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Yıl:2019; Cilt: 6; Sayı: 2>> Özet
TAM METİN
The Journal of Neurobehavioral Sciences; 2019;6(2):87-93
Türk tıp öğrencilerindeki biyolojik ritim bozukluklarının; anksiyete, depresyon, rüya anksiyetesi ve diğer sosyodemografik bileşenlerle ilişkisi
A Karagöl, VO Kotan
Başkent Üniversitesi, Ankara
Bu çalışmada Başkent Üniversitesi Tıp Fakültesi öğrencilerinin biyolojik ritimleri ve rüya anksiyete düzeylerinin saptanması ve bu verilerin birbirleriyle ve öğrencilerin sosyodemografik özellikleriyle ilişkisinin ortaya konması amaçlanmıştır. Başkent Üniversitesi Tıp Fakültesi 1, 2, 3, 4 ve 5. sınıflardan çalışmaya katılmaya gönüllü 193 öğrenciye Biyolojik Ritim Değerlendirme Ölçeği, Beck Anksiyete Ölçeği, Beck Depresyon Ölçeği, Rüya Bunaltı Ölçeği, uyku ilişkili verileri de değerlendiren sosyodemografik veri formu uygulanmıştır. 6.sınıf öğrencileri nöbet tutmaları nedeniyle çalışma dışı bırakılmıştır. Veriler SPSS.22 dosyasına girilmiştir. Biyolojik ritim değerlendirme ölçeği puanları ile rüya bunaltı ölçeği, Beck anksiyete ve depresyon ölçeklerinin puanları arasında pozitif korelasyon saptandı. Biyolojik ritimdeki bozulma arttıkça rüya bunaltı düzeyi, anksiyete ve depresif belirtiler de artmaktaydı. Kız öğrencilerin erkek öğrencilerle karşılaştırıldığında, biyolojik ritimleri daha düzensiz, anksiyete ve rüya anksiyete düzeyleri daha yüksek saptandı. Derste uyukladığını belirten öğrencilerde, uyuklamayan öğrencilere göre; uyku, aktivite, toplumsal ve baskın ritim örüntüsü puanları, rüya bunaltı ve Beck depresyon puanları daha yüksek saptandı. Biyolojik ritim ile rüya bunaltı, anksiyete ve depresif belirtiler ilişkilidir. Tıp öğrencilerinin sigara, alkol kullanımı ve evde evcil hayvan beslemeleri biyoritimleri ve rüya bunaltı düzeyleri üzerinde olumsuz etkiye sahip etmenlerdendir. Tıp öğrencilerinde derste uyuklama yakınması yaygın olup, bu durum biyoritimdeki düzensizlik için önemli bir gösterge olabilir. Öğrencilerin daha düzenli biyolojik ritimlere sahip olmaları için teşvik edilmesi, ruhsal açıdan daha sağlıklı ve daha başarılı olmalarını sağlayabilir.
Association of biological rhythm impairment with levels of anxiety, depression, dream anxiety and other sociodemographic correlates in turkish medical students
Purpose In this study, we investigate association of biological rhythm impairment with levels of anxiety, depression and dream anxiety and other sociodemographic correlates of Baskent University medical students. methods 193 students who accepted to participate in the study from Baskent University School of medicine grades 1, 2, 3, 4 and 5, were enrolled to our study. Participants were administered the Beck Anxiety Inventory, Beck Depression Inventory, Dream Anxiety Scale, Biological Rhythm Scale and Sociodemographic Data Form. Results Participants’ biological rhythm (impairment) scores were found to be significantly associated with the Dream Anxiety Scale, Beck Depression Inventory and Beck Anxiety Inventory scores. Female students were found to have higher biological rhythm, activity rhythm, sleep rhythm, anxiety and dream anxiety scores, which means that they have higher anxiety levels and more impaired biological rhythms. Students who drowse in the lectures were found to have higher sleep, activity, social and dominant rhythm patterns with higher levels of dream anxiety and Beck Depression Inventory scores as well. Conclusions Biological rhythm impairment is related to dream anxiety, anxiety and increased depression levels. Smoking, alcohol consumption and having pet are factors negatively effecting biorhythms and increasing dream anxiety in medical students. Drowsing during the lectures is a common complaint of medical students and can be a sign of irregularity in the biological rhythms and psychiatric disorders like anxiety and depression as well. Encouraging medical students for having more regular biorhythms can help them ensuring their own mental health.

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