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Albinizmli Bireylerde Depresyon, Anksiyete Düzeyleri, Özsaygı ve Yaşam Kalitesi: Bir Olgu-Kontrol Çalışması

Yıl 2020, , 118 - 130, 29.12.2020
https://doi.org/10.18863/pgy.728034

Öz

Albinizm bireylerde ruhsal zorluğa neden olabilen kalıtsal bir bozukluktur. Bu çalışmanın amacı albinizmli bireylerin yaşadığı psikiyatrik zorlanmayı araştırmak, albinizmin öz-saygı düzeyleri ve yaşam kalitesi üzerindeki etkisini belirlemektir. Çalışmaya 20 albinizmli birey, kontrol grubu olarak 20 vitiligolu birey ve 20 sağlıklı gönüllü dahil edildi. Katılımcılara Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Coopersmith Özsaygı Envanteri (CÖE), Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği-Kısa Formu Türkçe Versiyonu (WHOQOL-BREF-TR) uygulandı. Albinizmli bireylerin BDÖ, BAÖ puanları sağlıklı kontrollere göre anlamlı derecede yüksekti. Fiziksel sağlık, psikolojik, sosyal ilişki alan puanları albinizmli bireylerde sağlıklı kontrollere göre anlamlı derecede düşüktü. Çevre alanı puanları hem vitiligolu bireylerden hem de sağlıklı kontrollerden daha düşüktü. Albinizm grubunda fiziksel sağlık, psikolojik, sosyal ilişki alan puanları BDÖ ile; fiziksel sağlık ve çevre alan puanları BAÖ ile negatif yönde anlamlı düzeyde ilişkiliydi. Albinizmli bireylerin CÖE puanları sağlıklı kontrollere göre anlamlı düzeyde düşüktü. Bulgularımıza göre, albinizmli bireylerde, yüksek depresyon ve anksiyete düzeyleri, öz saygıda ve yaşam kalitesinde azalma psikososyal zorlanmayı göstermektedir. Albinizmli bireylerin yaşadığı psikososyal zorlanmanın belirlenmesi, albinizmli bireylerin yaşadığı deneyimin daha iyi anlaşılmasına ve albinizmle ilgili toplumsal farkındalığa katkı sağlayacaktır.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

  • 1. Marçon CR, Maia M. Albinism: epidemiology, genetics, cutaneous characterization, psychosocial factors. An Bras Dermatol 2019 Sep-Oct; 94(5):503-520. https://doi.org/10.1016/j.abd.2019.09.023
  • 2. https://www.albinizm.org.tr/albinizm-1 Erişim Tarihi: Ocak 29, 2018.
  • 3. Tsutsumi A, Izutsu T, Islam AM, Maksuda AN, Kato H, Wakai S. The quality of life, mental health, and perceived stigma of leprosy patients in Bangladesh. Social Science and Medicine 2007;64(12):2443‑53.
  • 4. Zhang XJ, Wang AP, Shi TY, Zhang J1, Xu H, Wang DQ, Feng L. The psychosocial adaptation of patients with skin disease: a scoping review. BMC Public Health 2019 Oct 29;19(1):1404. https://doi.org/10.1186/s12889-019-7775-0
  • 5. Aktan Ş, Özmen EB, Şanlı B. Psychiatric Disorders in Patients Attending a Dermatology Outpatient Clinic. Dermatology 1998;197:230–234. https://doi.org/10.1159/000018002
  • 6. Picardi A, Abeni D, Renzi C, Braga M, Puddu P, Pasquini P. Increased psychiatric morbidity in female outpatients with skin lesions on visible parts of the body. Acta Derm Venereol 2001;81(6).
  • 7. Bae JM, Lee SC, Kim TH, Yeom SD, Shin JH, Lee WJ, Lee MH, Lee AY, Kim KH, Kim MB, Park CJ, Lee SH, Kim DH, Lee HJ, Lee DY, Choi CW, Kim YC, Kang HY, Haw S, Lee YB, Yun SJ, Yun SK, Hong SP, Lee Y, Kim HJ, Choi GS. Factors affecting quality of life in patients with vitiligo: a nationwide study. Br J Dermatol 2018; 178:238–44. https://doi.org/10.1111/bjd.15560
  • 8. Grimes PE, Miller MM.Vitiligo: Patient stories, self-esteem, and the psychological burden of disease. Int J Women's Dermatol 2018 Jan 8;4(1):32-37. https://doi.org/10.1016/j.ijwd.2017.11.005
  • 9. Ezeilo BN. Psychological aspects of albinism: an exploratory study with Nigerian (Igbo) albino subjects. Soc Sci Med 1989;29(9):1129–31.
  • 10. Ajose FOA, Parker RA, Merrall ELC, Adewuya AO, Zachariah MP. Quantification and comparison of psychiatric distress in African patients with albinism and vitiligo: A 5-year prospective study. J Eur Acad Dermatology Venereol 2014;28(7):925–32. https://doi.org/10.1111/jdv.12216
  • 11. Estrada-Hernández N, Harper DC. Research on Psychological and Personal Aspects of Albinism: A Critical Review. Rehabil Psychol 2007;52(3):263–71. https://psycnet.apa.org/doi/10.1037/0090-5550.52.3.263
  • 12. http://www.albinism.org/publications/social.html Erişim Tarihi Aug 10, 2017.
  • 13. Kiprono SK, Joseph LN, Naafs B, Chaula BM. Quality of life and people with Albinism in Tanzania: More than only a loss of pigment. Sci Rep 2012;1:2–83.
  • 14. Vander Kolk CJ, Bright BC. Albinism: A survey of attitudes and behavior. J Vis Impair Blind. American Foundation for the Blind 1983; (77): 49-51.
  • 15. Lund PM. Health and education of children with albinism in Zimbabwe. Heal Educ Res. 2001;16(1):1–7.
  • 16. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4(6):561–71.
  • 17. Hisli N. Beck Depresyon Ölçe¤ i’nin bir Türk örnekleminde geçerlilik ve güvenilirliği Psikol Derg 1988;6:118–22.
  • 18. Beck A, Epstein N, Brown G, Steer R. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56(6):893–7.
  • 19. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother: Int Quarterly, 12:28-35.1998;12(2):163–72.
  • 20. WHOQOL Group. The World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychol Med 1998;28:551–8.
  • 21. Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. WHOQOL-100 ve WHOQOL-BREF’in psikometrik özellikleri. Psikiyatr Psikol Psikofarmakol Derg 1999;7(2):23–40 .
  • 22. Coopersmith S (1967) The Antecedents of Self-esteem. Palo Alto CA: Consulting Psychologists Press.
  • 23. Pişkin M. (1996) Türk ve İngiliz Lise Öğrencilerinin Benlik Saygısı Yönünden Karşılaştırılması. III. Ulusal Psikolojik Danışma ve Rehberlik Kongresi, 15–16 Nisan 1996, Adana ,Türkiye. Kongre Özet Kitabı sayfa:21-35.
  • 24. Ikuomola AD. Socio-Cultural Conception of Albinism and Sexuality Challenges among Persons with Albinism (PWA) in South-West, Nigeria. An Int J Arts Humanit 2015;4(2):189–208.
  • 25. Gaigher RJ, Lund PM, Makuya E. A sociological study of children with albinism at a special school in the Limpopo province. Curationis 2002; 25(Nov) :4–11.
  • 26. Papadopoulos L, Bor R, Legg C. Coping with the disfiguring effects of vitiligo: a preliminary investigation into the effects of cognitive-behavioral therapy. Br J Med Psychol 1999;72(3):385–96.
  • 27. Attama C, Onyeama G, Igwe M, Uwakwe R. Psychiatric morbidity among subjects with leprosy and albinism in Southeast Nigeria: A comparative study. Ann Med Health Sci Res 2015;5(3):197.
  • 28. Gavron I, Katz S, Galatzer A. Self-concept and anxiety among children and adolescents with albinism in Israel as a function of syndrome characteristics, age, and sex. Int J Adolesc Med Health 1995;8:167–79.
  • 29. Gold M. The effects of the physical features associated with albinism on the self-esteem of African American youths. J Vis Impair Blind 2002;96(03). Volume: 96 (3): 133-142.
  • 30. Lund PM. Oculocutaneous albinism in southern Africa: population structure, health, and genetic care. Ann Hum Biol 2005;32(2):168–73.
  • 31. Maia M, Volpini BMF, Santos GA dos, Rujula MJP. Quality of life in patients with oculocutaneous albinism. An Bras Dermatol 2015;90(4):513–7.
  • 32. Okoro AN. Albinism in Nigeria: A Clinical And Social Study. Br J Dermatol 1975;92(5):485–92.
  • 33. Bae JM, Lee SC, Kim TH et al. Factors affecting quality of life in patients with vitiligo: a nationwide study. Br J Dermatol 2018; 178:238–44.
  • 34. Rumsey N, Clarke A, White P. Exploring the psychosocial concerns of outpatients with disfiguring conditions. J Wound Care 2003 Jul;12(7):247-52.

Anxiety and Depression Levels, Self-Esteem and Quality of Life in Individuals with Albinism: A Case-Control Study

Yıl 2020, , 118 - 130, 29.12.2020
https://doi.org/10.18863/pgy.728034

Öz

Albinism is an inherited condition that may cause mental challenges in individuals. The aim of this study was to investigate the psychiatric distress that individuals with albinism experienced, the level of emotional impact caused by albinism on the quality of life and self-esteem. Twenty individuals with albinism, 20 individuals with vitiligo, 20 healthy controls included to the study. Participants were administered Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Coopersmith’s Self-Esteem Inventory (CSEI), World Health Organization Questionnaire on Quality of Life: Short Form (WHOQOL-BREF). BDI, BAI scores of individuals with albinism were significantly higher. The physical health, psychological, social relationship domain scores of the individuals with albinism were significantly lower than in healthy controls. Individuals with albinism had lower scores on Environment domain scores were lower than both those with vitiligo and healthy controls. The physical health, psychological, social relationship domain scores were negatively correlated with BDI; the physical health and environment domain scores were negatively correlated with BAI scores in albinism group. The CSEI scores of individuals with albinism were significantly lower than in healthy controls. According to our findings, the higher levels of depression and anxiety, lower levels of self-esteem, and quality of life indicate psychosocial distress among the individuals with albinism. Determination of the psychosocial distress experienced by individuals with albinism will contribute in better understanding of the experience of individuals with albinism and public awareness on albinism.

Proje Numarası

Yok

Kaynakça

  • 1. Marçon CR, Maia M. Albinism: epidemiology, genetics, cutaneous characterization, psychosocial factors. An Bras Dermatol 2019 Sep-Oct; 94(5):503-520. https://doi.org/10.1016/j.abd.2019.09.023
  • 2. https://www.albinizm.org.tr/albinizm-1 Erişim Tarihi: Ocak 29, 2018.
  • 3. Tsutsumi A, Izutsu T, Islam AM, Maksuda AN, Kato H, Wakai S. The quality of life, mental health, and perceived stigma of leprosy patients in Bangladesh. Social Science and Medicine 2007;64(12):2443‑53.
  • 4. Zhang XJ, Wang AP, Shi TY, Zhang J1, Xu H, Wang DQ, Feng L. The psychosocial adaptation of patients with skin disease: a scoping review. BMC Public Health 2019 Oct 29;19(1):1404. https://doi.org/10.1186/s12889-019-7775-0
  • 5. Aktan Ş, Özmen EB, Şanlı B. Psychiatric Disorders in Patients Attending a Dermatology Outpatient Clinic. Dermatology 1998;197:230–234. https://doi.org/10.1159/000018002
  • 6. Picardi A, Abeni D, Renzi C, Braga M, Puddu P, Pasquini P. Increased psychiatric morbidity in female outpatients with skin lesions on visible parts of the body. Acta Derm Venereol 2001;81(6).
  • 7. Bae JM, Lee SC, Kim TH, Yeom SD, Shin JH, Lee WJ, Lee MH, Lee AY, Kim KH, Kim MB, Park CJ, Lee SH, Kim DH, Lee HJ, Lee DY, Choi CW, Kim YC, Kang HY, Haw S, Lee YB, Yun SJ, Yun SK, Hong SP, Lee Y, Kim HJ, Choi GS. Factors affecting quality of life in patients with vitiligo: a nationwide study. Br J Dermatol 2018; 178:238–44. https://doi.org/10.1111/bjd.15560
  • 8. Grimes PE, Miller MM.Vitiligo: Patient stories, self-esteem, and the psychological burden of disease. Int J Women's Dermatol 2018 Jan 8;4(1):32-37. https://doi.org/10.1016/j.ijwd.2017.11.005
  • 9. Ezeilo BN. Psychological aspects of albinism: an exploratory study with Nigerian (Igbo) albino subjects. Soc Sci Med 1989;29(9):1129–31.
  • 10. Ajose FOA, Parker RA, Merrall ELC, Adewuya AO, Zachariah MP. Quantification and comparison of psychiatric distress in African patients with albinism and vitiligo: A 5-year prospective study. J Eur Acad Dermatology Venereol 2014;28(7):925–32. https://doi.org/10.1111/jdv.12216
  • 11. Estrada-Hernández N, Harper DC. Research on Psychological and Personal Aspects of Albinism: A Critical Review. Rehabil Psychol 2007;52(3):263–71. https://psycnet.apa.org/doi/10.1037/0090-5550.52.3.263
  • 12. http://www.albinism.org/publications/social.html Erişim Tarihi Aug 10, 2017.
  • 13. Kiprono SK, Joseph LN, Naafs B, Chaula BM. Quality of life and people with Albinism in Tanzania: More than only a loss of pigment. Sci Rep 2012;1:2–83.
  • 14. Vander Kolk CJ, Bright BC. Albinism: A survey of attitudes and behavior. J Vis Impair Blind. American Foundation for the Blind 1983; (77): 49-51.
  • 15. Lund PM. Health and education of children with albinism in Zimbabwe. Heal Educ Res. 2001;16(1):1–7.
  • 16. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4(6):561–71.
  • 17. Hisli N. Beck Depresyon Ölçe¤ i’nin bir Türk örnekleminde geçerlilik ve güvenilirliği Psikol Derg 1988;6:118–22.
  • 18. Beck A, Epstein N, Brown G, Steer R. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56(6):893–7.
  • 19. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother: Int Quarterly, 12:28-35.1998;12(2):163–72.
  • 20. WHOQOL Group. The World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychol Med 1998;28:551–8.
  • 21. Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. WHOQOL-100 ve WHOQOL-BREF’in psikometrik özellikleri. Psikiyatr Psikol Psikofarmakol Derg 1999;7(2):23–40 .
  • 22. Coopersmith S (1967) The Antecedents of Self-esteem. Palo Alto CA: Consulting Psychologists Press.
  • 23. Pişkin M. (1996) Türk ve İngiliz Lise Öğrencilerinin Benlik Saygısı Yönünden Karşılaştırılması. III. Ulusal Psikolojik Danışma ve Rehberlik Kongresi, 15–16 Nisan 1996, Adana ,Türkiye. Kongre Özet Kitabı sayfa:21-35.
  • 24. Ikuomola AD. Socio-Cultural Conception of Albinism and Sexuality Challenges among Persons with Albinism (PWA) in South-West, Nigeria. An Int J Arts Humanit 2015;4(2):189–208.
  • 25. Gaigher RJ, Lund PM, Makuya E. A sociological study of children with albinism at a special school in the Limpopo province. Curationis 2002; 25(Nov) :4–11.
  • 26. Papadopoulos L, Bor R, Legg C. Coping with the disfiguring effects of vitiligo: a preliminary investigation into the effects of cognitive-behavioral therapy. Br J Med Psychol 1999;72(3):385–96.
  • 27. Attama C, Onyeama G, Igwe M, Uwakwe R. Psychiatric morbidity among subjects with leprosy and albinism in Southeast Nigeria: A comparative study. Ann Med Health Sci Res 2015;5(3):197.
  • 28. Gavron I, Katz S, Galatzer A. Self-concept and anxiety among children and adolescents with albinism in Israel as a function of syndrome characteristics, age, and sex. Int J Adolesc Med Health 1995;8:167–79.
  • 29. Gold M. The effects of the physical features associated with albinism on the self-esteem of African American youths. J Vis Impair Blind 2002;96(03). Volume: 96 (3): 133-142.
  • 30. Lund PM. Oculocutaneous albinism in southern Africa: population structure, health, and genetic care. Ann Hum Biol 2005;32(2):168–73.
  • 31. Maia M, Volpini BMF, Santos GA dos, Rujula MJP. Quality of life in patients with oculocutaneous albinism. An Bras Dermatol 2015;90(4):513–7.
  • 32. Okoro AN. Albinism in Nigeria: A Clinical And Social Study. Br J Dermatol 1975;92(5):485–92.
  • 33. Bae JM, Lee SC, Kim TH et al. Factors affecting quality of life in patients with vitiligo: a nationwide study. Br J Dermatol 2018; 178:238–44.
  • 34. Rumsey N, Clarke A, White P. Exploring the psychosocial concerns of outpatients with disfiguring conditions. J Wound Care 2003 Jul;12(7):247-52.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri
Bölüm Araştırma
Yazarlar

Kumru Şenyaşar Meterelliyoz 0000-0003-2829-7531

Menekşe Sıla Yazar 0000-0002-3452-545X

Proje Numarası Yok
Yayımlanma Tarihi 29 Aralık 2020
Kabul Tarihi 13 Temmuz 2020
Yayımlandığı Sayı Yıl 2020

Kaynak Göster

AMA Şenyaşar Meterelliyoz K, Yazar MS. Albinizmli Bireylerde Depresyon, Anksiyete Düzeyleri, Özsaygı ve Yaşam Kalitesi: Bir Olgu-Kontrol Çalışması. Psikiyatride Güncel Yaklaşımlar. Aralık 2020;12:118-130. doi:10.18863/pgy.728034

Creative Commons Lisansı
Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.