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Yıl:2021; Cilt: 5; Sayı: 1>> Özet
TAM METİN
Klinik Psikoloji Dergisi; 2021;5(1):1-12
Aleksitimi ve psikolojik belirtiler arasındaki ilişkide savunma mekanizmaları ve içgörünün aracı rolü
Y Bilge, Y Bilge
Sağlık Bilimleri Üniversitesi, İstanbul
Bu çalışmanın amacı psikolojik belirtilerle aleksitimi, savunma mekanizmaları ve içgörü değiş- kenleri arasındaki ilişkilerin tespit edilmesi ve aleksitimi ile psikolojik belirtiler arasındaki ilişki- de savunma mekanizmalarının ve içgörünün aracı rolünün incelenmesidir. Yaş aralığı 18- 55 (Ort.= 32.28, SS. = 7.76) olan 125’i kadın (%41.9) ve 173’ü erkek (%58.1) olmak üzere toplam 298 kişinin katıldığı çalışma, kesitsel bir tarama çalışmasıdır. Aleksitimi, içgörü, immatür ve nevrotik savunmalar ile bütün psikolojik belirtiler birbirleriyle pozitif yönde anlamlı korelasyon- lar gösterirken; matür savunmalar ve kendine yansıtma değişkenlerinin psikolojik belirtilerle çok zayıf veya anlamsız ilişkiler içinde olduğu tespit edilmiştir. Aleksitimi ve psikolojik belirtiler arasındaki ilişkide içgörü ve savunma mekanizmalarının birlikte çoklu aracı etkisi bulunmazken; tek başına immatür savunmaların somatizasyon, obsesif- kompulsif bozukluk, depresyon, anksi- yete ve fobik anksiyetede ve içgörünün ise obsesif-kompulsif bozukluk, anksiyete ve fobik anksi- yetede kısmi aracılık etkisinin anlamlı olduğu saptanmıştır. Elde edilen bulgular aleksitimi puanı arttıkça psikolojik belirtilerin arttığını ve bu pozitif ilişkide savunma mekanizmalarının pozitif, içgörünün ise negatif yönde bir aracılık rolünün olduğunu göstermektedir. Ayrıca psikopatolojiyle ilişkili değişkenlere aracılık eden değişkenlerin araştırılmasının psikopatolojinin anlaşılmasına katkı sağlayabileceği düşünülmektedir.
Mediating role of insight and defense mechanisms in the relationship between alexithymia and psychological symptoms

The aim of this study was to determine the relationship between psychological symptoms and alexithymia, defense mechanisms and insight variables, and to examine the mediating role of defense mechanisms and insight in the relationship between alexithymia and psychological symp- toms. Participating in a total of 298 individuals [125 females (41.9%) and 173 males (58.1%), aged between 18 and 55 (M.= 32.28, SD.= 7.76)], the study was a cross- sectional screening study. While alexithymia, insight, immature and neurotic defenses and all psychological symp- toms showed significant positive correlations with each other, it was fixed that the mature defens- es and self- reflection variables had a very weak and meaningless relationship with psychological symptoms. In the relationship between alexithymia and psychological symptoms, insight, and defense mechanisms do not have multiple mediator effects. While the immature defenses alone have significant mediation effects in somatization, obsessive- compulsive disorder, depression, anxiety, and phobic anxiety, and insight alone has significant mediation effects in obsessive- compulsive disorder, anxiety and phobic anxiety. The results showed that psychological symp- toms increased as alexithymia score increased and that defense mechanisms had a positive and insight had a negative mediation role in this positive relationship. In addition, it is thought that investigating the variables that mediate the variables associated with the pathology might contrib- ute to the understanding of psychopathology.

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