Evaluation of Alexithymia, Anger and Temperament Features in Insomnia Patients with Sexual Dysfunction

Year 2021, Volume: 23 Issue: 2, 211 - 217, 30.08.2021

Esra Aydın Sünbül , Pınar Şen Gökçeimam , Mehmet Üstündağ , Nihal Taştekin Füsun Mayda Domaç , Hüseyin Güleç

https://doi.org/10.18678/dtfd.940955

Abstract

Aim: One of the most common sleep disorders is insomnia, and it is also an independent risk factor related to sexual dysfunction (SD). The aim of the present study was to investigate the anger parameters, temperament parameters, and alexithymia in insomnia patients with SD.
Material and Methods: The study group consisted of 92 patients diagnosed with insomnia according to the third edition of the International Classification of Sleep Disorders. The sociodemographic data form, Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto-questionnaire (TEMPS-A), Insomnia Severity Index (ISI), Toronto Structured Interview for Alexithymia (TSIA), Arizona Sexual Experiences Scale (ASEX), Pittsburgh Sleep Quality Index (PSQI), State-Trait Anger Expression Inventory (STAXI) were applied to the patients.
Results: While 62 patients had SD, 30 patients had no SD. ISI, PSQI, anger in score were significantly higher in patients with SD (p=0.048, p=0.007, p=0.032, respectively). While depressive and anxious temperament was significantly higher in patients with SD (p=0.026, p=0.008, respectively), hyperthymic temperament was significantly higher in patients without SD (p=0.013). ISI score, depressive, and anxious temperament were significantly correlated with the ASEX score (r=0.214, p=0.041; r=0.261, p=0.012; r=0.286, p=0.007, respectively). Linear regression revealed that depressive, cyclothymic, and irritable temperaments were predictors of ISI (p=0.001). According to logistic regression, hyperthymic temperament was an independent predictor of SD (p=0.001).
Conclusion: Psychological factors should also be considered in studies conducted on the relationship between insomnia and SD. Further research is needed on temperament characteristics, alexithymia and anger issues. Thus, patients can be approached more comprehensively.

Keywords

sexual dysfunction, insomnia, temperament

Cinsel İşlev Bozukluğu Olan İnsomni Hastalarında Aleksitimi, Öfke ve Mizaç Özelliklerinin Değerlendirilmesi

Abstract

Amaç: İnsomni en yaygın uyku bozukluklarından biridir ve cinsel işlev bozukluğu (CİB) ile ilişkili bağımsız bir risk faktörüdür. Bu çalışmanın amacı CİB olan insomni hastalarında öfke parametrelerini, mizaç parametrelerini ve aleksitimiyi araştırmaktır.
Gereç ve Yöntemler: Çalışmaya uluslararası uyku bozuklukları sınıflandırması üçüncü versiyonuna göre insomni tanısı alan 92 hasta dahil edildi. Hastalara sosyodemografik veri formu, Memphis, Pisa, Paris and San Diego mizaç değerlendirme ölçeği (Temperament Evaluation of Memphis, Pisa, Paris, San Diego Auto-questionnaire, TEMPS-A), insomni şiddet ölçeği (Insomnia Severity Index, ISI), Toronto aleksitimi ölçeği (Toronto Structured Interview for Alexithymia, TSIA), Pittsburgh uyku kalitesi ölçeği (Pittsburgh Sleep Quality Index, PSQI), Arizona cinsel yaşantılar ölçeği (Arizona Sexual Experiences Scale, ASEX) ve durumluk-sürekli öfke ifade ölçeği (State-Trait Anger Expression Inventory, STAXI) uygulandı.
Bulgular: 62 hastada CİB varken, 30 hastada CİB yoktu. CİB olan hastalarda ISI, PSQI ve öfke içeri skoru anlamlı olarak yüksekti (sırasıyla p=0,048, p=0,007, p=0,032). CİB olan hastalarda depresif ve anksiyöz mizaç anlamlı derecede yüksek iken (sırasıyla p=0,026, p=0,008), hipertimik mizaç CİB olmayan hastalarda anlamlı olarak daha yüksekti (p=0,013). ISI skoru, depresif ve anksiyöz mizaç ile ASEX skoru arasında anlamlı korelasyon saptandı (sırasıyla r=0,214, p=0,041; r=0,261, p=0,012; r=0,286, p=0,007). Lineer regresyon analizi depresif, siklotimik ve irritabl mizacın ISI'nın ön gördürücüleri olduğunu ortaya koymuştur (p=0,001). Lojistik regresyon analizine göre hipertimik mizaç, CİB’in bağımsız bir ön gördürücüsüdür (p=0,001).
Sonuç: İnsomni ve CİB ilişkisine dair yürütülen çalışmalarda psikolojik faktörler de göz önünde bulundurulmalıdır. Mizaç özellikleri, aleksitimi ve öfke konularının daha fazla araştırılması gerekmektedir. Böylece hastalara daha kapsamlı yaklaşılabilir.

Keywords

cinsel işlev bozukluğu, insomni, mizaç

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