Dergi Ara >>
Yıl:2003; Cilt: 4; Sayı: 3>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2003;4(3):167-174
Bir üniversite psikiyatri kliniğinde yatarak tedavi gören depresyon hastalarının bazı sosyodemografik ve klinik özellikler yönünden incelenmesi
B Elbozan, B Kaya, D Yalvaç, HM Emul, M Kaya, S Ünal
İnönü Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı MALATYA
Amaç: Depresyon, çökkün bir duygu durumunun varlığı ve yaşamdan zevk almama ile birlikte, düşünce, konuşma ve
hareketlerde yavaşlama ve durgunluk, değersizlik, isteksizlik, güçsüzlük, karamsarlık ve fizyolojik işlevlerde yavaşlama
biçiminde belirtiler içeren bir sendrom olarak tanımlanmaktadır. Bu çalışmada DSM-IV’e göre depresyon tanısı konan ve
Eylül 1996-Temmuz 2002 tarihleri arasında Turgut Özal Tıp Merkezi Psikiyatri Kliniği’nde yatarak tedavi gören 83 hasta
klinik tanıları, sosyodemografik özellikleri, risk etkenleri ve tedaviye verdikleri yanıt yönünden geriye dönük olarak
değerlen-dirilmiştir. Yöntem: Hastaların cinsiyeti, yaşı, eğitim düzeyi, medeni durumu, gelir durumu, hastanede yatış
süresi, psikiyatri servisine toplam yatış sayısı, depresyonun başlangıç yaşı, hastalık tanısı, bedensel yakınmaları, eş tanı,
çocukluk çağı travması, madde bağımlılığı ve kötüye kullanımı, son 6 aydaki akut stresör varlığı, kronik stresör varlığı,
intihar düşüncesi, öyküde intihar düşünce ve girişimi, muayene bulguları, eksen-II tanıları ve iyileşme düzeyleri karşılaştırıldı.
Sonuçlar: Hastalarımızda evli olgularda daha belirgin olmak üzere bedensel yakınma oranı yüksekti. Uyku bozukluğu
en sık görülen bedensel yakınmaydı. Erkeklerde madde bağımlılığı ve kötüye kullanımı oranı yüksekti. Dul-boşanmış ya da
ayrı yaşayanlarda eksen-II tanısı daha sıktı.
Evaluation of depressive in-patients at an university psychiatry clinic from the point of their sociodemographic and clinical views
Objective: The definition of depression is a syndrome including symptoms like slowing down of physiologic functions,
slowing of thoughts, speech and motion within a sad mood, and feelings and thoughts of dullness, worthlessness, unwillingness
and pessimism. In this project, an examination of the clinical diagnosis, sociodemographical status, and the risk
factors of inpatients treated in the psychiatry ward for depression due to DSM-IV criteria and an evaluation of their
response to treatment has been planned. A retrospective examination of 83 inpatients’ files treated in the psychiatry
department of Turgut Özal Medical Center between September 1996 and July 2002 has been made. Methods: Comparisons
of patients’ sex, age, marital and education status, income level, duration of hospitalization, total number of hospitalizations in the psychiatry department, age of depression onset, diagnosis of the disease, somatic complaints, codiagnosis,
childhood age traumas, history of nicotine, drug addiction and abuse, presence of an acute distressing agent
within the last six [month]s, presence of a chronic distressing agent, recent or previous thoughts or commitments of
suicide, findings on examination, second axis diagnosis and levels of recovery have been made. Results: There was a high
rate of somatic complaints among the patients, with a higher tendency in the married group. Insomnia was the most
common somatic complaint. Drug addiction and abuse was more common among the males. A second axis diagnosis was
more common among the patients who were widowed, divorced or separate from their spouses.

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