Obsesif-kompülsif bozukluk hastalarında anksiyete duyarlılığı ve intihar düşüncesi arasındaki ilişki: Kontrollü çalışma

Öz

Amaç: Obsesif kompulsif bozukluk (OKB) intihar riski ile ilişkilidir, ancak OKB'de intihar sıklığı ve yükü konusunda hala bir tartışma vardır. Bu çalışmanın amacı obsesif-kompülsif bozukluk (OKB) hastalarındaki anksiyete duyarlılığı ile intihar düşüncesi arasındaki ilişkiyi saptamaktır. Yöntemler: Bu kontrollü çalışma 36 OKB hastası ve 36 sağlıklı kontrolü içermekteydi. Tüm olgular Beck Depresyon Skalası (BDS), Beck Anksiyete Skalası (BAS), Yale-Brown Obsesyon Kompülsiyon Ölçeği (YBOKÖ), Anksiyete-Sensivite İndeksi-3 (ASI-3) ve İntihar Olasılığı Ölçeği (İOÖ) ile değerlendirildi. Demografik veriler her hastadan kayıt edildi. Bulgular: Yetmiş iki olgu çalışmaya dahil edildi. Ortalama yaş 31,89 (9,69) idi. Gruplar arasında intihar girişim hikâyesi, ailede intihar girişim hikâyesi ve herhangi bir kronik hastalık varlığı açısından fark yoktu. BDS, BAÖ ve ASI-3 skorları hasta grubunda kontrol grubuna göre anlamlı olarak daha yüksekti (P>0,05). BDS, BAÖ, ASI-3 ve İOÖ umutsuzluk, intihar düşüncesi, düşmanlık ve total skorları arasında anlamlı korelasyonlar saptandı (P>0,05). Sonuç: Bu çalışma depresyon ve anksiyete durumunun OKB hastalarında intihar riski için önemli olduğunu saptamıştır. Bu nedenle OKB tanısı alan hastaların intihar düşüncesi açısından her zaman değerlendirilmesi önerilir.

Anahtar Kelimeler

• Obsesif-kompülsif bozukluk
• Anksiyete
• Depresyon
• İntihar

Association between suicide idea and anxiety sensitivity in obsessive-compulsive disorder: A controlled study

Abstract

Aim: Obsessive-compulsive disorder (OCD) is associated with suicide risk, but controversy remains about the frequency and burden of suicidality in OCD. This study aimed to identify the relationship between anxiety sensitivity and suicidal idea in patients with OCD. Methods: This controlled study included 36 OCD patients and 36 healthy controls. All individuals were evaluated with Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Anxiety Sensitivity Index-3 (ASI-3) and Suicide Probability Scale (SPS). Demographic data were obtained from each patient. Results: Seventy-two individuals with a mean age of 31.89 (9.69) years were included in this study. No significant differences were found between the groups with regards to individual and family histories of suicide attempt and the presence of other chronic diseases (P>0.05 for each). The patients had significantly higher BDI, BAI and ASI-3 scores than the controls (P>0.05 for each). There were significant correlations between BDI, BAI, ASI-3 and SPS desperation, suicide ideation scores, hostility scores and total scores (P<0.05 for each). Conclusion: The present study revealed that depression and anxiety status are important for suicide risk in OCD patients. Therefore, it is recommended to always evaluate the risk of suicide in these patients.

Keywords

• Obsessive-Compulsive Disorder
• Anxiety
• Suicidality
• Depression

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