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Yıl:1999; Cilt: 7; Sayı: 2>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1999;7(2):131-137
Panik bozukluğu, hipokondriyazis ve obsesif-kompulsif bozukluğun örtüşmeleri ve alt tipleri: Bir gözden geçirme
A Demirkol, İ Çetin
Ankara Üniversitesi, Ankara
Panik bozukluğu ve obsesif-kompulsif bozukluğun özellikle hipokondriyazis ile örtüşmeleri son zamanlarda sık olarak gündeme gelmektedir. Ayrıca söz konusu tanılardan birinin varlığında diğer birine, birlikte rastgele bulunma oranlarından daha sık rastlanmaktadır. Bu gözlemlere dayanarak, sözü edilen bozuklukların birbirle-riyle ilişkili antiteler olduğu genel olarak kabul görse de, aralarındaki ilişkinin doğası hakkında bilinenler fazla değildir. Bu derlemede söz konusu ilişkinin varlığına temel oluşturan noktalar bütünlük oluşturacak biçimde incelenmiştir. Yazında genel olarak örtüşme alanları (panik bozukluğu/ hipokondriyazis veya obsesif-kompulsif bozukluk/ hipokondriyasis biçiminde) ikili olarak incelenen konu kapsamındaki bozukluklar, bu yazıda örtüşme ve komorbidite bağlamında, üçü birlikte ele alınmıştır. Ayrıca sözü edilen bozuklukların tartışılmakta olan alttipleri de, örtüşme noktalarının belirginleşmesi amacıyla konu bütünlüğü yönünden derleme kapsamına alınmıştır. Sonuç bölümünde bu ilişkilerin incelenmesinin psikiyatri alanındaki olası etkileri tartışılmıştır.
Overlap among panic disorder, hypochondriasis and obsessive-compulsive disorder and their subtypes: A review
The overlap between hypochondriasis and panic disorder or obsessive-compulsive disorder has largely drawn attention in recent literatüre. In addition, the rate of comorbidity between these disorders is higher than their random prevalence rates. Based on these observations, it is generally agreed that these disorders are related, although the nature of their relationship is still largely unknown. This article attempts to integrate the basic data suggesting a relationship between these three disorders. The overlap between these disorders has generally been examined pairwise (panic disorder/ hypochondriasis or obsessive-compulsive disorder/ hypochondriasis). In this paper, they are reviewed together in the context of overlap and cooccurence. Subtypes are also included in the review in order to further clarify the areas of overlap. Probable impact of such an understanding on the clinical practice is also discussed.

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