Bipolar bozukluğu olan hastalarda çocukluk çağı travması, çift uyumu ve cinsel işlevler arasındaki ilişki

Year 2022, Volume: 47 Issue: 3, 1296 - 1305, 30.09.2022

Filiz Kulacaoğlu , Filiz İzci , Yusuf Ezel Yildirim , Nazmiye İlayda Dışpınar , Merve Sinem Cesur

https://doi.org/10.17826/cumj.1137578

Abstract

Amaç: Bu çalışmada, remisyon dönemindeki bipolar bozukluk tanılı hastaların çift uyumunun ve cinsel işlevlerinin araştırılması ve çocukluk çağı travması öyküsünün çift uyumuna ve cinsel işlevlere olan etkisinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Kesitsel tipteki bu çalışma, remisyon döneminde bipolar bozukluğu olan 80 (46 kadın, 34 erkek) hasta ve 40 (25 kadın, 15 erkek) sağlıklı kontrolden oluşmaktadır. Katılımcılara sosyodemografik veri formu, çiftler uyum ölçeği (ÇUÖ), çocukluk çağı ruhsal travma ölçeği (CTQ-28), Arizona cinsel yaşantılar ölçeği (ASYÖ) uygulanmıştır.
Bulgular: Hasta grubunda kontrol grubuna göre CTQ-28'in tüm alt ölçeklerinde ve toplam puanlarında istatistiksel olarak anlamlı derecede yüksek, ÇUÖ alt ölçek ve toplam puanlarında ise istatiksel olarak anlamlı daha düşük puanlar saptandı. Bipolar bozukluk tanılı hastaların %82,5'inde ve sağlıklı kontrollerin %57,5'inde cinsel işlev bozukluğu saptandı. Lineer regresyon analizi sonuçlarına göre yaş ve ÇUÖ-toplam puanı cinsel işlev bozukluğunu yordamaktadır.
Sonuç: Bipolar bozukluk tanılı hastalarda sağlıklı kontrollere göre daha fazla çift sorunu, cinsel işlev bozukluğu ve travma öyküsü bulunmaktadır. Cinsel işlev ve çift uyumu karşılıklı olarak birbirini etkilemektedir. Çocukluk çağı travma öyküsü hem cinsel yaşamı hem de çift uyumunu olumsuz yönde etkilemektedir.

Keywords

Bipolar bozukluk, cinsel işlev bozukluğu, travma, çift uyumu

Relationship between childhood trauma, dyadic adjustment, and sexual functions in patients with bipolar disorder

Abstract

Purpose: This study aimed to investigate the dyadic adjustment and sexual functions in patients with bipolar disorder (BD) during the remission period, and examine the effect of a history of childhood trauma on these.
Materials and Methods: This cross-sectional study is consisted of 80 (46 female, 34 male) patients with bipolar disorder-1 and 40 (25 female, 15 male) healthy controls. The Dyadic Adjustment Scale (DAS), Childhood Trauma Questionnaire (CTQ-28), Arizona Sexual Questionnaire (ASEX) were administered to the participants.
Results: The patient group showed significantly higher trauma scores in all subscales and total scores of the CTQ-28, and lower scores in the subscales and total score of DAS compared to the control group. 82.5% of bipolar patients and 57.5% of healthy controls were found to have sexual dysfunction (SED). According to the results of linear regression and multiple regression analyses, age and DAS-total score predicted SED, and male gender, absence of SED and CTQ-total score predicted DAS score.
Conclusion: Patients with BD have more dyadic problems, sexual dysfunction, and trauma history than healthy controls. Sexual function and dyadic adjustment affect each other in two ways and a history of childhood trauma has a negative effect on both sexual function and dyadic adjustment.

Keywords

Bipolar disorder, sexual dysfunction, childhood trauma, dyadic adjustment

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