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Yıl:2018; Cilt: 8; Sayı: 3>> Özet
Psikiyatride Güncel; 2018;8(3):162-169
Duygudurum bozuklukları ve aile yükü
F Akdeniz
Alsancak, İzmir
Yineleyici duygudurum bozuklukları (unipolar ya da bipolar bozukluk) kalıcı ve ısrarlı hastalık belirtileri ve işlev bozuklukları ile karakterizedir. Hastalık sadece hastaları değil, aynı zamanda hasta aileleri yani bakımverenleri de etkiler. Hasta yakınları tarafından hissedilen sıkıntı hem bakımverenin sağlığını hem de hastanın hastalık sürecini etkiler. Duygu dışavurumu yani hasta yakınlarının hastaya duygusal davranışları hastalığı olumsuz etkiler. Bu istenmeyen bakımveren yükünü azaltmakta bipolar bozukluk i.in aile yaklaşımları geliştirilmiştir. Aile yaklaşımları kendine bakım ve hastalıkla ilgili psiko-eğitimle beraber iletişim beceri eğitimi ve sorun ..zme tekniklerini i.erir. İntihar ile yakını kaybetmek en stresli yaşam olayıdır. Aile bireylerinin kayıp, üzüntü, yalnızlık duyguları, su.luluk, ret edilme, utan., .fke ve damgalanma duyguları ile artar. İntihar ile yakınlarını kaybeden bireyler komplike yas, maj.r depresyon, posttravmatik stres bozukluğu ve intihar davranışları a.ısından risk altındadır. Bu nedenle ailelerin .zel desteğe ve kayıpları ile başa .ıkmaya y.nelik terapi yaklaşımlarına gereksinimleri vardır.
Mood disorders and family burden
Recurrent mood disorders (unipolar and bipolar disorder) is characterized by persistent symptoms and functional impairment. The illness not only affects the patient but also their relatives-caregivers. The high level of distress experienced by the caregivers may negatively affect the caregiver’s health and also the patient’s illness. Express emotion or relatives affective behaviors toward the patient may affect the illness outcomes. To diminish the unwanted impact of caregiver burden, family interventions are developed for bipolar disorder. Most of the family interventions include self-care and psychoeducation about illness with training in communication and problem solving techniques. Losing a loved one with suicide is one of life's most stressful experiences. The feelings of loss, sadness, and loneliness are magnified in suicide survivors by feelings of quilt, rejection, shame, anger, and stigma. Survivors of suicide loss are at higher risk of developing major depression, post-traumatic stress disorder, and suicidal behaviors, and complicated grief. The family members may require unique supportive approach and targeted treatment to cope with their loss.

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