Bipolar bozukluk tanısı konulan kadın hastalarda işlevsellik ve manevi iyilik hali arasındaki ilişkinin incelenmesi

Yıl 2024, , 170 - 176, 31.08.2024

Zeynep Öztürk , Mustafa Durmuş , Ayşe Okanlı , Emrah Ay

https://doi.org/10.61534/anatoljhr.1498785

Öz

Amaç: Bu araştırmanın amacı bipolar bozukluk tanısı konulan kadın hastalarda işlevsellik ve manevi iyilik hali arasındaki ilişkinin incelenmesidir.
Yöntem: Araştırma tanımlayıcı ve ilişki arayıcı türde yapıldı. Araştırma Ocak 2023 ile Ocak 2024 tarihleri arasında Türkiye’nin doğusunda bulunan bir hastanenin psikiyatri polikliniğine başvuran 61 kadın bipolar hastası ile yürütülmüştür. Araştırma verilerinin toplanmasında Kişisel Bilgi Formu, Bipolar Bozukluk İşlevsellik Ölçeği (BBİÖ) ve Manevi İyilik Hali Ölçeği (FACIT-Sp-12) kullanılmıştır. Araştırma verilerinin değerlendirilmesinde; sayı, ortalama, yüzdelik dağılımlar, standart sapma ve pearson korelasyon analizleri kullanıldı.
Bulgular: Araştırma katılımcılarının BBİÖ toplam puan ortalamasının 96.21±20.02 olduğu, FACIT-Sp-12 toplam puan ortalamasının ise 31.26±9.35 olduğu bulundu. Bipolar bozukluk tanısı konulan kadın hastaların işlevsellik ve manevi iyi oluş puan ortalamaları arasında pozitif yönde istatistiksel olarak anlamlı bir ilişki olduğu belirlendi.
Sonuçlar: Bipolar bozukluk tanısı konulan kadın hastaların işlevselliklerinin orta düzeyde olduğu, manevi iyilik hali düzeylerinin ise ortalamanın üzerinde olduğu belirlendi. Bipolar bozukluk tanısı konulan kadın hastaların işlevsellikleri ve manevi iyilik halleri arasında pozitif yönde bir ilişki olduğu tespit edildi.

Anahtar Kelimeler

bipolar bozukluk, din, kadın

Examining the relationship between functioning and spiritual well-being in female patients diagnosed with bipolar disorder

Öz

Aim: The aim of this study is to examine the relationship between functionality and spiritual well-being in female patients diagnosed with bipolar disorder.
Methods: The research was conducted in a descriptive and correlational study. The research was conducted with 61 female bipolar patients who applied to the psychiatric outpatient clinic of a hospital in eastern Türkiye between January 1, 2023 and January 1, 2024. Personal Information Form, Bipolar Disorder Functioning Scale (BDFQ) and Spiritual Well-Being Scale (FACIT-Sp-12) were used to collect research data. In evaluating research data; Number, mean, percentage distributions, standard deviation and Pearson correlation analyzes were used.
Results: It was found that the research participants' mean BDFQ total score was 96.21±20.02, and the FACIT-Sp-12 total score mean was 31.26±9.35. It was determined that there was a positive, statistically significant relationship between the functionality and spiritual well-being score averages of female patients diagnosed with bipolar disorder.
Conclusion: It was determined that the functionality of female patients diagnosed with bipolar disorder was at an average level, and their spiritual well-being levels were above average. A positive relationship was found between the functionality and spiritual well-being of female patients diagnosed with bipolar disorder.

Anahtar Kelimeler

bipolar disorder, female, religion

Etik Beyan

Ethical approval for this study was obtained to Ethical Committee of Muş Alparslan University (Date: 15.09.2022 and Number: 62739).

Teşekkür

The authors would like to thank all the women who participated in the study.

Kaynakça

• Agorastos, A., Demiralay, C., & Huber, C. G. (2014). Influence of religious aspects and personal beliefs on psychological behavior: focus on anxiety disorders. Psychology Research and Behavior Management, 7(1), 93-101. https://doi.org/10.2147/PRBM.S43666
• Akkaya, C., Altın, M., Kora, K., Karamustafalıoğlu, N., Yaşan, A., Tomruk, N. & Kurt, E. (2012). Sociodemographic and clinical features of patients with bipolar I disorder in Turkey-HOME study. Bulletin of Clinical Psychopharmacology, 22(1), 31-42. https://doi.org/10.5455/bcp.20111222061433
• Aktürk, Ü., Erci, B., & Araz, M. (2017). Functional evaluation of treatment of chronic disease: Validity and reliability of the Turkish version of the Spiritual Well-Being Scale. Palliative & Supportive Care, 15(6), 684-692. https://doi.org/10.1017/S1478951517000013
• Altun, Ö. Ş., Durmuş, M., & Öztürk, Z. (2024). Analyzing the relationship between coping strategies and functioning levels of patients with bipolar disorder. Journal of Midwifery and Health Sciences, 7(1), 71-80. https://doi.org/10.5281/zenodo.10926626
• Atsira, O. P., Yuliati, E., Atika, A., Abdurachman, A., & Maramis, M. M. (2020). Relationship between spirituality and acceptance of illness level in bipolar patients. National Public Health Journal, 15(3), 142-146. https://doi.org/10.21109/kesmas.v15i3.3432
• Aydemir, Ö., Eren, İ., Savaş, H., Oğuzhanoğlu, N. K., Koçal, N., Özgüven, H. D., & Vahip, S. (2007). Development of a questionnaire to assess inter-episode functioning in bipolar disorder: bipolar disorder functioning questionnaire. Turkish Journal of Psychiatry, 18(4), 344-352.
• Batinic, B., Djokic, V., & Ivkovic, M. (2021). Assessment of cognitive function, social disability and basic life skills in euthymic patients with bipolar disorder. Psychiatria Danubina, 33(3), 320-327. https://doi.org/10.24869/psyd.2021.320
• Best, M., Butow, P., & Olver, I. (2015). Do patients want doctors to talk about spirituality? A systematic literature reviews. Patient Education and Counselling, 98(11), 1320-1328. https://doi.org/10.1016/j.pec.2015.04.017
• Can Öz, Y., & Duran, S. (2021). The effect of spirituality on the subjective recovery of psychiatric patients. Journal of Religion and Health, 60(4), 2438-2449. https://doi.org/10.1007/s10943-021-01226-5
• Çuhadar, D., Savaş, H. A., Ünal, A., & Gökpınar, F. (2015). Family functionality and coping attitudes of patients with bipolar disorder. Journal of Religion and Health, 54, 1731-1746. https://doi.org/10.1007/s10943-014-9919-y
• Da Silva, J. P., & Pereira, A. M. (2017). Perceived spirituality, mindfulness and quality of life in psychiatric patients. Journal of Religion and Health, 56, 130-140. https://doi.org/10.1007/s10943-016-0186-y
• Das, S., Punnoose, V. P., Doval, N., & Nair, V. Y. (2018). Spirituality, religiousness and coping in patients with schizophrenia: A cross-sectional study in a tertiary care hospital. Psychiatry Research, 265, 238-243. https://doi.org/10.1016/j.psychres.2018.04.030
• De Oliveira Maraldi, E. (2020). Response bias in research on religion, spirituality and mental health: A critical review of the literature and methodological recommendations. Journal of Religion and Health, 59(2), 772-783. https://doi.org/10.1007/s10943-018-0639-6
• Elgohary Sallam, E., El-Sheshtawy, E. A. M., Abdel Moniem Amr, M., El-Bahaey, W. A. H., & Mahmoud Okasha, A. (2023). The power of spirituality in symptomatic and functional outcomes of patients with major depressive disorder in an Egyptian sample. Journal of spirituality in Mental Health, 25(3), 232-242. https://doi.org/10.1080/19349637.2022.2130851
• Fadly, M., & Keliat, B. A. (2017). Relationship between spiritusl well-being and hallucinations in patients with schizophrenia in a mental health hospital. Paper presented at UI Proceedings on Health and Medicine.
• Forrester-Jones, R., Dietzfelbinger, L., Stedman, D., & Richmond, P. (2017). Including the “spiritual” within mental health care in the UK, from the experiences of people with mental health problems. Journal of Religion and Health, 57(1), 384–407. https://doi.org/10.1007/s10943-017-0502-1
• Freeman, M. P., & Gelenberg, A. J. (2005). Bipolar disorder in women: reproductive events and treatment considerations. Acta Psychiatrica Scandinavica, 112(2), 88-96. https://doi.org/10.1111/j.1600-0447.2005.00526.x
• Grande, I., Berk, M., Birmaher, B., & Vieta, E. (2016). Bipolar disorder. The Lancet, 387(10027), 1561-1572. https://doi.org/10.1016/S0140-6736(15)00241-X
• Granek, L., Danan, D., Bersudsky, Y., & Osher, Y. (2018). Hold on tight: Coping strategies of persons with bipolar disorder and their partners. Family relations: An interdisciplinary. Journal of Applied Family Studies, 67(5), 589-599. https://doi.org/10.1111/fare.12328
• Jackson, D. C., McLawhorn, D. E., Slutzky, A. R., Glatt, S. J., & Daly, R. W. (2022). Bipolar disorder, religion, and spirituality: A scoping review. Journal of Religion and Health, 61(5), 3589-3614. https://doi.org/10.1007/s10943-022-01502-y
• Karakaş, S. A., Altun, Ö. S., Okanli, A., Polat, H., & Olcun, Z. (2020). A study to determine the relationship between the emotional intelligence levels and perceptions of spiritual support of nurses working in a hospital for psychiatric and neurological diseases in Turkey. Archives of Psychiatric Nursing, 34(1), 64-69.
• Kassem, M., Haddad, C., Hallit, S., & Kazour, F. (2021). Impact of spirituality and religiosity on suicidal risk among a sample of lebanese psychiatric in-patients. International Journal of Psychiatry in Clinical Practice, 25(4), 336-343. https://doi.org/10.1080/13651501.2020.1787453
• Koburtay, T., Jamali, D., & Aljafari, A. (2023). Religion, spirituality, and well‐being: A systematic literature review and futuristic agenda. Business Ethics, the Environment & Responsibility, 32(1), 341-357. https://doi.org/10.1111/beer.12478
• Lucchetti, G., de Almeida, L. G. C., & Lucchetti, A. L. G. (2012). Religiousness, mental health, and quality of life in Brazilian dialysis patients. Hemodialysis International, 16(1), 89-94. https://doi.org/10.1111/j.1542-4758.2011.00623.x
• McIntyre, R. S., Berk, M., Brietzke, E., Goldstein, B. I., López-Jaramillo, C., Kessing, L. V., Malhi, G. S., Nierenberg, A. A., Rosenblat, J. D., Majeed, A., Vieta, E., Vinberg, M., Young, A. H., & Mansur, R. B. (2020). Bipolar disorders. The Lancet, 396(10265), 1841-1856. https://doi.org/10.1016/S0140-6736(20)31544-0
• Mert, A. & Kelleci, M. (2023). The effect of stress coping training given to patients with bipolar disorder on their stress symptoms coping attitudes and perceived stress. Journal of Health Sciences Institute, 8(2), 115-223. https://doi.org/10.51754/cusbed.1177116
• Miller, L. J., Ghadiali, N. Y., Larusso, E. M., Wahlen, K. J., Avni-Barron, O., Mittal, L., & Greene, J. A. (2015). Bipolar disorder in women. Health Care for Women International, 36(4), 475-498. https://doi.org/10.1080/07399332.2014.962138
• Moreira-Almeida, A., Koenig, H. G., & Lucchetti, G. (2014). Clinical implications of spirituality to mental health: Review of evidence and practical guidelines. Revista Brasileira de Psiquiatria, 36(2), 176-182. https://doi.org/10.1590/1516-4446-2013-1255
• Nierenberg, A. A., Harris, M. G., Kazdin, A. E., Puac‐Polanco, V., Sampson, N., Vigo, D. V., & WHO World Mental Health Survey Collaborators. (2021). Perceived helpfulness of bipolar disorder treatment: Findings from the World Health Organization World Mental Health Surveys. Bipolar Disorders, 23(6), 565-583.
• Ozawa, C., Suzuki, T., Mizuno, Y., Tarumi, R., Yoshida, K., Fujii, K., & Uchida, H. (2017). Resilience and spirituality in patients with depression and their family members: A cross-sectional study. Comprehensive Psychiatry, 77, 53–59. https://doi.org/10.1016/j.comppsych.2017.06.002
• Özdel, K., Kart, A., & Türkçapar, M. H. (2021). Cognitive behavioral therapy in treatment of bipolar disorder. Arch Neuropsychiatry, 58(1), 66-76. https://doi.org/10.29399/npa.27419
• Parial, S. (2015). Bipolar disorder in women. Indian Journal of Psychiatry, 57(2), 252-263. https://doi.org/10.4103/0019-5545.161488
• Pesut, B., Clark, N., Maxwell, V., & Michalak, E. E. (2011). Religion and spirituality in the context of bipolar disorder: A literature review. Mental Health, Religion & Culture, 14(8), 785-796. https://doi.org/10.1080/13674676.2010.523890
• Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy—Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49-58. https://doi.org/10.1207/S15324796ABM2401_06
• Pillai, M., Munoli, R. N., Praharaj, S. K., & Bhat, S. M. (2021). Gender differences in clinical characteristics and comorbidities in bipolar disorder: a study from South India. Psychiatric Quarterly, 92, 693-702. https://doi.org/10.1007/s11126-020-09838-y
• Strawbridge, R., Kurana, S., Kerr‐Gaffney, J., Jauhar, S., Kaufman, K. R., Yalin, N. & Young, A. H. (2022). A systematic review and meta‐analysis of treatments for rapid cycling bipolar disorder. Acta Psychiatrica Scandinavica, 146(4), 290-311. https://doi.org/10.1111/acps.13471
• Swaab, D. F., & Bao, A. M. (2020). Sex differences in stress-related disorders: major depressive disorder, bipolar disorder, and posttraumatic stress disorder. Handbook of Clinical Neurology, 175, 335-358. https://doi.org/10.1016/B978-0-444-64123-6.00023-0
• Sylvia, L. G., Montana, R. E., Deckersbach, T., Thase, M. E., Tohen, M., Reilly-Harrington, N., & Nierenberg, A. A. (2017). Poor quality of life and functioning in bipolar disorder. International Journal of Bipolar Disorders, 5, 1-8.
• Şahin, G., Durat, G., & Şahin, S. (2019). Evaluation of the relationship between separation anxiety and functionality in patients with bipolar disorder. Anatolian Journal of Psychiatry, 20(1), 60-67. https://doi.org/10.5455/apd.296917
• Tunç, B. & Totan, T. (2021). Spirituality in family life: a review on spirituality in family counseling. Dumlupınar University Graduate School of Education Journal, 5(1), 1-20.
• Varshney, P., Mamtani, H., Kumar, C. N., & Chandra, P. S. 2021. COVID-19 vaccination for persons with severe mental illnesses: An Indian perspective. Journal of Psychological Medicine and Research, 43(5), 436- 441. https://doi.org/10.1177/02537176211033933