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Yıl:2020; Cilt: 35; Sayı: 86>> Özet
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Türk Psikoloji Dergisi; 2020;35(86):1-13
Travma ve Obsesif-Kompulsif Belirtiler: Dünyaya İlişkin Varsayımlar ve Obsesif İnanışların Rolü
CA Akbulut, E Barışkın
Ankara Üniversitesi , Ankara
Obsesif-kompulsif belirtilerin ortaya çıkması ve süreğenlik kazanmasında rol oynayan faktörlerden birinin çocukluk çağında yaşanan ihmal ve istismar olabileceği bilinmektedir. Bu çalışmada çocukluk çağı travmaları ile obsesif-kompulsif belirtilerin şiddeti arasındaki ilişkide dünyaya ilişkin varsayımların ve obsesif inanışların aracılık rolünün sınanması hedeflenmiştir. Ayrıca çocukluk çağı travmalarının, dünyaya ilişkin varsayımların, obsesif inanışların ve obsesif-kompulsif belirtilerin şiddetinin cinsiyete göre farklılaşıp farklılaşmadığı da incelenmiştir. Bu amaçlar doğrultusunda 562 üniversite öğrencisi (Ortyaş = 21.54, S = 3.60; 113 erkek, 449 kadın) katılımcı bilgi formu, Çocukluk Çağı Travmaları Ölçeği, Dünyaya İlişkin Varsayımlar Ölçeği, Obsesif İnanışlar Ölçeği ve Vancouver Obsesif-Kompulsif Envanteri’nden oluşan bir ölçek formunu elektronik ortamda doldurmuştur. Çalışmanın amaçları doğrultusunda yürütülen istatistiksel analizler sonucunda çocukluk çağı travmalarının sıklığı ile obsesif-kompulsif belirtilerin şiddeti arasındaki ilişkide dünyaya ilişkin varsayımların ve obsesif inanışların şiddetinin aracılık rolü olduğu bulunmuştur. Özgün olarak, çocukluk çağı travmalarının sıklığı ile obsesif-kompulsif belirtilerin şiddeti arasındaki ilişkide obsesif inanışların şiddeti yoluyla dünyaya ilişkin olumsuz varsayımların aracılık rolü olduğu görülmüştür. Ayrıca, çalışmada incelenen değişkenlerin hiçbirinin cinsiyete göre farklılık göstermediği saptanmıştır. Çalışmanın bulguları çocukluk çağı travmalarının obsesif-kompulsif belirtilerle olan ilişkisinin karmaşık doğasına ışık tutmaktadır. Ayrıca, sonuçlar psikoterapi uygulamalarında çocukluktaki ihmal ve istismar yaşantılarının, dünyaya ilişkin olumsuz varsayımların ve obsesif inanışların incelenmesinin obsesif-kompulsif belirtilerin sağaltımına katkı sağlayabileceğine işaret etmektedir.
Trauma and Obsessive-Compulsive Symptoms: The Role of Worldview Assumptions and Obsessive Beliefs
One of the factors that play a role in the emergence and persistence of obsessive-compulsive symptoms might be childhood neglect and abuse. The main aim of this study was to examine the mediating role of worldview assumptions and the severity of obsessive beliefs in the relationship between childhood traumas and the severity of obsessive-compulsive symptoms. Furthermore, gender differences in childhood traumas, worldview assumptions, obsessive beliefs, and obsessive-compulsive symptoms were investigated. Five hundred sixty-two college students (Mage = 21.54, SD = 3.60; 113 male, 449 female) completed Childhood Traumas Scale, Worldview Assumptions Scale, Obsessive Beliefs Questionnaire, and Vancouver Obsessive-Compulsive Inventory via electronic mail. It was found that both worldview assumptions and severity of obsessive beliefs have mediating roles in the relationship between the frequency of childhood traumas and the obsessive-compulsive symptom severity. More specifically, the relationship between the frequency of childhood traumas and severity of obsessive-compulsive symptoms was mediated by negative worldview assumptions through the severity of obsessive beliefs. In addition, none of the variables revealed gender difference. The results of the study shed light on the complex mechanism in the relations between childhood traumas and obsessive-compulsive symptoms. Results also imply that inquiry of childhood neglect and abuse, negative worldview assumptions, and obsessive beliefs may contribute to the treatment of obsessive-compulsive symptoms.

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