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Yıl:2018; Cilt: 19; Sayı: 1>> Özet
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Anadolu Psikiyatri Dergisi; 2018;19(1):13-20
Farklı psikopatolojilerde duyguların rolü: Tiksinme, öfke, suçluluk ve anksiyete
AB Hacıömerğolu, E Keser, M İnözü
Hacettepe Üniversitesi, Ankara
Amaç: Psikiyatrik bozuklukların çoğu şiddetli duygular ve duygu düzenleme zorluklarıyla karakterizedir. Bugüne kadar psikiyatrik bozuklukların duygular açısından ortak ve farklı yönleri yeterince araştırılmamıştır. Bu araştırmanın amacı suçluluk, anksiyete, tiksinme ve öfke duygularının şiddetinin majör depresif bozukluk (MDB), obsesif kompulsif bozukluk (OKB), anksiyete bozuklukları (AB) ve sağlıklı kontrol gruplarında karşılaştırılmasıdır. Yöntem: Araştırmanın klinik örneklemine Ankara Gülhane Eğitim ve Araştırma Hastanesi (GATA) Ruh Sağlığı Polikliniği’ne başvuran veya bu birimde tedavi gören, aynı zamanda katılım ölçütlerini karşılayan hastalar alınmıştır. Araştırmada MDB (s=67) OKB (s=53) ve AB (s=73) tanıları konmuş üç klinik grup ve bir sağlıklı kontrol grubu (s=110) yer almaktadır. Tanı grupları, yarı yapılandırılmış SCID-I kullanılarak oluşturulmuştur. Kontrol grubundaki katılımcılara ise Gazi Üniversitesi’nde çalışan idari personellerden uygun örnekleme yoluyla ulaşılmıştır. Tüm katılımcılara Demografik Bilgi Formu, Suçluluk Ölçeği-Sürekli Suçluluk Formu (SÖ), Durumluk-Sürekli Kaygı Envanteri - Sürekli Sürekli Kaygı Formu (DSKE-S), Tiksinme Ölçeği-Revize Edilmiş Form (TÖ) ve Durumluk-Sürekli Öfke Ölçeği (DSÖ)’nden oluşan bir ölçek seti doldurtulmuştur. Bulgular: Çoklu varyans analizi (MANOVA) ve tek yönlü varyans analizi (ANOVA) kullanılarak dört farklı grup, dört farklı duygu açısından karşılaştırılmıştır. Analiz sonuçları, OKB hastalarının diğer tüm gruplara göre anlamlı olarak daha şiddetli tiksinme duygusu yaşadığını göstermiştir. Anksiyete, suçluluk ve öfke duyguları açısından klinik gruplar arasında fark bulunmazken; bu üç duygu klinik gruplarda sağlıklı kontrol grubuna göre anlamlı düzeyde daha yüksek bulunmuştur. Sonuç: Çalışma bulguları, tiksinme duygusunun OKB’ye özgü olduğunu destekler niteliktedir. Ayrıca bulgular suçluluk, anksiyete ve öfke duygularının tanılar üstü (transdiagnostic) özellikte olduğunu ve üç duygunun şiddetinin klinik gruplarda kontrol grubuna göre yüksek olduğunu göstermiştir.
The role of emotions in different psychopathologies: the examination of disgust, anger, guilt and anxiety
Objective: Most of the psychiatric disorders are characterized by severe emotions and difficulties in emotion regulation process. However, to date, commonalities and differences of emotions in psychiatric disorders have not been sufficiently investigated. In this context, the aim of the study is to examine whether the emotions of trait guilt, trait anxiety, trait disgust and state-trait anger differentiated in the major depressive disorder (MDD), obsessive compulsive disorder (OCD), anxiety disorders (AD) and healthy control groups. Methods: The clinic samples of this study included the patients who applied to Ankara Gülhane Education and Research Hospital (GATA) Psychiatry Clinic or who received treatment at this unit and fulfilled the participation criteria. The study composed of MDD (n=67) OCD (n=53), AD (n=73) and healthy control (n=110) groups. The clinical groups were evaluated by using SCID-I. The control group were reached through convenient sample method from administrative staff of the Gazi University. The participants filled out the Demographic Information Form, Guilt Inventory- Trait Form, State Trait Anxiety Inventory-Trait Form, and Disgust Scale-Revised Form and State-Trait Anger Inventory. Results: Four groups were compared in terms of four emotions by using ANOVA and MANOVA. Results showed that trait disgust scores were significantly higher in OCD group compared to all other groups. Although the MDB, OCD and AD groups were not differentiated in terms of trait anxiety, trait guilt and state-trait anger scores, all three clinical groups scored significantly higher than healthy control group. Discussion: The results supported the specificity of trait disgust to OCD. Moreover, results showed that trait anxiety, trait guilt and state-trait anger have transdiagnostic properties and the intensity of the three emotions were higher in clinical groups compared the healthy control group._____________________________________________________________________________________________________

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