Kronik hastalıklarda duygu düzenleme: Kalp ve damar sistemi hastalıkları, kanser, migren, fibromiyalji ve sedef hastalığı üzerine bir derleme

Yıl 2023, , 117 - 142, 02.05.2023

Ezgi Tuna

https://doi.org/10.57127/kpd.26024438m000084X

Öz

Duygu düzenleme; duyguların oluşumunu, çeşidini, yoğunluğunu, zaman akışındaki yerini ve ifadesini belirlediğimiz bilinçli ve bilinçdışı süreçleri içermektedir. Yapılan çalışmalar, duygu düzenlemenin ruh sağlığı üzerindeki kritik etkisinin yanı sıra, fiziksel sağlık üzerinde de önemli etkilerinin olduğuna işaret etmektedir. Özellikle kronik hastalığı olan bireylerde duyguların nasıl düzenlendiği öz-bakım, tedaviye uyum ve stres kaynaklarıyla baş etme gibi pek çok süreci etkileyerek hem fiziksel hem de psikolojik iyilik hali için belirleyici olmaktadır. Bunun yanında duygu düzenlemeyle ilgili sorunların bazı kronik hastalıkların etiyolojisinde ve seyrinde rol oynadığına dair kanıtlar mevcuttur. Bu derleme makalesinin amacı, kronik hastalıklarda duygu ve duygu düzenlemeye dair bilimsel çalışma bulgularını özetlemek ve mevcut çalışmalardaki eksiklere değinerek gelecek çalışmalar için öneriler sunmaktır. Bu amaçla, duygular ve sağlık ilişkisine dair mekanizmaların kısaca özetlenmesinin ardından; sırasıyla, kalp ve damar sistemi (KDS) hastalıkları, kanser, migren, fibromiyalji ve sedef hastalığında duygu düzenlemeyle ilgili bulgulara değinilmiştir. Özetle, KDS hastalıklarının etiyolojisinde duygu ve duygu düzenlemenin rolüne dair kanıtların güçlü olduğu görülmekteyken, kanser için etiyolojiye dair bulguların çelişkili olduğu söylenebilir. Migren, sedef hastalığı ve fibromiyalji için ise çalışma bulguları ilişkisel niteliktedir. Genel olarak çalışmalar kronik hastalığı olanlarda olmayanlara göre duygu düzenleme sürecinde aksaklıklar olduğunu göstermektedir. Hastalar arasında işlevsel duygu düzenleme stratejilerinin daha az kullanımı; psikopatoloji belirtileri, bedensel belirtiler ve düşük yaşam kalitesi gibi olumsuz sonuçlarla ilişkilendirilmiştir. Duygu düzenleme süreçlerinin kronik hastalıklardaki rolünün anlaşılması, önleyici çalışmaların planlanması ve kronik hastalığı olan bireylerin yaşam kalitesini arttıracak müdahalelerin geliştirilmesinde rehberlik etmesi açısından önemlidir. Makale, alanyazının genel bir değerlendirmesi ve öneriler ile sona ermektedir.

Anahtar Kelimeler

kronik hastalıklar, duygu düzenleme, duygular, sağlık psikolojisi

Emotion regulation in chronic diseases: A review on cardiovascular system diseases, cancer, migraine, psoriasis and fibromyalgia

Öz

Emotion regulation (ER) involves conscious and automatic regulation of the occurrence, type, intensity, timing, and expression of emotions. Previous studies indicate that ER not only affects individuals’ mental health outcomes, but also plays a critical role in physical health as well. Especially in chronic diseases, how emotions are regulated shapes many patient variables including self-care, treatment adherence, and stress management; affecting both physical and psychological well-being. Furthermore, there is evidence that ER plays a role in initiation and prognosis of some chronic diseases. The aim of this review article was to summarize evidence regarding the association between chronic diseases and ER, and describe limitations in the existing studies in order to guide future research. To reach this aim, after a brief discussion of the mechanisms between emotions and health, we discussed research findings on ER in cardiovascular disease (CVD), cancer, migraine, fibromyalgia, and psoriasis, respectively. Findings indicate that emotion and ER play a role in the etiology of CVD; yet there are mixed findings regarding their role in the etiology of cancer. Research on migraine, psoriasis and fibromyalgia are rather correlational. Findings generally suggest that individuals with a chronic disease report more problems in ER as compared to healthy individuals. Frequent use of less adaptive strategies among patients have been related to less favorable outcomes such as psychopathology symptoms, bodily symptoms, and lower quality of life. Understanding ER in chronic diseases could guide the development of prevention and intervention programs aimed at increasing patients’ quality of life. The article ends with an evaluation of the literature and suggestions for clinical practice.

Anahtar Kelimeler

chronic diseases, emotion regulation, emotion, health psychology

Kaynakça

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