Depresyon Tanısı Alan Hastalarda Çocukluk Çağı Travması Varlığı ve Duygu Düzenleme Güçlüğü İle İlişkisi

Öz

Amaç: Bu çalışmada depresyon hastalarında çocukluk çağı travması varlığı ve duygu düzenleme güçlüğü ile ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntemler: Kesitsel tipte olan araştırma Haziran 2020 - Ekim 2020 tarihleri arasında Sakarya Yenikent Devlet Hastanesi Psikiyatri Polikliniğine başvuran, takip ve tedavileri sürdürülen DSM-5 kriterlerine göre depresif bozukluk tanısı konulan hastalardan çalışma kriterlerini karşılayan 63 hasta ve rastgele seçilen benzer sosyodemografik özelliklere sahip 65 sağlıklı birey ile gerçekleştirilmiştir. Veriler Kişisel Bilgi Formu, Beck Depresyon Ölçeği (BDÖ), Çocukluk Çağı Travma Ölçeği (CTQ) ve Duygu Düzenleme Güçlüğü Ölçeği (DERS) kullanılarak toplanmıştır. Verilerin analizi; tanımlayıcı istatistikler, Mann Whitney U testi, Ki-kare testleri ve Spearman korelasyon analizi ile değerlendirilmiştir. Bulgular: Yaş ortalaması 31,48 ± 9,47 (18-61) olan çalışmada, depresyon hastalarında sağlıklı bireylere kıyasla çocukluk çağı travma anketi puanlarının (cinsel istismar alt boyutu hariç) ve duygu düzenleme güçlüğü ölçeği puanlarının yüksek olduğu tespit edilmiştir. Bununla birlikte Depresyon hastalarında CTQ toplam puanı CTQ ≥35 olanlarda BDÖ ve DERS stratejiler, dürtüsellik, amaçlar alt boyutları ile toplam puanlarının yüksek olduğu saptanmıştır. Ayrıca CTQ toplam puanı ile DERS kabullenme, stratejiler, amaçlar alt boyutları ile toplam puanları arasında pozitif anlamlı ilişki saptanmıştır. Sonuç: Çocukluk çağı travmalarına maruz kalma durumunun mevcut depresyonla ilişkili olduğu ve bu durumun duygu düzenlemede güçlüklere neden olduğu belirlenmiştir.

Anahtar Kelimeler

• Depresyon
• travma ve stresör ilişkili bozukluklar
• cinsel istismar

The Presence of Childhood Trauma in Depression Patients and Its Relationship with Difficulties Emotion Regulation

Öz

Aim: In this study, it was aimed to investigate the relationship between the presence of childhood trauma and difficulty in emotion regulation in patients with depression. Material and Methods: The cross-sectinoal study was conducted with 63 patients who were diagnosed with depressive disorder according to DSM-5 criteria, who applied to Sakarya Yenikent State Hospital Psychiatry Outpatient Clinic between June 2020 and October 2020, and who were diagnosed with depressive disorder according to DSM-5 criteria and 65 healthy individuals randomly selected with similar sociodemographic characteristics. Data were collected using the Personal Information Form, Beck Depression Inventory (BDI), Childhood Trauma Scale (CTQ), and Emotion Regulation Difficulty Scale (DERS). The data were evaluated using descriptive statistics, Mann Whitney U test, Chi-square tests and Spearman correlation analysis. Results: In the study with a mean age of 31.48 ± 9.47 (range 18 to 61), it was found that childhood trauma questionnaire scores (excluding sexual abuse sub-dimension) and emotion regulation difficulty scale scores were higher in depression patients compared to healthy individuals. On the other hand, it was found that the BDI and DERS strategies, impulsivity, goals sub-dimensions and total scores were higher in patients with depression patients whose CTQ total score was CTQ ≥35. In addition, a positive significant relationship was found between CTQ total score and DERS acceptance, strategies, goals sub-dimensions and total scores. Conclusion: It has been determined that exposure to childhood traumas is related to current depression and this situation causes difficulties in emotion regulation.

Anahtar Kelimeler

• Depression
• trauma and stressor related disorders
• sexual abuse

Kaynakça

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