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AMAÇ: Obsesif-kompulsif bozukluk (OKB), tekrarlayan girici düşünceler ve dürtüler ile bunlara bağlı sıkıntıyı azaltmaya yönelik açık veya gizli davranışlarla karakterize nöropsikiyatrik bir bozukluktur. Çalışmalar, OKB belirtilerini spesifik bilişlerle ilişkilendirmiştir, ancak kişilerarası ilişkiler ve kişisel başarılarla ilişkili bilişsel hatalar ile OKB belirtileri arasındaki ilişki yeteri kadar araştırılmamıştır. GEREÇ VE YÖNTEM: OKB ve kontrol grubunun sosyodemografik özellikleri bir psikiyatrist tarafından belirlendi. Bu çalışmada bozukluk belirtileri Maudsley Obsesif Kompulsif Soru Listesi (MOKSL), Belirti Tarama Testi-90-Revize Edilmiş Hali (SCL-90-R) ile değerlendirildi. İşlevsellik, global değerlendirme ölçeği (GAS) ve klinik global izlenim ölçeği (KGİÖ) ile değerlendirildi. Düşünce Özellikleri Ölçeği (DÖÖ) bilişsel hataları değerlendirmek için kullanıldı. BULGULAR: Hem hasta hem kontrol grubu 41 olgudan oluşuyordu. Yaş ve eğitim süreleri her iki grupta benzerdi (p>0.05). Hastalık başlangıç yaşı ortalama 23.12±4.62 yıldı. MOKSL, SCL-90-R, DÖÖ, KGİÖ ve GAS puanları hasta grubunda kontrol grubuna göre belirgin olarak yüksekti. MOKSL ile SCL-90-R alt ölçekleri arasında anlamlı pozitif korelasyonlar bulunurken, MOKSL ile CDS alt ölçekleri arasında korelasyon tespit edilmedi. SONUÇ: Bu çalışma OKB’ye ek psikiyatrik belirtilerin eşlik ettiğini, bu belirtilerin OKB belirtileri ile ilişkili olduğunu, OKB’de bilişsel hata düzeyinin yüksek olduğunu göstermesi bakımından önemlidir. OKB belirti türlerinin bilişsel hata türleri ile ilişkisinin ortaya konulması için ilerleyen çalışmalara ihtiyaç duyulmaktadır.
Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder characterized by repeated initiative thoughts and impulses and open or secret behaviors aimed at reducing the trouble associated with them. Studies have linked the symptoms of OCD to specific cognitive, but the relationship between interpersonal relationships and cognitive errors related to personal achievements and the symptoms of OCD has not been sufficiently studied. NEED AND METHOD: The sociodemographic characteristics of the OCD and control group were determined by a psychiatrist. In this study, the symptoms of disorder were evaluated by Maudsley Obsessive Compulsive Question List (MOKSL), the Signal Scanning Test-90-Revised Condition (SCL-90-R). The performance was assessed by the Global Assessment Scale (GAS) and the Clinical Global Impression Scale (CGII). The Measurement of Thought Characteristics was used to evaluate cognitive errors. The patient and the control group consisted of 41 cases. The age and training times were similar in both groups (p>0.05). The initial age of the disease was 23.12±4.62 years. The MOKSL, SCL-90-R, DÖO, KGIÖ, and GAS scores were significantly higher according to the control group in the patient group. While there are significant positive correlations between the MOKSL and the SCL-90-R subscale, there is no correlation between the MOKSL and the CDS subscale. This study is important in terms of indicating that the OCD is accompanied by additional psychiatric symptoms, that these symptoms are associated with the OCD symptoms, and that the level of cognitive error in the OCD is high. Progressive studies are needed to reveal the relationship between the types of OKB signals and the types of cognitive errors.
PURPOSE: Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder which is characterized by recurrent intrusive ideas and impulses along with overt or covert behaviors aimed at reducing the distress. The studies have linked OCD symptoms to specific OCD cognitions, however no study has investigated sufficiently the relationship between cognitive errors of interpersonal relationships, personal achievements and OCD symptoms. MATERIAL AND METHOD: Patients with OCD and control group’s sociodemographic characteristics were determined by a psychiatrist. In this study, disorder symptoms were assessed via the Maudsley Obsessive Compulsive Inventory (MOCI), Symptom Check List-90-Revised (SCL-90-R). Functionality was assessed via the global assessment scale (GAS) and the clinical global impression scale (CGI). The cognitive distortions scale (CDS) was used to evaluate cognitive errors. RESULTS: Both patient and control group consisted of 41 cases. Age and duration of education were similar in both groups (p>0.05). The mean age of disorder onset was 23.12±4.62 years. MOCI, SCL-90-R, CDS, CGI and GAS scores were significantly higher in the patient group compared to the control group. While there were significant positive correlations between MOCI and SCL-90-R subscales, no correlation was found between MOCI and CDS subscales. CONCLUSION: This study is important in terms of showing that OCD is accompanied by additional psychiatric symptoms, these symptoms are associated with OCD symptoms and the level of cognitive error is high in OCD. Further studies are needed to reveal the relationship between OCD symptom types and cognitive error types.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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