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Yıl:1998; Cilt: 6; Sayı: 4>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1998;6(4):271-275
Obsesif-kompulsif bozuklukta kişilik bozukluklarının yaygınlığı
Ö Karaçam, E Bayraktar, H Coşkunol, ND Atalay
Ege Üniversitesi, İzmir
Amaç: Bu çalışmada obsesif-kompulsif bozukluk (OKB) tamlı hastalarda kişilik bozukluklarının yaygınlığının saptanması amaçlanmıştır. Yöntem: SCID-I görüşmesi ile OKB tanısı alan 50 hasta ve kontrol grubu olarak da panik bozukluğu (PB) tanısı alan 50 hasta çalışmaya alınmış ve bu kişilerde SCID-II görüşmesi ile kişilik bozukluklarının yaygınlığı araştırılmıştır. Bulgular: OKB grubunda 18, kontrol grubunda 10 kişide kişilik bozukluğu saptanmıştır (%2=3.175,.p=.748). OKB grubunda enyaygın olarak saptanan kişilik bozukluğu çekingen kişilik bozukluğudur. İki grup arasında anlamlı farklılık gösteren tek kişilik bozukluğu, çekingen kişilik bozukluğudur, (yf=5.316, p=.021). OKB grubunda en yaygın kişilik bozukluğu kümesi C kümesidir(%52). Tartışma: Bizim örneklemimizde OKB olgularında kişilik bozukluklarının yaygınlığı kontrol grubuna göre anlamlı düzeyde daha yüksek bulunmamıştır. DSM-Ill'e göre gerçekleştirilmiş çalışmalara göre paranoid kişilik bozukluğu daha yüksek bir oranda bulunmuştur.
The prevalence of personality disorders in obsessive-compulsive disorder
Objective: The objective of this study is to estimate the prevalence of personality disorders among obsessive-compulsive disorder (OCD) patients. Method: The prevalence of personality disorders was investigated with SCID-II in 50 OCD patients diagnosed with SCID-I and compared with 50 panic disorder (PD) patients diagnosed with SCID-I as the control group. Results: Eighteen OCD patients and 10 PD patients had at least one personality disorder(%2=3.175, p=.748). Avoidant personality disorder is the most common one in the OCD group. The only personality disorder that differed significantly between the two groups is avoidant personality disorder(x=5.316, p=.021). Cluster personality disorders are most common ones in the OCD group (%>52.) Conclusion: In our sample, the prevalence of personality disorders in the OCD group is not significantly higher than the control group. Prevalence of paranoid personality disorder is higher than the studies performed according to DSM-III.

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