Relation of Emotion Expression of Relatives of Patients with Bipolar Disorder with Mental Theory Skills

Öz

Background: Most of the family factors that are thought to determine the course of the disease are examined with in the concept of Emotion Expression. The concept of theory of mind is the ability to understand and predict other people's emotions, intentions and mentally represent them. In this study, it is aimed to determine the emo-tion expressions and mind theory functions of first degree relatives of bipolar disorders patient relatives and to investigate their relations with each other. Materials and Methods: The study included 95 patients diagnosed with bipolar disorder according to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) diagnostic criteria and the same number of relatives. Soci-odemographic and clinical data form was used to evaluate patients with bipolar disorder and their relatives. To assess the theory of mind skills of the patients' relatives, mind reading test and emotional expression scale were used. Short Functioning Assessment Scale was used to evaluate the functionality of the patients. Results: The study included 95 patients diagnosed with bipolar disorder type-1 according to DSM-5 diagnostic criteria. 55 (57.9%) of the participants were female and 40 (42.1%) were male. 30 (31.6%) were single, 63 (66.3%) were married and 2 (2.1%) were divorced. A negative correlation was found between the mental reading test scores of the patient's relatives and the emotional expression scale scores (r: -0,621, p<0,001). A negative corre-lation was found between the eyes test scores of the relatives of the patients and the short functionality assess-ment scale scores of the patients (r:-0,618, p:<0,001). A significant positive correlation was determined between the emotional expression scale scores of the relatives of the patients and the the short functionality assessment scale scores of the patients (r: 0,630, p:<0,001). Conclusions: As a result of the study, it was determined that the beter the theory of mind skills of the relatives of the patients, the lower the emotional expressions to the patient, the worse the patient's relatives theory of mind skills determined by eyes test, the higher the emotional expression to the patient. Key Words: Bipolar disorder, Emotion expression, Mind theory

Bipolar Bozukluk Tanılı Hastaların Yakınlarının Duygu Dışa Vurumlarının Zihin Kuramı Becerileri ile İlişkisi

Öz

Amaç: Bipolar bozukluğun gidişatını belirlediği düşünülen aile faktörlerinin çoğunluğu duygu dışa vurumu kavramı içinde incelenmektedir. Zihin kuramı kavramı, diğer kişilerin duygularını, niyetlerini, anlayıp tahmin etme ve zihinsel olarak bunları temsil edebilme becerisidir. Bu araştırmada bipolar bozukluk tanılı hasta yakınlarının duygu dışa vurumlarının ve zihin kuramı işlevlerinin saptanması ve bunların hastaların işlevselliği ile olan ilişkisinin incelenmesi amaçlanmaktadır. Materyal ve metod: Araştırmaya DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) tanı kriterlerine göre bipolar bozukluk tanısı konulan 95 hasta ve aynı sayıda hasta yakını dahil edildi. Bipolar bozukluk tanılı Hastalarla hasta yakınlarını değerlendirmek için sosyodemografik ve klinik veri formu uygulandı. Hasta yakınlarına, zihin kuramı becerilerini değerlendirmek için gözlerden zihin okuma testi ve duygu dışa vurum ölçeği kullanıldı. Hastaların işlevselliğini değerlendirmek için ise kısa işlevsellik değerlendirme ölçeği uygulandı. Bulgular: Çalışmada hasta yakınlarının gözlerden zihin okuma test puanları ile duygu dışa vurum ölçek puanları arasında negatif yönde anlamlı bir korelasyon tespit edilmiştir. Hasta yakınlarının gözlerden zihin okuma test puanları ile hastaların kısa işlevsellik değerlendirme ölçeği puanları arsında negatif yönde anlamlı bir korelasyon tespit edilmiştir. Hasta yakınlarının duygu dışa vurum ölçek puanları ile hastaların kısa işlevsellik değerlendirme ölçeği puanları arasında pozitif yönde anlamlı bir korelasyon tespit edilmiştir. Sonuç: Çalışma sonucunda hasta yakınlarının gözlerden zihin okuma testi ile belirlenen zihin kuramı becerileri ne kadar iyiyse hastaya olan duygu dışa vurumlarının anlamlı derecede düşük olduğu, hasta yakınlarının gözlerden zihin okuma testi ile belirlenen zihin kuramı becerileri ne kadar kötü ise hastaya olan duygu dışa vurumlarının anlamlı derecede yüksek olduğu belirlenmiştir

Anahtar Kelimeler

• bipolar bozukluk
• duygu dışavurumu
• zihin kuramı

Kaynakça

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