Şizofrenide Suça Karışmanın Kendini Damgalama ve Psikolojik İyi Oluşla İlişkisi

Öz

Amaç: Bu çalışmanın amacı, suça karışma öyküsü bulunan (A) ve bulunmayan (B) şizofreni tanılı hastaların psikolojik yardım aramada kendini damgalama ve psikolojik iyi oluşla ilişkili faktörlerinin karşılaştırılmasıdır. Yöntem: Bu kesitsel çalışma, çalışmaya katılmayı kabul eden şizofreni tanılı hastalarla Elazığ Fethi Sekin Şehir Hastanesi’nde yürütülmüştür. Sosyodemografik ve klinik verilerle birlikte Psikolojik Yardım Aramada Kendini Damgalama Ölçeği (PYAKDÖ), Psikolojik İyi Oluş Ölçeği (PİOÖ) ve Pozitif ve Negatif Sendrom Ölçeği (PANSS) tüm hastalara uygulanmıştır. Bulgular: A (n=41 erkek) ve B (n=42 erkek) çeşitli sosyodemografik değişkenler (örneğin, yaş, medeni durum, eğitim düzeyi, çalışma durumu) açısından benzerdi (p>0,05). A ve B arasında PYAKDÖ (p=0,007) ve PİOÖ (p=0,006) skorları açısından anlamlı farklılık saptandı. A’da 41 hastaya ait 58 suç kaydı bulunuyordu. Bu suçların (n=58) 25 (%43,10)’i yaralama, 10 (%17,24)’u hakaret ve 6 (%10,34)’sı tehditti. A’da, cezaevi öyküsü bulunan ve bulunmayan hastalar karşılaştırıldı ve madde kullanım bozukluğu öyküsü bulunan dört hastanın tamamının cezaevi öyküsü olduğu saptandı (p=0,008). A’da, yineleyen suç öyküsü bulunanlarda bulunmayanlara göre toplam psikiyatrik yatış sayısı (p=0,001), PANSS genel psikopatoloji (GPANSS) (p=0,010) ve PANSS toplam (TPANSSS) (p=0,032) skoru anlamlı olarak daha yüksekti. Toplamda (n=83), yaşın ve eğitim düzeyinin etkisi kontrol edilerek gerçekleştirilen korelasyon analizinde, toplam psikiyatrik yatış sayısı ile PYAKDÖ (p=0,004) ve PİOÖ (p<0,001) skorları arasında anlamlı ilişki saptandı. Toplamda (n=83), PYAKDÖ ile PANSS negatif belirti (NPANSS) (p=0,005), GPANSS (p=0,011), TPANSS (p=0,001) arasında anlamlı ilişkiler saptandı. Toplamda (n=83), PİOÖ ile NPANSS (p=0,019) ve TPANSS (p=0,014) arasında anlamlı ilişkiler saptandı. PYAKDÖ ve PİOÖ arasında toplamda (n=83) (p<0,001), A’da (n=41) (p<0,001), B’de (n=42) (p<0,001) anlamlı ilişki saptandı. Sonuç: Bu çalışma, suça karışma öyküsünün şizofrenide artmış psikolojik yardım aramada kendini damgalama ve azalmış psikolojik iyi oluşla ilişkili olduğunu göstermektedir.

Anahtar Kelimeler

• Şizofreni
• Suç
• Kendini Damgalama
• Psikolojik İyi Oluş

Relationship between Involvement in Crime and Self-Stigma and Psychological Well-Being in Schizophrenia

Öz

Objective: The aim of this study is to compare the factors related to self-stigma in seeking psychological help and psychological well-being of patients diagnosed with schizophrenia with (A) and without (B) a history of criminal involvement. Methods: This cross-sectional study was conducted at Elazıg Fethi Sekin City Hospital with patients with schizophrenia who agreed to participate in the study. Along with sociodemographic and clinical data, the Self-Stigma of Seeking Psychological Help Scale (SSPHS), the Psychological Well-Being Scale (PWBS), and Positive and Negative Syndrome Scale (PANSS) were administered to all patients. Results: A (n=41 male) and B (n=42 male) were similar in terms of various sociodemographic variables (e.g., age, marital status, education level, working status) (p>0.05). A significant difference was found between A and B in terms of SSPHS (p=0.007) and PWBS (p=0.006) scores. There were 58 criminal records belonging to 41 patients in A. Of these crimes (n=58), 25 (43.10%) were injury, 10 (17.24%) were insults and 6 (10.34%) were threats. In A, patients with and without a history of prison were compared and all four patients with a history of substance use disorder were found to have a history of prison (p=0.008). In A, the total number of psychiatric hospitalizations (p=0.001), PANSS general psychopathology (GPANSS) (p=0.010) and PANSS total (TPANSS) (p=0.032) scores were significantly higher in those with a history of recurrent crime than in those without. In the correlation analysis performed by controlling for the effects of age and education level in total (n=83), a significant correlation was found between the total number of psychiatric hospitalizations and the scores of SSPHS (p=0.004) and PWBS (p<0.001). In total (n=83), significant correlations were found between SSPHS and PANSS negative symptoms (NPANSS) (p=0.005), GPANSS (p=0.011), TPANSS (p=0.001). In total (n=83), significant correlations were found between PWBS and NPANSS (p=0.019) and TPANSS (p=0.014). A significant correlation was found between SSPHS and PWBS in total (n=83) (p<0.001), in A (n=41) (p<0.001), and in B (n=42) (p<0.001). Conclusion: This study reveals that a history of involvement in crime is associated with increased self-stigma in seeking psychological help and decreased psychological well-being in schizophrenia.

Anahtar Kelimeler

• Schizophrenia
• Crime
• Self-Stigma
• Psychological Well-Being

Kaynakça

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