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Amaç: Bu çalışmada içgörüsü olan ve olmayan Obsesif Kompulsif Bozukluk (OKB) hastalarında, kişilik örgütlenme düzeyini araştırmayı amaçlanmıştır. Gereç ve Yöntem: Kesitsel tipte gerçekleştirilen çalışmamız Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesinde gerçekleştirildi. Çalışmanın evrenini hastanemiz Anksiyete Polikliniğine başvuran ve yatan hasta servislerine OKB tanısı ile izlemi yapılan 100 OKB hastası oluşturdu. Tüm katılımcılara Sosyodemografik veri formu, Yale Brown Obsesif Kompulsif Bozukluk Ölçeği (Y-BOCS) ve Kişilik Örgütlenmesi Tanı Formu (KÖTF) uygulandı. Bulgular: Çalışmamızda içgörüsü olmayan hasta grubu evrenin %23’ünü oluşturdu. Grupların Y-BOCS genel şiddet ortalamaları arasında anlamlı farklılık saptandı. KÖTF’ün alt-boyutlarından kimlik toplam, ilkel ve olgun savunma düzenekleri toplam ve gerçeği değerlendirme toplam puanları anlamlı farklılık gösterdi. KÖTF’e göre hastaların genel kişilik örgütlenmeleri gruplara göre anlamlı farklılık gösterdi. KÖTF’nin kimlik toplam puanın doğrusal yönde, içgörü üzerinde yordayıcı bir etkiye sahip olduğu belirlenmiştir. Sonuç: Bu çalışmada içgörüsü olmayan OKB hastalarının, içgörüsü olan OKB hastalarına oranla daha düşük düzey kişilik örgütlenmesine sahip oldukları gösterildi. Kişilik örgütlenmesinin alt-boyutlarına bakıldığında içgörüsü olmayan OKB hastalarında kimliğin daha dağınık, kullandıkları savunma düzeneklerinin ağırlıklı olarak ilkel savunmalar olduğu, gerçeği değerlendirmelerinin görece daha bozuk olduğu ve daha düşük düzey nesne ilişkilerine sahip oldukları gösterildi.
Purpose: In this study, patients with Obsessive Compulsive Disorder (OCD) who have and do not have insight, the level of personality organization is intended to be investigated. Tools and Methods: Our work in the Cutting Type was carried out at the Erenköy Hospital of Education and Research of Mental and Nervous Diseases. The universe of the study was formed by 100 OKB patients who appealed to our hospital's Anxiety Clinic and were monitored with OKB diagnosis to the patient services. All participants were applied to the Sociodemographic data form, the Yale Brown Obsessive Compulsive Disorder Scale (Y-BOCS) and the Personality Organization Diagnostic Form (COTF). The group of patients without insight in our study accounted for 23% of the universe. There were significant differences between the Y-BOCS general violence average of the groups. The identity total, primary and mature defense arrangements from the under-dimensions of KÖTF showed significant differences between the total and the total points of the assessment of the truth. According to KÖTF, the general personality organizations of patients showed significant differences according to groups. The identity of KÖTF has been determined that the total score in the linear direction has an influential effect on insight. The conclusion: In this study, it was shown that non-intuitive OCD patients had a lower level of personality organization than those with intuitive OCD patients. When it comes to the sub-dimensions of personality organization, it was shown that in the OCD patients with no insight, the identity is more distorted, the defence arrangements they use are mainly primary defences, the truth assessments are relatively more distorted, and they have lower level of object relationships.
Purpose: The aim of this study was to investigate personality organization level in patients with and without insight of Obsessive Compulsive Disorder (OCD). Materials and Methods: We conducted a cross-sectional study in Erenkoy Psychiatry and Neurological Diseases Training and Research Hospital. The study's universe consisted of 100 patients who applied with OCD diagnosis to Anxiety Policlinic of our hospital. Sociodemographic data form and Yale Brown Obsessive-Compulsive scale (Y-BOCS) Personality Organization Diagnostic Form (PODF) was completed for each participant at the first interview. Results: The proportion of patients with poor insight group in our study was 23%. Significant differences were found between the Y-BOCS general severity scores of the groups.The patients in two groups achieved significantly different total scores in identity, scores in primitive and mature defense mechanisms and reality testing. There was significant difference between patients with good insight OCD and poor insight OCD in terms of general personality organization. The total score of PODF identity had a predictive effect on insight in the linear direction. Conclusion: The present study indicated that patients with poor insight OCD had lower level of personality organization as compared to patients with good insight OCD. According to the scores obtained in the subscales of PODF, patients with poor insight OCD showed high diffusion identity as compared to patients with good insight OCD. Besides this, it was observed that the group with poor insight mostly used primitive defense mechanisms, their reality testing was relatively disturbed and they had low level of object relations.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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