Şizofreni Hastalarında Kilo Alımı, Ruhsal Belirtiler ve Benlik Saygısı

Öz

Bu çalışmanın amacı, bir toplum ruh sağlığı merkezinde (TRSM) tedavi gören şizofreni hastalarında kilo alımını, ruhsal belirtileri ve benlik saygısını incelemektir. 103 şizofreni hastası ile 01.08.2021-01.02.2022 tarihleri arasında yürütülmüştür. Veriler, Kişisel Bilgi Formu, Rosenberg Benlik Saygısı ölçeği ve Pozitif ve Negatif Sendrom Ölçeği (PANSS) ile toplanmıştır. Hastaların %35’i kadın, %43,7’si bekar, %48,5’i 45-64 yaş aralığındadır. Hastaların ilk ayda kilo ölçüm değeri (x̄=81,185) ile altı ayın sonundaki ölçüm değeri arasında (x̄=81,320) artış anlamlı bulunmamıştır. İlk aydaki benlik saygısı ölçeği puan ortalamasına (x̄=1,452) göre altı ay sonundaki benlik saygısı ölçeği puan ortalamasındaki (x̄=1,317) düşüş anlamlı bulunmamıştır. PANSS Genel Psikopatoloji alt ölçeği puan ortalaması altı aylık takip sonunda (x̄=26,418), ilk ay puan ortalamasına (x̄=27,136) göre istatistiksel olarak anlamlı derecede düşük bulunmuştur. TRSM’ye kayıtlı olan şizofreni hastalarının altı aylık takibinde kilo alma durumu ile benlik saygısı ve PANSS pozitif/negatif belirtileri arasında anlamlı bir farklılık bulunmamıştır. PANSS genel psikopatoloji belirtilerinde birinci ve altıncı ay ölçümleri arasında anlamlı bir farklılık saptanmıştır. Cinsiyet, gelir getiren işte çalışma durumu, atipik ve karma antipsikotik kullanımı, sigara kullanma durumu ve gündüz uyuma alışkanlığındaki değişikliklerin ruhsal belirtileri etkilediği saptanmıştır.

Anahtar Kelimeler

• Şizofreni
• Antipsikotik
• Kilo alımı
• Benlik saygısı
• Ruhsal belirti.

Weight Gain, Mental Symptoms and Self-Esteem in Patients with Schizophrenia

Abstract

The aim of this study is to examine the weight gain, mental symptoms and self-esteem in patients with schizophrenia undergoing treatment at a community mental health center (CMHC). The study is conducted with 103 schizophrenic patients between 01.08.2021 – 01.02.2022. The data was collected with Personal Information Form, Rosenberg Self-esteem Scale, and Positive and Negative Syndrome Scale (PANSS). 35% of the patients are women, 43.7% are single, and 48.5% are between the ages of 45-64. There was no significant increase between the patients’ weigh measurement value in the first month (x̄=81.185) and the measurement value at the end of six months (x̄=81.320). The decrease in the self-esteem scale mean score at the end of six months (x̄=1.317) was not found significant, when compared to the self-esteem scale mean score in the first month (x̄=1452). The PANSS General Psychopathology subscale mean score was found to be statistically lower at the end of the six-month follow-up (x̄=26.418), compared to the first month mean score (x̄=27.136). There was no significant difference between weight gain, self-esteem, and PANSS positive/negative symptoms in the six-month follow-up of patients with schizophrenia enrolled in CMHC. A significant difference was discovered between the first and sixth-month measurements in PANSS general psychopathology symptoms. It is detected that gender, working status, atypical and mixed antipsychotics use, smoking status, and changes in daytime sleeping habits affect mental symptoms.

Keywords

• schizophrenia
• antipsychotic
• weight gain
• self-esteem
• mental symptom

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