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Amaç: Bu çalışmanın amacı psikiyatrik hasta grubu ile psikiyatrik hastalığı olmayan sağlıklı kontrol grubunun yaşadıkları travma şiddetini karşılaştırarak, travmanın benlik saygısı üzerine olan etkisini ve benlik saygısının psikiyatrik semptomlarla ilişkisini araştırmaktır. Gereç ve Yöntemler: Çalışmaya Düzce Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı’na başvuran psikotik hastalığı olmayan, depresyon, anksiyete bozuklukları, somatoform bozuklukları, obsesif kompulsif bozuklukları, travma sonrası stres bozukluğu olan 100 hasta ile 100 sağlıklı kontrol grubu alındı. Hasta ve kontrol gruplarının sosyodemografik özellikleri kaydedildi. Travma algısının şiddeti Görsel Anolog Skala (VAS) ile değerlendirildi. Yaşanılan travmayı tespit etmek için Travmatik Yaşantılar Ölçeği (TYÖ), bilişsel durumu belirlemek için Travma Sonrası Bilişler Envanteri (TSBE), benlik saygısı için Rosenberg Benlik Saygısı Ölçeği (RBSÖ) ve psikolojik semptomları belirlemek için Belirti Tarama Listesi (SCL-90R) kullanıldı. Bulgular: Hasta grubunun hem kendilerinin hem de ebeveynlerinin eğitim seviyesi kontrol grubundan düşükken, VAS ise yüksek bulundu. RBSÖ açısından benlik saygısı, anne-baba ilgisi ve babayla ilişki hasta grubunda kontrol grubuna göre daha düşük iken, eleştiriye duyarlılık, depresif duygulanım, hayalperestlik, psikosomatik belirtiler, kişilerarası ilişkilerde tehdit hissetme ve psikolojik izolasyon yüksek saptandı. Hasta grubunda TYÖ ve TSBE değerleri ve SCL-90R’deki tüm semptomlar hasta grubunda daha fazla idi. Sonuç: Hasta grubunda kontrol grubuna göre travma puanları yüksek benlik saygısı ise düşük bulunmuştur. Hem travmanın kendisi hem de benlik saygısının düşüklüğü psikiyatrik belirtilerin hasta grubunda daha fazla olmasına sebep olmuştur.
Purpose: The aim of this study is to compare the severity of trauma experienced by the psychiatric patient group and the healthy control group without psychiatric disease, to investigate the impact of trauma on self-respect and the relationship of self-respect with psychiatric symptoms. Tools and Methods: 100 healthy control groups with 100 patients with non-psychotic disease, depression, anxiety disorders, somatoform disorders, obsessive compulsive disorders, post-traumatic stress disorders were taken. Patients and control groups have sociodemographic characteristics. The severity of the trauma perception was assessed by the Visual Anolog Scale (VAS). The traumatic life scale (TRA) was used to identify the traumatic trauma, the posttraumatic information inventory (TSBE) to identify the cognitive state, the Rosenberg Self-respect scale (RBSÖ) to identify self-respect, and the Symptoms Scanning List (SCL-90R) to identify psychological symptoms. Results: The patient group’s educational level is lower than the control group, while the VAS is high. The self-respect, the parent-parent interest and the relationship with the father were lower than the control group in the patient group, while critical sensitivity, depressive emotions, fantasy, psychosomatic symptoms, the feeling of threat in interpersonal relationships and psychological isolation were high. In the patient group, the TYÖ and TSBE values and all symptoms in SCL-90R were higher in the patient group. The result: in the patient group, the trauma scores were found high self-esteem and low in the control group. Both the trauma itself and the decline in self-esteem have caused more psychiatric symptoms in the patient group.
Aim: The aim of this study was to investigate effect of trauma on self-esteem and relationship between self-esteem and psychiatric symptoms, by comparing severity of trauma experienced by psychiatric patient group and healthy control group without psychiatric disease. Material and Methods: The study included 100 patients with depression, anxiety disorders, somatoform disorders, obsessive-compulsive disorders, posttraumatic stress disorder and no psychotic disorder, and 100 healthy control groups, applying to Duzce University Faculty of Medicine Department of Psychiatry. Socio-demographic characteristics of the patient and control groups were recorded. The severity of trauma perception was evaluated with Visual Analogue Scale (VAS). Traumatic Experiences Checklist (TEC) for determining experienced trauma, Post-Traumatic Cognitive Inventory (PTCI) for determining cognitive status, Rosenberg Self-Esteem Scale (RSES) for self-esteem, and Symptom Checklist-90 Revised (SCL-90R) for determining psychological symptoms were used. Results: Both the self and parental education levels of patient group was lower than control group, while VAS was found higher. In terms of RSES, self-esteem, parental interest and relationship with father were found lower in the patient group than the control group, while sensitivity to criticism, depressive mood, dreaminess, psychosomatic symptoms, feeling threat in interpersonal relationships and psychological isolation were found high. Both TEC and PTCI scores and all symptoms in SCL-90R were higher in the patient group. Conclusion: In the patient group trauma scores were higher and self-esteem were lower than the control group. Trauma and low self-esteem caused to be higher psychiatric symptoms in the patient group.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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