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Nonkardiyak Göğüs Ağrısı Şikayeti Olan Bireylerde D Tipi Kişilik, Psikiyatrik Belirtiler ve Ağrı Şiddeti Arasındaki İlişki

Year 2022, Volume: 12 Issue: 1, 99 - 103, 14.01.2022
https://doi.org/10.33631/sabd.1055391

Abstract

Amaç: Göğüs ağrısı şikâyeti toplumda yaygın olarak görülür. Göğüs ağrısının etiyolojisinde en sık olarak kardiyak nedenler olmakla psikiyatrik bozukluklarda sık görülen nedenler arasındadır. Bu şikayet kalp rahatsızlığı ile ilgili sürekli endişeye ve sağlık hizmetlerinin tekrarlayan kullanımına neden olması açısından önemli bir sağlık sorunudur. Nonkardiyak göğüs ağrısı (NKGA) şikâyeti olan hastalarda psikiyatrik belirtiler araştırılmış olmakla birlikte D Tipi kişilik araştırılmamıştır. Bu nedenle göğüs ağrısı şikâyeti olan bireylerde psikiyatrik belirtiler ile bu belirtilerle hissedilen ağrı şiddeti arasındaki ilişkiyi incelemek için bu çalışma planlanmıştır.
Gereç ve Yöntemler: NKGA tanısı konulan 100 kişi ile hasta grubu, sağlıklı 100 kişi ile kontrol grubu oluşturuldu. Olgulara Sosyodemografik Veri Formu, Beck Depresyon ölçeği, Çocukluk Çağı Travmaları Ölçeği, D Tipi Kişilik Ölçeği, bedensel duyumları abartma ölçeği, Toronto Aleksitimi ölçeği uygulandı.
Bulgular: Sosyodemografik verilere bakıldığında hasta grubu ile kontrol grubu arasında yaş, cinsiyet, medeni hal, çalışma durumu ve eğitim düzeyleri bakımından anlamlı fark bulunmadı. Hasta grubundaki bireylerde kontrol grubuna göre depresyon, aleksitimi, bedensel duyumları abartma, D Tipi Kişilik ve çocukluk çağı travmatik yaşantılar ölçek puanlarının anlamlı olarak daha yüksek olduğu ayrıca D Tipi kişilik özelliklerinin ağrı şiddeti ile ilişkili olduğu bulunmuştur.
Sonuç: NKGA şikâyeti olan hastalarda psikiyatrik belirtiler sık olarak görülmektedir. Psikiyatrik bozuklukların tespit edilmesi ve tedavi edilmeleri ile birlikte tekrarlayan hastane başvurularının azaltılabileceğini düşünüyoruz.

References

  • Eslick GD. Usefulness of chest pain character and location as diagnostic indicators of an acute coronary syndrome. Am J Cardiol. 2005; 95(10): 15-8.
  • Mayou RA, Bryant B, Forfar C. Non-cardiac chest pain and bening palpitations in the cardiac clinic. Br Heart J. 1994; 72(6): 548-53.
  • Bokma WA, Batelaan NM, Beek AM, Boenink AD, Smit JH, Balkom AJ. Feasibility and outcome of the implementation of a screening program for panic disorder in noncardiac chest pain patients in cardiac emergency department routine care. Gen Hosp Psychiatry. 2015; 37(5): 485-7.
  • Eslick GD, Talley NJ. Natural history and predictors of outcome for non-cardiac chest pain: A prospective 4-year cohort study. Neurogastroenterol Motil. 2008; 20(9): 989-97.
  • Dammen T, Arnesen H, Ekeberg O. Psychological factors, pain attribution and medical morbidity in chest-pain patients with and without coronary artery disease. Gen Hosp Psychiatry. 2004; 26(6): 463-9.
  • Pederson S, Denollet J. Type D Personality, cardiac events, and impaired quality of life: a review. Eur J Cardiovasc Prev Rehabil. 2003; 10(4): 241-8.
  • Sifneos PE, Apfel-Savitz R, Frankel FH. The Phenomenon of ‘Alexithymia.’ Psychother Psychosom. 1977; 28(1-4): 47-57.
  • Zincir, SB, Sunbul M, Sunbul EA, Dalkilic B, Cengiz F, Kivrak T, et al. Evaluation of Alexithymia, Somatosensory Sensitivity, and Health Anxiety Levels in Patients with Noncardiac Chest Pain. Biomed Res Int. 2014; 89: 61-83.
  • Barsky AJ. Amplification, somatization, and the somatoform disorders. Psychosomatics. 1992; 33(1): 28-34.
  • Beck AT. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4(6): 561-71.
  • Hisli N. Beck Depresyon Envanterinin geçerliliği üzerine bir çalışma. Psikoloji Dergisi. 1988; 6: 118-22.
  • Bernstein DP, Fink L, Handelsman L, J Foote, M Lovejoy, K Wenzel, et al. Initial reliability and validity of a new Retropective measure of child abuse and neglect. Am J Psychiatry. 1994; 151(8): 1132-6.
  • Şar V, Öztürk E, İkikardeş E. Çocukluk Çağı Ruhsal Travma Ölçeğinin (CTQ) Türkçe uyarlamasının geçerlik ve güvenilirliği. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2012; 32(4): 1054-63.
  • Denollet J. DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2015; 67(1): 89-97.
  • Alçelik A, Yıldırım O, Canan F, Eroğlu M, Aktaş G, Savli H. A preliminary psychometric evaluation of the type D personality construct in Turkish hemodialysis patients. Journal of Mood Disorders. 2012; 2(1): 1-5.
  • Barsky AJ, Goodson JD, Lane RS The amplification of somatic symptoms. Psychosom Med. 1988; 50(5): 510-9.
  • Güleç H, Sayar K. The Reliability and validity of the Turkish form of the somatosensory amplification scale. Psychiatry Clin Neurosci. 2007; 61(1): 23-8.
  • Taylor GJ, Ryan D, Bagby RM. Toward the development of a new self-report alexithymia scale. Psychother Psychosom. 1985; 44(4): 191-9.
  • Dereboy İF. Aleksitimi: Bir Gözden Geçirme. Türk Psikiyatri Derg. 1991; 1(3): 157-65.
  • Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983; 17(1): 45-56.
  • Webster R, Norman P, Goodacre S, Thompson A. The prevalence and correlates of psychological outcomes in patients with acute non-cardiac chest pain: A systematic review. Emerg Med J. 2012; 29(4): 267-73.
  • Leeuw M, Goossens MEJB, Linton SJ, Crombez G, Boersma K, Vlaeyen JWS. The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence. J Behav Med. 2007; 30(1): 77-94.
  • Kellner R, Hernandez J, Pathak D. Hypochondriacal fears and beliefs, anxiety, and somatisation. Br J Psychiatry. 1992; 160(4): 86.
  • GM M. The condition of “tightness”: the somatic complaints of Turkish migrant women. Acta Psychiatr Scand. 1985; 71(3): 287-96.
  • De Tychey C, Garnier S, Lighezzolo-Alnot J, Claudon P, Rebourg-Roesler C. An accumulation of negative life events and the construction of alexithymia: A longitudinal and clinical approach. J Pers Assess. 2010; 92(3): 189-206.
  • Taycan O, Özdemİr A, Taycan SE. Depresyon Hastalarında Aleksitimi ve Bedenselleştirme Belirtileri Bedensel Nedenlere Bağlama Biçiminin Rolü. Nöropsikiyatri Arşivi. 2017; 54(2): 99.
  • Hotopf M, Mayou R, Wadsworth M, Wessely S. Childhood risk factors for adults with medically unexplained symptoms: results from a national birth cohort study. Am J Psychiatry. 1999; 156(11): 1796-800.

The Relationship between Type D Personality, Psychiatric Symptoms and Pain Severity in Individuals with Noncardiac Chest Pain Complaints

Year 2022, Volume: 12 Issue: 1, 99 - 103, 14.01.2022
https://doi.org/10.33631/sabd.1055391

Abstract

Aim: Complaints of chest pain are common in society. Cardiac causes are the most common etiology of chest pain, and they are among the common causes of psychiatric disorders. This complaint is an important health problem in that it causes constant concern about heart disease and repetitive use of health services. Psychiatric symptoms have been investigated in patients complaining of noncardiac chest pain (NCCP), however Type D personality has not been investigated. Therefore, this study was planned to examine the association between psychiatric symptoms and the severity of pain felt with these symptoms in people who complain of chest pain.
Material and Methods: The patient group with 100 individuals diagnosed with NCCP, and the control group with 100 healthy individuals were formed. Socio-demographic Data Form, Beck Depression Inventory, Childhood Trauma Questionnaire, Type D Personality Scale, Somatosensory Amplification Scale, and Toronto Alexithymia scale were applied to the subjects.
Results: Considering the sociodemographic data, no significant difference was found between the patient group and the control group in terms of age, gender, marital status, employment status and education level. It was found that depression, alexithymia, somatosensory amplification, Type D Personality and childhood traumatic experiences scale scores were significantly higher in individuals in the patient group compared to the control group, and that Type D personality traits were associated with pain severity.
Conclusion: Psychiatric symptoms are common in patients with NCCP. We are of the opinion that detection and treatment of psychiatric disorders might reduce recurrent hospital admissions.

References

  • Eslick GD. Usefulness of chest pain character and location as diagnostic indicators of an acute coronary syndrome. Am J Cardiol. 2005; 95(10): 15-8.
  • Mayou RA, Bryant B, Forfar C. Non-cardiac chest pain and bening palpitations in the cardiac clinic. Br Heart J. 1994; 72(6): 548-53.
  • Bokma WA, Batelaan NM, Beek AM, Boenink AD, Smit JH, Balkom AJ. Feasibility and outcome of the implementation of a screening program for panic disorder in noncardiac chest pain patients in cardiac emergency department routine care. Gen Hosp Psychiatry. 2015; 37(5): 485-7.
  • Eslick GD, Talley NJ. Natural history and predictors of outcome for non-cardiac chest pain: A prospective 4-year cohort study. Neurogastroenterol Motil. 2008; 20(9): 989-97.
  • Dammen T, Arnesen H, Ekeberg O. Psychological factors, pain attribution and medical morbidity in chest-pain patients with and without coronary artery disease. Gen Hosp Psychiatry. 2004; 26(6): 463-9.
  • Pederson S, Denollet J. Type D Personality, cardiac events, and impaired quality of life: a review. Eur J Cardiovasc Prev Rehabil. 2003; 10(4): 241-8.
  • Sifneos PE, Apfel-Savitz R, Frankel FH. The Phenomenon of ‘Alexithymia.’ Psychother Psychosom. 1977; 28(1-4): 47-57.
  • Zincir, SB, Sunbul M, Sunbul EA, Dalkilic B, Cengiz F, Kivrak T, et al. Evaluation of Alexithymia, Somatosensory Sensitivity, and Health Anxiety Levels in Patients with Noncardiac Chest Pain. Biomed Res Int. 2014; 89: 61-83.
  • Barsky AJ. Amplification, somatization, and the somatoform disorders. Psychosomatics. 1992; 33(1): 28-34.
  • Beck AT. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4(6): 561-71.
  • Hisli N. Beck Depresyon Envanterinin geçerliliği üzerine bir çalışma. Psikoloji Dergisi. 1988; 6: 118-22.
  • Bernstein DP, Fink L, Handelsman L, J Foote, M Lovejoy, K Wenzel, et al. Initial reliability and validity of a new Retropective measure of child abuse and neglect. Am J Psychiatry. 1994; 151(8): 1132-6.
  • Şar V, Öztürk E, İkikardeş E. Çocukluk Çağı Ruhsal Travma Ölçeğinin (CTQ) Türkçe uyarlamasının geçerlik ve güvenilirliği. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2012; 32(4): 1054-63.
  • Denollet J. DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2015; 67(1): 89-97.
  • Alçelik A, Yıldırım O, Canan F, Eroğlu M, Aktaş G, Savli H. A preliminary psychometric evaluation of the type D personality construct in Turkish hemodialysis patients. Journal of Mood Disorders. 2012; 2(1): 1-5.
  • Barsky AJ, Goodson JD, Lane RS The amplification of somatic symptoms. Psychosom Med. 1988; 50(5): 510-9.
  • Güleç H, Sayar K. The Reliability and validity of the Turkish form of the somatosensory amplification scale. Psychiatry Clin Neurosci. 2007; 61(1): 23-8.
  • Taylor GJ, Ryan D, Bagby RM. Toward the development of a new self-report alexithymia scale. Psychother Psychosom. 1985; 44(4): 191-9.
  • Dereboy İF. Aleksitimi: Bir Gözden Geçirme. Türk Psikiyatri Derg. 1991; 1(3): 157-65.
  • Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983; 17(1): 45-56.
  • Webster R, Norman P, Goodacre S, Thompson A. The prevalence and correlates of psychological outcomes in patients with acute non-cardiac chest pain: A systematic review. Emerg Med J. 2012; 29(4): 267-73.
  • Leeuw M, Goossens MEJB, Linton SJ, Crombez G, Boersma K, Vlaeyen JWS. The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence. J Behav Med. 2007; 30(1): 77-94.
  • Kellner R, Hernandez J, Pathak D. Hypochondriacal fears and beliefs, anxiety, and somatisation. Br J Psychiatry. 1992; 160(4): 86.
  • GM M. The condition of “tightness”: the somatic complaints of Turkish migrant women. Acta Psychiatr Scand. 1985; 71(3): 287-96.
  • De Tychey C, Garnier S, Lighezzolo-Alnot J, Claudon P, Rebourg-Roesler C. An accumulation of negative life events and the construction of alexithymia: A longitudinal and clinical approach. J Pers Assess. 2010; 92(3): 189-206.
  • Taycan O, Özdemİr A, Taycan SE. Depresyon Hastalarında Aleksitimi ve Bedenselleştirme Belirtileri Bedensel Nedenlere Bağlama Biçiminin Rolü. Nöropsikiyatri Arşivi. 2017; 54(2): 99.
  • Hotopf M, Mayou R, Wadsworth M, Wessely S. Childhood risk factors for adults with medically unexplained symptoms: results from a national birth cohort study. Am J Psychiatry. 1999; 156(11): 1796-800.
There are 27 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Articles
Authors

İbrahim Yağcı This is me 0000-0003-0755-2695

Yasin Taşdelen This is me 0000-0003-4985-0690

Fatih Aydın This is me 0000-0002-1017-1917

Publication Date January 14, 2022
Submission Date March 6, 2021
Published in Issue Year 2022 Volume: 12 Issue: 1

Cite

Vancouver Yağcı İ, Taşdelen Y, Aydın F. Nonkardiyak Göğüs Ağrısı Şikayeti Olan Bireylerde D Tipi Kişilik, Psikiyatrik Belirtiler ve Ağrı Şiddeti Arasındaki İlişki. VHS. 2022;12(1):99-103.