Aleksitimi ve Behçet Hastalığı

Abstract

Amaç: Behçet Hastalığı (BH) immunoinflamatuar sistemik bir hastalıktır. Genç erişkinlerde sıklıkla genital ülserasyon, üveit ve oral aft ile seyretmektedir. Bazı hastalarda BH santral sinir sistemini etkileyebilmektedir ve bazen psikiyatrik semptomlar hastalığa eşlik edebilmektedir.Literatürde BH'nın aleksitimi ile ilişkisini değerlendiren az sayıda çalışma bulunmaktadır. Bu çalışmada BH ve aleksitimi arasındaki ilişki değerlendirilmektedir. Gereç ve Yöntem: İnternasyonal Çalışma Grubu Behçet hastalığı tanı kriterlerine göre tanı almış 50 olgu çalışmaya dahil edildi. Olgulara, yaş cinsiyet eşlemeli 50 kişilik kontrol grubu oluşturuldu. Beck Depresyon Envanteri (BDE), Beck Anksiyete Envanteri (BAE) ve Toronto Aleksitimi s kalasının (TAS) Türkçe versiyonu olgulara ve kontrollere uygulandı. Bulgular: TAS skalasının aleksitimi: yok, orta ve şiddetli aleksitimik olarak sınıflandırıldı. TAS sınıflandırılmasında olgu ve kontrol grubu arasında anlamlı fark saptandı (p = 0.019). Behçet hastalığı olan olgularda aleksitimi kontrole göre 6 kat daha fazlaydı (OR = 6.139) (95% CI = 1,657-23.913). Sonuç: Behçet hastalığı aleksitimi ile kuvvetle ilişkilidir. Bu psikiyatrik semptomları farketmek Behçet olgularını tedavi etmek açısından önemlidir. Dermatologların olgularında psikoterapotik değerlendirmeleri unutmaması gerektiğini düşünmekteyiz.

Keywords

• Behçet hastalığı
• Aleksitimi
• Toronto alkesitimi skalası

Alexithymia And Behçet’s Disease

Abstract

Objective: Behçet’s Disease (BD) is an immunoinflammatory systemic disease. In young adults, it is seen as genital ulceration, uveitis and oral aphthae. In some patients, BD may affect the central nervous system and some psychiatric symptoms may accompany this disease. There are few studies in the literature evaluating the relationship between BD and alexithymia. In this study, the relationship between BD and alexithymia is evaluated. Methods: Fifty patients diagnosed according to the International Study Group for Behçet’s Disease diagnostic criteria and fifty age and gender-matched healthy individuals were included in the study. Turkish versions of Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Toronto Alexithymia Scale (TAS-20) were applied to the patients and controls. Results: According to the TAS-20 scale, alexithymia was classified as: non-alexithymia, moderate and severe alexithymia. In the classification of TAS, there was a significant difference between the cases and the control group (p = 0.019).In patients with BD, alexithymia was 6 times higher than control group (OR = 6.139)(95% CI = 1,657-23.913). Conclusions: Behçet’s disease is strongly associated with alexithymia. Recognizing of these psychiatric symptoms is important for the management of BD patients. Psychotherapeutic interventions should be planned by dermatologists.

Keywords

• Behçet’s disease
• alexithymia
• Toronto Alexithymia Scale

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