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Yıl:1996; Cilt: 33; Sayı: 1>> Özet
Nöropsikiyatri Arşivi; 1996;33(1):13-18
Psikiyatrik ve Psikosomatik Hastalıklarda Aleksitimi
SH Aslan, SB Gürkan, ZN Alpaslan, YE Evlice
ÇÜTF Psikiyatri Anabilim Dalı, Adana
Bu çalışmada, psikiyatri konsültasyonu istenen 146 hastada aleksitimi ve alt boyutlarıyla; sosyodemografik değişkenler, depresyon, kaygı düzeyi ve DSM-IV'e göre psikiyatrik tanılar arasındaki ilişki araştırılmıştır. Araştırmada Toronto Aleksitimi Ölçeği. Zung Depresyon Ölçeği, Spielberger Süreklilik Kaygı Envanteri ve Sosyoekonomik Düzey Ölçeği uygulanmıştır. Hastaların % 63.7'sinde aleksitimi belirlenmiştir. Aleksitimi sosyoekonomik düzey ile ilişkili bulunmazken, eğitim düzeyi ve cinsiyetle ilişkili bulunmuştur. Eğilim düzeyi düştükçe aleksitimi puanları artmaktadır. Erkeklerde aleksitimi puanlarının kadınlardan daha düşük bulunması erkeklerin eğitim düzeylerinin daha yüksek oluşuna bağlanabilir. Toronto Aleksitimi Ölçeği ve üç alt boyutunun puanJanyla Spielberger Süreklilik Kaygı Envanteri ve Zung Depresyon Ölçeği puanları arasında pozitif ilişki bulunmuştur. Toronto Aleksitimi ölçeği ikinci alt boyutu puanlan psikosomatik hasta grubunda psikiyatrik hasta grubundan belirgin olarak yüksektir. Aleksitimi puanlarının hem psikiyatrik hem psikosomatik hastalarda yüksek olması, bunun depresyon ve kaygı düzeyleriyle olan ilişkisi aleksitimiyi değerlendirirken durumlu ve süreklilik ayırımının yapılabilmesi için boylamsal çalışmalara gereksinim olduğunu göstermektedir.
Alexithymia In Psychiatric And Psychosomatic Disorders
In this study the relationships of sociodemographie variables, depression, anxiety and psychiairic diagnoses according to DSM-IV criteria, to alexithvmia were investigated in 146 patients referred for psychiatric consultation. The Toronto Alexithymia Scale, Zung Depression Scale, Socieconornic Status Scale and Spielberger Trait Anxiety Scale were administered. The prevalence of alexithymia was % 63.7. Educational level and gender were correlated with alexithymia. As education level decreases alexithymia scores increase and the correlation between alexithymia and gender might be related with higher education level of male group. No relationship was found between alexithvmia and socieconornic level. Total Toronto Alexithymia Scale scores and the scores of the factor 1, 2 and 3 were positively correlated with depression and anxiety, whereas the scores of the factor 2 were higher in psychosomatic group. High scores of alexithymia in both psychiatric and psychosomatic patients and the relationships alexithymia to depression and anxiety indicate further longitudinal research to discriminate its state and trait dimensions.

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