Obsesif Kompulsif Bozukluk Tanılı Ergenlerin ve Annelerin Obsesif İnançları ve Çıkarımsal Karmaşaları Arasındaki İlişki

Year 2022, Volume: 12 Issue: 3, 444 - 452, 29.09.2022

Esengül Ekici , Hesna Gul , Mustafa Dinçer , Kadir Özdel , Ayhan Cöngöloğlu

https://doi.org/10.31832/smj.1081443

Abstract

Amaç: Obsesif kompulsif bozukluk(OKB) tanılı ergenlerin ve annelerinin obsesif inançları ve çıkarımsal karmaşaları arasındaki ilişkiyi saptayarak OKB’deki bilişsel değerlendirmeleri araştırmaktır.
Gereç ve Yöntem: Çalışmaya 25 OKB hastası (20 erkek ve 5 kız) ile bu hastaların anneleri dahil edildi. Hastalara Okul Çağı Çocukları İçin Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli (K-SADS-PL) ve Yale-Brown Obsesyon-Kompulsiyon Ölçeği (Y-BOKÖ) uygulandıktan sonra OKB tanısı alan hastalara ve onların annelerine Obsesif İnançlar Ölçeği-44 (OİÖ-44), Çıkarımsal Karmaşa Ölçeği (ÇKÖ), Padua Envanteri (PE) uygulanmıştır. Hastaların ve annelerinin obsesif inançları, çıkarımsal karmaşaları ile obsesif kompulsif belirti puanlarının korelasyonu incelenmiştir.
Bulgular: Ergenler ile annelerin, obsesif inançları ve çıkarımsal karmaşa ölçeği arasında yapılan korelasyon analizlerine göre sadece ergenlerin obsesif inançlardan mükemmeliyetçilik/kesinlik puanları ile annelerin abartılmış sorumluluk/tehlike puanları arasında istatistiksel olarak negatif yönde anlamlı korelasyon bulundu(r = -0.42, p = 0.039).
Sonuç: Bu çalışma OKB tanılı ergenlerdeki obsesif inançlar ve çıkarımsal karmaşa ile ilgili hipotezlerini kısmen destekler. Klinik tedaviler ailelerdeki olası patolojik bilişsel faktörler göz önüne alınarak düzenlenmesi tedavi başarısını artırabilir.

Keywords

obsesif kompülsif bozukluk, obsesif inançlar, çıkarımsal karmaşa, anne

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