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Yıl:2019; Cilt: 30; Sayı: 1>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2019;30(1):16-22
55 Yaş Altı Unutkanlık Şikayeti ile Başvuran Hastalarda Öznel Bellek Yakınmaları ile Nesnel Bellek Performansı, Depresyon ve AnksiyeteDüzeyleri Arasındaki İlişkinin Belirlenmesi
L Söğütlü, N Alaca
İstanbul Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrrahisi Eğitim ve Araştırma Hastanesi, İstanbul
Amaç: Genç hastalarda unutkanlık şikayetini açıklayacak herhangi bir nörolojik ya da fiziksel hastalık yoksa psikiyatrik ayırıcı tanı çoğu zaman akla gelmemektedir. Bu çalışmada, unutkanlık şikayeti olan genç hastaları öznel bellek yakınmaları ve nesnel bellek bozukluğu açısından karşılaştırmak ve depresyon ile anksiyete düzeyleri arasındaki ilişkinin belirlenmesi amaçlanmıştır. Yöntem: Çalışmaya psikiyatri, nöroloji ve dahiliye polikliniklerine unutkanlık şikayeti ile ayaktan başvuran 55 yaş ve altında 56 hasta ve kontrol grubu için 55 sağlıklı gönüllü alınmıştır. Tüm katılımcılara Öznel Bellek Yakınmaları Anketi (ÖBYA), Montreal Bilişsel Değerlendirme Ölçeği (MOBİD), Sözel Bellek Süreçleri Testi (SBST), Benton Görsel Bellek Testi (BGBT), Sayı Uzamı Testi (SUT), Sözel Akıcılık Testi (SAT), Beck Depresyon Envanteri (BDE), Beck Anksiyete Envanteri (BAE) uygulanmıştır. Bulgular: 55 yaş altı unutkanlık şikayeti ile başvuran ve unutkanlık şikayetini açıklayacak nörolojik ya da herhangi bir fiziksel hastalığı olmayan çalışma grubunda ÖBYA, MOBİD, SBST, BGBT, SDT, SAT puanları açısından anlamlı fark saptanmıştır. Çalışma grubunun depresyon ve anksiyete düzeyleri kontrol grubundan anlamlı derecede yüksektir. Sonuç: Unutkanlık şikayeti olan genç hastalarda ayırıcı tanı mutlaka yapılmalıdır. Öznel bellek yakınmaları depresyon ile anksiyete bozuklarını işaret etmekte olup, bellek performansındaki bozulmalardan yola çıkılarak ileride yapılacak uzunlamasına çalışmalarda öznel bellek yakınmaları olan genç hastalarda bilişsel işlevlerde zaman içinde ortaya çıkabilecek bozulmanın değerlendirilmesi gereklidir.
The Relationship Between Subjective Memory Complaints and Objective Memory Performance, Depression and Anxiety Levels inPatients Under 55 Years of Age
Objective: Psychiatric differential diagnosis is often ignored in young patients with memory complaints, even if no neurological or physical illnesses were evident. In this study, we aimed to determine the relationship between subjective memory complaints and objective memory impairment, depression and anxiety levels in young patients with memory complaints. Method: The study was carried out with 56 patients under the age of 55 who applied to the psychiatry, neurology and internal medicine outpatient clinics with memory complaints and 55 healthy volunteers. All participants completed the Subjective Memory Complaints Questionnaire (SMCQ), the Montreal Cognitive Assessment (MoCA), the Auditory Verbal Learning Test (AVLT), the Benton Visual Memory Test (BVMT), the Digit Span Test (DST), the Verbal Fluency Test (VFT), the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). Results: Significant differences were observed in the scores of SMCQ, MoCA, AVLT, BVMT, DST, VFT, BDI and BAI in individuals with memory complaints compared to the controls, which could not be ascribed to any neurological or physical disease. Depression and anxiety levels were significantly higher than those of the control group. Conclusion: Differential diagnosis of memory complaints has to be made in young patients. Subjective memory complaints may be indicative of depression and anxiety disorders. It is necessary to evaluate the cognitive impairment that may develop over time in young patients with subjective memory disturbances via longitudinal studies

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