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Yıl:2017; Cilt: 4; Sayı: 2>> Özet
TAM METİN
The Journal of Neurobehavioral Sciences; 2017;4(2):63-71
Erişkin obsessif kompulsif bozukluk tanılı hastalarda çocukluk çağı ruhsal travmaları
S Kıvılcım, H Erensoy, HM Aytaç
Üsküdar Üniversitesi, İstanbul
Obsesif Kompulsif Bozukluk (OKB), obsesyon ve/veya kompulsiyonlar ile karakterize ruhsal bir bozukluktur. OKB hastalarında çocukluk çağı travmatik yaşam olaylarının sağlıklı nüfusa göre daha fazla olduğunu ortaya koyan epidemiyolojik çalışmalar, literatürde yerini almasına rağmen bu çalışmaların sayısı sınırlıdır. Bu çalışmada OKB hastaları ile sağlıklı gönüllülerin çocukluk çağı travmatik yaşam olayları açısından karşılaştırılması amaçlanmıştır. OKB tanısı almış ve tedavileri devam eden 25 ardışık hasta ile sosyodemografik özellikler açısından denkleştirilmiş 25 sağlıklı kontrol çalışmaya alındı. Katılımcılara Sosyodemografik Veri Formu, Çocukluk Çağı Travmaları Ölçeği (CTQ) ve Maudley Obsesif Kompulsif Soru Listesi (MOKSL) uygulandı. İstatistiksel düzeyde anlamlılık değeri p< 0,05 olarak kabul edildi. OKB hasta grubunda sağlıklı kontrollere göre CTQ puanları istatistiksel düzeyde yüksek bulundu. MOKSL yavaşlık alt ölçeği puanlarının CTQ toplam puanı, cinsel istismar ve duygusal istismar alt ölçek puanları ve MOKSL ruminasyon alt ölçeği puanlarının CTQ cinsel istismar puanları ile anlamlı düzeyde ilişkili olduğu belirlendi. OKB hastalarında sağlıklı kontrollere göre daha fazla çocukluk çağı travmatik yaşam olayları bulguları görülmektedir.
Childhood mental trauma in adult obsessive compulsive disorder patients
Obsessive Compulsive Disorder (OCD) is a mental disorder characterized by obsessions and/or compulsions. Although some epidemiological studies take part in literature, which claim that traumatic life events in childhood ages are observed more in patients with OCD compared to healthy population, the number of these studies is limited. In this study, it is aimed to compare OCD patients with healthy volunteers in terms of traumatic life events in childhood ages. With 25 consecutive patients who are diagnosed as OCD and whose treatment continues, 25 healthy controls were equivalent to sociodemographic features are included in the study. Sociodemographic Data Form, Childhood Age Trauma Quarter (CTQ) and Maudley Obsessive Compulsive Question List (MOCQL) are applied to the participants. Significance Value in statistical level is accepted as p< 0,05. In OCD patient group, CTQ scores are found high in statistical level compared to healthy controls. It has been determined that there is a significant relationship between total score of MOCQL slowness subscale scores, subscale scores of sexual and emotional abuse, MOCQL rumination subscale scores and CTQ sexual abuse scores. Compared to healthy controls, more findings of traumatic life event in childhood age are observed within OCD patients.

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