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Obsesif Kompulsif Bozukluğu Olan Hastalarda Beden İmajı ve Somatik Şikayetler

Year 2024, Volume: 8 Issue: 2, 216 - 222, 27.08.2024
https://doi.org/10.46332/aemj.1418386

Abstract

Amaç: Obsesif kompulsif bozukluk (OKB) tanısı almış bireylerde beden algısı ve somatizasyon düzeylerini araştırmayı amaçladık.

Araçlar ve Yöntem: Çalışmaya dahil edilme ve dışlanma kriterlerini karşılayan 84 OKB tanılı hasta dahil edildi. Katılımcılara DSM için Yapılandırılmış Klinik Görüşme (SCID-5), Yale Brown Obsesif Kompulsif Bozukluk Ölçeği (Y-BOCS), Beden İmgesi Ölçeği (BİS), Bradford Somatik Envanteri (BSI-44) uygulanmıştır.

Bulgular: Katılımcılarda en sık görülen obsesyonun kirlenme olduğu, bunu sırasıyla diğer obsesyonlar grubunun ve saldırganlığın izlediği görülmüştür. En sık görülen kompulsiyonun kontrol etme kompulsiyonu olduğu, bunu sırasıyla temizlik ve tekrarlayıcı ritüelistik kompulsiyonların izlediği görülmüştür. Katılımcıların Y-BOCS puan ortalamasının 21.7±7.7, BIS puan ortalamasının 137.6±26.3 ve BSI-44 puan ortalamasının 25.8±17.8, kadınların BIS puan ortalamasının erkeklerden istatistiksel olarak anlamlı düzeyde düşük olduğu, diğer ölçeklerde ise kadın ve erkekler arasında anlamlı bir fark olmadığı belirlenmiştir. Düzen ve organize etme kompulsiyonu olanlarda beden imajının daha yüksek olduğu görülmüştür. Somatizasyon ise biriktirme, simetri, somatik ve tekrarlayıcı ritüel kompulsiyonları olanlarda daha yüksek bulunmuştur.

Sonuç: OKB hastalarının beden imajı ve somatizasyon düzeyi hem sosyodemografik özelliklere hem de obsesyon ve kompulsiyon türlerine göre değişmektedir. Bulgularımız bu konudaki çok sınırlı literatüre önemli bir katkı sağlamaktadır.

References

  • 1. Özten E, Karamustafalioglu O. Obsesif Kompulsif Bozukluk. Turkiye Klinikleri J Fam Med-Special Topics. 2019;9(3):157-163.
  • 2. Ruiz P. Comprehensive textbook of psychiatry. lippincott Williams & wilkins. USA. 2000.
  • 3. Tükel R, Demet MM. Obsesif Obsesif Kompulsif ve İlişkili Bozukluklar, 1st ed. Ankara, 2017.
  • 4. Karno M, Golding JM, Sorenson SB, Burnam MA. The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry. 1988;45 (12):1094-1099.
  • 5. Weissman MM, Bland RC, Canino GJ, et al. The cross national epidemiology of obsessive compulsive disorder. The Cross National Collaborative Group. J Clin Psychiatry. 1994;55:5-10.
  • 6. Kellerman H. Dictionary of psychopathology, Columbia University Press, 2009.
  • 7. Hamilton JC, Hedge KA, Feldman MD. Chapter 37: Excessive Illness Behavior. In: Levenson JL, ed. Psychiatric Care of the Medical Patient. 3rd ed. Oxford, UK: Oxford University Press; 2015.
  • 8. Deka K, Chaudhury PK, Bora K, Kalita P. A study of clinical correlates and socio-demographic profile in conversion disorder. Indian J Psychiatry. 2007;49(3): 205-207.
  • 9. Sakai R, Nestoriuc Y, Nolido NV, Barsky AJ. The prevalence of personality disorders in hypochondriasis. J Clin Psychiatry. 2010;71(1):41-47.
  • 10. Rasmussen SA, Eisen JL. Epidemiology of obsessive compulsive disorder. J Clin Psychiatry. 1990;51:10-13.
  • 11. Juang YY, Liu CY. Phenomenology of obsessive-compulsive disorder in Taiwan. Psychiatry Clin Neurosci. 2001;55(6):623-627.
  • 12. Tezcan E, Millet B, Kuloğlu M. The comparison of sociodemographic, clinical and phenomenological characteristics of the patients diagnosed as obsessive compulsive disorder in Turkey and France. J Clin Psy. 1998;1(1):35-41.
  • 13. Eğrilmez A, Gülseren L, Gülseren Ş, Kültür S. Obsesif kompulsif bozukluk tanısı konan bir grup hastada obsesyonların fenomenolojik özellikleri. Kriz Dergisi. 1995;3(1):124-128.
  • 14. Okasha A, Saad A, Khalil AH, El Dawla AS, Yehia N. Phenomenology of obsessive-compulsive disorder: a transcultural study. Compr Psychiatry. 1994;35(3): 191-197.
  • 15. Demet M, Deveci A, Deniz F, Taşkın E, Şimşek E, Yurtsever F. Obsesif-kompulsif bozuklukta sosyodemografik özellikler ve fenomenoloji. Anadolu Psikiyatr. Derg. 2005;6(3):133-144.
  • 16. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord. 2005;10:28-32.
  • 17. Arusoğlu G, Kabakçı E, Köksal G, Kutluay Merdol T. Ortoreksiya nervoza ve ORTO-11'in Türkçeye uyarlama çalışması. Turk Psikiyatri Derg. 2008;19(3):283-291.
  • 18. Varga M, Dukay Szabó S, Túry F, Van Furth EF. Evidence and gaps in the literature on orthorexia nervosa. Eat Weight Disord. 2013;18:103-111.
  • 19. Brytek Matera A, Gramaglia C, Gambaro E, Delicato C, Zeppegno P. The psychopathology of body image in orthorexia nervosa. J. Psychopathol. 2018;4:133-140.
  • 20. Glashouwer KA, van der Veer RML, Adipatria F, de Jong PJ, Vocks S. The role of body image disturbance in the onset, maintenance, and relapse of anorexia nervosa: A systematic review. Clin Psychol Rev. 2019;74:101771.
  • 21. Aderka IM, Gutner CA, Lazarov A, Hermesh H, Hofmann SG, Marom S. Body image in social anxiety disorder, obsessive-compulsive disorder, and panic disorder. Body Image. 2014;11(1):51-56.
  • 22. Grogan S, Evans R, Wright S, Hunter G. Femininity and muscularity: Accounts of seven women bodybuilders. J. Gend. Stud. 2004;13(1):49-63.

Body Image and Somatic Complaints in Patients with Obsessive Compulsive Disorder

Year 2024, Volume: 8 Issue: 2, 216 - 222, 27.08.2024
https://doi.org/10.46332/aemj.1418386

Abstract

Purpose: We aimed to investigate body image and somatisation levels in individuals diagnosed with obsessive-compulsive disorder (OCD).

Materials and Methods: A total of 84 patients diagnosed with OCD who met the inclusion and exclusion criteria were included in the study. Participants were assessed using the Structured Clinical Interview for DSM (SCID-5), Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Body Image Scale (BIS), and Bradford Somatic Inventory (BSI-44).

Results: The most common obsession among participants was contamination, followed by other obsessions and aggression, respectively. The most prevalent compulsion was checking, followed by cleaning and repetitive ritualistic behaviors. Participants had a mean Y-BOCS score of 21.7 ± 7.7, a mean BIS score of 137.6 ± 26.3, and a mean BSI-44 score of 25.8 ± 17.8. Female participants had significantly lower BIS scores compared to males, while no significant differences were found between genders on other scales. Participants with ordering and arranging compulsions showed higher body image concerns. Somatization was found to be higher among individuals with hoarding, symmetry, somatic, and repetitive ritualistic compulsions.

Conclusion: Body image and somatisation level of patients with OCD vary according to both sociodemographic characteristics and types of obsessions and compulsions. Our findings make an important contribution to the very limited literature on this issue.

References

  • 1. Özten E, Karamustafalioglu O. Obsesif Kompulsif Bozukluk. Turkiye Klinikleri J Fam Med-Special Topics. 2019;9(3):157-163.
  • 2. Ruiz P. Comprehensive textbook of psychiatry. lippincott Williams & wilkins. USA. 2000.
  • 3. Tükel R, Demet MM. Obsesif Obsesif Kompulsif ve İlişkili Bozukluklar, 1st ed. Ankara, 2017.
  • 4. Karno M, Golding JM, Sorenson SB, Burnam MA. The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry. 1988;45 (12):1094-1099.
  • 5. Weissman MM, Bland RC, Canino GJ, et al. The cross national epidemiology of obsessive compulsive disorder. The Cross National Collaborative Group. J Clin Psychiatry. 1994;55:5-10.
  • 6. Kellerman H. Dictionary of psychopathology, Columbia University Press, 2009.
  • 7. Hamilton JC, Hedge KA, Feldman MD. Chapter 37: Excessive Illness Behavior. In: Levenson JL, ed. Psychiatric Care of the Medical Patient. 3rd ed. Oxford, UK: Oxford University Press; 2015.
  • 8. Deka K, Chaudhury PK, Bora K, Kalita P. A study of clinical correlates and socio-demographic profile in conversion disorder. Indian J Psychiatry. 2007;49(3): 205-207.
  • 9. Sakai R, Nestoriuc Y, Nolido NV, Barsky AJ. The prevalence of personality disorders in hypochondriasis. J Clin Psychiatry. 2010;71(1):41-47.
  • 10. Rasmussen SA, Eisen JL. Epidemiology of obsessive compulsive disorder. J Clin Psychiatry. 1990;51:10-13.
  • 11. Juang YY, Liu CY. Phenomenology of obsessive-compulsive disorder in Taiwan. Psychiatry Clin Neurosci. 2001;55(6):623-627.
  • 12. Tezcan E, Millet B, Kuloğlu M. The comparison of sociodemographic, clinical and phenomenological characteristics of the patients diagnosed as obsessive compulsive disorder in Turkey and France. J Clin Psy. 1998;1(1):35-41.
  • 13. Eğrilmez A, Gülseren L, Gülseren Ş, Kültür S. Obsesif kompulsif bozukluk tanısı konan bir grup hastada obsesyonların fenomenolojik özellikleri. Kriz Dergisi. 1995;3(1):124-128.
  • 14. Okasha A, Saad A, Khalil AH, El Dawla AS, Yehia N. Phenomenology of obsessive-compulsive disorder: a transcultural study. Compr Psychiatry. 1994;35(3): 191-197.
  • 15. Demet M, Deveci A, Deniz F, Taşkın E, Şimşek E, Yurtsever F. Obsesif-kompulsif bozuklukta sosyodemografik özellikler ve fenomenoloji. Anadolu Psikiyatr. Derg. 2005;6(3):133-144.
  • 16. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord. 2005;10:28-32.
  • 17. Arusoğlu G, Kabakçı E, Köksal G, Kutluay Merdol T. Ortoreksiya nervoza ve ORTO-11'in Türkçeye uyarlama çalışması. Turk Psikiyatri Derg. 2008;19(3):283-291.
  • 18. Varga M, Dukay Szabó S, Túry F, Van Furth EF. Evidence and gaps in the literature on orthorexia nervosa. Eat Weight Disord. 2013;18:103-111.
  • 19. Brytek Matera A, Gramaglia C, Gambaro E, Delicato C, Zeppegno P. The psychopathology of body image in orthorexia nervosa. J. Psychopathol. 2018;4:133-140.
  • 20. Glashouwer KA, van der Veer RML, Adipatria F, de Jong PJ, Vocks S. The role of body image disturbance in the onset, maintenance, and relapse of anorexia nervosa: A systematic review. Clin Psychol Rev. 2019;74:101771.
  • 21. Aderka IM, Gutner CA, Lazarov A, Hermesh H, Hofmann SG, Marom S. Body image in social anxiety disorder, obsessive-compulsive disorder, and panic disorder. Body Image. 2014;11(1):51-56.
  • 22. Grogan S, Evans R, Wright S, Hunter G. Femininity and muscularity: Accounts of seven women bodybuilders. J. Gend. Stud. 2004;13(1):49-63.
There are 22 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Original Articles
Authors

Ayşegül Barak 0000-0001-7964-6733

Doğancan Sönmez 0000-0003-0937-8264

Mehmet Baltacıoğlu

Meltem Puşuroğlu 0000-0002-1970-3262

Mert Besenek 0000-0003-1637-2485

Bulent Bahceci 0000-0002-7591-3643

Early Pub Date August 20, 2024
Publication Date August 27, 2024
Submission Date January 11, 2024
Acceptance Date June 24, 2024
Published in Issue Year 2024 Volume: 8 Issue: 2

Cite

APA Barak, A., Sönmez, D., Baltacıoğlu, M., Puşuroğlu, M., et al. (2024). Body Image and Somatic Complaints in Patients with Obsessive Compulsive Disorder. Ahi Evran Medical Journal, 8(2), 216-222. https://doi.org/10.46332/aemj.1418386
AMA Barak A, Sönmez D, Baltacıoğlu M, Puşuroğlu M, Besenek M, Bahceci B. Body Image and Somatic Complaints in Patients with Obsessive Compulsive Disorder. Ahi Evran Med J. August 2024;8(2):216-222. doi:10.46332/aemj.1418386
Chicago Barak, Ayşegül, Doğancan Sönmez, Mehmet Baltacıoğlu, Meltem Puşuroğlu, Mert Besenek, and Bulent Bahceci. “Body Image and Somatic Complaints in Patients With Obsessive Compulsive Disorder”. Ahi Evran Medical Journal 8, no. 2 (August 2024): 216-22. https://doi.org/10.46332/aemj.1418386.
EndNote Barak A, Sönmez D, Baltacıoğlu M, Puşuroğlu M, Besenek M, Bahceci B (August 1, 2024) Body Image and Somatic Complaints in Patients with Obsessive Compulsive Disorder. Ahi Evran Medical Journal 8 2 216–222.
IEEE A. Barak, D. Sönmez, M. Baltacıoğlu, M. Puşuroğlu, M. Besenek, and B. Bahceci, “Body Image and Somatic Complaints in Patients with Obsessive Compulsive Disorder”, Ahi Evran Med J, vol. 8, no. 2, pp. 216–222, 2024, doi: 10.46332/aemj.1418386.
ISNAD Barak, Ayşegül et al. “Body Image and Somatic Complaints in Patients With Obsessive Compulsive Disorder”. Ahi Evran Medical Journal 8/2 (August 2024), 216-222. https://doi.org/10.46332/aemj.1418386.
JAMA Barak A, Sönmez D, Baltacıoğlu M, Puşuroğlu M, Besenek M, Bahceci B. Body Image and Somatic Complaints in Patients with Obsessive Compulsive Disorder. Ahi Evran Med J. 2024;8:216–222.
MLA Barak, Ayşegül et al. “Body Image and Somatic Complaints in Patients With Obsessive Compulsive Disorder”. Ahi Evran Medical Journal, vol. 8, no. 2, 2024, pp. 216-22, doi:10.46332/aemj.1418386.
Vancouver Barak A, Sönmez D, Baltacıoğlu M, Puşuroğlu M, Besenek M, Bahceci B. Body Image and Somatic Complaints in Patients with Obsessive Compulsive Disorder. Ahi Evran Med J. 2024;8(2):216-22.

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