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Yıl:2015; Cilt: 52; Sayı: 4>> Özet
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Nöropsikiyatri Arşivi; 2015;52(4):324-330
Depresyonu Olan Kadınlarda Aile İçi Şiddetin Yaygınlığı ve İlişkili Etkenler
B Karakoç, L Gülseren, B Çam, Ş Gülseren, N Tenekeci, L Mete
Bucak Devlet Hastanesi, Burdur
Amaç: Bu çalışmanın amacı, depresyonu olan kadınlarda aile içi fiziksel şiddetin yaygınlığını; bağlanma biçimi, çocukluk örselenmeleri ve sosyodemografik değişkenlerle ilişkisini araştırmaktır. Yöntem: Çalışma depresyon tanısı konmuş olan 100 kadın ve 30 sağlıklı kadınla yürütüldü. Hasta ve kontrol grubunu değerlendirmek için SCID-I, Hamilton Depresyon Derecelendirme Ölçeği (HDDÖ), Hamilton Anksiyete Derecelendirme Ölçeği (HADÖ), Erişkin Bağlanma Biçimi Ölçeği (EBBÖ), Çocukluk Çağı Örselenme Yaşantıları Ölçeği (ÇÇÖYÖ) kullanıldı. Bulgular: Depresyonu olan kadınların %64’ünün aile içi fiziksel şiddete maruz kaldığı belirlendi. Fiziksel şiddete maruz kalan depresif kadınlarda depresyon ve anksiyete belirtilerinin şiddeti, özkıyım düşüncesi ve özkıyım girişimleri, çifte depresyon tanısı daha fazla; EBBÖ kaçıngan ve kararsız bağlanma puanları; ÇÇÖYÖ toplam ve fiziksel örselenme puanları daha yüksek idi. Kadın ve eşinin çocukluk dönemlerinde kendi ailelerinde fiziksel şiddete maruz kalmış olmalarının depresyonu olan kadınlarda aile içi fiziksel şiddeti öngördüğü belirlendi. Sonuç: Aile içi fiziksel şiddetin araştırılması depresyonun tedavisine katkıda bulunmasının yanı sıra etkisini kuşaklar boyu sürdüren aile içi şiddetin tanınması ve önlenmesi açısından da önemlidir.
Prevalence of Intimate Partner Violence and Associated Factors
Introduction: The aim of the present cross-sectional study was to investigate the prevalence of intimate partner physical violence among depressive Turkish women, as well as the association of intimate partner physical violence with attachment patterns, childhood traumas, and socio-demographic factors. Methods: The study included 100 women diagnosed with depressive disorder and 30 healthy women. The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-IV axis I disorders, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Adult Attachment Style Questionnaire (AASQ), and Childhood Trauma Questionnaire (CTQ) were used for clinical assessment. Results: It was found that 64% of the women diagnosed with depression were suffering from intimate partner physical violence. In these women, the severity of depression and anxiety symptoms was higher, suicidal ideation and suicide attempts were more common, and the diagnosis of double depression was more prevalent. These women also achieved higher scores in the avoidant and ambivalent subscales of AASQ and higher total scores and higher scores in the physical abuse subscale of CTQ. The partner’s and the woman’s experiences of physical violence in their families during their childhood predicted intimate partner physical violence for women suffering from depression. Conclusion: The investigation of domestic violence contributes to the treatment of depression and also to the recognition and prevention of domestic violence that has profound effects on successive generations.

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