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Yıl:2023; Cilt: 26; Sayı: 3>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2023;26(3):201-208
Adli psikiyatri servisinde takipli hastaların bakım verenlerinde psikolojik dayanıklılık, depresyon ve tükenmişlik seviyesi
S Yıldız, A Kazğan Kılıçaslan, B Sırlıer Emir, O Kurt, K Uğur
Erzincan Binali Yıldırım Üniversitesi, Erzincan
GİRİŞ ve AMAÇ: Psikiyatrik hastalıkların hasta yakınlarının da yaşam kalitesini etkilediği bilinmektedir. Bu çalışmanın amacı psikiyatrik hastalığa ek olarak suç işlemiş olan adli psikiyatri hasta yakınlarının yaşayabileceği ruhsal sorunları tanımak amacıyla adli psikiyatri hastalarının bakım verenlerinin psikolojik dayanıklılık, depresyon ve tükenmişlik seviyesinin incelenmesidir.
YÖNTEM ve GEREÇLER: Çalışmaya 90 yüksek güvenlikli adli psikiyatri (YGAP) hasta yakını dahil edildi. Tüm katılımcılara sosyodemografik veri formu, Beck Depresyon Ölçeği (BDÖ), Yetişkinler için Psikolojik Dayanıklılık Ölçeği (YPDÖ) ve Maslach Tükenmişlik Ölçeği (MTÖ) uygulandı. 
BULGULAR: Bakım verenlerin BDÖ puanı 10,8±7,7, YPDÖ-total 99,8±12,5, MTÖ alt ölçeklerinden duygusal tükenmişlik puanı 22,5±3,4, duyarsızlaşma puanı 9,4±2,2, kişisel başarı puanı ise 16,8±5,4 olarak saptanmıştır. Bakım verenlerin bakım verme süresi ile BDÖ puanı arasında anlamlı ilişki görülmüştür (p<0,01). Ceza sorumluluğu olan hastaların bakım verenlerinin BDÖ puanı ceza sorumluluğu olmayanların bakım verenlerinin puanından yüksek olarak bulunmuştur (p< 0,01). 
TARTIŞMA ve SONUÇ: Adli psikiyatrik incelemeye tabi tutulmuş psikiyatri hastalarının bakımı ile ilgilenen kişilerde psikolojik dayanıklılık düzeyinin iyi olduğu bununla birlikte hafif düzeyde depresyon ve orta düzeyde tükenmişliğe sahip oldukları görüldü. Hasta yakınlarının ruhsal açıdan etkilenmiş olduğu ve gerekli psikososyal desteğin bakım veren kişiler için olumlu olabileceği görülmektedir.
Resilience, depression and burnout levels in caregivers of patients followed in the forensic psychiatry service
INTRODUCTION: It is known that psychiatric diseases also affect the quality of life of patients' relatives. The aim of this study is to examine the level of resilience, depression and burnout of the caregivers of forensic psychiatry patients in order to recognize the mental problems that may be experienced by relatives of forensic psychiatry patients who have committed crimes in addition to psychiatric illness.?METHODS: 90 high-security forensic psychiatry patient relatives were included in the study. Sociodemographic data form, Beck Depression Inventory (BDI), Adult Resilience Scale (RSA) and Maslach Burnout Inventory (MBI) were administered to all participants.?RESULTS: BDI score of caregivers was 10.8±7.7, RSA-total 99.8±12.5, emotional burnout score from MBI subscales 22.5±3.4, depersonalization score 9.4±2.2, personal success score was determined as 16.8±5.4. There was a significant difference between the duration of caregiving in terms of BDI score (p<0.01). The BDI score of the caregivers of the patients with criminal liability was found to be significantly higher than the score of the caregivers of the patients without criminal liability (p< 0.01).?DISCUSSION AND CONCLUSION: : It was observed that the level of psychological resilience was good in people who took care of psychiatric patients who were subjected to forensic psychiatric examination, but they had mild depression and moderate burnout. It is seen that the relatives of the patients are affected psychologically and the necessary psychosocial support can be positive for the caregivers.

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