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Yıl:2016; Cilt: 27; Sayı: 4>> Özet
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Türk Psikiyatri Dergisi; 2016;27(4):257-265
Psikobiyolojik Kişilik Modeli ve Bilişsel Kuram Arasındaki İlişkilerin Majör Depresyon Tanılı Hastalarda ve Sağlıklı Bireylerde İncelenmesi
C Gökdağ, H Arkar
Ege Üniversitesi, İzmir
Amaç: Bu çalışmada, mizaç ve karakter özellikleri ile fonksiyonel olmayan tutumlar ve otomatik düşünceler arasındaki ilişkilerin araştırılması ve Majör Depresif Bozukluk (MDB) tanılı hasta grubu ile sağlıklı kontrol grubunun bu değişkenler açısından karşılaştırılması amaçlanmıştır. Yöntem: Çalışmaya 127 Majör Depresif Bozukluk tanısı almış hasta ve 128 sağlıklı kişi gönüllü olarak katılmıştır. Katılımcılara Mizaç ve Karakter Envanteri (MKE), Fonksiyonel Olmayan Tutumlar Ölçeği (FOTÖ), Otomatik Düşünceler Ölçeği (ODÖ) ve Beck Depresyon Envanteri (BDE) uygulanmıştır. Bulgular: Hasta grubunun kontrol grubundan daha yüksek zarardan kaçınma ve daha düşük kendini yönetme, işbirliği yapma ve sebat etme puanı olduğu görülmüştür. Ayrıca hasta grubundaki kişilerin kontrol grubundakilere göre daha fazla depresyonla ilgili fonksiyonel olmayan tutum ve otomatik düşüncelerinin olduğu görülmüştür. Ek olarak, çoklu aracı değişken analizi sonuçlarına göre, hem zarardan kaçınma hem de kendini yönetme ile depresyon arasındaki ilişkide fonksiyonel olmayan tutumlar ve otomatik düşünceler tam aracı roldedir. Sonuç: Bu çalışma, bilişsel kuram ile psikobiyolojik kişilik modelinin, depresyonu açıklamak için birlikte ele alınabileceğini göstermektedir. Buna göre, zarardan kaçınma ve kendini yönetme özelliklerinin depresyon için risk faktörü olduğu söylenebilir. Araştırmanın sonuçlarından yola çıkılarak, depresyonu önleme çalışmaları yapılabilir. Ayrıca bu mizaç ve karakter özellikleri dikkate alınarak depresif bireylere yönelik olan bilişsel psikoterapilerin etkililikleri arttırılabilir.
An Examination of the Relationships Between Psychobiological Model of Personality and Cognitive Theory in Patients Diagnosed with Major Depression and Healthy Individuals
Objective: This study aimed to investigate relationships among temperament-character traits, dysfunctional attitudes and automatic thoughts, and compare with patient group with diagnosis of Major Depressive Disorder (MDD) and healthy control group in terms of these variables. Method: 127 patients with a diagnosis of major depressive disorder and 128 healthy subjects participated voluntarily in the study. The Temperament and Character Inventory (TCI), the Dysfunctional Attitude Scale (DAS), Automatic Thoughts Questionnaire (ATQ), and the Beck Depression Inventory (BDI) were administered to participants. Results: It was seen that the patient group had higher harm avoidance and lower self-directedness, cooperativeness and persistence. Moreover, it was seen that the persons in the patient group had more dysfunctional attitudes and automatic thoughts related to depression, comparing to the control group. In addition, according to results of the multiple mediating variables analysis,dysfunctional attitudes and automatic thoughts are fully mediated in relationship between among harm avoidance and self-directedness and depression. Conclusion: This study shows that the cognitive theory and psychobiological personality model may be used together for explaining depression. Accordingly, it can be said that harm avoidance and self-directedness were the risk factors for depression. Based upon the results of the research, it can be made works for preventing depression. Moreover,the effectiveness of cognitive psychotherapy intended to depressive people can be increased by taking these temperament and character traits into consideration.

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