Bir psikiyatri kliniğinde Psikosomatik Araştırmalar için Tanı Ölçütleri (DCPR) ve D tipi kişiliğin değerlendirilmesi

Year 2021, Volume: 46 Issue: 2, 443 - 451, 30.06.2021

Mahmut Gürbüz , Bahadır Geniş , Mahmut Onur Karaytuğ , Behçet Coşar

https://doi.org/10.17826/cumj.840219

Cited By: 1

Abstract

Amaç: Bu çalışma psikiyatri servisinde tedavi gören psikotik olan ve olmayan hasta gruplarını DCPR sendromları ve Tip D kişilik açısından karşılaştırmayı, hastalık şiddeti ile Psikosomatik Araştırmalar için Tanı Ölçütleri(DCPR) sendromları ve Tip D kişilik arasında anlamlı bir ilişki olup olmadığını araştırmayı amaçlamıştır.
Gereç ve Yöntem: Çalışmaya Gazi Üniversitesi Tıp Fakültesi Psikiyatri servisinde yatmakta olan 200 erişkin hasta alınmıştır. Hastalar psikotik olan (n:98) ve olmayan (n:102) şeklinde gruplandırılmıştır. Katılımcılara Sosyodemografik Veri Formu, Kısa Psikiyatrik Değerlendirme Ölçeği(KPDÖ), Tip D kişilik ölçeği ve DCPR Sendromları için yarı yapılandırılmış klinik görüşme uygulanmıştır.
Bulgular: Ölüm Korkusu ve Süreğen Somatizasyon sendromlarının psikotik olmayan grupta anlamlı oranda yüksek olduğu saptanmıştır. Tip D kişiliği oluşturan alt bileşenler gruplar arasında ayrı ayrı değerlendirildiğinde, Olumsuz Duygulanım puanlarının psikotik bozukluğu olmayanlarda anlamlı düzeyde yüksek olduğu görülmüştür. Psikotik bozukluğu olanlarda KPDÖ puanları ile Ölüm Korkusu, Psikiyatrik Bozukluğa İkincil İşlevsel Somatik Belirtiler, Demoralizasyon ve Tip D kişilik varlığı arasında anlamlı bir ilişki saptanmıştır.
Sonuç: DCPR ile değerlendirilen hastalar psikotik olup olmamalarına göre farklı DCPR sendromları tanılarını daha fazla oranda almışlardır. Psikotik Bozukluğu olanlarda DCPR sendromları hastalığın şiddetini göstermede bir yordayıcı olabilir.

Keywords

DCPR, Demoralizasyon, Somatizasyon, Psikosomatik, Tip D

Evaluation of Diagnostic Criteria for Psychosomatic Research (DCPR) and Type D personality in a psychiatric inpatient clinic

Abstract

Purpose: The aim of this study was to compare psychotic and non-psychotic patients in psychiatry service in terms of Diagnostic Criteria for Psychosomatic Research(DCPR) syndromes and Type D personality, and to determine the relationship between disease severity and DCPR syndromes and Type D personality.
Materials and Methods: The study included 200 adult patients hospitalized in Gazi University Faculty of Medicine Psychiatry Service. The patients were grouped as psychotic(n:98) and non-psychotic(n:102). Semi-structured clinical interview was applied to the participants for Sociodemographic Data Form, Brief Psychiatric Rating Scale(BPRS), Type D personality scale and DCPR Syndromes.
Results: Fear of Death and Chronic Somatization syndromes were found to be significantly higher in the non-psychotic group. When the subcomponents constituting the Type D personality were evaluated separately among the groups, it was observed that the Negative Affect scores were significantly higher in those without psychotic disorder. A significant relationship was found between BPRS scores and Fear of Death, Functional Somatic Symptoms Secondary to Psychiatric Disorder, Demoralization, and the presence of Type D personality in patients with psychotic disorders.
Conclusion: Patients evaluated with DCPR had more diagnoses of different DCPR syndromes depending on whether they were psychotic or not. DCPR syndromes may be a predictor of the severity of the disease in those with psychotic disorders.

Keywords

DCPR, demoralization, somatization, psychosomatic, type D personality

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