Şizofreni Hastalığında Mutluluk Kavramı

Yıl 2022, Cilt: 14 Sayı: 3, 291 - 298, 30.09.2022

Fatih Şahin Özlem Şahin Altun

https://doi.org/10.18863/pgy.1004519

Cited By: 1

Öz

Şizofreni; bireylerin duygu, düşünce ve davranışlarını etkileyen ciddi bir ruhsal bozukluktur. Şizofrenide görülen belirtiler kişiden kişiye farklılık göstermesine rağmen, bozukluğun seyri çoğunlukla hafif olmamaktadır. Hastalığın bu etkilerine ek olarak hastalar gerek toplumsal gerekse ailesel olumsuzluklarla da mücadele etmek durumunda kalmaktadır. Bu zorlu süreçte hastaların umut, mutluluk gibi pozitif duygulara sahip olması hastalıkla baş etmede motivasyon kaynağı olabilmektedir. Nitekim mutluluk; bir kişinin yaşamının hem işlevsellik hem de başarı ile ilgili temel bir boyutudur. Mutluluk, bireylerde sağlıklı yaşamdan sosyal etkileşime kadar birçok alanda ruhsal ve psikolojik esenliği destekleyici güç konumundadır. Şizofrenide mutluluk; şizofreninin tanı, tedavi ve rehabilitasyonu boyunca bireylerde daha az depresif duygudurum, daha az sosyal izolasyon, geleceğe ve tedavi sürecine ilişkin daha umutlu bir sürece işaret etmektedir. Ancak anhedoni'nin şizofrenide doğal bir durum olduğuna dair uzun süredir devam eden inanç nedeniyle, şizofrenide mutluluk hakkında sınırlı veri bulunmaktadır. Bu bağlamda bu çalışmanın amacı, şizofreni hastalarında göz ardı edilen mutluluk kavramı hakkında farkındalık oluşturulması ve şizofrenide mutluluğun hem klinik hem de fonksiyonel ve işlevsel sonuçları ile değerlendirilmesidir.

Anahtar Kelimeler

Mutluluk, Psikiyatri, şizofreni

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

Concept of Happiness in Schizophrenia

Öz

Schizophrenia is a severe mental disorder that affects a person's emotions, thoughts, and behaviors. Although the symptoms of schizophrenia vary from person to person, the course of the disorder is generally not mild. In addition to these effects of the disease, patients have to struggle with both social and family problems. Having positive feelings such as hope and happiness for patients during this hard period can be a source of motivation in coping with the disease. Indeed, happiness is a basic dimension of a person's life, related to both functionality and achievement. Happiness is a power that supports mental and psychological well-being in many fields, from healthy living to social interaction in individuals. Happiness in schizophrenia points out less depressive mood, less social isolation, and a more hopeful process for the future and treatment process during the diagnosis, treatment, and rehabilitation of schizophrenia. However, limited data are available on happiness in schizophrenia due to the long-standing belief that anhedonia is an inherent feature in schizophrenia. In this context, this study aims to create awareness about the ignored concept of happiness in patients with schizophrenia and to evaluate happiness in schizophrenia with its clinical and functional results.

Anahtar Kelimeler

Happiness, Psychiatry, schizophrenia

Proje Numarası

yok

Kaynakça

• Kaynakça Agid O, McDonald K, Siu C, Tsoutsoulas C, Wass C, Zipursky RB, Foussias G, Remington G ( 2012) Happiness in first-episode schizophrenia. Schizophr Res, 141:98-103.
• Altun ÖŞ, Olçun Z (2018) Şizofreni Hastalığında Umut Kavramı/The Concept of Hope in Schizophrenia Disease. Sağlık Bilimleri ve Meslekleri Dergisi, 5: 107-112.
• Andrews FM, Withey SB (2012) Social indicators of well-being: Americans' perceptions of life quality. New York And Londom. Plenium Press.
• Argyle M, Strack F, Schwartz N (1991) Subjective Well-being: an interdisciplinary perspective. New York, USA. Pergamon Press.
• Bergsma A, Veenhoven R, Ten Have M, de Graaf R (2011) Do they know how happy they are? On the value of self-rated happiness of people with a mental disorder. J Happiness Stud, 12:793-806.
• Borghesi S, Vercelli A (2012) Happiness and health: two paradoxes. Journal of Economic Surveys, 26(2): 203-233.
• Buckland HT, Schepp KG, Crusoe K (2013) Defining happiness for young adults with schizophrenia: a building block for recovery. Arc Psychiatr Nurs, 27: 235-240.
• Campbell P (2007) Hearing my voice. The Psychiologist, 20(5):298.
• Carretero MT (2014) Veterans Living with Severe Mental Illness: Outcome Evaluation of Recovery Group (PhD Thesis) San Francisco, Alliant International University.
• Cloninger CR (2006) The science of well-being: an integrated approach to mental health and its disorders. World psychiatry, 5(2): 71.
• Diener E, Suh EM, Lucas ER, Smith HL (1999) Subjective well-being: Three decades of progress. Psyc Bull, 125(2): 276-302
• Diener E, Chan MY (2011) Happy people live longer: Subjective well‐being contributes to health and longevity.Applied Psychology: Health and Well‐Being, 3(1):1-43.
• Diener E, Lucas RE, Oishi S (2002) Subjective well-being. Ann Rev Psycho, 16:63-73.
• Diener E (2009) Subjective well-being. The Science of Well-Being, 11-58.
• Doğan T (2012) Beş faktör kişilik özellikleri ve öznel iyi oluş. Doğuş Üniversitesi Dergisi, 14(1):56-64.
• Eglit GM, Palmer BW, Martin SA, Tu X, Jeste DV (2018) Loneliness in schizophrenia: construct clarification, measurement, and clinical relevance. J Clin Psychiatry, 13:1-20.
• Ergüner TB (2016) Adleryan kuramın pozitif psikoloji bağlamında değerlendirilmesi. The Journal of Happiness & Well-Being, 4(1):34-49.
• Fava GA, Tomba E (2009) Increasing psychological well‐being and resilience by psychotherapeutic methods. Journal of personality, 77(6):1903-1934.
• Fervaha G, Agid O, Takeuchi H, Foussias G, Remington G (2016) Life satisfaction and happiness among young adults with schizophrenia. Psych Res, 242:174-179.
• Frey BS (2011) Happy people live longer. Science, 331(6017);542-543.
• Helliwell J, Layard, R, Sachs J (2012) World happiness report. The Earth Institute, Columbia University
• Helliwell JF, Wang S (2012) The State of World Happiness, World Happiness Report, The Earth Institute, Columbia University, 10–57
• Hochstrasser L, Borgwardt S, Lambert M, Schimmelmann BG, Lang UE, Stieglitz R, D, Huber CG (2018) The association of psychopathology with concurrent level of functioning and subjective well-being in persons with schizophrenia spectrum disorders. Eur Arch Psychiatry Clin Neurosci, 268(5), 455-459.
• Karadayı G, Emiroğlu B, Üçok A (2011) Relationship of symptomatic remission with quality of life and functionality in patients with schizophrenia. Comprehensive Psychiatry, 52(6):701-707.
• Keyes CLM (2006) Subjective well-being in mental health and human development research worldwide: An introduction. Social Indicators Research, 77:1–10
• Kublay D, Oktan V (2015). Evlilik uyumu: Değer tercihleri ve öznel mutluluk açısından incelenmesi. Türk Psikolojik Danışma ve Rehberlik Dergisi, 5(44):25-35.
• Kuhn A, Lalive R, Zweimüller J (2009) The public health costs of job loss. Journal of Health Economics, 28(6):1099-1115.
• Lambert M, Schimmelmann BG, Naber D, Schacht A, Karow A, Wagner T, Czekalla J (2006) Prediction of remission as a combination of symptomatic and functional remission and adequate subjective well-being in 2960 patients with schizophrenia. J Clin Psychiatry, 67: 1690–1697.
• Levenson RW (1992) Autonomic nervous system differences among emotions. Psychological Science, 3:23–27.
• Lu L, Shih BJ (1997) Sources of happiness: A qualitative approach. The Journal of Social Psychology, 137(2): 181-187.
• Lyubomirsky S, Sheldon KM, Schkade D (2005) Pursuing happiness: The architecture of sustainable change. Review of general psychology, 9(2), 111-131.
• Magliano L, Fiorillo A, De Rosa C, Malangone C, Maj M (2005) National Mental Health Project Working Group. Family burden in long-term diseases: a comparative study in schizophrenia vs. physical disorders. Social science & medicine, 61(2): 313-322.
• Manige HS, Younesi SJ, Zarei F, Aminzadeh MD, Barekati S (2018) The Role of Sources of Self-knowledge in Predicting Social Anxiety among Adolescents with Physical-Motor Disabilities J Child Adolesc Behav, 6:3
• Mankiewicz PD, Gresswell DM, Turner C (2013) Happiness in severe mental illness: Exploring subjective wellbeing of individuals with psychosis and encouraging socially inclusive multidisciplinary practice. Mental Health and Social Inclusion, 17:27-34.
• Mehrdadi A, Sadeghian S, Direkvand MA, Hashemian A (2016) Factors affecting happiness: a cross-sectional study in the Iranian youth. J Clin Diagn Res, 10(5):1-3
• Meyer PS, Johnson DP, Parks A, Iwanski C, Penn DL (2012) Positive living: A pilot study of group positive psychotherapy for people with schizophrenia. The Journal of Positive Psychology, 7(3):239-248.
• Nanthamongkolchai S, Tuntichaivanit C, Munsawaengsub C, Charupoonphol, P (2009) Factors influencing life happiness among elderly female in Rayong Province, Thailand. J Med Assoc Thai , 92(7):8-12.
• Noh C, Choe K, Yang B (2008) Hope from the perspective of people with schizophrenia (Korea). Arc Psychiatr Nurs, 22.2: 69-77.
• Oishi S, Diener E, Lucas RE (2007) The optimum level of well-being: Can people be too happy? Perspect Psychol Sci, 2:346-360
• Olçun Z, Altun ÖŞ (2017) The correlation between schizophrenic patients' level of internalized stigma and their level of hope. Arch Psych Nurs, 31(4):332-337.
• Öztürk MO, Uluşahin A (2011) Ruh Sağlığı ve Bozuklukları. 5. Baskı. Ankara. Nobel Tıp Kitapları
• Palmer BW, Martin AS, Depp CA, Glorioso DK, Jeste DV (2014) Wellness within illness: happiness in schizophrenia. Schizophr Res, 159:151-156.
• Pressman SD, Cohen S (2005) Does positive affect influence health?. Psychological bulletin, 131(6), 925-971
• Ralph RO (2005) Recovery. Psychiatric Rehabilitation Skills, 4(3):480–517.
• Robinson DG, Woerner MG, McMeniman M, Mendelowitz A, Bilder RM (2004) Symptomatic and functional recovery from a first episode of schizophrenia or schizoaffective disorder. Am Psychiatriv Assoc, 161:473–479
• Rozanski A, Blumenthal JA, Kaplan J (1999) Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Am Heart Assoc 99(16):2192-2217.
• Ruini C, Fava GA (2004) Clinical implications of psychological well-being. Ricerche di Psicologia, 27(1):159–175.
• Sabatini F (2014) The relationship between happiness and health: evidence from Italy. Social Science&Medicine, 114:178-187.
• Sadock BJ, Sadock VA (2011) Kaplan and Sadock's Synopsis of Psychiatry Behavioral sciences clinical psychiatry, 7th ed. New york. Lippincott Williams & Wilkins press
• Saperia S, Silva DS, Siddiqui I, McDonald K, Agid O, Remington G, Foussias G (2018) Investigating the predictors of happiness, life satisfaction and success in schizophrenia. 81:42-47.
• Seedhouse D (2004) Health promotion: philosophy, prejudice and practice. Second Ed. John Wiley & Sons.
• Steptoe A (2019) Happiness and health. Annu. Rev. Public Health, 40:339-359
• Straume LV, Vittersø J (2015) Well-being at work: Some differences between life satisfaction and personal growth as predictors of subjective health and sick-leave. J Happiness Stud, 16:149–168
• Süler M (2016) Akıllı telefon bağımlılığının öznel mutluluk düzeyine etkisinin çeşitli değişkenler açısından incelenmesi (Yüksel lisans tezi), Sakarya, Sakarya Üniversitesi
• Şahin F, Şahin AÖ (2020) The relationship between perceived family support and happiness level of patients with schizophrenia. J. Psy Nurs, 11(3):181-187
• Ulukan M (2020) Öğretmenlerin mutluluk ile psikolojik sağlamlik düzeyleri arasindaki ilişkinin incelenmesi. Journal of International Social Research, 13(73):620-631
• Unit SE (2004) Mental health and social exclusion. Social Exclusion Unit report. HM Stationery Office.
• Veenhoven R (2000) Freedom and happiness: a comparative study in forty-four nations in the early 1990s. Culture and subjective well-being, 3:257-288.
• Veenhoven R (2008) Healthy happiness: Effects of happiness on physical health and the consequences for preventive health care. J Happiness Stud. 9:449–469
• Videbeck S (2013) Psychiatric-Mental Health Nursing, 6th ed. China, Lippincott Williams & Wilkins press.
• Warburton DM (1999) Pleasure for health. Editör Peele S, Grant M. Taylor and Francis Press. pp.11-23.
• Weinert C, Cudney S, Spring A (2008) Evolution of a conceptual model for adaptation to chronic illness. Journal of Nursing Scholarshi, 40(4):364-372.