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Yıl:2020; Cilt: 28; Sayı: 1>> Özet
TAM METİN
Kriz Dergisi; 2020;28(1):1-8
Beyaz Cevher Hiperintensiteleri ve Depresif Belirtilere Eşlik Eden Somatik Belirtilerin İlişkisi
O Herdi, VŞ Cankorur
Ankara Üniversitesi, Ankara
Giriş: Kranial manyetik rezonans görüntülemenin (MRG) T2 ve FLAIR (Fluid-attenuated inverse recovery) sekanslarında gözlemlenen beyaz cevher hiperintensiteleri (BCH) depresyon, bipolar bozukluk, obsesif kompulsif bozukluk gibi bir çok psikiyatrik hastalıkta gözlenmektedir Bu çalışmada psikiyatrik tanıdan bağımsız depresyona somatik belirtilerin eşlik ettiği hastalar ile somatik belirtilerin eşlik etmediği hastaları BCH açısından karşılaştırmak amaçlanmıştır. Yöntem: Çalışmaya bir üniversite hastanesinin psikiyatri bölümü psikosomatik ünitesinde yatarak tedavi alan 80 hastanın tıbbi dosyalarından ve elektronik tıbbi kayıtlarından elde edilen veriler dahil edilmiştir. Hastaların kranial MRG’lerinin sekansları ve radyoloji raporları incelenerek BCH’ler kaydedilmiştir. Hastalara ait tıbbi dosyalardan depresyon ve somatik belirtiler ile ilişkili bulguları kaydedilmiştir. Analizler için uygun metotlar tercih edilmiştir. Bulgular: Somatik belirtilerin komorbid bulunması ile BCH varlığı arasında bir ilişki saptanamamıştır (p=0,478, x2=0,504). Frontal BCH ile komorbid somatik belirtilerin varlığı arasında da ilişki saptanamamıştır (p=0,881, x2=0,023). Frontal bölgede bulunan BCH’lerin sayısı ile komorbid somatik belirtilerin varlığı arasında ilişki bulunamamıştır (p=0,926, Z=-0,091. Sonuç: Bu çalışmada komorbid somatik belirtiler ile BCH’lere arasında bir ilişki bulunamamıştır
White Matter Hyperintensities and Their Relationship with DepressiveSymptoms Comorbid With Somatic Symptoms
Introduction: White matter hyperintensities which are observed in T2 and FLAIR (Fluid-attenuated inverse recovery) sequences of cranial magnetic resonance imaging (MRG) could be observed in patients with depression, bipolar disorder, obsessive-compulsive disorder. We aimed to compare patients who had depressive symptoms comorbid with somatic symptoms and patients who had depressive symptoms not comorbid with somatic symptoms in terms of white matter hyperintensities(WMI). Method: Medical records and electronic medical records of 80 patients who hospitalized to psychosomatic treatment unit of a university hospital psychiatry department. WMI was noted via assessment of sequences of cranial MRGs and their radiology reports are noted. Symptoms which indicates to depression or somatic symptoms were noted from medical records. Appropriate methods were selected for analyses. Result: There was no relationship between comorbid somatic symptoms and the existence of WMIs (p=0,478, x2=0,504). There was no relationship between comorbid somatic symptoms and frontal existence of WMIs (p=0,881, x2=0,023). There was no relationship between the number of frontal WMIs and comorbid somatic symptoms (p=0,926, Z=-0,091). Conclusion: In this study, a significant relationship between somatic symptoms and WMI could not be observed. Introduction: White matter hyperintensities which are observed in T2 and FLAIR (Fluid-attenuated inverse recovery) sequences of cranial magnetic resonance imaging (MRG) could be observed in patients with depression, bipolar disorder, obsessive-compulsive disorder. We aimed to compare patients who had depressive symptoms comorbid with somatic symptoms and patients who had depressive symptoms not comorbid with somatic symptoms in terms of white matter hyperintensities(WMI). Method: Medical records and electronic medical records of 80 patients who hospitalized to psychosomatic treatment unit of a university hospital psychiatry department. WMI was noted via assessment of sequences of cranial MRGs and their radiology reports are noted. Symptoms which indicates to depression or somatic symptoms were noted from medical records. Appropriate methods were selected for analyses. Result: There was no relationship between comorbid somatic symptoms and the existence of WMIs (p=0,478, x2=0,504). There was no relationship between comorbid somatic symptoms and frontal existence of WMIs (p=0,881, x2=0,023). There was no relationship between the number of frontal WMIs and comorbid somatic symptoms (p=0,926, Z=-0,091). Conclusion: In this study, a significant relationship between somatic symptoms and WMI could not be observed.

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