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Yıl:1999; Cilt: 7; Sayı: 4>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1999;7(4):261-267
Agorafobili ve agorafobisiz panik bozukluğu hastalarında yaşam olayları
B Yelken, C Kaptanoğlu
Osmangazi Üniversitesi, Eskişehir
Amaç: Panik Bozukluğu olan hastalarda yaşam olaylarının şiddetini ve niteliğini belirlemek üzere Psikotik olmayan Major Depresyonu olan hastalarla kontrollü bir çalışma planlanmıştır. Yöntem: Etik kurul izni alındıktan sonra, O.Ü.T.F. Psikiyatri polikliniğine ardısıra başvuran, DSM-IV tanı ölçütlerine göre Panik Bozukluğu tanısı alan 53 hasta ile Psikotik olmayan Major Depresyon tanısı alan 25 hasta çalışma kapsamına alınmıştır. Çalışmada Hamilton Anksiyete Değerlendirme Ölçeği (HADÖ), Hamilton Depresyon Değerlendirme Ölçeği (HDDÖ), Yaşam Olayları Çizelgesi (YOÇ) ve Anket Formu kullanılarak değerlendirmeler yapılmıştır. Bulgular: Panik Bozukluğu olan hasta grubunda, MD olan hasta grubuna göre yaşam olayları ile ilgili toplam distres (p< 0.05) ve uyum güçlüğü (p< 0.05) puanları anlamlı düzeyde daha az bulunmuştur. Agorafobili PB olan hastalarda, yaşam olaylarının toplam distres ve uyum güçlüğü puanları, Agorafobisi olmayan PB olan hastalara göre farklılık göstermemiştir. Agorafobili PB olan hastalarda Agorafobisi olmayan PB olan hastalara göre ve PB olan hastalarda MD olan hastalara göre, ortak özelliği kayıp ve ayrılık olan yaşam olayları anlamlı düzeyde fazla bulunmuştur. Tartışma: Yaşam olaylarının, özellikle de kayıp ve ayrılıkla olanların varlığı, PB ve Agorafobinin gelişiminde etkili olabilir.
Life events in panic disorder with and without agoraphobia
Objective: The aim of this controlled study is to investigate distress and quality of life events in panic disorder patients and to compare major depression patients. Method: The study was approved by the local ethic committee. This study included in patients who attended to Osmangazi University Medical Faculty Psychiatry Clinic consequently and diagnosed as panic disorder (n=53) and major depression (n=25) by DSM-IV. All patients were assessed with Hamilton Rating Scale for Anxiety, Hamilton Rating Scale for Depression, Life Events Scale and on interview form. Results: The distress and readjustment points of life events in panic disorder patients were lower than that of major depression patients. There were no differences significantly in life events distress and readjustment points between panic disorder with and without agoraphobia patients. Death and separation were higher in panic disorder with agoraphobia and panic disorder than panic disorder without agoraphobia and major depression, respectively. Conclusion: The presence of life events, especially death and separation may be effective in occurrence of panic disorder and agoraphobia.

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