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Yıl:2017; Cilt: 7; Sayı: 1>> Özet
TAM METİN
Journal of Mood Disorders; 2017;7(1):28-40
Psöriazisli hastaların depresyon, anksiyete, çocukluk çağı ruhsal travması ve yaşam kalitesi ile sosyodemografik özelliklerinin araştırılması
C Sesliokuyucu, M Şahpolat, M Arı
Kadirli Devlet Hastanesi, Osmaniye
Amaç: En sık görülen dermatolojik hastalıklardan biri olan psöriazis sadece dermatolojik değil çeşitli psikososyal sorunları da beraberinde getirmektedir. Psöriazis hastalarında psikolojik değişkenler birçok çalışmada incelenmiştir. Çalışmamızda ise hastaların depresyon, anksiyete, çocukluk çağı travması ve yaşam kalitesi düzeylerini incelemeyi amaçladık. Yöntem: Çalışmaya Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi Araştırma Hastanesi Dermatoloji Ana Bilim Dalı Polikliniklerine başvuran ve psöriazis tanısı almış olan 70 hasta alındı. Sağlıklı gönüllü 72 kişi kontrol grubunu oluşturdu. Bu kişilere Psöriazis Alan Şiddet İndeksi (PAŞİ), Psöriazis İşlev Kaybı İndeksi (PİKİ), Kısa Form 36 Yaşam Kalitesi Ölçeği (KF-36), Hastane Anksiyete ve Depresyon Ölçeği (HAD), Çocukluk Çağı Travma Ölçeği (ÇÇTÖ), Sheehan Yeti yitimi Ölçeği (SYYÖ) uygulandı. Bulgular: Çalışmamızda psöriazisli hasta grubunda sağlıklı kontrol grubundan istatistiksel olarak anlamlı daha fazla depresyon olduğu, psöriazisli hasta grubunda sağlıklı kontrol grubundan istatistiksel olarak anlamlı daha fazla anksiyete olduğu saptandı. Hastaların işlevselliğinde bozulma meydana geldiği ve hastaların kontrol grubundan istatistiksel olarak anlamlı daha fazla işlevsellikte bozulma olduğu saptandı. Psöriazisli hasta grubunda sağlıklı kontrol grubundan istatistiksel olarak anlamlı daha fazla çocukluk çağı travması olduğu saptandı. Hasta grubu olguların KF-36 alt puanlarına bakıldığında enerji canlılık aktivite alt boyutu, canlılık alt boyutu ve sosyal işlevsellik alt boyutu puanları kontrol grubu olgulara göre istatistiksel olarak anlamlı düzeyde düşük saptanmıştır. Sonuç: Bizim çalışma bulgularımıza göre psöriazisli hastaların anksiyete, depresyon, yaşam kalitesi ve çocukluk çağı ruhsal travması gibi psikiyatrik belirtilerle birlikteliği anlamlı bulunmuş olup farklı çalışmalarda bu bulgular değişiklik gösterse de psöriazisli hastaların psikiyatrik yardıma ihtiyacı olduğunu göstermektedir
The relationship between depression, anxiety, childhood trauma, quality of life and sociodemographic feature in patients with psoriasis
Objective: One of the most common dermotological disease psoriasis is not just a dermotological problem, it brings various psychosocial problems with it. Psychological variables in psoriasis patients examined in many studies. In our study we aimed to examine depression, anxiety, life quality and childhood trauma levels of patients. Method: 70 patients who had been diagnosed with psoriasis and applicanted to Mustafa Kemal University Tayfur Ata Sokmen Faculty of Medicine Research Hospital Dermatology Department received to the study. 72 healthy volunteers constituted the control group. Psoriasis Area Severity Index (PASI), Psoriasis Function Loss Index (PFLI), Short Form-36 Quality of Life Questionnaire (SF- 36), Hospital Anxiety and Depression Scale (HAD), the Childhood Trauma Questionnaire (CTQ), the Sheehan Disability Scale (SDS ) were performed to these people. Results: In our study, more statistically significantly depression in psoriasis group than in the healthy control group, more statistically significantly anxiety in psoriasis group than in the healthy control group were detected. Deterioration occurred in the functioning of the patients and more statistically significantly funcionality deterioration were found than in control group. More statistically significantly childhood trauma scale score in psoriasis group than in the healthy control group, When we look at the activity vitality energy subscale score, vitality subscale score, social functioning subscale scores in SF-36 subscale scores of the patient group were detected statistically significant lower than the control group. Conclusions: According to our study findings psoriasis patients’ anxiety, depression, quality of life and childhood psychological trauma has significant association with psychiatric symptoms although in different studies these findings also changes but indicates that patients needed psychiatric help.

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