Şizofreni Hastalarında Öznel İyileşme İle Bilişsel İçgörü Arasındaki İlişkinin Araştırılması

Öz

Amaç: Çalışmamızda şizofreni hastalarının öznel iyileşme duygularının klinik şiddet ve bilişsel içgörü ile ilişkisini incelemek amaçlanmıştır.

Yöntem: DSM-5 tanı ölçütlerine göre şizofreni ve şizoaffektif bozukluk tanısı alan ve sürdürüm tedavisi devam eden 151 hasta çalışmaya dahil edildi. Hastalar araştırmacılar tarafından hazırlanan sosyodemografik ve klinik veri formu, Pozitif ve Negatif Sendrom Ölçeği, Klinik Global İzlenim, İşlevselliğin Genel Değerlendirmesi, Öznel İyileşmeyi Değerlendirme Ölçeği ve Beck Bilişsel İçgörü Ölçeği ile değerlendirildi.

Bulgular: Çalışmaya katılan 151 hastanın yaş ortalaması 37.2, ortalama eğitim süresi 10.4 yıl ve ortalama hastalık süresi 14.2 yıl idi. Grubun %77’sini erkekler oluşturmakta, %71’i bekâr, %68’i ailesi ile birlikte yaşamakta ve %62’si herhangi bir işte çalışmamakta idi. Çalışmamızda öznel iyileşme duygusu klinik durum ve bilişsel içgörü ile ilişkili bulundu.

Sonuç: Bu çalışmanın bulguları öznel iyileşme duygusunun klinik durum ve bilişsel içgörü düzeyinden etkilendiğini göstermektedir. İyileştirim çalışmalarında başetme becerileri, umut, özgüven ve bilişsel içgörü geliştirmeye yönelik girişimlere yer verilmesinin hastaların öznel iyileşme duygularının artmasına yardımcı olacağı düşünülmektedir.

Anahtar Kelimeler

• Şizofreni
• öznel iyileştirme
• bilişsel içgörü

Examination Of The Relationship Between Subjective Recovery And Cognitive Insight In Patients With Schizophrenia

Öz

Objective: The aim of this study was to examine the relationship between subjective feeling of recovery, clinical severity and cognitive insight of the patients with schizophrenia.

Methods: One hundred and fifty one patients who were diagnosed with schizophrenia or schizoaffective disorder according to DSM-5 diagnostic criteria and receiving maintenance treatment were included in this study. Patients were evaluated with Positive and Negative Syndrome Scale, Clinical Global Impression, Global Assessment of Functioning, Subjective Recovery Assessment Scale, Beck Cognitive Insight Scale and a sociodemographic and clinical data form prepared by the researchers.

Results: Mean age of the patients participated in the study was 37.2, average level of education was 10.4 years, and mean duration of illness was 14.2 years. Seventhy seven percent of the participants were males, 71% were single, 68% were living with family and 62% were unemployed. Subjective feeling of recovery was found to be associated with clinical condition and cognitive insight.

Conclusion: The results of this study shows that subjective feeling of recovery is affected by clinical condition and cognitive insight. It is suggested that inclusion of interventions to improve coping abilities, hope, self-confidence, and cognitive insight in rehabilitation programs would be beneficial for the patients in terms of improving their subjective feeling of recovery.

Anahtar Kelimeler

• Schizophrenia
• subjective recovery
• cognitive insight

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