Epilepsili bireylerde duygu düzenleme güçlükleri ve sosyal destek: depresyon düzeyi ile ilişkisi

Year 2022, Volume: 47 Issue: 3, 1315 - 1326, 30.09.2022

Bengü Altunan Aysun Ünal

https://doi.org/10.17826/cumj.1138971

Abstract

Amaç: Bu çalışmada epilepsili bireylerde depresyon düzeyi ile duygu düzenleme güçlükleri ve sosyal destek arasındaki ilişkiyi incelemeyi amaçladık.
Gereç ve Yöntem: Fokal epilepsi tanısı ile takip edilmekte olan hastalara Nörolojik Bozukluklarda Depresyon Ölçeği-Epilepsi (NDDI-E), Duygu Düzenleme Güçlükleri Ölçeği (DDGÖ) ve İki Yönlü Sosyal Destek Ölçeği (2-YSDÖ) verilmiştir.
Bulgular: Çalışmaya 109 hasta dahil edilmiştir. Hastaların %25’inde depresyon saptanmıştır. Depresyonu olan olguların DDGÖ median değeri 45 (28-55), depresyon saptanmayan grubun ise 24 (18-33,5)’dür. Depresyonu olan grubun DDGÖ skorunun depresyonu olmayan gruba kıyasla anlamlı derecede yüksek olduğu tespit edilmiştir. Tüm çalışma popülasyonunda yapılan 2-YSDÖ (92 (69,5-102,5)) ve DDGÖ (27 (19-41)) skorlarının korelasyon analizinde sosyal destek ve duygu düzenleme güçlükleri arasında negatif bir ilişki mevcuttur. Regresyon analizine göre ise duygu düzenleme güçlükleri depresyonun ana belirleyicisidir ve depresyonu %16,8 oranında açıklamaktadır.
Sonuç: Epilepsili bireylerde duygu düzenleme güçlükleri depresyonun ana belirleyicilerinden biridir ve yetersiz sosyal destek duygu düzenleme güçlükleri ile ilişkilidir. Epilepsili bireylerde depresyon sıklığını azaltmak için duygu düzenleme stratejilerini güçlendirecek rehabilitasyon programlarına ihtiyaç vardır.

Keywords

Epilepsi, depresyon, duygu düzenleme güçlükleri, sosyal destek

Supporting Institution

yoktur

Difficulties in emotion and social support in people with epilepsy: relationship with depression levels

Abstract

Purpose: In this study, we aimed to examine the relationship between depression level, emotion regulation difficulties and social support in individuals with epilepsy.
Materials and Methods: Neurological Disorders Depression Inventory-Epilepsy (NDDI-E), Difficulties in Emotion Regulation Scale (DERS), and Two-Way Social Support Scale (2-WSSS) were filled out by the patients followed up with a diagnosis of focal epilepsy.
Results: One hundred nine patients were included in the study. Depression was found in 25% of the patients. The median DERS value of the patients with depression was 45 (28-55), and the group without depression was 24 (18-33.5). It was determined that the DERS score of the depressed group was significantly higher than the group without depression. There is a negative correlation between social support scale (92 (69.5-102.5)) and emotion regulation difficulties scale (27 (19-41)) in the correlation analysis of the entire study population. According to the regression analysis, difficulties in emotion regulation are the main determinant of depression and explain depression at a rate of 16.8%.
Conclusion: Emotion regulation difficulties are one of the main determinants of depression in individuals with epilepsy and inadequate social support is associated with emotion regulation difficulties. In order to reduce the frequency of depression in individuals with epilepsy, rehabilitation programs are needed to strengthen emotion regulation strategies.

Keywords

Epilepsy, depression, difficulties in emotion regulation, social support

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