Astımlı ve Astımlı Olmayan Bireylerin Bağımlı Kişilik Özelliği ile Depresyon, Anksiyete ve Stres Düzeyleri Arasındaki İlişkinin İncelenmesi

Year 2022, Volume: 4 Issue: 3, 393 - 399, 22.09.2022

Hilal Seki Öz , Cihan Aydin , Didem Ayhan

https://doi.org/10.37990/medr.1105464

Cited By: 1

Abstract

Amaç: Astım ve psikiyatrik sorunların arasında karmaşık bir ilişki bulunmakta, optimal tedavi için bu ilişkinin araştırılması önem kazanmaktadır. Kesitsel ve karşılaştırıcı desende yapılan bu araştırma ile astımlı olan ve olmayan bireylerin bağımlı kişilik özellikleri, depresyon, anksiyete ve stres düzeylerinin incelenmesi amaçlanmıştır.
Materyal ve Metot: Bu çalışmaya astımlı olan (n=172) ve olmayan (n=210) 382 birey katılmıştır. Veriler Tanıtıcı Bilgi Formu, Kişilik Özellikleri Ölçeği ve Depresyon Anksiyete Stres-21 Ölçeği Kısa Formu ile toplanmıştır. Grupların karşılaştırılmasında Ki-kare testi, Mann Whitney-U testi ve Pearson Korelasyon testi kullanılmıştır.
Bulgular: Katılımcıların yaş ortalaması 40.80±12.06 olup, %45’i astımlı bireylerdir ve hastalık yılı 7.92±8.49’dur. Astımlı bireylerin bağımlı kişilik özelliği ve anksiyete düzeyinin yüksek olduğu görülmüştür (p<0.050). Bağımlı kişilik özelliği ile depresyon, anksiyete ve stres arasında zayıf düzeyde pozitif bir ilişki olduğu, astımlı bireylerde bağımlı kişilik özelliği ile anksiyete ve depresyon korelasyonun daha yüksek olduğu bulunmuştur.
Sonuç: Astımlı bireylerde bağımlı kişilik özelliği ve anksiyete daha yüksektir. Astım yönetiminde farmakolojik tedaviler kadar kişilik özellikleri ve psikiyatrik belirtilerin özenle ele alınması önerilir.

Keywords

Astım, depresyon, anksiyete, stres, bağımlı kişilik

Investigation of the Relationship Between of Dependent Personality Trait, Depression, Anxiety, and Stress Levels of Asthmatic and Non-Asthmatic Individuals

Abstract

Aim: There is a complex relationship between asthma and psychiatric problems; therefore, it is important to investigate this relationship for optimal treatment. In this cross-sectional and comparative study, it was aimed to examine the dependent personality trait, depression, anxiety and stress levels of asthmatic and non-asthmatic individuals.
Material and Method: 382 individuals with (n=172) and without (n=210) asthma were included in our study. The study data were collected with Identifying Information Form, Personality Belief Questionnaire, and Depression Anxiety Stress Scale (DASS) 21-Short Form. Comparisons between groups were made using the Chi-square test, Mann Whitney-U test, and Pearson correlation test.
Results: The mean age of the participants was 40.80±12.06, 45% of them were asthmatic, and the disease year was 7.92±8.49. It was observed that asthmatic individuals had high dependent personality trait and anxiety levels (p<0.050). It was found that there was a weak positive correlation between dependent personality trait and depression, anxiety and stress, and the correlation between dependent personality trait and anxiety and depression was higher in asthmatic individuals.
Conclusion: The incidence of dependent personality trait and anxiety was higher in asthma patients. In asthma management, it is recommended that personality traits and psychiatric symptoms should be handled with care along with pharmacological treatments.

Keywords

Asthma, depression, anxiety, stress, dependent personality

References

• Vafaee F, Shirzad S, Shamsi F, Boskabady MH. Neuroscience and treatment of asthma, new therapeutic strategies and future aspects. Life Sci. 2022;292:120175. doi: 10.1016/j.lfs.2021.120175.
• Bianco A, Mazzarella G, Bresciani M, Paciocco G, Spiteri MA. Virus-induced asthma. Monaldi Arch Chest Dis. 2002;57(3-4):188-90.
• Cardinale F, Lombardi E, Rossi O, Bagnasco D, Bellocchi A, Menzella F. Epithelial dysfunction, respiratory infections and asthma: the importance of immunomodulation. A focus on OM-85. Expert Rev Respir Med. 2020;14(10):1019-1026. doi: 10.1080/17476348.2020.1793673.
• Kline JN, Rose RM. Central nervous system influences in asthma. Adv Exp Med Biol. 2014;795:309-319. doi: 10.1007/978-1-4614-8603-9_19.
• Gao X, Xiao Y, Lv P, Zhang W, Gong Y, Wang T, et al. Altered brain network integrity in patients with asthma: A structural connectomic diffusion tensor imaging study. Respir Physiol Neurobiol. 2019;266:89-94. doi: 10.1016/j.resp.2019.05.004.
• Camp B, Stegemann-Koniszewski S, Schreiber J. Infection-Associated Mechanisms of Neuro-Inflammation and Neuro-Immune Crosstalk in Chronic Respiratory Diseases. Int J Mol Sci. 2021;22(11):5699. doi: 10.3390/ijms22115699.
• Hurtado-Ruzza R, Iglesias ÓÁ, Dacal-Quintas R, Becerro-de-Bengoa-Vallejo R, Calvo-Lobo C, San-Antolín M, et al. Asthma, much more than a respiratory disease: influence of depression and anxiety. Rev Assoc Med Bras (1992). 2021;67(4):571-576. doi: 10.1590/1806-9282.20201066.
• Paquet J, Mah D, Saad E, Beach J, Vethanayagam D. Psychiatric co-morbidity and asthma: A pilot study utilizing a free use tool to improve asthma care. Clin Invest Med. 2019;42(4):E22-E27. doi: 10.25011/cim.v42i4.33115.
• Dudeney J, Sharpe L, Jaffe A, Jones EB, Hunt C. Anxiety in youth with asthma: A meta-analysis. Pediatr Pulmonol. 2017;52(9):1121-1129. doi: 10.1002/ppul.23689.
• Frieri M, O'Connor M, Nassef M. Asthma, stress, and depression in women. Allergy Asthma Proc. 2015;36(4):256-261. doi: 10.2500/aap.2015.36.3847.
• Rajesh TV, Krishnakumar P, Mathews L. Temperamental traits and psychological problems of children with bronchial asthma. Indian Pediatr. 2008;45(9):772-774.
• Mitrani JL. “Unmentalized” experience in the etiology and treatment of psychosomatic asthma. Contemporary Psychoanalysis. 1993;29(2):314-342.
• Debray R, Dejours C, Fedida P. Beden Deneyimi Psikopatolojisi (Çeviri Eds. A. Özen). İstanbul, Bağlam Yayıncılık, 2015.
• Williams JS. Aspects of dependence-independence conflict in children with asthma. J Child Psychol Psychiatry. 1975;16(3):199-218. doi: 10.1111/j.1469-7610.1975.tb01270.x.
• Tanık B. Astım tanısı almış çocuklarda depresyon ve endişe bulgularının projektif testlerle değerlendirilmesi. Yansıtma Psikopatoloji ve Projektif Testler Dergisi. 2011;16: 63-69.
• TUIK, Kırşehir il nüfusu.TÜİK - Coğrafi İstatistik Portalı (tuik.gov.tr) (accessed Dec 2021).
• To T, Stanojevic S, Moores G, Gershon AS, Bateman ED, Cruz AA, Boulet LP. Global asthma prevalence in adults: findings from the cross-sectional world health survey. BMC Public Health. 2012;12:204. doi: 10.1186/1471-2458-12-204.
• Taymur İ, Türkçapar MH, Örsel S, Sargın E, Akkoyunlu S. Kişilik İnanç Ölçeği-Kısa Formunun (KİÖ-KTF) Türkçe Çevirisinin Üniversite Öğrencilerinde Geçerlilik, Güvenilirliği. Klinik psikiyatri. 2011;14:199-209.
• Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive Behavioral Psychotherapy and Research, 2018;07(1):19-30. doi: 10.5455/JCBPR.274847.
• Labor S, Labor M, Jurić I, Vuksić Z. The prevalence and pulmonary consequences of anxiety and depressive disorders in patients with asthma. Coll Antropol. 2012;36(2):473-481.
• Ye G, Baldwin DS, Hou R. Anxiety in asthma: a systematic review and meta-analysis. Psychol Med. 2021;51(1):11-20. doi: 10.1017/S0033291720005097.
• Bardach NS, Neel C, Kleinman LC, McCulloch CE, Thombley R, Zima BT, et al. Depression, Anxiety, and Emergency Department Use for Asthma. Pediatrics. 2019;144(4):e20190856. doi: 10.1542/peds.2019-0856.
• Wufuer D, Aierken H, Fang Y, Simayi M, Tuerxun K, Maitisidike A. Incidence of depression and its influencing factors in 387 patients with asthma from Xinjiang, China. Allergy Asthma Proc. 2020;41(2):e45-e53. doi: 10.2500/aap.2020.41.190034.
• Jiang M, Qin P, Yang X. Comorbidity between depression and asthma via immune-inflammatory pathways: a meta-analysis. J Affect Disord. 2014;166:22-29. doi: 10.1016/j.jad.2014.04.027.
• Del Giacco SR, Cappai A, Gambula L, Cabras S, Perra S, Manconi PE, et al. The asthma-anxiety connection. Respir Med. 2016;120:44-53. doi: 10.1016/j.rmed.2016.09.014.
• Erdenen F. Psikiyatrik Tıp açısından astım. İstanbul Tıp Dergisi. 2000;1:41-45.
• Nouri F, Feizi A, Keshteli AH, Roohafza H, Afshar H, Adibi P. Personality traits are differently associated with depression and anxiety: Evidence from applying bivariate multiple binary logistic regression on a large sample of general adults. Psychiatr Danub. 2019;31(4):448-456. doi: 10.24869/psyd.2019.448.
• Oh H, Stickley A, Singh F, Koyanagi A. Self-reported asthma diagnosis and mental health: Findings from the Collaborative Psychiatric Epidemiology Surveys. Psychiatry Res. 2019;271:721-725. doi: 10.1016/j.psychres.2018.12.046.
• Luria CJ, Sitarik AR, Havstad S, Zoratti EM, Kim H, Wegienka GR, et al. Association between asthma symptom scores and perceived stress and trait anxiety in adolescents with asthma. Allergy Asthma Proc. 2020;41(3):210-217. doi: 10.2500/aap.2020.41.200017.
• Lyketsos GC, Karabetsos A, Jordanoglou J, Liokis T, Armagianidis A, Lyketsos CG. Personality characteristics and dysthymic states in bronchial asthma. Psychother Psychosom. 1984;41(4):177-85. doi: 10.1159/000287807. PMID: 6463184.
• Weinstein SM, Pugach O, Rosales G, Mosnaim GS, Walton SM, Martin MA. Family Chaos and Asthma Control. Pediatrics. 2019;144(2):e20182758. doi: 10.1542/peds.2018-2758.
• Akula M, Kulikova A, Khan DA, Brown ES. The relationship between asthma and depression in a community-based sample. J Asthma. 2018;55(12):1271-1277. doi: 10.1080/02770903.2017.1418885.
• Marfoli A, Viglia F, Di Consiglio M, Merola S, Sdoia S, Couyoumdjian A. Anaclitic-sociotropic and introjective-autonomic personality dimensions and depressive symptoms: a systematic review. Ann Gen Psychiatry. 2021;20(1):53. doi: 10.1186/s12991-021-00373-z.
• Gulec MY, Gulec H, Oztuna F, Kose S. Cloninger's temperament and character dimension of personality in patients with asthma. Int J Psychiatry Med. 2010;40(3):273-87. doi: 10.2190/PM.40.3.d.
• Mrazek DA. Psychiatric symptoms in patients with asthma causality, comorbidity, or shared genetic etiology. Child Adolesc Psychiatr Clin N Am. 2003;12(3):459-471. doi: 10.1016/s1056-4993(03)00028-2.