Yıl: 2014 Cilt: 3 Sayı: 2 Sayfa Aralığı: 84 - 93 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar

Öz:
Somatoform bozukluklar tıbbi bir durumu akla getiren fakat tamamen tıbbi bir durumla açıklanamayan fizikselbelirtilerle karakterizedirler. Birçok çalışma somatoform bozukluklarda bilişsel-davranşçı terapilerin etkili olduğunugöstermektedir. Ancak, somatoform bozuklukların birçok bilişsel faktörle yakın ilişkisi açık olmakla birlikte, bu ilişkininkesin doğası henüz açıklığa kavuşmamıştır. Bu çalışmanın amacı Diagnostic and statistical manual of mental disordersfourth edition (DSM-IV) Hipokondriyazis ve Somatizasyon Bozukluğu tanıları ile Young tarafından psikolojik problemlerintemeli olarak ileri sürülen erken dönem uyumsuz şemalar arasındaki ilişkiyi belirlemekti.Yöntem: DSM-IV'e göre Hipokondriyazis veya Somatizasyon Bozukluğu tanısı alan, 18-65 yaşları arasında toplam 28hasta ve 30 sağlıklı kontrolu inceledik. Bütün katılımcılar DSM-IV Eksen 1 Bozukluklar için Yapılandırılmış Klinik Görüşme(SCID-I) ile değerlendirildi. Bulgular, bir Sosyodemografik Sorguluk ve Young Şema Sorguluğu-Kısa Form 3'le eldeedildi.Bulgular: Hastaların ortalama yaşı 36,71 ± 10.39 idi. Hastaların çoğu kadın, evli ve ev kadını idi. Somatoform bozukluğuolan hastaların tüm erken dönem uyumsuz şema skorları sağlıklı kontrollerden yüksekti.Tartışma: Bu çalışmada tüm erken dönem uyumsuz şemalar somatoform bozukluklarla ilişkili bulundu. Etyolojide özgülbiri değil fakat uyumsuz şemaların tamamının rol oynaması, somatoform bozukluklara yatkınlığın özgül olmayan genelkaynaklarını yansıtıyor olabilir.
Anahtar Kelime:

Konular: Psikiyatri

Early maladaptive schemas in the patients with somatoform disorders

Öz:
Objective: Somatoform disorders are characterized by physical symptoms that suggest a medical condition but that are not fully explained by a medical condition. A number of studies have suggested the efficacy of cognitive behavioral therapy for somatoform disorders. But, while it is clear that somatoform disorders are closely related to a number of cognitive factors, the precise nature of these relationships have not been elucidated yet. The aim of the present study was to determine the relationships between DSM-IV hypochondriasis and somatoform disorder diagnoses and the early maladaptive schemas which have been proposed by Young as the core of psychological problems.Method: We investigated a total of 28 patients aged 18-65 years, were diagnosed as Hypochondriasis or Somatization Disorder according to DSM-IV and 30 healthy controls. All participitans were assessed with The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-1). Data were obtained by using a Sociodemographic Questionnaire and Young Schema Questionnaire-Short Form 3.Results: The main age of patients was 36,71 ± 10,39. Most of the patients were female, married and housewives. All early maladaptive schema scores of patients with somatoform disorders were higher than healthy controls.Conclusion: All early maladaptive schemas have been found to be related to somatoform disorders in this study. The role of not a specific one but a total of maladaptive schemas in etiology may reflect the unspecific general sources of the tendency to somatoform disorders.
Anahtar Kelime:

Konular: Psikiyatri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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  • Alnaes R, Torgensen S (1988) The relationship between DSMIII symptom disorders (Axis I) and personality disorders (Axis II) in an outpatient population. Acta Psychiatr Scand, 78: 485-92.
  • Arntz A, Klokman J, Sieswerda S (2005) An experimental test of the schema mode model of borderline personality disorder. J Behav Ther Exp Psychiatry, 36: 226-39.
  • APA, American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. 4th edition (DSMIV). American Psychiatric Association, Washington, DC.
  • APA, American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders. Fifth Edition, American Psychiatric Association, Arlington, VA.
  • Bamber M, McMahon M (2008) Danger-Early maladaptive schemas at work: The role of early maladaptive schemas in career choice and the development of occupational stres in health workers. Clinical Psychology and Psychotherapy, 15: 96-112.
  • Barsky AJ ve Ahern DK (2004) Cognitive behavior therapy for hypochondriasis: A randomized controlled trial. Journal of the American Medical Association, 291: 1464-70.
  • Barsky AJ ve Borus JF (1995) Somatization and medicalization in the era of managed care. Journal of American Medical Association, 274: 1931-4.
  • Barsky AJ, Wool C, Barnett MC ve ark. (1994) Histories of childhood trauma in adult hypochondriacal patients. Am J Psychiatry, 151: 397-401.
  • Barsky AJ, Wyshak G (1990) Hypochondriasis and somatosensory amplification, 157: 404-9.
  • Barsky AJ, Wyshak G, Klerman GL (1992) Psychiatric comorbidity in DSM-III-R hypochondriasis. Archives of General Psychiatry, 49: 101-8.
  • Bass C, Murphy M (1995) Somatoform and personality disorders: syndromal comorbidity and overlapping developmental pathways. J Psychosom Res, 39: 403-27.
  • Beck JS (1995) Cognitive Therapy: Basics and Beyond, Şahin NH (Çev. Ed.), Türk Psikologlar Derneği Yayınları, Ankara, 2001.
  • Brown RJ, Schrag A, Trimble MR (2005) Dissociation, Childhood Interpersonal Trauma and Family Functioning in Patients With Somatization Disorder. Am J Psychiatry, 162: 5.
  • Bucci W (1997) Symptoms and symbols: A multiple code theory of Somatization, Psychoanalytic Inquiry: A Topical Journal for Mental Health Professionals, 17: 151-72.
  • Carr S, Francis A (2010) Early maladaptive schemas and personality disorder symptoms: an examination in a nonclinical sample. Psychology & Psychotherapy, 83;4: 333- 49.
  • Castille K, Prout M (2007) The early maladaptive schemas of self-mutilators: Implications for therapy. Journal of Cognitive Psychotherapy: An International Quarterly, 21: 58-71.
  • Clark DM, Salkovskis PM, Hackmann A ve ark. (1998) Two psychological treatments for hypochondriasis. A randomised controlled trial. BJP, 173: 218-25.
  • Cloninger CR (1978) The link between hysteria and sociopathy: an integrative model of pathogenesis based on clinical, genetic, andneurophysiological observations, in Psychiatric Diagnosis: Exploration of Biological Predictors. New York, Spectrum: 189-218.
  • Cloninger RC, Reich T, Guze S (1995) The multifactorial model of disease transmission: III. Familial relations between sociopathy and hysteria (Briquet's syndrome). Br J Psychiatry, 127: 23-32.
  • Creed FH, Barsky A (2004) A systematic review of somatisation and hypochondriasis. J Psychosom Res, 56: 391-408.
  • De Gucht V, Heiser W (2003) Alexithymia and somatization: a quantitative review of the literature. J Psychosom Res, 54: 425-34.
  • Denollet J (1998) Personality and coronary heart disease: the type-D scale-16 (DS16). Ann Behav Med, 20: 209-15.
  • Dimsdale J, Creed F (2008) The proposed diagnosis of somatic symptom disorders in DSM-V to replace somatoform disorders in DSM-IV--a preliminary report. Journal of Psychosomatic Research, 66: 473-6.
  • Dimsdale J, Sharma N & Sharpe M (2011) What do physicians think of somatoform disorders. Psychosomatics, 52: 154-9.
  • Escobar JI, Gara MI, Diaz-Martinez AM ve ark. (2007) Effectiveness of a time-limited cognitive behavior therapy-type intervention among primary care patients with medically unexplained symptoms. Annals of Family Medicine, 5: 328-35.
  • Eysenck HJ (1991) Dimensions of personality: 16, 5, or 3? - criteria for a taxonomic paradigm. Pers Individ Diff, 12: 773-90.
  • Fink P, Ornobol E, Toft T ve ark. (2004) A new, empirically established hypochondriasis diagnosis. Am J Psychiatry, 161: 1680-91.
  • Garcia-Campayo J, Alda M, Sobradiel N ve ark. (2007) Personality disorders in somatization disorder patients: A controlled study in Spain. Journal of Psychosomatic Research, 62: 675-80.
  • Greeven A, van Balkom AJ, Visser S ve ark. (2007) Cognitive behavior therapy and paroxetine in the treatment of Hypochondriasis: A randomized controlled trial. American Journal of Psychiatry, 164: 91-9.
  • Gupta D, Pérez-Edgar K (2012) The role of temperament in somatic complaints among young female adults. J Health Psychol, 17: 26.
  • Guze SB (1983) Studies in hysteria. Can J Psychiatry, 28: 434-7.
  • Harris AE, Cutin L (2002) Parental perceptions, early maladaptive schemas, and depressive symptoms in young adults. Cognitive Therapy and Research, 26: 405-16.
  • Hedley L, Hoffart A, Sexton H (2001) Early maladaptive schemas in patients with panic disorder with agoraphobia. Journal of Cognitive Psychotherapy: An International Quarterly, 15: 131-42.
  • Hinrichsen H, Waller G. Emanuelli F (2004) Social anxiety and agoraphobia in the eating disorder: Associations with core beliefs. The Journal of Nervous and Mental Disease, 192: 784-7.
  • Hudziak J, Boffeli T, Kriesman JJ ve ark. (1996) A clinical study of the relation between borderline personality disorder to Briquet`s syndrome, somatization disorder, antisocial personality disorder and substance abuse disorder. Am J Psychiatry, 153: 1598-1606.
  • Jellesma FC (2008) Health in young people: social inhibition and negative affect and their relationship with self-reported somatic complaints. J Dev Behav Pediatr, 29: 94-100.
  • Jovev M, Jackson HJ (2004) Early maladaptive schemas in personality disordered individuals. J Pers Disord, 18: 467- 78.
  • Kaminsky MJ, Slavney PR (1983) Hysterical and obsessional features in patients with Briquet's syndrome (somatization disorder). Psychol Med, 13: 111-20.
  • Kirmayer LJ, Robbins JM, Paris J (1994) Somatoform disorders: personality and the social matrix of somatic distress. J Abnorm Psychol, 103: 125-36.
  • Konukçu HB, Akkoyunlu S, Türkçapar MH (2013) Early maladaptive schemas in depressed women and its relationship with depression. JCBPR, 2: 98-105.
  • Kroenke K (2007) Efficacy of Treatment for Somatoform Disorders: A Review of Randomized Controlled Trials. Psychosomatic Medicine, 69: 881-8.
  • Lapsekili N, Ak M (2012) Early maladaptive schemas related to unipolar and bipolar depression: similarities and differences. JCBPR, 1: 145-51.
  • Leibbrand R, Hiller W, Fichter MM (2000) Hypochondriasis and Somatization: Two Distinct Aspects of Somatoform Disorders? J Clin Psychol, 56: 63-72.
  • Lewis CA, Francis LJ, Shevlin M (2002) Confirmatory factor analysis of the French translation of the abbreviated form of the Revised Eysenck Personality Questionnaire (EPQR-A). European J Psychol Assess, 18: 179-85.
  • Lillienfield SO (1992) The association between antisocial personality and somatization disorders. A review and integration of theoretical models. Clin Psychol Rev 12: 641- 62.
  • Lipowski ZJ (1987) Somatization: the experience and communication of psychological distress as somatic symptoms. Psychoter Psychosom, 47: 160-7.
  • Lipowski ZJ (1988) Somatization: the concept and its clinical applications. Am J Psychiatry, 145: 1358-68.
  • Magallón R, Gili M, Moreno S ve ark. (2008) Cognitivebehaviour therapy for patients with Abridged Somatization Disorder (SSI 4,6) in primary care: a randomized, controlled study. BMC Psychiatry, 8: 47.
  • Marcangelo MJ, Wise T (2007) Resistant somatoform symptoms: Try CBT and antidepressants. Current Psychiatry, 6: 101- 16.
  • Martin BJ, Pihl OR (1986) Influence of alexithymia characteristics on psychological and subjective stress responses in normal individuals, Psychotherapy and Psychosomatics, 45: 66-77.
  • McCrae RR, Costa PT (1987) Validation of the five factor model of personality across instruments and observers. J Pers Soc Psychol, s. 81-90.
  • Mechanic D (1972) The concept of illness behaviour. J Chronic Dis, 15: 189-94.
  • Morrison J (1989) Histrionic personality disorders in women with somatization disorder. Psychosomatics, 30: 433-7.
  • Muris P (2006) Maladaptive schemas in non-clinical adolescents: relations to perceived parental rearing behaviours, big five personality factors and psychopathological symptoms. Clinical Psychology and Psychotherapy, 13: 405-13.
  • Noyes R, Langbehn DR, Happel RL ve ark. (2001) Personality dysfunction among somatizing patients. Psychosomatics, 42: 320-9.
  • Noyes R, Stuart SP, Watson DB (2008) A Reconceptualization of the Somatoform Disorders. Psychosomatics 49: 14-22.
  • Noyes R Jr, Stuart SP, Langbehn DR ve ark. (2000) Test of an interpersonal model of hypochondriasis. Psychosom Med 65: 292-300.
  • Noyes RN, Langbehn DR, Happel RL ve ark. (2001) Personality Dysfunction Among Somatizing Patients. Psychosomatics, 42: 320-9.
  • Özkürkçügil A, Aydemir Ö, Yıldız M ve ark. (1999) DSMIV Eksen I Bozuklukları için Yapılandırılmış Klinik Görüşmenin Türkçeye Uyarlanması ve Güvenilirlik Çalışması. İlaç ve Tedavi Dergisi, 12: 233-6.
  • Petrocelli JV, Glaser BA, Calhoun GB ve ark. (2001) Cognitive schemas as mediating variables of the relationships between the self-defeating personality and depression. Journal of Psychopathology and Behavioral Assessment, 23: 182-91.
  • Pribor EF, Yutzy SH, Dean JT ve ark. (1993) Briquet's syndrome,dissociation and abuse. Am J Psychiatry, 150: 1507-11.
  • Rezaei F, Doost HTN, Molavi H ve ark. (2014) Comparative Study of Early Maladaptive Schemas in Rheumatoid Arthritis Patients and Normal Adults. International Journal of Basic and Applied Science, 2: 53-8.
  • Rief W, Nanke A (1999) Somatization disorder from a cognitive-psychobiological perspective. Current Opinion in Psychiatry, 12: 733-8.
  • Roelofs K, Keijsers GPJ, Hoogduin KAL ve ark. (2002) Childhood abuse in patients with conversion disorder. Am J Psychiatry, 159: 1908-13.
  • Rost KM, Akins RN, Brown FW ve ark. (1992) The comorbidity of DSM-III-R personality disorders in somatization disorder. General Hospital Psychiatry, 14: 322-6.
  • Saariaho T, Saariaho A, Karila I ve ark. (2010) Early maladaptive schemas in Finnish adult chronic male and female pain patients. Scandinavian Journal of Pain, 1: 196-202.
  • Saariaho T, Saariaho A, Karila I ve ark. (2012). Early maladaptive schema factors, pain intensity, depressiveness and pain disability: an analysis of biopsychosocial models of pain. Disabil Rehabil, 34; 14: 1192-201.
  • Sakai R, Nestoriuc Y, Nolido NV ve ark. (2010) The prevalence of personality disorders in hypochondriasis. J Clin Psychiatry, 71(1): 41-7.
  • Sava FA (2009) Maladaptive schemas, irrational beliefs, and their relationship with the five-factor personality model. Journal of Cognitive and Behavioral Psychotherapies 9: 135-47.
  • Schmidt AJM (1994) Bottlenecks in the diagnosis of hypochondriasis. Comprehensive Psychiatry, 35: 306-15.
  • Schmidt NB, Joiner TE, Young JE ve ark (1995) The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19: 295-321.
  • Shahamat F (2011) Predicting general health ymptoms (somatization, anxiety, depression) from early maladaptive schemas. Journal of Psychology, 5: 103-24.
  • Soygüt G, Karaosmanoğlu A, Çakır Z (2009) Erken Dönem Uyumsuz Şemaların Değerlendirilmesi: Young Şema Ölçeği Kısa Form-3'ün Psikometrik Özelliklerine İlişkin Bir İnceleme. Türk Psikiyatri Dergisi, 20: 75-84.
  • Speckens AEM, van Hemert AM, Spinhoven P ve ark. (1995) Cognitive behavioural therapy for medically unexplained physical symptoms: A randomised controlled trial. British Medical Journal, 311: 1328-32.
  • Starcevic V (2001) Clinical Features and Diagnosis of Hypochondriasis. In: V Starcevic, DR Lipsitt (Eds), Hypochondriasis: Modern Perspectives on an Ancient Malady, Oxford University Press, NewYork, s. 21-60.
  • Stern J, Murphy M, Bass C (1993) Personality disorders in patients with somatization disorder: a controlled study. Br J Psychiatry, 163: 787-99.
  • Stuart S, Noyes R (1999) Attachment and Interpersonal Communication in Somatization. Psychosomatics, 40: 34-43.
  • Sumathipala A, Hewege S, Hanwella R ve ark. (2000) Randomized controlled trial of cognitive behaviour therapy for repeated consultations for medically unexplained complaints: A feasibility study in Sri Lanka. Psychological Medicine, 30: 747-57.
  • Thimm JC (2010) Personality and early maladaptive schemas: A five-factor model erspective. J Behav Ther & Exp Psychiat, 41: 373-80.
  • Türkçapar MH (2008) Bilişsel Terapi: Temel İlkeler ve Uygulama, Genişletilmiş İkinci baskı, HYB Basım Yayın, Ankara. s.86.
  • Young J (1990) Cognitive therapy for personality disorders: A schema-focused approach. model for personality disorders. J Cognit Psychother, 6: 11-23.
  • Young JE, Klosko JS, Weishaar ME (2003) Schema therapy: A practitioner's guide. The Guilford Press, New York.
  • Young JE, Lindemann MD (1992) An integrative shema focus model for personality disorders. J Cognitive Psychotherapy, 6: 11-24.
APA KIRPINAR İ, DEVECİ E, ÇAMUR D, KILIÇ A (2014). Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. , 84 - 93.
Chicago KIRPINAR İsmet,DEVECİ Erdem,ÇAMUR Demet Zihni,KILIÇ Alperen Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. (2014): 84 - 93.
MLA KIRPINAR İsmet,DEVECİ Erdem,ÇAMUR Demet Zihni,KILIÇ Alperen Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. , 2014, ss.84 - 93.
AMA KIRPINAR İ,DEVECİ E,ÇAMUR D,KILIÇ A Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. . 2014; 84 - 93.
Vancouver KIRPINAR İ,DEVECİ E,ÇAMUR D,KILIÇ A Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. . 2014; 84 - 93.
IEEE KIRPINAR İ,DEVECİ E,ÇAMUR D,KILIÇ A "Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar." , ss.84 - 93, 2014.
ISNAD KIRPINAR, İsmet vd. "Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar". (2014), 84-93.
APA KIRPINAR İ, DEVECİ E, ÇAMUR D, KILIÇ A (2014). Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 3(2), 84 - 93.
Chicago KIRPINAR İsmet,DEVECİ Erdem,ÇAMUR Demet Zihni,KILIÇ Alperen Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi 3, no.2 (2014): 84 - 93.
MLA KIRPINAR İsmet,DEVECİ Erdem,ÇAMUR Demet Zihni,KILIÇ Alperen Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, vol.3, no.2, 2014, ss.84 - 93.
AMA KIRPINAR İ,DEVECİ E,ÇAMUR D,KILIÇ A Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi. 2014; 3(2): 84 - 93.
Vancouver KIRPINAR İ,DEVECİ E,ÇAMUR D,KILIÇ A Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi. 2014; 3(2): 84 - 93.
IEEE KIRPINAR İ,DEVECİ E,ÇAMUR D,KILIÇ A "Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar." Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 3, ss.84 - 93, 2014.
ISNAD KIRPINAR, İsmet vd. "Somatoform Bozukluğu Olan Hastalarda Erken Dönem Uyumsuz Şemalar". Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi 3/2 (2014), 84-93.