Remisyonda Major Depresif Bozukluk Tanılı Hastalarda Rezidüel Subjektif Bilişsel ve Depresif Belirtilerin Sosyal İşlevsellik ile İlişkisi

Abstract

Amaç: Major Depresif Bozuklukta (MDB) remisyon döneminde rezidüel belirtiler hafif şiddette olsa bile yeti yitimine neden olurlar. Bu çalışmada remisyonda olan MDB hastalarında, rezidüel depresif ve rezidüel subjektif bilişsel belirtilerin sosyal işlevsellikle ilişkisi araştırılmıştır. Yöntemler: Çalışmaya öncesinde MDB tanısı almış, düzenli takip edilen ve en az 6 ay süre ile remisyonda olan 51 hasta dahil edilmiştir. Tüm katılımcılara sosyodemografik veri formu, Beck Depresyon Ölçeği, Algılanan Bilişsel Kusur Anketi-Depresyon, Sosyal Uyum Kendini Değerlendirme Ölçeği uygulanmıştır. İstatiksel analizde tanımlayıcı analizler, Pearson Korelasyon Analizi ve lineer regresyon analizi kullanılmıştır. Bulgular: Rezidüel depresif belirti şiddeti sosyal işlevsellik düzeyi ile pozitif korelasyon gösterirken rezidüel subjektif bilişsel belirti şiddeti sosyal işlevsellik düzeyi ile negatif korelasyon gösterdi. Lineer regresyon analizi ile rezidüel depresif ve subjektif bilişsel belirti puanlarının sosyal işlevselliğin yordayıcıları olduğu tespit edildi. Sonuç: Bu çalışmada MDB remisyon döneminde görülen rezidüel depresif ve subjektif bilişsel belirtilerin sosyal işlevselliği olumsuz etkileyebileceği tespit edilmiştir. MDB da remisyon döneminde bilişsel belirtilerin saptanmasında hızlı ve pratik kullanımı olan subjektif bilişsel testler kullanılabilir.

Keywords

• Depresyon
• remisyon
• rezidüel subjektif bilişsel belirtiler
• rezidüel depresif belirtiler
• psikososyal işlevsellik.

The Correlation Of Residual Subjective Cognitive And Depressive Symptoms with Social Functioning in Remitted Major Depressive Disorder Patients

Abstract

Aim: In Major Depressive Disorder (MDD) residual symptoms cause disability in the remission phase even if they are mild. This study investigated the correlation of residual depressive and residual subjective cognitive symptoms with social functioning in remitted MDD patients. Methods: In the study, 51 patients who had been diagnosed with MDD before, were followed regularly and had been in remission for at least 6 months, were included. The socio-demographic data form, Beck Depression Inventory, Perceived Deficits Questionnaire-Depression, and Social Adaptation Self-evaluation Scale were applied to all participants. In the statistical analysis; descriptive analyses, Pearson’s Correlation Analysis and linear regression analysis were used. Results: Residual depressive symptom severity showed a positive correlation with social functioning level, while residual subjective cognitive symptom severity had a negative correlation with social functioning level. In the linear regression analysis it was determined that residual depressive and subjective cognitive symptom scores were a predictor of social functioning. Conclusion: In the study, it was determined that residual depressive and subjective cognitive symptoms encountered in MDD remission phase might affect social functioning negatively. Rapid and practical subjective cognitive tests can be used in identifying cognitive symptoms in MDD remission phase.

Keywords

• Depression
• remission
• residual subjective cognitive symptoms
• residual depressive symptoms
• psychosocial functioning.

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