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Yıl:2005; Cilt: 7; Sayı: 3>> Özet
Türkiye'de Psikiyatri; 2005;7(3):103-108
Şizofreni Hastalarında Aile İşlevselliği ile Sosyal İşlevsellik Arasındaki İlişkinin Değerlendirilmesi
AE Danacı, N Karaca, A Deveci
Celal Bayar Üniversitesi Tıp Fakültesi Psikiyatri AD
Amaç: Şizofreni, hasta bireyi olduğu kadar ailesini de çok ciddi boyutlarda etkileyen bir ruhsal bozukluk¬tur. Bu çalışmanın amacı şizofreni tanılı hastaların sosyal işlev düzeylerindeki bozulmayla ailenin işlev düze¬yindeki bozulmanın birbiriyle ilişkisi ve bu ilişkinin hangi işlev alanlarında görüldüğünü araştırmaktır.
Yöntem: Çalışmaya şizofreni tanısı almış 37 hasta ve 37 birinci derece yakınları alınmıştır. Veriler Tanıtıcı Bilgi Formu, Aile Değerlendirme Ölçeği (ADÖ) ve Sosyal işlevsellik Ölçeği (SİÖ) kullanılarak toplanmıştır.
Bulgular: ADÖ alt alanlarıyla SİÖ alt alanları arasındaki ilişki şu şekilde özetlenebilir: 1. Ailenin iletişim alanın¬daki işlev bozukluğu ile hastaların kişiler arası ilişkiler, sosyal etkinlikler, hobiler ve özerklik alanlarındaki işlev bozukluğunun, 2. aile değerlendirmesinde roller alanındaki olumsuz puan ile hastaların kişiler arası ilişkiler alanındaki işlev bozukluğunun, 3. aile değerlendirmesinde davranış kontrolü alanındaki olumsuz puan ile hastaların kişiler arası ilişkiler alanında işlev bozukluğunun, birbiriyle ilişkili olduğu ve bu alt alanların puanlan arasındaki korelasyonun istatistiksel olarak anlamlı olduğu saptanmıştır.
Sonuç: Şizofreni hastalarının sosyal işlevsellikleriyle aile işlevlerinin bu denli etkileşim içinde olması ve özel¬likle aile içindeki iletişim sorunlarının hastaların sosyal işlevselliğinin pek çok alanıyla ilişkili olması psikososyai tedavi girişimlerinin hastalar kadar ailelere de uygulanması gerektiğini ortaya koymaktadır
Evaluation of the relationship between the social functioning and family functioning in schizophrenia
Objective: Schizophrenia is a severe mental disorder which affects the family as much as it affects the patient. In this study the relationship :etween the social functioning and the family functioning ob the schizophrenic patients is investigated.
Method: The study group consisted of 37 patients and their 37 first degree relatives. The data was collected by using a demographic data zr-estionnarie, the Family Assesment Device (FAD), and the Social Functioning Scale (SFS).
Results: Some subcales of FAD and SFS have statistacaly significant corralations between each other: 1. The dysfunction in the communication -:..oscale of FAD was related to the dysfunction in the interpersonal functioning, prosocial activities, recreation, and independence subscales :- SFS, 2. The dysfunction in the roles subscale of FAD was related to the dysfunction in the interpersonal functioning subscale of SFS, 3. The ; r-nction in the behaviour control subscale of FAD was related to the disfunction in the interpersonal functioning subscale of SFS,
Conclusion: The result of this study is pointing out the intensive interactions between the social functioning of the patient and the functioning :" re family. Especially the interaction between the communication problems in the family and patients' social functioning comes to front. These findings support the importance of the psychosocial interventions towards the families as well as the patients

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