Year 2020, Volume 5 , Issue 2, Pages 45 - 52 2020-09-30

Obsesif kompulsif bozukluk hastalarında mizaç, karakter özellikleri ve aleksitimi
Temperament, character traits and alexithymia in patients with obsessive compulsive disorder

Mehmet ÜSTÜNDAĞ [1] , Pınar ŞEN GÖKÇEİMAM [2]


Giriş: Obsesif kompulsif bozukluk (OKB) hastalarında aleksitimi düzeyleri genellikle yüksek olarak bulunmuştur. Aleksitimi ile OKB semptomlarının şiddeti arasında ilişki olduğu düşünülmektedir. Aleksitimiye etki eden faktörlerden biri mizaç-karakter özellikleridir. Bu çalışmada OKB hastalarında mizaç-karakter özellikleri ve bu özelliklerin aleksitimiyle ilişkisinin araştırılması amaçlanmıştır.


Yöntem: Bu çalışmaya Atatürk Üniversitesi Psikiyatri Polikliniği’ne başvuran 43 OKB tanılı hasta ile 33 sağlıklı birey kontrol grubu olarak alınmıştır. Katılımcılara DSM–IV Eksen-I Bozuklukları için Yapılandırılmış Klinik Görüşme Ölçeği (SCID-I), sosyodemografik ve klinik veri formu, Mizaç ve Karakter Envanteri (MKE), Toronto Aleksitimi Ölçeği (TAÖ-20) ile hasta grubuna ek olarak Yale-Brown Obsesyon Kompulsiyon Ölçeği (Y-BOKÖ) uygulanmıştır.


Bulgular: Her iki grup arasında yaş ve cinsiyet yönünden fark saptanmamıştır. OKB grubunda kontrol grubuna göre zarardan kaçınma (ZK), kendini aşma (KA) skorları yüksek, kendini yönetme (KY), işbirliği yapma (İY), yenilik arayışı (YA) düşük bulunmuştur. OKB grubunda; duyguları söze dökmede güçlük (TAS-B), dışa dönük düşünme (TAS-C) ve total OKB skorları kontrol grubuna göre yüksek saptanmıştır. Aleksitimik OKB grubunda aleksitimik olmayan gruba göre, düzensizlik ve sebat Etme (SE) skor ortalamaları düşük saptanmıştır. OKB'li hastalarda Y-BOCS puanları ile TAS-C puanları arasında pozitif korelasyon saptanmıştır.


Sonuç: Aleksitimi OKB’de yüksek oranda görülmektir. Aleksitimin dışa-dönük düşünme boyutu OKB semptom şiddeti ile ilişkilidir. Aleksitimik OKB hastalarında bazı mizaç-kişilik özellikleri aleksitimik olmayanlara göre farklılaşmaktadır. Aleksitimi ve aleksitimiye etki eden faktörlerin değerlendirilmesi, OKB’nin etyolojisi ve tedavisini anlamak için yeni bir yaklaşım sunma potansiyeline sahiptir. 

Introduction: Alexithymia levels have generally been found high in patients with obsessive compulsive disorder (OCD). It is thought that there is a correlation between alexithymia and the severity of OCD symptoms. One of the factors influencing alexithymia is temperament-character traits. In this study, it was aimed to investigate the temperament-character traits in OCD patients and the correlation of these traits with alexithymia.


Methods: This study included 43 OCD patients who applied to Atatürk University Psychiatry Outpatient Clinic and 33 healthy individuals as the control group. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-IV), Sociodemographic and clinical data form, and Temperament and Character Inventory (TCI), Toronto Alexithymia Scale (TAS-20) were applied to participants whereas Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was additionally applied to the patient group.


Results: No difference was detected between both groups in terms of age and gender. In the OCD group, harm avoidance (HA) and self-transcendence (ST) scores were found high, and self-directedness (SD), cooperativeness (C) and novelty seeking (NS) were found low when compared to the control group. In the OCD group, difficulty in expressing feelings (TAS-B), extroverted thinking (TAS-C) and TAS-20 scores were found to be higher than the control group. In the alexithymic OCD group, the mean disorderliness and persistence(P) scores were found to be lower compared to the non-alexithymic group. A positive correlation was discovered between Y-BOCS scores and TAS-C scores in OCD patients.


Conclusion: Alexithymia is observed at a high rate in OCD. The extroverted thinking sub-dimension of alexithymia is correlated with the severity of OCD symptoms. Some temperament-personality traits differ in alexithymic-OCD patients compared to those who are not alexithymic. The evaluation of alexithymia and the factors influencing alexithymia has the potential to offer a new approach to understand the etiology and treatment of OCD.  

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Primary Language en
Subjects Psychiatry
Published Date Agu 2020
Journal Section Original Research
Authors

Orcid: 0000-0003-0897-6000
Author: Mehmet ÜSTÜNDAĞ
Institution: Department of Psychiatry, Istanbul Erenkoy Psychiatric and Neurological Disorders Hospital, Istanbul
Country: Turkey


Orcid: 0000-0001-5228-3784
Author: Pınar ŞEN GÖKÇEİMAM (Primary Author)
Institution: Department of Psychiatry, Istanbul Erenkoy Psychiatric and Neurological Disorders Hospital, Istanbul
Country: Turkey


Dates

Application Date : June 26, 2020
Acceptance Date : August 20, 2020
Publication Date : September 30, 2020

Bibtex @research article { fppc756632, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {SERNEV}, year = {2020}, volume = {5}, pages = {45 - 52}, doi = {10.22391/fppc.756632}, title = {Temperament, character traits and alexithymia in patients with obsessive compulsive disorder}, key = {cite}, author = {Üstündağ, Mehmet and Şen Gökçei̇mam, Pınar} }
APA Üstündağ, M , Şen Gökçei̇mam, P . (2020). Temperament, character traits and alexithymia in patients with obsessive compulsive disorder . Family Practice and Palliative Care , 5 (2) , 45-52 . DOI: 10.22391/fppc.756632
MLA Üstündağ, M , Şen Gökçei̇mam, P . "Temperament, character traits and alexithymia in patients with obsessive compulsive disorder" . Family Practice and Palliative Care 5 (2020 ): 45-52 <http://www.fppc.com.tr/en/pub/issue/54329/756632>
Chicago Üstündağ, M , Şen Gökçei̇mam, P . "Temperament, character traits and alexithymia in patients with obsessive compulsive disorder". Family Practice and Palliative Care 5 (2020 ): 45-52
RIS TY - JOUR T1 - Temperament, character traits and alexithymia in patients with obsessive compulsive disorder AU - Mehmet Üstündağ , Pınar Şen Gökçei̇mam Y1 - 2020 PY - 2020 N1 - doi: 10.22391/fppc.756632 DO - 10.22391/fppc.756632 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 45 EP - 52 VL - 5 IS - 2 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/fppc.756632 UR - https://doi.org/10.22391/fppc.756632 Y2 - 2020 ER -
EndNote %0 Family Practice and Palliative Care Temperament, character traits and alexithymia in patients with obsessive compulsive disorder %A Mehmet Üstündağ , Pınar Şen Gökçei̇mam %T Temperament, character traits and alexithymia in patients with obsessive compulsive disorder %D 2020 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 5 %N 2 %R doi: 10.22391/fppc.756632 %U 10.22391/fppc.756632
ISNAD Üstündağ, Mehmet , Şen Gökçei̇mam, Pınar . "Temperament, character traits and alexithymia in patients with obsessive compulsive disorder". Family Practice and Palliative Care 5 / 2 (September 2020): 45-52 . https://doi.org/10.22391/fppc.756632
AMA Üstündağ M , Şen Gökçei̇mam P . Temperament, character traits and alexithymia in patients with obsessive compulsive disorder. Fam Pract Palliat Care. 2020; 5(2): 45-52.
Vancouver Üstündağ M , Şen Gökçei̇mam P . Temperament, character traits and alexithymia in patients with obsessive compulsive disorder. Family Practice and Palliative Care. 2020; 5(2): 45-52.