Yaygın Anksiyete Bozukluğu ve Panik Bozuklukta Düşünce Kontrolü ve Obsesif İnanışların İncelenmesi

Abstract

Öz: Amaç: Obsesif inanışlar ve düşünce kontrolü çoğunlukla Obsesif Kompulsif Bozuklukla ilişkilendirilmiştir. Ancak son zamanlarda literatürde anksiyete bozuklukları ile ilişkisi de araştırılmaktadır. Bu araştırmada Yaygın Anksiyete Bozukluğu ve Panik Bozukluk tanılı hastalarda Obsesif İnanışlar ve Düşünce Kontrolü düzeyleri incelenmiştir. Anksiyete bozukluklarının bilişsel temeli ile ilgili literatüre katkı sağlanması amaçlanmıştır. Gereç ve Yöntem: Araştırmaya DSM 5 tanı kriterlerine göre Yaygın Anksiyete Bozukluğu tanısı alan 71 hasta, Panik Bozukluk tanısı alan 63 hasta ve 63 sağlıklı kontrol grubu dahil edilmiştir. Katılımcılara Düşünce Kontrol Ölçeği ve Obsesif İnanışlar Ölçeği uygulanmıştır. Ayrıca Yaygın Anksiyete Bozukluğu tanısı alan hastalara Beck Anksiyete Ölçeği, Panik Bozukluk tanısı alan hastalara İse Panik Agorafobi Ölçeği uygulanmıştır. Bulgular: Dikkat Dağıtma (F=11.383; p=<0.01; η2=0.105), Sosyal Kontrol (F=9.517; p=<0.01; η2=0.089), Endişe (F=5.589; p=0.004; η2=0.054), Kendini Cezalandırma (F=4.879; p=0.009; η2=0.048), Yeniden Değerlendirme (F=3.916; p=0.021; η2=0.039) alt boyutlarında gruplar arasında istatistiksel olarak anlamlı fark saptanmıştır. Gruplar arasında Sorumluluk/Tehlike Beklentisi (F=9.268; p=<0.01; η2=0.087) ve Mükemmeliyetçilik/ Kesinlik (F=18.557; p=<0.01; η2=0.161) alt boyutlarında gruplar arasında istatistiksel olarak anlamlı fark saptanırken Önem Verme/ Düşünceleri Kontrol Etme (F=0.300; p=0.741; η2=0.003) alt boyutunda istatistiksel olarak anlamlı fark saptanmamıştır. Sonuç: Araştırmamızda Yaygın Ankisiyete Bozukluğu ve Panik Bozukluk tanısı olan hastaların Obsesif İnanışlar ve Düşünce Kontrolü düzeyleri sağlıklı kontrollerden yüksek bulunmuştur. İşlevsel olmayan bu düşünceler anksiyete bozukluklarının gelişiminde risk faktörü olabilir. Anksiyete bozukluklarının etyolojisine yönelik yapılacak araştırmalar literatüre katkı sağlayacaktır.

Keywords

• obsesif inanışlar
• düşünce kontrolü
• anksiyete bozukluğu
• panik bozukluk

Investigation of Thought Control and Obsessive Beliefs in Generalised Anxiety Disorder and Panic Disorder

Abstract

Aims: Obsessive beliefs and thought control are often thought to be associated with Obsessive Compulsive Disorder. However, the relationship with anxiety disorders has recently been investigated in the literature. In this study, Obsessive Beliefs and Thought Control levels in patients diagnosed with Generalised Anxiety Disorder and Panic Disorder were investigated. It is aimed to contribute to the literature on the cognitive aspects of anxiety disorders. Material and Method: According to DSM 5 diagnostic criteria, 71 patients diagnosed with Generalised Anxiety Disorder, 63 patients diagnosed with Panic Disorder and 63 healthy controls were included in the study. The participants were applied the Thought Control Questionnaire and Obsessive Beliefs Questionnaire. In addition, Beck Anxiety Scale was applied to patients diagnosed with Generalised Anxiety Disorder and Panic Agoraphobia Scale was applied to patients diagnosed with Panic Disorder. Results: A statistically significant difference was found between the groups in Distraction (F=11.383; p=<0.01; η2=0.105), Social Control (F=9.517; p=<0.01; η2=0.089), Worry ( F=5.589; p=0.004; η2=0.054), Self-Punishment ( F=4. 879; p=0.009; η2=0.048), Reappraisal ( F=3.916; p=0.021; η2=0.039) sub-dimensions. There was a statistically significant difference between the groups in the sub-dimensions of Responsibility/Threat Estimation (F=9.268; p=<0.01; η2=0.087) and Perfectionism/Certainty (F=18.557; p=<0.01; η2=0.161), but there was no statistically significant difference in the subdimension Importance/control of thoughts ( F=0.300; p=0.741; η2=0.003). Conclusion: In our study, Obsessive Beliefs and Thought Control levels of patients with Generalised Anxiety Disorder and Panic Disorder were higher than healthy controls. These dysfunctional thoughts may be a risk factor in the development of anxiety disorders. Research on the aetiology of anxiety disorders will contribute to the literature.

Keywords

• obsessive beliefs
• thought control
• anxiety disorder
• panic disorder

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