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Yıl:1994; Cilt: 31; Sayı: 3>> Özet
Nöropsikiyatri Arşivi; 1994;31(3):155-159
Psikiyatri Dışı Polikliniklere Başvuran Hastalarda Psişik Belirti Dağılımı
NK Oğuzhanoğlu, A Oğuzhanoğlu, A Akyol, M Yıldız
Fırat Üniversitesi Tıp Fakültesi Psikiyatri Anabilim dalı\r\n
Biyolojik ve psikolojik değişkenlerin karşılıklı etkileşim içinde bulunduğu gerçeğinden yola çıkan çalışmamız, fizik hastalıklara eşlik eden psikolojik semptomları araştırmayı amaçlamaktadır. Fırat Üniversitesi Araştırma ve Uygulama Hastanesinde 1992 temmuz-aralık aylarında psikiyatri dışı polikliniklere başvuran toplam 100 hasta araştırma kapsamına alınmıştır. Hastalara SCL 90 R-belirti tarama listesi- ve STAI X-durumluk, sürekli kaygı envanteri- verilerek psikiyatrik • görüşmeye alınmıştır. Tanılar DSM III R kriterlerine göre verilmiştir. Aynı dönemlerde psikiyatri polikliniğine başvuran ve psikotik bozukluğu olmayan 53 hastaya da aynı testler uygulanmıştır. Sosyodemografik özellikler ve tanılar yüzde dağılımlarına göre; testlerin iki grup arasındaki karşılaştırmalı student t testine göre değerlendirilmişi ir.
Sosyodemografik özellikler iki grupta benzer özellikler göstermiştir. Araştırma grubunda % 53 hasta psikiyatrik tanı almamış, % 19'u I. eksen tanı kriterlerini karşılamamış ancak anksiyete ve depressif semptomlar göstermiştir. Yüzde 11'i psişik etmenlerin etkilediği fizik durum, % 7'si anksiyete bozukluğu tanısı almıştır. Her iki grupta da küme C kişilik özellikleri daha belirgin olarak saptanmıştır. Kontrol grubunda beklendiği gibi testlerin psikopatoloji puanları yüksek bulunmuş, araştırma grubunda da SCL 90 R değişenlerinden somatizasyon, obsessif kompulsif belirtiler ve ek skala puanlan yüksek olarak saptanmıştır.
Psychic Symptomatology In Patients Admitted To The Policlinics Other Than Psychiatry Policlinic
With the viewpoint that biologic and psychologic parameters interact with each other, we try to search psychologic symptoms accompanying the physical disorders.
A hundred outpatient which have been choosen among the patients admitted to the policlinics other than psychiatry policlinic of Firat University Hospital on july-december 1992, were involved in study. SCL-90 R (Symptom Check List) and STAI X (State Traid Anxiety Inventory) were performed on the patients and all were interviewed. Diagnosis have been established on the basis of the criteria-in DSM III R (Diagnostic and Statistical Manual III Revised). Same tests were performed on 53 patients as control group which admitted to psychiatry policlinic and diagnosed not to have psychosis during the same period.
Sociodemographic properties and diagnosis were evaluated on the basis of the percentage distribution and the comparison of the tests between two groups on the basis of student's test.
Sociodemographic properties in both groups showed similarity. In study group any psychiatric diagnosis has not been established in 53 % of the patients. Nineteen percent of patients has not met the criteria of axis I but has presented the symptoms of depression and anxiety. We defined psychological factors affectting physical condition in 11 % of patients and anxiety disorder in 7 %. Cluster C personality properties has been defined prominently in both groups. In control group the psychopathologic values of the tests have been revealed to be high as it has been expected and in the study group the values of somatization, obsessive-compulsive signs and suplementary scale have been revealed to be high.

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