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Yıl:1996; Cilt: 2; Sayı: 4>> Özet
PsychoMed; 1996;2(4):134-140
Genel Tıpta Anksiyete (II)
Ö Aydemir, E Bayraktar
İzmir Atatürk Devlet Hastanesi Psikiyatri Kliniği
Anksiyete endişe, korku, gerginlik, huzursuzluk, kaygı, sıkıntı halidir. Tanım olarak, anksiyete bilinçdışı olan ve nesnesi kişice tanınmayan, içrel tehditlere karşı oluşan tepkidir. Bir diğer anlamda ise dıştan kaynaklanan bir tehlike ya da tehlike olasılığı karşısında yaşanan duygudurumdur. Anksiyete bozuklukları ise anksiyete ya da anksiyeteye karşı özel savunma belirtileri ile kendini belli eden, bireyin gerçekle bağlantısının kopmadığı, toplumsal uyumunun genellikle fazla bozulmadığı, psikozlara göre bütün işlevlerde bozukluğun daha hafif olduğu rahatsızlıklar grubudur. Nevroz tanımlaması artık terk edilmiştir ve nevrozlar, bugünkü tanı sistemlerinde anksiyete bozukluğu altında yer alan panik bozukluğu, yaygın anksiyete bozukluğu, fobiler, obsesif-kompulsif bozukluğa ek olarak distimiyi, konversiyon bozukluğu¬nu ve somatizasyon bozukluğunu içermektedir. Anksiyetenin öznel ve nesnel belirtileri ya olduğu gibi yaşanır ya da bastırılır ve yerine özel savunma düzenekleri ile oluşan belirtiler geçer; böylece anksiyete bozuklukları oluşur. Günümüzde kullanılan tanı sistemlerinde, anksiyete bozuklukları altında yer alan özgül bozuklukların tanımları aşağıda ele alınacaktır.

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