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Yıl:2018; Cilt: 8; Sayı: 3>> Özet
Psikiyatride Güncel; 2018;8(3):170-179
Obsesif kompulsif bozukluk, anksiyete bozuklukları ve aile yükü
DS Dikici
Manisa Ruh Sağlığı ve Hastalıkları Hastanesi, Manisa
Obsesif kompulsif bozukluğun (OKB) dahil olduğu anksiyete bozukları en sık g.rülen psikiyatrik hastalıklardandır. Bu hastalıklar süreğenleşme eğilimi g.stermekte, kişinin işlevselliğini ve yaşam kalitesini olumsuz etkilemektedir. Ayrıca, OKB ve anksiyete bozukluğu olan bireyler genellikle ayaktan polikliniklerde tedavi edilirler. Bu nedenle bu hastalıkların, hasta yakınları üzerine etkisini değerlendirme gereksinimi doğmaktadır. Aile yükü araştırmaları, temel olarak şizofreni, duygudurum bozuklukları gibi ağır ruhsal bozukluklara odaklanmış; zamanla anksiyete bozuklukları ile ilgili .alışmalar artmıştır. Yapılan .alışmalarda OKB’nin dahil olduğu anksiyete bozukluklarında azımsanmayacak oranda aile yükü yaşanmakta olduğu g.sterilmiştir. Aile yükünün artması, hasta yakınlarında yaşam kalitesinin bozulmasına neden olmaktadır. Obsesif kompulsif bozukluk ve anksiyete bozuklukları ile ilişkili aile yükünde, hastalığın klinik belirtileri yanında aile uyumunun etkisi .ne .ıkmaktadır. Aile uyumu, yüke neden olmanın yanında k.tü tedavi yanıtı ile de ilişkilidir. Bu nedenle, hem hastalığın tedavisi hem de aile sağlığının korunması i.in, ailenin tedaviye etkin bi.imde katılması sağlanmalı, bu süre.te .nemli bir tedavi hedefi olarak aile uyumunu azaltmaya y.nelik psikoeğitim verilmesine ve aile odaklı terap.tik stratejilerin geliştirilmesine ihtiya. vardır.
Obsessive compulsive disorder, anxiety disorders and family burden
Anxiety disorders, including obsessive compulsive disorder (OCD), are among the most common psychiatric disorders. Functionality and the quality of life can be impaired in patients with OCD and/or other anxiety disorders as their conditions tend to become chronic. Furthermore, these patients are usually treated in outpatient clinics. Therefore, there is a need to evaluate the effects of these diseases on their relatives. Family burden studies mostly have focused on severe mental disorders such as schizophrenia and mood disorders, with limited number of studies on anxiety disorders. Relatives of patients with anxiety disorders (including OCD) have shown to have a notable level of family burden. Increased family burden deteriorates the family members’ quality of life. Family accommodation has a major effect on family burden in OCD and other anxiety disorders, as well as patients’ symptoms, and it is also associated with poor therapy response. Hence, family members must be able to participate effectively in the treatment, both for patients’ treatment and to protect caregivers’ mental health, psychoeducation should be provided to the family members to manage family accommodation and family-focused therapy options should be used.

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