DEPRESYON, KAYGI VE OBSESİF-KOMPULSİF BELİRTİLERİN TETİKLEYİCİLERİ OLARAK MÜKEMMELLİYETÇİLİK VE BELİRSİZLİĞE TAHAMMÜLSÜZLÜK: TANILAR ÜSTÜ YAKLAŞIM TEMELİNDE YAPISAL BİR MODEL

Öz

Mükemmeliyetçilik, belirsizliğe tahammülsüzlük ve ayrı ayrı psikopatoloji belirtileri arasındaki ilişkiler literatürde pek çok çalışmada incelenmiştir. Ancak, tanılar üstü faktörler olan mükemmeliyetçilik ve belirsizliğe tahammülsüzlük ile birden fazla psikopatoloji arasındaki ilişkiyi inceleyen çalışma azdır. Ayrıca mükemmeliyetçilik ölçümlerine yeni bir soluk getiren Büyük Üçlü Mükemmeliyetçilik Ölçeği (BÜMÖ) ile psikopatoloji belirtileri arasındaki ilişkiyi araştıran araştırmalar da nadirdir. Bu çalışma, üç büyük faktör ile kavramsallaştırılan mükemmeliyetçilik (öz-eleştirel, katı ve narsisistik mükemmeliyetçilik) ile kaygı, depresyon ve obsesif-kompulsif bozukluk (OKB) belirtileri arasındaki ilişkileri incelemeyi amaçlamaktadır. Ayrıca, belirsizliğe tahammülsüzlük aracılığıyla mükemmeliyetçiliğin kaygı, depresyon ve OKB belirtileri üzerindeki dolaylı etkisini incelemek amacıyla bir yapısal eşitlik modeli test edilmiştir. Araştırmanın örneklemini 377 yetişkin (Yaş Ort: 25.29, SS: 7.81) katılımcı oluşturmuş ve katılımcılar ilgili ölçüm araçlarını tamamlamışlardır. Yapısal modelin sonuçları, mükemmeliyetçiliğin belirsizliğe tahammülsüzlük üzerinden depresyon, kaygı ve OKB belirtilerini istatistiksel olarak yordadığını göstermiştir. Mükemmeliyetçilik, belirsizliğe tahammülsüzlük ile pozitif olarak ilişkilidir ve bu da daha yüksek düzeyde depresyon, kaygı ve OKB belirtilerinin ortaya çıkmasına katkı sağlamaktadır. Bu model, bu üç bozukluğun eş tanılanmasını anlamak için önemli çıkarımlar sunmaktadır.

Anahtar Kelimeler

• büyük üçlü mükemmeliyetçilik
• belirsizliğe tahammülsüzlük
• tanılar üstü faktörler
• depresyon
• kaygı
• obsesif-kompulsif bozukluk belirtileri

PERFECTIONISM AND INTOLERANCE OF UNCERTAINTY AS TRIGGERS OF DEPRESSION, ANXIETY AND OBSESSIVE- COMPULSIVE SYMPTOMS: A STRUCTURAL MODEL BASED ON TRANSDIAGNOSTIC APPROACH

Öz

The relationship among perfectionism, intolerance of uncertainty (IoU), and psychopathology symptoms are well documented in literature. However, studies examining the relationship between perfectionism and IoU (which are transdiagnostic factors) and more than one psychopathology are scarce. In addition, research exploring the relationship between psychopathology symptoms and the big three perfectionism scale (BTPS), which bring a new breath to perfectionism measures, is also rare. This study investigated the relationships between perfectionism conceptualized as the big three factor (Self-critical, rigid, and narcissistic perfectionism as facets) and anxiety, depression, and obsessive–compulsive disorder (OCD) symptoms. In addition, a structural equation model for the indirect effect of perfectionism on the relationship between anxiety, depression, and OCD symptoms through IoU was tested. A sample of 377 adults (Mage = 25.29, SD = 7.81) completed the relevant scales. The results of the structural equation model demonstrated that perfectionism statistically predicted depression, anxiety, and OCD symptoms mediated by IoU. Perfectionism was positively associated with IoU, which in turn contributed to higher depression, anxiety, and OCD symptoms. This model yields important implications for understanding the comorbidity of these three disorders.

Anahtar Kelimeler

• Big three perfectionism
• intolerance of uncertainty
• transdiagnostic factors
• depression
• anxiety
• obsessive–compulsive disorder symptoms

Kaynakça

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