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Yıl:2024; Cilt: 61; Sayı: 1>> Özet
TAM METİN
Nöropsikiyatri Ar?ivi; 2024;61(1):3-10
Ağır Ruhsal Hastalığı Olan Bireylerde İnternet, Sosyal Medya ve İlişkili Teknolojilerin Kullanımıyla Hastalık Şiddeti ve İşlevsellik Arasındaki İlişki
S T Oluğ, Ö D Balaban, Ö Gül, M O Altın
Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul
Amaç: Çalışmanın amacı bipolar bozukluk ve şizofreni spektrum bozukluğu tanılı hastalardan oluşan bir örneklemde internet, sosyal medya ve ilişkili teknolojilerin kullanımını değerlendirmek, internet ve sosyal medya kullanımı ile hastalık şiddeti ve işlevsellik arasındaki ilişkiyi incelemek, ağır ruhsal hastalığı olan bireylerin sosyal medya kullanımının yararları ve risklerine ilişkin düşünceleri hakkında fikir edinmektir. Yöntem: Remisyondaki 150 bipolar bozukluk ve 150 şizofreni spektrum bozukluğu (82 şizofreni, 56 başka türlü adlandırılamayan psikotik bozukluk ve 12 şizoaffektif bozukluk) tanılı hasta çalışmaya dâhil edildi. Katılımcılara sosyodemografik ve klinik özellikler, sosyal medya ve ilgili teknolojilerin kullanımı ve sosyal medya kullanımına ilişkin görüşlerinin yer aldığı veri toplama formu uygulandı. Hastalık ve belirtilerin şiddeti Hamilton Depresyon Derecelendirme Ölçeği, Young Mani Derecelendirme Ölçeği, Kısa Psikiyatrik Derecelendirme Ölçeği ve Klinik Global İzlenim Ölçeği ile belirlendi. Hasta gruplarında psikososyal işlevselliği değerlendirmek için Kısa İşlevsellik Değerlendirme Ölçeği kullanıldı. Bulgular: Çalışmaya katılan hastaların %65,3’ü (n=196) internet kullandığını, %59,7’si (n=179) sosyal medya kullandığını bildirdi. Bipolar bozukluk tanılı hastalarda şizofreni spektrum bozukluğu tanılı hastalara göre sosyal medya, cep telefonu, akıllı telefon, kısa mesaj, e-posta kullanımı daha yüksek saptanmıştır. Her iki grupta da Kısa İşlevsellik Değerlendirme Ölçeği toplam puanlarının ve Klinik Global İzlenim Ölçeği puanlarının sosyal medya kullanmayanlarda, kullananlara göre anlamlı derecede yüksek olduğu saptanmıştır. Sonuç: Sonuçlarımız ağır ruhsal hastalığı olan bireylerin sosyal medya, internet ve mobil cihaz kullanımının azımsanmayacak düzeyde olduğunu göstermektedir.
The Relationship of Internet, Social Media, and Related Technology Use with Disease Severity and Functionality in Individuals with Serious Mental Disorders
Introduction: The purpose of this study was to assess internet, social media, and related technology use in patients with serious mental disorders, and to examine their relationship with disease severity and functionality and gain insight about the thoughts of patients with severe mental disorders on benefits and risks of social media. Methods: The study included 150 patients with bipolar disorder and 150 patients with schizophrenia spectrum disorder (82 with schizophrenia, 56 with psychotic disorders not otherwise specified and 12 with schizoaffective disorder) in remission. Information about demographics, clinical features, the use of social media and related technologies, and opinions on social media use were obtained via a data form prepared by the clinicians. Severity of disease and symptoms were measured using the Hamilton Rating Scale for Depression, the Young Mania Rating Scale, the Brief Psychiatric Rating Scale and, the Clinic Global Impression Scale. The Functioning Assessment Short Test was used to evaluate psychosocial functioning. Results: Among the patients who participated in the current study, 65.3% (n=196) reported internet use and, 59.7% (n=179) reported social media use. The Functioning Assessment Short Test total scores and the Clinic Global Impression Scale scores were significantly higher in patients who did not use social media than in those who did. The use of social media, mobile phones, smartphones, short message services (SMS), e-mail was significantly higher in patients with bipolar disorder than in patients with schizophrenia spectrum disorder. Conclusion: The use of social media, Internet and mobile devices cannot be underestimated among patients with serious mental disorders.

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