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Yıl:2011; Cilt: 12; Sayı: 1>> Özet
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Anadolu Psikiyatri Dergisi; 2011;12(1):37-43
Yaşlı bireylerde ölüm kaygısı
Z Öztürk, G Karakuş, L Tamam
Çukurova Üniv. Tıp Fak. Psikiyatri ABD, Adana
Amaç: Bu çalışmanın amacı, bir üniversite hastanesinde çeşitli polikliniklerden konsültasyonla psikiyatri poliklini-ğine yönlendirilen yaşlı bireylerde ölüm kaygısı düzeyinin belirlenerek bazı sosyodemografik ve klinik değişkenler-le ilişkisinin değerlendirilmesidir. Gereç ve yöntem: Çalışmaya Çukurova Üniversitesi Tıp Fakültesi Ruh Sağlığı ve Hastalıkları polikliniğine çeşitli kliniklerden konsültasyon ile başvuran 60 yaş üstü 200 hasta (117 erkek, 83 kadın) alındı. Çalışmaya alınan hastalarla psikiyatrik görüşme yapılıp sosyodemografik verileri kaydedildi. Yaşlılık Depresyon Ölçeği (YDÖ), Durumluk-Sürekli Kaygı Ölçeği (STAI-I, STAI-II), Ölüme ilişkin Depresyon Ölçeği (ÖDÖ), Templer Ölüm Kaygısı Ölçeği (ÖKÖ), Kısa Form-36 (SF-36) Yaşam Kalitesi Ölçeği uygulanmıştır. Bulgu-lar: Çalışmaya alınan hastaların %58.5'i erkekti, ortalama yaşları 67.16±5.0 idi. Hastaların ortalama ÖKÖ puanı 7.7 bulundu. SF-36 ölçeği ile ÖKÖ ve ÖDÖ arasında hafif pozitif korelasyon saptandı. Sosyodemografik değiş-kenlerle ölçekler arasındaki korelasyonlar değerlendirildiğinde ÖKÖ ve ÖDÖ ile eğitim süresi arasında negatif, çocuk sayısı açısından pozitif korelasyon saptandı. Fiziksel hastalık türü ile ÖKÖ ve ÖDÖ puanları arasında ista-tistiksel anlamlı bir fark saptanmadı. Son bir yılda yaşanmış yas reaksiyonu ile ÖKÖ arasında anlamlı bir fark saptanmazken, son bir aydır ölüm düşüncesinin artması ile ÖKÖ puanlarının arttığı saptanmıştır. Sonuç: Bu çalışmada yaşlı bireylerde ölüm kaygısının eğitim süresi, çocuk sayısı ve ölüm düşüncesi sıklığı ile ilişkili olduğu; ancak fiziksel hastalık varlığının ölüm kaygısını etkilemediği saptandı. Yaşlı bireylerde farklı değişkenlere gözete-rek yapılacak uzunlamasına çalışmalar ölüm anksiyetesinin önemini ve fiziksel ve ruhsal hastalıkların süreci üze-rindeki etkisini saptayıp daha iyi anlamamıza yardımcı olacaktır.
Death anxiety in elderly cases
Objective: The purpose of this study was to find out the level of death anxiety evaluate its relationship with several sociodemographic and clinical variables among elderly patients who have been referred to psychiatry outpatient clinics with consultation from other outpatient clinics in an university hospital. Methods: Two hundred patients (117 male, 83 female) who have been referred to Çukurova University Medical Faculty Psychiatry out-patient clinics via consultation were included in the present study. A formal psychiatric interview were conducted with all cases, and demographic and clinical variables were recorded thereafter. After the interview, all patients completed Geriatric Depression Scale (GDS), State and Trait Anxiety Inventory (STAI), Templer Death Anxiety Scale (DAS), Death Depression Scale (DDS) and Short Form-36 (SF-36) quality of life scale. Results: Of all patients included in the present study, 58,5% were female with an average age of 67.16±5.0 for whole group. The mean DAS score for whole group was 7.7. There was a mild positive correlation between SF-36 and DAS scores. The same correlation was alos valid between SF-36 and DDS scores. Evaluation of the relationship between demographic variables and scale scores revealed positive correlation between DAS score and the number of children of the patients, while a negative correlation was present between DAS and length of education. There were no significant differences in DAS and DDS scores with regards to physical disorder type. The presence of bereavement within one [year] time was not a significant factor for change in DAS scores while there was a signifi-cant increase in death anxiety among patients who had frequent death thoughts in the last [month]. Conclusion: The results of this study presented significant relationship between death anxiety and length of education, number of children and frequency of death thoughts among elderly patients. No such relationship could be determined for the type of physical disease. Prospective studies carefully searching for different variables in elderly cases would reveal and help us to understand the importance of death anxiety and its impact on courses of physical and mental disorders

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