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Yıl:2018; Cilt: 29; Sayı: 2>> Özet
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Türk Psikiyatri Dergisi; 2018;29(2):102-108
Bir Üniversite Hastanesinde Çalışan Kadınlarda Psikososyal Bir Stres Olarak İşyerinde Yıldırmanın Genel Psikopatoloji ve Psikotik Yaşantılar ile İlişkisi
H Ulaş, H Afşaroğlu, İT Binbay
Dokuz Eylül Üniversitesi, İzmir
Amaç: İşyerinde yıldırma dünya çapında endişe verici bir görüngü haline gelmektedir. Kadınlar erkeklere göre daha fazla yıldırmaya maruz kalmaktadırlar. Bu çalışmada kadın çalışanlarda psikososyal bir stres olarak işyerinde yıldırma ile genel psikopatoloji ve psikotik yaşantılar (PY) arasındaki ilişkinin incelenmesi amaçlanmıştır. Yöntem: Dokuz Eylül Üniversitesi Tıp Fakültesi’nde doktor (139), hemşire (190) ya da taşeron personel (99) olarak çalışan 428 kadın çalışmaya dahil edilmiştir. Örnek seçiminde tabakalı ve küme örneklem yöntemleri kullanılmıştır. Veri toplama araçları olarak sosyodemografik veri formu, psikoşiddet ölçeği ve belirti tarama listesi (SCL-90R) kullanılmıştır. Bulgular: Katılımcıların 304’ünün (%71,0) en az bir kez yıldırma davranışına maruz kaldığı saptandı. Hemşirelerin hekim ve taşeron personele göre daha fazla yıldırmaya maruz kaldığı saptandı. Psikiyatri polikliniğine başvuran, psikiyatrik ilaç ve alkol kullanan katılımcıların psikoşiddet ölçek ve alt ölçek puanları istatistiksel olarak daha yüksekti. SCL-90-R alt ölçek puanları ile psikoşiddet alt ölçek puanları arasında istatistiksel olarak anlamlı pozitif yönde korelasyonlar saptandı. Korelasyon katsayıları 0,25 ile 0,56 arasında değişmekteydi ve yıldırma ile en yüksek Korelasuonu SCL-90-R’nin paranoid alt ölçeği göstermekteydi. Sonuç: Yıldırmaya maruz kalma genel olarak daha yüksek psikopatoloji ile ilişkili görünmektedir. Ayrıca araştırmamızın işaret ettiği biçimde yıldırma bir psikososyal stres kaynağı olarak özellikle eşik altı psikotik yaşantıları tetikliyor olabilir
Workplace Mobbing as a Psychosocial Stress and Its Relationship to General Psychopathology and Psychotic Experiences Among Working Women in a University Hospital
Objective: Mobbing at work has become an alarming phenomenon worldwide. The prevalence of mobbing among women is higher than among men. The aim of this study is to investigate the relationship of mobbing as a psychosocial stress in the workplace with general psychopathology and psychotic experiences among women. Method: 428 women from the Medical Faculty of Dokuz Eylul University were included in the study. Of the 428 women, 139 were doctors, 190 were nurses, and 99 were sub-contracted employees. Stratified and cluster sampling methods were used. Sociodemographic data form, mobbing scale and symptom checklist (SCL-90-R) were used in order to collect the data. Results: 304 (71%) of the participants had experienced mobbing at least once. It was determined that nurses had experienced mobbing more frequently than doctors and sub-contracted employee. Total and subscale scores of the mobbing scale were statistically higher in participants who went to psychiatry outpatient clinics and who use psychiatric medication and alcohol. There was a positive statistically significant correlation between SCL-90-R and mobbing scale scores. Correlation coefficients ranged from 0.25 to 0.56. The highest correlation was between the paranoid sub-scale of SCL-90-R and mobbing (r= 0.56) Conclusion: Generally, exposure to mobbing seems to be related with higher psychopathology. Also, according to our research results, mobbing is a psychosocial stress source that might be triggering subthreshold psychotic experiences

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