Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması

Alparslan CANSIZ, (Harran Üniversitesi, Tıp Fakültesi, Hastanesi Psikiyatri Polikliniği, Şanlıurfa, Türkiye)
Ahmet NALBANT, (Adıyaman Üniversitesi, Eğitim ve Araştırma Hastanesi, Psikiyatri Kliniği, Adıyaman, Türkiye)
Kasım Fatih YAVUZ (İstanbul Medipol Üniversitesi, Psikoloji Bölümü, İstanbul, Türkiye)
Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi
27 7
Yıl: 2020 Cilt: 9 Sayı: 2 Sayfa Aralığı: 82 - 93 Metin Dili: Türkçe DOI: 10.5455/JCBPR.55825 İndeks Tarihi: 10-11-2020

Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması

Öz:
Şizofrenide psikoterapilerin uygulanması giderek yaygınlaşmaktadır. Psikolojik esneklik modelini temelalan Kabul ve Kararlılık Terapisi’nin (ACT) şizofreni hastalarında etkinliğini gösteren çalışmalar artmaklabirlikte, etki düzeneklerine dair yeterince bilgi bulunmamaktadır. Araştırmamız şizofrenide psikolojikesneklik modelinin geçerliliğini ve klinik özelliklerle ilişkisini değerlendirmeyi amaçlamaktadır. Çalışmaya18-65 yaş arası, 110 hasta ve 110 sağlıklı birey alınmıştır. Her iki grup Bilişsel Birleşme Ölçeği (BBiÖ),Değer Odaklı Yaşam Ölçeği (DOYÖ), Bağlamsal Benlik Ölçeği (BBÖ), Freiburg Kendindelik Envanteri(FKE) ve Kabul ve Eylem Formu-II (KEF-II)’den oluşan değerlendirme araçlarını kendileri yanıtlarken,şizofreni hastalarında Pozitif ve Negatif Sendrom Ölçeği (PANSS) klinisyen tarafından uygulanmıştır.Hasta ve kontrol grubu yaş, cinsiyet ve eğitim düzeyi açısından eşleştirilmiş olup; şizofreni grubununKEF-II ve BKÖ puanlarının daha yüksek; BBÖ, FKE ve DOYÖ puanlarının ise daha düşük olduğusaptanmıştır. Ayrıca şizofreni grubunda PANNS pozitif alt ölçeği puanları ile BBÖ ve KEF-II puanları,PANNS negatif alt ölçeği puanları ile BBÖ, DOYÖ, FKE ve KEF-II puanları ile ilişkili bulunmuştur.PANNS genel psikopatoloji alt ölçeği puanları ile BKÖ, DOYÖ, FKE ve KEF-II puanları, PANSS toplampuanları ile de BBÖ, DOYÖ, FKE, KEF-II puanları ilişki olarak saptanmıştır. Bu çalışmada şizofrenihastalarının sağlıklı bireylere göre psikolojik açıdan daha katı olduğu saptanmıştır. Ayrıca bulgularpsikolojik esneklik bileşenlerinin hastaların klinik özelikleri ile ilişkili olduğunu ifade etmektedir. İleriklinik çalışmalar ile psikolojik esneklik modelinin şizofreni hastalarının tedavisine katkısı araştırılmalıdır.
Anahtar Kelime:

Investigation of Psychological Flexibility in Patients with Schizophrenia

Öz:
The application of psychotherapies in schizophrenia is becoming increasingly common. Although studies showing the effectiveness of Acceptance and Commitment Therapy (ACT) in patients with schizophrenia based on the psychological flexibility model are increased, there is insufficient information on the mechanisms of action. Our study aims to evaluate the validity of psychological flexibility and the relationship between clinical features in patients with schizophrenia. The study included participants between 18-65 years old, consisted of 110 patients who had been diagnosed with schizophrenia and 110 healthy individuals. Participants in both groups filled Sociodemographic Data Form, Cognitive Fusion Questionnaire(CFQ), Valued Living Questionnaire(VLQ), Self-as-Context Scale(SACS), Freibırg Mindfulness Inventory(FMI) and Acceptance and Action Questionnaire(AAQ-II), in addition, Positive and Negative Syndrome Scale(PANNS) was applied to schizophrenia group by clinicians. The patient and control groups were matched in terms of age, gender, and educational level;. The points in the schizophrenia group AAQ-II and CFQ were higher; and the points of SACS, FMI and VLQ were found lower. Furthermore, the PANNS positive subscale points, SACS, AAQ-II points on the schizophrenia group; PANNS negative subscale points with SACS, VLQ, FMI, AAQ-II points were found associated with each other. PANSS general psychopathology was associated with subscale scores of CCQ, VLQ, FMI and AAQ-II points, PANSS total scores were also associated with SACS, VLQ, FMI, AAQ-II. In this study, it was found that schizophrenia patients were more inflexible than healthy individuals. Our results also imply that psychological flexibility components are related to clinical features of patients. The contribution of the psychological flexibility model to the treatment of schizophrenia patients should be investigated with advanced clinical studies.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA CANSIZ A, NALBANT A, Yavuz K (2020). Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. , 82 - 93. 10.5455/JCBPR.55825
Chicago CANSIZ Alparslan,NALBANT AHMET,Yavuz K.Fatih Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. (2020): 82 - 93. 10.5455/JCBPR.55825
MLA CANSIZ Alparslan,NALBANT AHMET,Yavuz K.Fatih Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. , 2020, ss.82 - 93. 10.5455/JCBPR.55825
AMA CANSIZ A,NALBANT A,Yavuz K Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. . 2020; 82 - 93. 10.5455/JCBPR.55825
Vancouver CANSIZ A,NALBANT A,Yavuz K Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. . 2020; 82 - 93. 10.5455/JCBPR.55825
IEEE CANSIZ A,NALBANT A,Yavuz K "Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması." , ss.82 - 93, 2020. 10.5455/JCBPR.55825
ISNAD CANSIZ, Alparslan vd. "Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması". (2020), 82-93. https://doi.org/10.5455/JCBPR.55825
APA CANSIZ A, NALBANT A, Yavuz K (2020). Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 9(2), 82 - 93. 10.5455/JCBPR.55825
Chicago CANSIZ Alparslan,NALBANT AHMET,Yavuz K.Fatih Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi 9, no.2 (2020): 82 - 93. 10.5455/JCBPR.55825
MLA CANSIZ Alparslan,NALBANT AHMET,Yavuz K.Fatih Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, vol.9, no.2, 2020, ss.82 - 93. 10.5455/JCBPR.55825
AMA CANSIZ A,NALBANT A,Yavuz K Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi. 2020; 9(2): 82 - 93. 10.5455/JCBPR.55825
Vancouver CANSIZ A,NALBANT A,Yavuz K Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi. 2020; 9(2): 82 - 93. 10.5455/JCBPR.55825
IEEE CANSIZ A,NALBANT A,Yavuz K "Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması." Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 9, ss.82 - 93, 2020. 10.5455/JCBPR.55825
ISNAD CANSIZ, Alparslan vd. "Şizofreni Hastalarında Psikolojik Esnekliğin Araştırılması". Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi 9/2 (2020), 82-93. https://doi.org/10.5455/JCBPR.55825
Sayfa Oluşturulma Tarihi
27-04-2024 8:25

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