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Yıl:1995; Cilt: 3; Sayı: 2>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1995;3(2):45-48
Poliklinik başvuru sırasında majör depresif episod tanısı alan hastalarda belirti taraması
A Arman, H Yöney, EO Göktepe
Marmara Üniversitesi, İstanbul
Amaç: Psikiyatri polikliniğine başvuran ve majör depresif episod kriterlerini karşılayan hastalarda, demografik özelliklerin tanımlanması, DSM-III-R tanı kriterlerinin ve genel belirti dağılımının incelenmesi amacıyla yapılmıştır. Yöntem: Yapılan kesitsel çalışmada, 1993 yılında Marmara Üniversitesi Hastanesi Psikiyatri Polikliniği!ne başvuran 283 hastanın tümüne DSM-III-R tanı kriterleri esas alınarak hazırlanan bir belirti tarama listesi uygulanmıştır. DSM-III-R'a göre majör defresif episod kriterlerini karşılayan 116 hastada demogra,fik özellikler, belirti dağılımı ve anksiyete belirtileri araştırılmıştır. Bulgular: Psikiyatri polikliniğine yapılan genel başvurularda ve majör depresif episod tanısı almış hastaların anlamlı bir çoğunluğunu kadınlar oluşturmaktadır. Majör depresif episod tam kriterleri tüm tanı almış hastalarda, %84.4 - %46,5 değerlerinde bulunmuştur. En çok tanımlanan belirtiler depresif duygu-dıırum (% 84.4) ve ilgi azlığıdır ('%81.8). Tartışma: DSM-III-R tanı kriterlerine bağlı kalarak hazırlanmış bir belirti tarama listesi kullanılarak, polikliniğe ilk kez başvuran tüm hastaların genel belirti dağılımının sorgulanmış olması önemlidir. Yapılan dökümde de görüldüğü gibi, depresyon tanı kriterlerinin polikliniğimize başvuran ve majör depresif episod tanısıyla izlenen hastaların çoğu için geçerli olduğu gözlenmektedir.
A symptom screening on the patients with major depressive episode attended to psychiatry outpatient clinics.
Objective: The objective of this study is to investigate DSM- III-R major depressive episode diagnostic criteria and symptom profile on the patients attended to psychiatry outpatient clinics who have met major'depressive episode criteria. Method: In this cross-sectional study, a symptom screening list which is based on DSM-III-R diagnostic criteria is applied to 283 patients attended to Marmara University psychiatry outpatient clinic in 1993 Depression symptom profile and anxiety symptoms are investigated in 116 patients meeting the major depressive episode criteria. Results: The majority of the patients meeting the major depressitv episode criteria are women. The depression criteria percentages are in between 84.4% - 46,5% and the mostly defined ones are depressive mood (84.4%) and anhedonia (81.8%). Conclusions: With the aid of using symptom screening list, it is possible to screen all the patients attending to psychiatry outpatient clinic. Major depressive diagnostic critcrias are valid for the majority if the patients followed with the major depressitv episode.

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