Psychological Status and Related Factors in Syndactyl Patients

Yıl 2007, Cilt: 9 Sayı: 1, 8 - 14, 01.03.2007

Murat Emul Levent Altınel Gurbet Zehra B Ildık Ömer Geçıcı Mustafa Solak

Öz

Purpose: Syndactyl (SD) can cause secondary psychiatric problems as well as functional impairment. We aimed to determine the psychiatric problems of SD patients in comparison to a healthy control group. Methods: There were 38 SD (22 male, 16 female) patients in the study and 32 (18 male, 14 female) people in the control group. The control and study groups were age and sex matched and comprised of people living in the same region. All participants filled out Symptom Check List–90, Beck Depression Inventory and Beck Anxiety Inventory. Results: The baseline scores regarding somatic symptoms (p= 0.05), depressive symptoms (p=0. 03), interpersonal relationship sensitivity (P=0.002) and psychotic symptoms (P=0.01) were significantly higher in the SD group when compared to the control group. The SD group BDE (p=0.014) and BAE (p=0.018) scores were also higher than the control group. There was a negative correlation between male sex and anxiety, depression, obsession, interpersonal relations, anger, paranoid psychosis, additional mean baseline scores and general symptoms index. Conclusion: SD causes psychiatric problems especially in females. Psychiatric support should be given to the patients in addition to surgical treatment to improve life quality

Anahtar Kelimeler

Syndactyl, psychological condition, anxiety, depression

Sindaktili Hastalarinda Psikolojik Durum ve Iliskili Faktörler

Öz

Amaç: Sindaktili (SD) olan bireylerde islevsellik kaybi kadar ikincil gelisen psikolojik problemler de olabilir. Arastirmamizda SD tanisi alan bireylerde ruhsal rahatsizlik düzeyle rini saglikli kontrol grubuyla karsilastirarak belirlemeyi amaçladik. Yöntem: Otuzsekiz hasta (22 erkek, 16 kadin) ve hasta grubu ile yas ve cinsiyet bakimindan eslestirilmis ayni bölgelerde yasayan 32 saglikli birey (18 erkek, 14 kadin) kontrol grubu olarak çalismaya alindi. Bireylere Psikiyatrik Belirti Tarama Listesi (SCL– 90; Symptom Check List–90), Beck Depresyon Envanteri (BDE) ve Beck Anksiyete Envanteri (BAE) uygulandi. Bulgular: SD grubunda kontrol gurubuna göre, somatik belirtiler (p= 0.05), depresif belirtiler (p=0.03), kisiler arasi iliskilerde duyarlilik (P=0.002) ve psikotik belirtiler (P=0.01) alt skorlari degerleri istatistiksel anlamlilik olusturacak sekilde yüksekti. Yine hasta grubunda BDE (p=0.014) ve BAE (p=0.018) de kontrol grubuna göre istatistiksel olarak daha yüksek bulundu. Cinsiyet (erkek olma) ile anksiyete, depresyon, obsesyon, kisiler arasi duyarlilik, öfke, paranoid, psikoz, ek ortalama alt skorlari ve genel belirti indeksi arasinda negatif bir korelasyon saptandi. Sonuç: SD’nin kisilerde psikiyatrik problemlere neden oldugu, bunun özellikle kadinlarda daha belirgin oldugu göze çarpmaktadir. Bu hastalarin yasam kalitesini arttirabilmek amaciyla cerrahi tedavinin yani sira psikiyatrik destegin önemli oldugu görülmüstür

Anahtar Kelimeler

Sindaktili, psikolojik durum, anksiyete, depresyon

Kaynakça

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