Research Article
PDF EndNote BibTex RIS Cite

Bir psikiyatri kliniğinde Psikosomatik Araştırmalar için Tanı Ölçütleri (DCPR) ve D tipi kişiliğin değerlendirilmesi

Year 2021, Volume 46, Issue 2, 443 - 451, 30.06.2021
https://doi.org/10.17826/cumj.840219

Abstract

Amaç: Bu çalışma psikiyatri servisinde tedavi gören psikotik olan ve olmayan hasta gruplarını DCPR sendromları ve Tip D kişilik açısından karşılaştırmayı, hastalık şiddeti ile Psikosomatik Araştırmalar için Tanı Ölçütleri(DCPR) sendromları ve Tip D kişilik arasında anlamlı bir ilişki olup olmadığını araştırmayı amaçlamıştır. Gereç ve Yöntem: Çalışmaya Gazi Üniversitesi Tıp Fakültesi Psikiyatri servisinde yatmakta olan 200 erişkin hasta alınmıştır. Hastalar psikotik olan (n:98) ve olmayan (n:102) şeklinde gruplandırılmıştır. Katılımcılara Sosyodemografik Veri Formu, Kısa Psikiyatrik Değerlendirme Ölçeği(KPDÖ), Tip D kişilik ölçeği ve DCPR Sendromları için yarı yapılandırılmış klinik görüşme uygulanmıştır. Bulgular: Ölüm Korkusu ve Süreğen Somatizasyon sendromlarının psikotik olmayan grupta anlamlı oranda yüksek olduğu saptanmıştır. Tip D kişiliği oluşturan alt bileşenler gruplar arasında ayrı ayrı değerlendirildiğinde, Olumsuz Duygulanım puanlarının psikotik bozukluğu olmayanlarda anlamlı düzeyde yüksek olduğu görülmüştür. Psikotik bozukluğu olanlarda KPDÖ puanları ile Ölüm Korkusu, Psikiyatrik Bozukluğa İkincil İşlevsel Somatik Belirtiler, Demoralizasyon ve Tip D kişilik varlığı arasında anlamlı bir ilişki saptanmıştır. Sonuç: DCPR ile değerlendirilen hastalar psikotik olup olmamalarına göre farklı DCPR sendromları tanılarını daha fazla oranda almışlardır. Psikotik Bozukluğu olanlarda DCPR sendromları hastalığın şiddetini göstermede bir yordayıcı olabilir.

References

  • 1. Barsky AJ. Assessing the New DSM-5 Diagnosis of Somatic Symptom Disorder. Psychosomatic medicine. 2016;78(1):2-4.
  • 2. Fava GA, Sonino N. Psychosomatic assessment. Psychotherapy and psychosomatics. 2009;78(6):333-41.
  • 3. Aral G, Civil Arslan F. A new opertional guide against to traditional classification systems in consultation-liaison psychiatry: Diagnostic Criteria for Psychosomatic Research (DCPR) (tur). J Clin Psy. 2019;22(2):228-42.
  • 4. Grassi L, Sabato S, Rossi E, Biancosino B, Marmai L. Use of the diagnostic criteria for psychosomatic research in oncology. Psychotherapy and psychosomatics. 2005;74(2):100-7.
  • 5. Rafanelli C, Roncuzzi R, Finos L, Tossani E, Tomba E, Mangelli L, et al. Psychological assessment in cardiac rehabilitation. Psychotherapy and psychosomatics. 2003;72(6):343-9.
  • 6. Picardi A, Porcelli P, Pasquini P, Fassone G, Mazzotti E, Lega I, et al. Integration of multiple criteria for psychosomatic assessment of dermatological patients. Psychosomatics. 2006;47(2):122-8.
  • 7. Denollet J, Sys SU, Brutsaert DL. Personality and mortality after myocardial infarction. Psychosomatic medicine. 1995;57(6):582-91.
  • 8. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosomatic medicine. 2005;67(1):89-97. 9. Denollet J, Vaes J, Brutsaert DL. Inadequate Response to Treatment in Coronary Heart Disease. Circulation. 2000;102(6):630-5.
  • 10. de Vroege L, de Heer EW, van der Thiel E, van den Broek KC, van Eck van der Sluijs JF, van der Feltz-Cornelis CM. Type D Personality, Concomitant Depressive and Anxiety Disorders, and Treatment Outcomes in Somatic Symptom and Related Disorders: An Observational Longitudinal Cohort Study. Front Psychiatry. 2019;10:417-.
  • 11. Altamura M, Porcelli P, Balzotti A, Massaro CR, Bellomo A. Influence of DCPR syndromes in the psychosocial functioning of patients with major depressive and bipolar disorders. Psychotherapy and psychosomatics. 2015;84(6):387-8.
  • 12. Lipowski ZJ. Somatization: the concept and its clinical application. The American journal of psychiatry. 1988;145(11):1358-68.
  • 13. Overall JE, Gorham DR. The Brief Psychiatric Rating Scale. Psychological Reports. 1962;10(3):799-812.
  • 14. Porcelli P, Bellomo A, Quartesan R, Altamura M, Iuso S, Ciannameo I, et al. Psychosocial Functioning in Consultation-Liaison Psychiatry Patients: Influence of Psychosomatic Syndromes, Psychopathology and Somatization. Psychotherapy and psychosomatics. 2009;78(6):352-8.
  • 15. Fava GA, Freyberger HJ, Bech P, Christodoulou G, Sensky T, Theorell T, et al. Diagnostic criteria for use in psychosomatic research.Psychotherapy and psychosomatics.1995;63(1):1-8.
  • 16. Sansone RA, Sansone LA. Demoralization in patients with medical illness. Psychiatry (Edgmont). 2010;7(8):42-5.
  • 17. Grassi L, Mangelli L, Fava GA, Grandi S, Ottolini F, Porcelli P, et al. Psychosomatic characterization of adjustment disorders in the medical setting: some suggestions for DSM-V. Journal of affective disorders. 2007;101(1-3):251-4.
  • 18. Koo BB, Chow CA, Shah DR, Khan FH, Steinberg B, Derlein D, et al. Demoralization in Parkinson disease. Neurology. 2018;90(18):e1613-e7.
  • 19. O'Keeffe N, Ranjith G. Depression, demoralisation or adjustment disorder? Understanding emotional distress in the severely medically ill. Clinical medicine (London, England). 2007;7(5):478-81.
  • 20. Abdel-Khalek AM. Death anxiety in clinical and non-clinical groups. Death studies. 2005;29(3):251-9.
  • 21. Abdel-Khalek AM. Death obsession in Egyptian samples: differences among people with anxiety disorders, schizophrenia, addictions, and normals. Death studies. 2002;26(5):413-24.
  • 22. Planansky K, Johnston R. Preoccupation with death in schizophrenic men. Dis Nerv Syst. 1977;38(3):194-7.
  • 23. Mavrogiorgou P, Haller K, Juckel G. Death anxiety and attitude to death in patients with schizophrenia and depression. Psychiatry research. 2020;290:113148.
  • 24. Middendorp H, Kool MB, van Beugen S, Denollet J, Lumley MA, Geenen R. Prevalence and relevance of Type D personality in fibromyalgia. General hospital psychiatry. 2016;39:66-72.
  • 25. Milicevic R, Jaksic N, Aukst-Margetic B, Jakovljevic M. Personality traits and treatment compliance in patients with type 2 diabetes mellitus. Psychiatria Danubina. 2015;27 Suppl 2:586-9.
  • 26. Wu JR, Song EK, Moser DK. Type D personality, self-efficacy, and medication adherence in patients with heart failure-A mediation analysis. Heart & lung : the journal of critical care. 2015;44(4):276-81.
  • 27. Park Y-M, Ko Y-H, Lee M-S, Lee H-J, Kim L. Type-d personality can predict suicidality in patients with major depressive disorder. Psychiatry Investig. 2014;11(3):232-6.
  • 28. Booth L, Williams L. Type D personality and dietary intake: The mediating effects of coping style. Journal of health psychology. 2015;20(6):921-7.

Evaluation of Diagnostic Criteria for Psychosomatic Research (DCPR) and Type D personality in a psychiatric inpatient clinic

Year 2021, Volume 46, Issue 2, 443 - 451, 30.06.2021
https://doi.org/10.17826/cumj.840219

Abstract

Purpose: The aim of this study was to compare psychotic and non-psychotic patients in psychiatry service in terms of Diagnostic Criteria for Psychosomatic Research(DCPR) syndromes and Type D personality, and to determine the relationship between disease severity and DCPR syndromes and Type D personality. Materials and Methods: The study included 200 adult patients hospitalized in Gazi University Faculty of Medicine Psychiatry Service. The patients were grouped as psychotic(n:98) and non-psychotic(n:102). Semi-structured clinical interview was applied to the participants for Sociodemographic Data Form, Brief Psychiatric Rating Scale(BPRS), Type D personality scale and DCPR Syndromes. Results: Fear of Death and Chronic Somatization syndromes were found to be significantly higher in the non-psychotic group. When the subcomponents constituting the Type D personality were evaluated separately among the groups, it was observed that the Negative Affect scores were significantly higher in those without psychotic disorder. A significant relationship was found between BPRS scores and Fear of Death, Functional Somatic Symptoms Secondary to Psychiatric Disorder, Demoralization, and the presence of Type D personality in patients with psychotic disorders. Conclusion: Patients evaluated with DCPR had more diagnoses of different DCPR syndromes depending on whether they were psychotic or not. DCPR syndromes may be a predictor of the severity of the disease in those with psychotic disorders.

References

  • 1. Barsky AJ. Assessing the New DSM-5 Diagnosis of Somatic Symptom Disorder. Psychosomatic medicine. 2016;78(1):2-4.
  • 2. Fava GA, Sonino N. Psychosomatic assessment. Psychotherapy and psychosomatics. 2009;78(6):333-41.
  • 3. Aral G, Civil Arslan F. A new opertional guide against to traditional classification systems in consultation-liaison psychiatry: Diagnostic Criteria for Psychosomatic Research (DCPR) (tur). J Clin Psy. 2019;22(2):228-42.
  • 4. Grassi L, Sabato S, Rossi E, Biancosino B, Marmai L. Use of the diagnostic criteria for psychosomatic research in oncology. Psychotherapy and psychosomatics. 2005;74(2):100-7.
  • 5. Rafanelli C, Roncuzzi R, Finos L, Tossani E, Tomba E, Mangelli L, et al. Psychological assessment in cardiac rehabilitation. Psychotherapy and psychosomatics. 2003;72(6):343-9.
  • 6. Picardi A, Porcelli P, Pasquini P, Fassone G, Mazzotti E, Lega I, et al. Integration of multiple criteria for psychosomatic assessment of dermatological patients. Psychosomatics. 2006;47(2):122-8.
  • 7. Denollet J, Sys SU, Brutsaert DL. Personality and mortality after myocardial infarction. Psychosomatic medicine. 1995;57(6):582-91.
  • 8. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosomatic medicine. 2005;67(1):89-97. 9. Denollet J, Vaes J, Brutsaert DL. Inadequate Response to Treatment in Coronary Heart Disease. Circulation. 2000;102(6):630-5.
  • 10. de Vroege L, de Heer EW, van der Thiel E, van den Broek KC, van Eck van der Sluijs JF, van der Feltz-Cornelis CM. Type D Personality, Concomitant Depressive and Anxiety Disorders, and Treatment Outcomes in Somatic Symptom and Related Disorders: An Observational Longitudinal Cohort Study. Front Psychiatry. 2019;10:417-.
  • 11. Altamura M, Porcelli P, Balzotti A, Massaro CR, Bellomo A. Influence of DCPR syndromes in the psychosocial functioning of patients with major depressive and bipolar disorders. Psychotherapy and psychosomatics. 2015;84(6):387-8.
  • 12. Lipowski ZJ. Somatization: the concept and its clinical application. The American journal of psychiatry. 1988;145(11):1358-68.
  • 13. Overall JE, Gorham DR. The Brief Psychiatric Rating Scale. Psychological Reports. 1962;10(3):799-812.
  • 14. Porcelli P, Bellomo A, Quartesan R, Altamura M, Iuso S, Ciannameo I, et al. Psychosocial Functioning in Consultation-Liaison Psychiatry Patients: Influence of Psychosomatic Syndromes, Psychopathology and Somatization. Psychotherapy and psychosomatics. 2009;78(6):352-8.
  • 15. Fava GA, Freyberger HJ, Bech P, Christodoulou G, Sensky T, Theorell T, et al. Diagnostic criteria for use in psychosomatic research.Psychotherapy and psychosomatics.1995;63(1):1-8.
  • 16. Sansone RA, Sansone LA. Demoralization in patients with medical illness. Psychiatry (Edgmont). 2010;7(8):42-5.
  • 17. Grassi L, Mangelli L, Fava GA, Grandi S, Ottolini F, Porcelli P, et al. Psychosomatic characterization of adjustment disorders in the medical setting: some suggestions for DSM-V. Journal of affective disorders. 2007;101(1-3):251-4.
  • 18. Koo BB, Chow CA, Shah DR, Khan FH, Steinberg B, Derlein D, et al. Demoralization in Parkinson disease. Neurology. 2018;90(18):e1613-e7.
  • 19. O'Keeffe N, Ranjith G. Depression, demoralisation or adjustment disorder? Understanding emotional distress in the severely medically ill. Clinical medicine (London, England). 2007;7(5):478-81.
  • 20. Abdel-Khalek AM. Death anxiety in clinical and non-clinical groups. Death studies. 2005;29(3):251-9.
  • 21. Abdel-Khalek AM. Death obsession in Egyptian samples: differences among people with anxiety disorders, schizophrenia, addictions, and normals. Death studies. 2002;26(5):413-24.
  • 22. Planansky K, Johnston R. Preoccupation with death in schizophrenic men. Dis Nerv Syst. 1977;38(3):194-7.
  • 23. Mavrogiorgou P, Haller K, Juckel G. Death anxiety and attitude to death in patients with schizophrenia and depression. Psychiatry research. 2020;290:113148.
  • 24. Middendorp H, Kool MB, van Beugen S, Denollet J, Lumley MA, Geenen R. Prevalence and relevance of Type D personality in fibromyalgia. General hospital psychiatry. 2016;39:66-72.
  • 25. Milicevic R, Jaksic N, Aukst-Margetic B, Jakovljevic M. Personality traits and treatment compliance in patients with type 2 diabetes mellitus. Psychiatria Danubina. 2015;27 Suppl 2:586-9.
  • 26. Wu JR, Song EK, Moser DK. Type D personality, self-efficacy, and medication adherence in patients with heart failure-A mediation analysis. Heart & lung : the journal of critical care. 2015;44(4):276-81.
  • 27. Park Y-M, Ko Y-H, Lee M-S, Lee H-J, Kim L. Type-d personality can predict suicidality in patients with major depressive disorder. Psychiatry Investig. 2014;11(3):232-6.
  • 28. Booth L, Williams L. Type D personality and dietary intake: The mediating effects of coping style. Journal of health psychology. 2015;20(6):921-7.

Details

Primary Language Turkish
Subjects Psychiatry
Journal Section Research
Authors

Mahmut GÜRBÜZ> (Primary Author)
GAZİANTEP İSLAHİYE DEVLET HASTANESİ
0000-0002-2686-2501
Türkiye


Bahadır GENİŞ>
ZONGULDAK ÇAYCUMA DEVLET HASTANESİ
0000-0001-8541-7670
Türkiye


Mahmut Onur KARAYTUĞ>
ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, TIP PR.
0000-0002-6338-2195
Türkiye


Behçet COŞAR>
GAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0002-6422-499X
Türkiye

Publication Date June 30, 2021
Published in Issue Year 2021, Volume 46, Issue 2

Cite

MLA Gürbüz, M. , Geniş, B. , Karaytuğ, M. O. , Coşar, B. "Bir psikiyatri kliniğinde Psikosomatik Araştırmalar için Tanı Ölçütleri (DCPR) ve D tipi kişiliğin değerlendirilmesi" . Cukurova Medical Journal 46 (2021 ): 443-451 <https://dergipark.org.tr/en/pub/cumj/issue/62101/840219>