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Yıl:2016; Cilt: 5; Sayı: 1>> Özet
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Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi; 2016;5(1):22-27
Kişilik Bozukluklarında Tanı Koyma Araçlarının Karşılaştırılması
EA Aktaş, SO Güriz, AK Kahiloğulları, G Alpaslan, E Çavdar, A Dağdeviren
Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara
Kişilik bozukluğu; kişinin kültürel yapısına göre beklenen normallikten önemli derecede sapmalar gösteren, süregiden bir iç yaşantı ve davranış örüntüsüdür. Kişilik bozukluklarına tanı koymak için çeşitli araçlar geliştirilmiştir. Bu çalışmada kişilik bozukluğu tanı koyma araçlarının kişilik bozukluğu tanısı koymada birbirleriyle uyum gösterip göstermediği incelenmiştir. Bu çalışmaya Dışkapı Yıldırım Beyazıt Eğitim Araştırma Hastanesi Kliniğinde yatarak tedavi görmekte olan herhangi bir kişilik bozukluğu tanısı konmuş psikotik olmayan 39 hasta dahil edilmiştir. Hastalara sosyo demografik veri formu, MMPI ve PBQ ölçekleri verilmiş, istatistiksel analizler SPSS-13 paket programı kullanılarak yapılmıştır. Hem PBQ kişilik alt ölçekleri, hem de MMPI-PD skalaları yarı yapılandırılmış bir görüşme olan SCID-II tanıları ile karşılaştırıldığında beklenenden daha düşük uyum tespit edilmiştir. PBQ kişilik alt ölçekleri ve MMPI-PD karşılaştırıldığında ise görece daha anlamlı bir uyum saptandı. En sık eşlik eden psikiyatrik bozukluğun depresyon olduğu gözlenmiştir. Kesitsel bir çalışma olan bu çalışmanın sonuçları özbildirim ölçekleriyle klinik görüşmelerin kişilik bozukluğu tanısı koymada birbirinden farklılıklarının yanı sıra eksen I tanılar ile komorbidite de göz önüne alındığında kategorik ve boyutsal değerlendirme farklılıklarının da dikkate alındığı araştırmaların yapılması gerekliliğini göstermiştir.
Comparing Diagnostic Tools in Personality Disorders
Personality Disorder is defined as; continually self experience and behavioral pattern which has great variations of individual cultural normal expectations. Several diagnostic tools were developed for diagnosing personality disorders. In our study consistency of different diagnostic tools used for thhe diagnosis of personality disorders were evaluated. 39 inpatients diagnosed as personality disorder from Diskapi Yildirim Beyazit Traning and Reseach Hospital were recruited into the study. Psychotic patients are excluded from the study. Sociodemographic Information Form, MMPI and PBQ scales were given all the patients. Both PBQ personality subscales and MMPI PD scales were compared with semi-structured SCID-II interview diagnoses. Findings suggest less correlation than expected. Relatively higher correlation was found between PBQ personality subscales and MMPI-PD. Most common psychiatric comorbid disorder was depression. These findings suggest that further studies are needed for the development of diagnostic tools which take the differences of self report scales and clinical evalution into consideration. Beside, the differences of the categorical and dimensional classification of personality disorders should be bear in mind in evaluation of this patient group.

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