anxiety and Depression
Aim: The aim of this study is to examine the unique and interactive role of worry and rumination in anxiety and depression symptoms. Method: A total of 328 university students responded to questionnaires assessing worry (Penn State Worry Questionnaire), rumination (Ruminative Response Styles Questionnaire-Short Form), anxiety (Beck Anxiety Inventory and Trait Anxiety Inventory), and depression (Beck Depression Inventory). Results: The results of regression analyses demonstrated that the relationship between worry and depressive symptoms is significant only if individuals engage in high levels of brooding type rumination. The main effect of worry was a significant predictor of trait anxiety, but it did not make a significant contribution to somatic anxiety. Brooding was found to be associated not only with depressive symptoms but also with both types of anxiety. Finally, the reflection type of rumination did not significantly predict depressive symptoms, somatic anxiety, or trait anxiety. Conclusion: Findings indicated that worry and rumination are related to both anxiety and depression. Clinical implications of these results were discussed in the light of the current literature.

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