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Yıl:2015; Cilt: ; Sayı: 6>> Özet
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Literatür Sempozyum; 2015;(6):2-8
Akneli Vulgarisli Hastaların Stresle Baş Etme Tutumlarının Öfkeyi İfade Tarzlarıyla İlişkisi
S Aldemir, S Erpolat, S Tan, M Topcu, E Dalbudak
Turgut Özal Üniversitesi, Ankara
Amaç: Bu çalışma akneli hastaların anksiyete düzeyini, depresif belirtilerini, öfke düzeylerini ve stresle başa çıkma tutumlarım değerlendirmek amacıyla yapılmıştır. Yöntem: Çalışmaya Dermatoloji polikliniğinde akne vulgaris tanısı konulan 50 hasta alındı. Hastalara Global Akne Derecelendirme Sistemi (GADS), sosyodemografik ve klinik bilgi formu, Hastane Anksiyete ve Depresyon ölçeği (HAD), Sürekli Öfke ve Öfke Tarz Ölçeği (SÖÖTO) ve Stresle Başa-Çıkma Tutumları Envanteri (SBTE) uygulandı. Bulgular: Çalışmaya katılan akneli hastaların 41’i (%82) kadınlardan, 9’u (%18) erkeklerden oluşmuştur. Akneli hastalarda GADS’a göre hesaplanan akne şiddeti ortalaması 26.44±5.69 olarak bulunmuştur. Hastaların % 20’si HADÖ-Depresyon Alt ölçeğinden, % 14’ü HADÖ-Anksiyete Alt ölçeğinden kesim puanının üzerinde puan almışlardır. Akne şiddetine göre SÖÖTÖ alt ölçeklerinden öfke içe atma bakımından anlamlı derecede farklı olduğu belirlenmiştir (p = .01). Cinsiyetler arasında sadece SBTE alt ölçeklerinden kabul/bilişsel yemden yapılanma, altölçeği değişkeninin ortalaması açısından anlamlı derecede farklı olduğu belirlenmiştir (p < .001). Kadın katılımcıların, erkek katılımcılara göre daha fazla kabul/bilişsel yeniden yapılanma skorlarında artış görülmüştür. Tartışma ve Sonuç: Akne vulgarisli kadın hastaların erkeklere göre, stresle başa çıkmada problemin varlığını kabul edip kendilerine göre bilişsel boyutta yeni çözüm yolları aradıkları tespit edilmiştir. Bu nedenle dermatolojik tedavilerin yanı sıra akneli hastaların tedavi protokollerine stres ve öfke yönetimine yönelik psikososyal müdahalelerin de eklenmesinin yararlı olabileceği düşünülmektedir.
Relationship between coping with stress and anger expression in patients with acne vulgaris
Objective: Current study aims to assess individuals’ level of depression, anxiety and anger, depressive symptoms and coping styles with stress. Method: 50 patients who were diagnosed acne vulgaris in dermatology clinic participated into study. Patients filled in socio-demographic and clinical information form, Global Acne Grading System (GAGS), Hospital and Anxiety Depression Scale (HADS), The Trait Anger and Anger Expression Scale (TAAES) and Coping with Stres Scale (CSS). Results:41 female (82%) and 9 male (18%) patients with acne vulgaris participated into study. GAGS scores revealed that mean of acne severity was 26.44 (SD = ±5.69). 20% of patients were above cut-off score of HADS depression subscale. 14% of patients were also above cut-off score of HADS anxiety subscale. Results revealed that severity of acne was significantly different in terms of anger-in score (p = .01). Gender was significantly different across acceptance/cognitive restructuring subscale (p < .001). Female participants had higher acceptance/cognitive restructuring scores than males. Discussion and Conclusions: Findings revealed that female participants with acne vulgaris are more likely to show acceptance and cognitive processing of problems than male participants with acne vulgaris. Therefore beside dermatological treatment protocol, psychosocial interventions including anger and stress management could be beneficial for patients with acne.

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