Dergi Ara >>
Yıl:2005; Cilt: 13; Sayı: Ek 1>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 2005;13(Ek 1):35-39
Kadın üreme yaşamı ve anksiyete bozuklukları
D Gülpek
Atatürk Eğitim ve Araştırma Hastanesi 1. Psikiyatri Kliniği, İzmir
Epidemiyolojik çalışmalar erkeklerin % 19'unun kadınların ise % 31'inin yaşamları boyunca bir anksiyete bozukluğu geçirdiğini göstermiştir. Cinsiyetin anksiyete bozuklukları üzerinde büyük bir etkisi vardır. Kadınlarda anksiyete bozukluğu gelişme olasılığı erkeklere oranla % 85 daha fazladır. Kadın üreme yaşamı boyunca üreme hormonlarındaki dalgalanmaların anksiyete gelişiminden sorumlu olduğu düşünülmektedir. Anksiyete bozukluğu olan kadınların üreme yaşamlarının farklı evrelerinde (adet öncesi, gebelik, doğum sonrası, menopoz) hastalık belirtilerinde belirgin değişiklikler ortaya çıkar. Bu makalede, kadın üreme yaşamının farklı evrelerinde panik bozukluğu ve obsesif kompulsif bozukluğun görülme sıklığı ve klinik gidişiyle ilişkili olarak son 25 yılda yayınlanmış çalışmalar gözden geçirilmiştir. Bugüne kadar yapılmış çalışmaların geriye dönük desende olması elde edilen verilerde kısıtlılıklara yol açmıştır. Anksiyete bozuklukları ve kadın üreme evreleri arasındaki ilişkiyi daha iyi anlayabilmek için çok sayıda hastayla yapılacak izleme çalışmalarına gerek vardır.

Anxiety disorders and female reproductive life
Epidemiologic studies indicate that 19% of men and 31% of women will develop some anxiety disorder during their life span. The impact of gender is profound in that it increases the likelihood of developing an anxiety disorder by 85% in women compared to men. Women with these disorders may experience profound changes in their symptomps during different phases of reproductive life (premenstrual, pregnancy, postpartum, menopause). Fluctuations in reproductive hormone levels during the female reproductive life is thought to be responsible for the development of anxiety. This article reviews the literature of the last 25 [year]s, on the prevalence and the course of panic disorder and obsessive-compulsive disorder observed during the female reproductive phases. Studies conducted up to date are all retrospective and have limitations. Therefore future research on anxiety disorders and female reproductive phases should better be follow-up studies with larger samples.

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