DEPRESİF BİREYLERDE ÜSTBİLİŞLER VE RUMİNATİF DÜŞÜNME

Öz

Depresyonda tekrarlayıcı ve süreklilik arz eden ruminatif düşünce biçiminin üstbilişlerle yakından ilişkili olduğu bilinmektedir. Türkiye’de ise depresif hastalarda bu konuda yapılan çalışmalar oldukça sınırlıdır. Bu çalışmada depresyon tanısı almış bireylerde üstbilişler ve ruminatif düşünme biçimi arasındaki ilişkileri incelemek amaçlanmıştır.Veriler Karadeniz Bölgesi'nde yer alan bir devlet hastanesi psikiyatri kliniklerine başvuran 210 depresyon hastasından 01.05.2021-31.12.2022 tarihleri arasında toplanmıştır toplanmıştır.Verilerin toplanmasında Tanıtıcı Bilgi Formu, Ruminatif Düşünme Biçimi Ölçeği ve Üstbiliş-30 Ölçeği kullanılmıştır. Korelasyonları belirlemek amacıyla Spearman korelayon testi uygulanmıştır. Üst bilişlerin depresif bireylerde ruminatif düşünme biçimini ne ölçüde yordadığını test etmek amacıyla path analizi kullanılmıştır.Ruminatif düşünme biçimi ve psikopatolojik üst bilişsel faaliyet puan ortalamaları arasında pozitif yönde orta düzeyde istatistiksel olarak anlamlı bir ilişki olduğu belirlenmiştir (r=0.477; p<0.01). Ayrıca kurulan path modeline göre ruminatif düşünme biçimindeki varyans değişimlerinin %36.5’inin bu model tarafından açıklandığı ve ruminatif düşünme biçimindeki varyans değişimlerinde psikopatolojik üst bilişsel faaliyetlerin etkisinin %60.7 olduğu belirlenmiştir.Sorunlu üstbilişlerle ruminatif düşünce arasında ilişki olduğu görülmektedir. Bu bulgu literatürde yer alan çalışmalarla desteklenmektedir. Türkiye örnekleminde depresyon tanısı almış bireylerde üstbiliş ve alt boyutlarının ruminasyonla ilişkili olduğunu belirleyen bu çalışma, depresif semptomları olan bireylerde uygulanacak terapi yaklaşımları için bir referans görevi görecektir.

Anahtar Kelimeler

• Depresyon hastası
• üstbiliş
• ruminatif düşünme

METACOGNITION AND RUMINATIVE THOUGHT IN DEPRESSED INDIVIDUALS

Öz

It is known that the repetitive and persistent ruminative thought style in depression is closely related to metacognition. In Türkiye, studies on this subject in depressed patients are relatively limited.This study aimed to examine the relationships between metacognitions and ruminative thought style in individuals diagnosed with depression.The data was collected between 01.05.2021 and 31.12.2022 from 210 depression patients who applied to psychiatric clinics of a state hospital in the Black Sea Region. Introductory Information Form, Ruminative Thought Style Scale and Metacognition-30 Scale were used to collect data. The Spearman correlation test was used to determine the correlations. Path analysis was used to test how metacognitions predicted ruminative thought in depressive individuals. It was determined that there was a statistically significant and moderately positive correlation between the mean scores of ruminative thought style and psychopathological metacognitive activity (r=0.477; p<0.01). In addition, according to the established path model, 36.5% of the variance changes in the ruminative t thought style are explained by this model. It was determined that the effect of psychopathological metacognitive activities on variance changes in ruminative thought was 60.7%. It is seen that there is a relationship between problematic metacognitions and ruminative thought. Studies in the literature support this result. This study, which determined that metacognition and sub-dimensions are related to rumination in individuals diagnosed with depression in a Turkish sample, will serve as a reference for therapy approaches to be applied to individuals with depressive symptoms.

Anahtar Kelimeler

• Depression patient
• metacognition
• ruminative thought

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