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Yıl:2023; Cilt: 26; Sayı: 4>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2023;26(4):282-292
Sosyal anksiyete bozukluğu hastalarında belirsizlik altında karar verme
H Demirci, E Pirdoğan Aydın, BA Kamazoğlu, ÖA Özer
Sağlık Bilimleri Üniversitesi, İstanbul
GİRİŞ ve AMAÇ: Bu çalışmada sosyal anksiyete bozukluğu (SAB) hastalarının belirsiz durumlar altında karar verme işlevlerinin sağlıklı kontroller ile karşılaştırması amaçlanmıştır YÖNTEM ve GEREÇLER: Çalışmaya 79 SAB tanılı hasta (47 yaygın tip ve 32 yaygın olmayan tip) alındı. Hasta grubu ile yaş, cinsiyet, eğitim açısından eşleştirilmiş 72 kişi sağlıklı kontrol grubu olarak alındı. Tüm katılımcılara Sosyodemografik Veri Formu, Beck Depresyon Envanteri (BDE), Durumluk-Sürekli Kaygı Ölçeği (DSKÖ), Liebowitz Sosyal Anksiyete Ölçeği (LSAÖ), Barratt Dürtüsellik Ölçeği Kısa Formu (BIS-11-KF) ve Iowa Kumar Testi (IKT) uygulandı BULGULAR: SAB hastalarının karar verme performansları sağlıklı kontrol grubuyla benzerdi. SAB alt tiplerinde ise yaygın tip, yaygın olmayan tipe göre IKT görevinde düşük performans göstermiştir. Yaygın olmayan tip, ilk 20 kart seçiminden sonra avantajlı destelerden daha çok seçim yaparak performanslarını arttırmıştır ve öğrenme etkisi göstermeyi başarmıştır. Buna karşın yaygın tip ise sadece beşinci blokta öğrenme etkisi göstermiştir, diğer bloklarda ise dezavantajlı kartlardan seçim yapmaya devam etmiştir TARTIŞMA ve SONUÇ: SAB tanılı hastalar, sağlıklı kontrol grubu gibi avantajlı desteleri tercih etmiş ve dezavantajlı destelerden kaçınmayı öğrenmiştir. Alt tiplerde yaygın tipin karar verme performansı bozuktu. Yaygın alt tipteki karar verme süreçlerinde bozulmanın kısa vadede kazandıran ama uzun vadede kaybettiren seçimler ve geribildirimden yararlanamamakla ilgiliydi. SAB alt tipler arasında karar verme süreçlerindeki bu ayrışmanın tiplerin daha iyi anlaşılmasına katkı sağlayacağına inanıyoruz.
Decision-making under ambiguity in patients with social anxiety disorder
INTRODUCTION: The study aimed to compare the decision-making functions of patients with social anxiety disorder (SAD) under ambiguity with healthy controls METHODS: Seventy-nine patients with SAD (47 with generalized subtype, and 32 with nongeneralized subtype) were included in the study. The healthy control group consisted of 72 individuals who were matched with the patient group in terms of age, sex, and education. Sociodemographic Data Form, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Liebowitz Social Anxiety Scale (LSAS), Barratt Impulsiveness Scale-Short Form (BIS-15), and Iowa Gambling Test (IGT) were administered to all participants RESULTS: The decision-making performance of patients with SAD was similar to healthy control group. In SAD subtypes, the generalized type performed poorly in the IGT compared with the nongeneralized subtype type. Participants with nongeneralized subtype increased their performance by choosing more advantageous decks after the first 20 card selections and showed a learning effect. Those with generalized type showed a learning effect only in block 5 and continued to choose from disadvantageous cards in the other blocks DISCUSSION AND CONCLUSION: Patients with SAD preferred advantageous decks like healthy control group and learned to avoid disadvantageous decks. The decision-making performance of the generalized type was impaired. The generalized subtype made choices that won in the short run but lost in the long run and did not benefit from feedback. We believe that this separation in decision-making processes among SAD subtypes will contribute to a better understanding of the types.

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