Personality Organization in Anxiety Disorders: Comparison of Generalized Anxiety Disorder and Panic Disorder

Year 2023, Volume: 15 Issue: Supplement 1, 321 - 331, 29.12.2023

Arda Kazım Demirkan , Gizem Gerdan , Medine Yazıcı

https://doi.org/10.18863/pgy.1320916

Abstract

The objective of this study was to explore the level of personality organization in patients diagnosed with generalized anxiety disorder (GAD) and panic disorder (PD). The study comprised 86 patients undergoing treatment for GAD (n=46) and PD (n=40). Various tools were utilized for data collection including a Sociodemographic Data Collection Form, Personality Organization Diagnostic Form (PODF), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). A significant difference was observed between the GAD and PD groups regarding the PODF scores for mature defense, anxiety, and depression. However, no significant difference was observed in relation to the PODF identity total score and primitive defense scores. Furthermore, the quality of object relations and the overall level of personality organization according to the PODF did not display any significant differences between the groups. According to the BDI, comorbid depressive symptoms were detected in 67.4% (n=58) of the participants with GAD and PD. There was no significant difference in the PODF scores, quality of object relations, and the overall level of personality organization between the group with comorbid depressive symptoms and the group without it.These findings suggest that while the primary focus of therapeutic interventions should be on targeting the specific type of anxiety disorder, assessing the level of personality organization in patients with GAD and PD could add valuable insights to individual case understanding, selection of psychotherapy approaches, and the treatment process..

Keywords

personality organization, identity, generalized anxiety disorder, panic disorder

Supporting Institution

None

Project Number

None

Thanks

None

Anksiyete Bozukluklarında Kişilik Örgütlenmesi: Yaygın Anksiyete Bozukluğu ve Panik Bozukluğu Karşılaştırılması

Abstract

Bu çalışmada yaygın anksiyete bozukluğu (YAB) ve panik bozukluk (PB) hastalarında kişilik örgütlenme düzeylerinin incelenmesi amaçlanmıştır. Çalışma YAB (n=46) ve PB (n=40) tanısıyla izlemi yapılan 86 hasta ile yürütülmüştür. Katılımcılara sosyodemografik veri toplama formu, Kişilik Örgütlenmesi Tanı Formu (KÖTF), Beck Depresyon Ölçeği (BDÖ) ve Beck Anksiyete Ölçeği (BAÖ) uygulanmıştır. YAB ve PB gruplarında KÖTF olgun savunma, anksiyete ve depresyon puanları arasında anlamlı bir farklılık bulunurken, KÖTF kimlik toplam puanı ve ilkel savunma puanları açısından anlamlı bir farklılık bulunmamıştır. Gruplar arasında KÖTF’e göre nesne ilişkilerinin niteliği ve genel kişilik örgütlenmesi düzeyi açısından da anlamlı bir farklılık bulunmamıştır. BDÖ’ye göre katılımcıların %67,4 (n=58)’ünde YAB ve PB’ye komorbid olarak depresif belirtiler saptanmıştır. Komorbid depresif belirtileri olan ve olmayan gruplar arasında KÖTF puanları, nesne ilişkilerinin niteliği ve genel kişilik örgütlenme düzeyi açısından anlamlı bir farklılık bulunmamıştır. Sonuçlar, tedavide primer olarak anksiyete bozukluğu türünün hedef alınması gerektiğine işaret ederken, diğer taraftan YAB ve PB’de kişilik örgütlenme düzeyinin incelenmesinin bireylerin vaka bazında anlaşılmasına, psikoterapi yaklaşımlarının seçilmesine ve tedavi sürecine katkı sağlayabileceğini düşündürmektedir.

Keywords

kişilik örgütlenmesi, kimlik, yaygın anksiyete bozukluğu, panik bozukluk

Project Number

None

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