Dergi Ara >>
Yıl:2002; Cilt: 15; Sayı: 3>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2002;15(3):158-163
Duygudurum bozukluğu hastalarında ve birinci derece akrabalarında affektif spektrum bozukluğu
E Kurt, Aİ Adanur, ET Oral, A Verimli
Affektif Spektrum Bozukluğu (ASB), alkolizm, obsesif kompulsif bozukluk, yeme bozukluğu, impuls kontrol bozukluğu, panik bozukluğu, posttravmatik stress bozukluğu, Tourette bozukluğu, irritabl barsak sendromu, narkolepsi, migren, fibromiyalji, kronik yorgunluk sendromu, kleptomani gibi hastalıkları kapsamaktadır. Bu çalışma ile affektif bozukluğu bulunan hastaların kendilerinde veya birinci derece akrabalarının herhangi birisinde sözü edilen hastalıkların varlığı araştırılmıştır. Hastanemize başvuran, remisyonda Duygudurum Bozukluğu tanısı almış 86 bipolar, 30 unipolar bozukluk hastası ve bilinen herhangi bir psikiyatrik hastalığı olmayan 36 sağlıklı gönüllü ile bunların eşit sayıdaki birinci derece akrabaları çalışmaya alınmıştır. Tüm gruplara sosyodemografik veri formu, SCID-NPIOP, FH-RDC formu ve ASB ek görüşme formu uygulanmıştır. Genel olarak hasta grubunda ve ailelerinde Affektif Spektrum Bozukluğu kapsamında olan hastalıklar kontrol grubuna kıyasla istatistiksel olarak anlamlı sıklıkta görülmedi. Hastalık yaşı, cinsiyet, hastalık sıklığı, suisid oranı açısından Unipolar hastalar bipolar hastalara göre istatistiksel olarak anlamlı farklılıklar gösterdiler. Affektif Spektrum Bozukluğu açısından iki grup arasında istatistiksel anlamlı fark saptanmazken, migrenin unipolar hastalarda görülme sıklığı anlamlı derecede fazla bulundu (p<0.002). Ayrıca bipolar hastaların annelerinde herhangi bir psikiyatrik bozukluk görülme oranı unipolar hastalara göre anlamlı derecede fazla bulundu (p<0.04). Unipolar hastalarda Affektif Spektrum Bozukluğu sıklığı bipolar hastalardan ve kontrol grubundan anlamlı olarak fazla saptandı (p=0.009).

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