Temperament and impulsivity in bipolar patients with and without obsessive compulsive disorder

Year 2014, , 103 - 9, 08.10.2014

Faruk Kılıç M. Murat Kuloğlu M. Gürkan Gürok Osman Mermi Murad Atmaca

https://doi.org/10.5455/jmood.20140702014438

Abstract

Objective: The aim of this study is to investigate the dominant affective temperament and the impulsivity of bipolar disorder (BD) patients with and without comorbid obsessive compulsive disorder (OCD) in comparison with healthy controls. Method: The study was conducted among outpatients of the psychiatry clinic of Fırat University Hospital. Thirty patients with the diagnosis of BD with comorbid OCD, 40 patients with the diagnosis of BD without OCD, and 40 healthy controls similar to the study groups in terms of age and gender. The patients and controls were asked to complete a socio-demographic data sheet, Temperament Evaluation of Memphis, Pisa, Paris, San Diego Autoquestionaire (TEMPS-A), and Barratt Impulsiveness Scale-11 (BIS-11). Patients were also evaluated by Young Mania Rating Scale (YMRS). Results: In both study groups frequencies of dominant depressive, cyclothymic, irritable, and anxious temperament and their scores were significantly higher than those of controls. There was no difference between BD patients with and without OCD comorbidity in respect to their dominant temperaments. The patients scored significantly higher on the BIS-11 total and sub-dimensions than the controls. The scores of attention related with impulsiveness in BD patients with comorbid OCD were significantly higher. Conclusion: In our study we found that BD patients with or without comorbid OCD exhibited differences in some subscores of temperament characteristics and impulsivity when compared with healthy controls.

Keywords

bipolar disorder, obsessive compulsive disorder, temperament, impulsivity

Obsesif kompulsif bozukluğun eşlik ettiği ve etmediği iki uçlu bozukluk hastalarında mizaç ve dürtüsellik

Abstract

Amaç: Bu çalışmada Obsesif Kompulsif Bozukluk (OKB) eşlik eden ve etmeyen iki uçlu bozukluk (İUB) tanılı hastaların baskın mizaç tipleri ile dürtüsellik düzeylerinin kontrol grubuyla karşılaştırılarak değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya Fırat Üniversitesi Hastanesi Psikiyatri Polikliniğine başvuran OKB eşlik eden İUB tanılı 30 hasta, OKB eşlik etmeyen İUB tanılı 40 hasta ile 40 sağlıklı kontrol alındı. Kontrol ve hasta gruplarına sosyodemografik veri formu, Temperament Evaluation of Memphis, Pisa, Paris, San Diego Autoquestionaire (TEMPS-A) mizaç ölçeği, Barratt Dürtüsellik Ölçeği–11 (BDÖ–11) ve hasta grubuna ek olarak Young Mani Derecelendirme Ölçeği (YMDÖ) uygulandı. Bulgular: Her iki hasta grubunun da baskın depresif, siklotimik, irritabl ve anksiyöz mizaç sıklığı ve puanları kontrol grubuna göre anlamlı olarak yüksek bulundu. Baskın mizaç yönünden ise OKB eşlik eden ve etmeyen İUB hastaları arasında anlamlı farklılık yoktu. Hasta gruplarında BDÖ-11 total ve alt boyutları kontrol grubuna göre anlamlı olarak yüksek bulundu. Sonuç: Çalışmamızda, OKB eşlik eden ve etmeyen İUB hastaları ile kontrol grubu arasında mizaç özelliklerinin ve dürtüselliğin alt boyutlarının, bazı alanlarda farklılık gösterdiği tespit edildi.

Keywords

iki uçlu bozukluk, obsesif kompulsif bozukluk, mizaç, dürtüsellik

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