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Yıl:1997; Cilt: 5; Sayı: 1>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1997;5(1):29-34
Yatarak tedavi gören bir grup alkol bağımlısında ek psikiyatrik hastalıklar, kişilik bozuklukları, depresyon ve kaygı düzeyleri
MH Türkçapar, A Akdemir, ŞK Elverici, ND İşcan, E Göka, MH Özbay
SSK Ankara Eğitim Hastanesi, Ankara
Amaç: Bu çalışmada kliniğimizde son bir yıllık süre içinde yatarak tedavi gören alkolik hastalarının kişilik bozuklukları ve ek psikiyatrik tanılar açısından değerlendirilmesi amaçlanmıştır. Yöntem: Alkol bağımlılığı ön tanısıyla yatırılarak tedavi gören 60 hasta araştırma kapsamına alınmıştır. Hastalara yattıklarında yoksunluk belirtilerinin şiddetini ölçen bir ölçek (CIWA-Ar) uygulanmış, çekilme tedavisi bittikten sonra psikolojik testler (Beck Depresyon Ölçeği, STAI) verilmiş ve tanı görüşmeleri (SCID P ve 2) yapılmıştır. Bulgular: 60 hastanın 29'unda ek psikiyatrik hastalıklar saptanmıştır. Bunlar arasında 11 hastada saptanan majör depresyon ve 10 hastada saptanan dişlimi başta gelmektedir. Kişilik bozukluğu ise 22 hastada saptanmıştır. En sık antisosyal kişilik bozukluğu saptanmıştır. Kişilik bozukluğu olan veya ek psikiyatrik rahatsızlığı olanlarda depresyon ve kaygı düzeyinin anlamlı olarak yüksek olduğu görülmüştür. Tartışma: Bu sonuçlar bizim örneklemimizde de alkol bağımlılığına yüksek oranda diğer psikiyatrik bozuklukların eşlik ettiğini göstermektedir. Özellikle kişilik bozukluğu veya diğer psikiyatrik hastalıkların alkol bağımlılığı ile birlikte olduğu durumlarda kaygı ve depresyon düzeyinde yükselme bu duruma eşlik etmektedir.
Anxiety, depression, personalitiy disorders and comorbidity in a group of inpatient alcoholics
Objective: The objective of this is study to evalute the inpatient alcoholics that are under treatment during last year. Method: 60 patients who are hospitalized with the diagnosis of alcohol dependence are included in this study. Initially they are given a scale (CIWA - Ar) that measured the severity of alcohol withdrawal symptoms. Following withdrawal treatment psychological tests (BDI. STAl) and diagnostic intervievvs (SCID P and 2) are done. Results: Of 60, 29 patients had additional psychiatric disorders. Among these, major depression in 11 patients and dystimia in 10 patients were leading. Personality disorders were found in 22 patients among which anti-social personality disorder was the most common. With the patient having a personality disorder or a comorbid psychiatric disorder, the scores of depression and anxiety were significantly high. Conclusion: We concluded that alcohol dependence shows comorbidity with other psychiatric disorders. When personality disorders or other psychiatric disorders are comorbid with alcohol dependence, depression and anxiety levels are raised.

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