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Yıl:2019; Cilt: 6; Sayı: 1>> Özet
TAM METİN
The Journal of Neurobehavioral Sciences; 2019;6(1):33-38
Duygudurum bozukluklarında yürütücü işlevler
E Özten
Üsküdar Üniversitesi, İstanbul
Duygudurum bozukluklarında nörobilişsel değişiklikleri karşılaştıran az sayıda çalışma vardır. Distimik bozukluğun, majör depresif bozukluğa oranla hastalık şiddetinin az olması yanı sıra hastalık süresinin uzun olması nedeni ile bilişsel süreçlerde farklılıklar izlenebilmektedir. Bu çalışmada, majör depresif ve distimik bozukluğun dikkat, bellek, öğrenme, yürütücü işlevlere etkileri karşılaştırılmıştır. Majör depresif bozukluk tanısı alan 42 hasta ve distimik bozukluk tanısı alan 42 hasta çalışma kapsamına alınmıştır. İki grup yaş, cinsiyet, eğitim seviyesi açısından grup eşleme yöntemi ile alınmıştır. Çalışmada Wisconsin Kart Eşleme Testi, Wechsler Bellek Ölçeği Geliştirilmiş Formu, Sayı Dizisi Öğrenme Testi, İşaretleme Testi, Çizgi Yönünü Belirleme Testi, Londra Kulesi testleri yapılmıştır. Elde edilen bulgular bilişsel işlevler açısından majör depresif bozukluk ile distimik bozukluk grubunda farklıklar olduğu yönündedir. Bulgular bilişsel işlevler üzerinde hastalığın süresinin etkisi olduğunu düşündürmektedir. Bu nedenle kronik seyir gösteren distimi gibi bozukluklarda bilişsel işlevlerin incelendiği daha çok çalışmaya ihtiyaç bulunmaktadır.
Executive functions in mood disorders
There are few studies comparing neurocognitive changes in mood disorders. In dysthymic disorder the severity of the disease is lower as compared to the major depressive disorder, however here are differences in cognitive processes due to the long duration of the disease. In this study, the effects of major depressive and dysthymic disorders on attention, memory, learning, and executive functions were compared. Forty-two patients with major depressive disorder and 42 patients with dysthymic disorder were included in the study. Two groups were taken in terms of age, gender and education level by group mapping. In the study Wisconsin Card Sorting Test, Wechsler Memory Scale Improved Form, Number Sequence Learning Test, Marking Test, Line Direction Test, London Tower Tests were conducted. The findings show that there are differences in major depressive disorder and dysthymic disorder group in terms of cognitive functions. The findings suggest that the duration of the disease has an impact on cognitive functions. Further studies are needed to investigate cognitive functions in disorders such as dysthymia with chronic course.

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