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Yıl:2007; Cilt: 9; Sayı: 1>> Özet
Türkiye'de Psikiyatri; 2007;9(1):44-49
Fiziksel Hastalığı Olan Yaşlılarda Depresyon ve Diğer Psikiyatrik Belirtiler
H Güz, MA Yaman, N Dilbaz
19 Mayıs Üniversitesi Tıp Fakültesi Psikiyatri ABD, Samsun
Amaç: Yaşlılarda depresyon sık görülen bir hastalıktır. Biz, bu çalışmada fiziksel hastalığı olan yaşlı hastalarda
depresyonun varlığını ve diğer psikiyatrik belirtilere etkisini inceledik.
Yöntem: Çalışmaya 60 yaş üzerinde ve yatarak tedavi gören 103 hasta alındı. Hastalara yaş, öğrenim durumu,
medeni hal, yerleşim yeri ve ailede psikiyatrik hastalık öyküsünü araştıran bilgi formu verildi. Yaşlılar için
depresyon ölçeği, mini mental durum ölçeği (MMDÖ), SCL-90 Belirti tarama testi, durumluluk ve süreklilik
kaygı ölçeği ile umutsuzluk ölçeği uygulandı. Hastalar Yaşlılar için depresyon ölçeği puanına göre depresyonu
olan ve olmayan olarak iki gruba ayrıldı.
Bulgular: Hastaların 51'inde (%49.5) depresyon olduğu bulundu. Her iki grup arasında yaş, ailede psikiyatrik
hastalık öyküsü, yerleşim yeri, durumluluk kaygı puanı açısından farklılık yoktu. Depresyonu olan grupta
kadın, eğitim seviyesi düşük ve dul hasta sayısı daha fazlaydı. Ayrıca depresyonu olan grubun sürekli kaygı,
ümitsizlik ölçeği ile SCL-90'da kişilerarası ilişkiler ile fobik anksiyete alt ölçek puanları yüksek, MMDÖ'nde
hatırlama, lisan puanları düşüktü.
Tartışma: Fiziksel hastalığı olan yaşlılarda depresif yakınmaların, anksiyete, ümitsizlik ve bilişsel bozuklukların
sık olduğu göz önüne alınarak hastaların psikiyatrik açıdan da değerlendirilmeleri gerekmektedir.
Frequency of depression and psychiatric symptoms in elderly population with physical illness
Objective: Depression is a common health problem in elderly population. In this study, we aimed to determine the frequency of depression
and other psychiatric symptoms in elderly patients who have physical illnesses.
Materials and methods: One hundred and three inpatients who were over 60 [year]s were included in this study. Together with a questionnaire
which consists of the socio-demographic characteristics and the history of psychiatric disorder in the family, The geriatric depression
scale, Mini-Mental State Examination (MMSE), Symptom ChecklistSLC-90, state-trait anxiety inventory and Hopelessness scale were applied to
the participants. The study group was divided into two groups (with and without depression) according to their The geriatric depression scale
points.
Results: The frequency of depression was 49.5% in the study group. There was no difference between the participants with and without
depression in terms of age, family history of psychiatric disorder and state-trait anxiety inventory points. The number of women, widows and
less educated patients were more in the depressed group. While memory and [language] in MMSM points were lower, trait anxiety inventory,
Hopelessness scale and interpersonal relationships and phobic anxiety sub scale in SLC-90 points were high in depressed patients.
Conclusion: In the view of these findings, it's thought that the elderly with any physical illness should be evaluated for psychiatric disorders.

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