Dergi Ara >>
Yıl:1994; Cilt: 2; Sayı: 4>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1994;2(4):305-315
Negatif Ve Pozitif Semptomlarda Nöroleptik Tedaviye Yanıt; Bir İzleme Çalışması
A Soykan, C Sarman
Devlet Hastanesi Psikiyatri Kliniği, Çorum
Amaç: Bu çalışmada şizofreni olgularında görülen negatif ve pozitif semptomların nöroleptik tedaviye yanıtının incelenmesi amaçlanmıştır. Yöntem: Şizofreni tanısı alan 25 kadın olgu çalışmaya katılmıştır. Deneklere tedavi öncesi, akut dönem tedavisi süresince (1., 2., 3. ve 4. haftalar) ve izleme, döneminde (12., 20. ve 28. haftalar) Kısa Psikiyatrik Derecelendirme ölçeği uygulanmıştır. Aynı ölçekten elde edilen negatif ve pozitif semptom kümeleri kullanılarak, nöroleptik tedavinin bu semptom kümelerine etkisi değerlendirilmiştir. Bulgular: Tüm olgular birlikte değerlendirildiğinde hem negatif hem de pozitif semptomların tedaviye yanıt verdiği (p<0.01) gözlenmektedir. Her olgu bireysel düzeyde değerlendirildiğinde ise, olguların %70-75'inde her iki semptom grubuna yanıt alınmışken, %5-10'unda her iki semptom grubu da tedaviden yararlanmamıştır. İlginç olarak %20 civarında olguda yalnızca pozitif semptomlarda düzelme gözlenirken, negatif semptomlar tedaviye yanıt vermemiştir. Tartışma: Sonuçlar negatif semptomlar klinik tabloya hakim olsada, nöroleptik tedaviden önemli düzeyde yararlar sağlanabileceği yönündeki görüşleri desteklemektedir.

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