Dergi Ara >>
Yıl:2007; Cilt: 18; Sayı: 3>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2007;18(3):197-206
Düşünce-Eylem Kaynaşması, Yükleme Biçimleri, Depresif ve Obsesif-Kompulsif Belirtiler Arasındaki İlişkilerin İncelenmesi
S Piri, E Kabakçı
Hacettepe Ü Tıp Fak., Psikiyatri AD., Ankara
Amaç: Düşünce Eylem Kaynaşması (DEK) obsesyonel problemlerin gelişiminde rol oynadığı düşünülen bilişsel bir yanlılıktır. DEK'in iki bileşeni tanımlanmıştır: DEK-Ahlak, kabul edilemez girici düşüncelere sahip olmanın gerçekte bunu yapmak kadar kötü olduğu inancıdır. DEK-Olabilirlik ise kabul edilemez girici bir düşünceye sahip olmanın gerçekte bu kötü olayın olma olasılığını arttıracağı inancıdır. Olay, kişinin kendisi ile (DEK-Olabilirlik-Kendisi) ya da diğerleriyle (DEK-Olabilirlik-Diğerleri) bağlantılı olabilir. Yükleme biçimleri ise iyi ve kötü olayların nedenleri ile ilgili içsellik-dışsallık, değişmezlik-değişebilirlik, genellik-özellik ve önemlilik-önemsizlik boyutlarında yapılan atıfları belirtmektedir. Yükleme biçimleri özellikle depresyon bağlamında ele alınmaktadır. Bu araştırmanın amacı, DEK, yükleme biçimleri, depresif ve obsesif kompulsif belirtiler arasındaki ilişkilerin incelenmesidir. Ayrıca, depresif ve obsesif kompulsif belirtilerin etkileri istatistiksel olarak kontrol edildikten sonra DEK ve alt boyutlarını, en iyi yordayan yükleme biçimi boyutlarının belirlenmesi de amaçlanmaktadır.

Yöntem: Araştırmaya Hacettepe Üniversitesi'nin değişik bölüm ve sınıflarında eğitimine devam eden toplam 312 öğrenci katılmıştır. Araştırmada veri toplama araçları olarak Düşünce Eylem Kaynaşması Ölçeği (DEKÖ), Yükleme Biçimi Ölçeği (YBÖ), Maudsley Obsesif Kompulsif Soru Listesi (MOKSL) ve Beck Depresyon Envanteri (BDE) kullanılmıştır.

Bulgular: Sonuçta DEK'in tüm alt boyutlarının (DEK-Ahlak, DEK-Olabilirlik-Kendisi ve Diğerleri) yükleme biçiminin kötü olaylar için genellik, BDE ve MOKSL ile ilişkili olduğu bulunurken; DEK-Ahlak boyutunun ayrıca yükleme biçiminin kötü olaylar için önemlilik boyutu ile de ilişkili olduğu görülmüştür. DEK'in DEK-Olabilirlik ve DEK-Olabilirlik-Kendisi boyutlarını yükleme biçiminin kötü olaylar için genellik boyutunun yordadığı görülürken; DEK-Ahlak boyutunun ise yükleme biçiminin kötü olaylar için önemlilik boyutu tarafından yordandığı bulunmuştur.

Sonuç: DEK, yükleme biçimleri, depresif ve obsesif kompulsif belirtilerin belli oranlarda birbirleriyle ilişkili olduğu görülmektedir. Ancak DEK ve yükleme biçimleri alt boyutları arasında bulunan ilişkilerin bazı ortak değişkenler tarafından etkileniyor olabileceği düşünülmektedir.

An Evaluation of Some of the Relationships Between Thought-Action Fusion, Attributional Styles, and Depressive and Obsessive-Compulsive Symptoms
Objective: Thought-action fusion (TAF) is a cognitive bias presumed to underlie the development of obsessional problems. Two domains of TAF have been identified. The first, TAF-moral, is characterized by the belief that having morally unacceptable thoughts is as bad as actually carrying them out. The second, TAF-likelihood, refers to the belief that certain thoughts cause particular events The event can be related to one's self (likelihood-self) or to someone else (likelihood-others). The other cognitive variable of the study is attributional style. The theory of attributional styles, in terms of the causes of good and bad events, is taken into account especially in the context of depression and has four dimensions: internality-externality, stability-instability, globality-specifity, and importance-unimportance. The first objective of the present study was to investigate the relationships between TAF, and attributional style, and depressive and obsessive-compulsive symptoms. The second objective was to determine the predictors of TAF when the effects of depressive and obsessive-compulsive symptoms are statistically controlled.

Method: The sample consisted of 312 students randomly selected from different departments at Hacettepe University. The Thought-Action Fusion Scale (TAFS), Attributional Style Questionnaire (ASQ), Maudsley Obsessive-Compulsive Inventory (MOCI), and Beck Depression Inventory (BDI) were administered to these students.

Results: The correlations among all the subtypes of TAF (TAF-moral, likelihood-self, and likelihood-others), and the global attributions for bad events, BDI, and MOCI were significant. In addition, the correlation between TAF-moral and the importance of the attribution for bad events was significant. TAF-likelihood-others and TAF-likelihood-self were predicted by global attributions for bad events and TAF-moral was predicted by the importance of the attributions for bad events.

Conclusion: TAF, and attributional styles, and depressive and obsessive-compulsive symptoms may be related to each other. The results also suggest a possible effect of other variables not controlled in this study, both on TAF and the dimensions of attributional styles.

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