MESUT YAVUZ, Burcu ERDUR, Merve IŞIK, Hayat BOĞDAY, Hazal Ezgi İNCE, Özlem KÖK, Arzu ÖNAL SÖNMEZ

Ergenlerde somatizasyonun aleksitimi ve ruhsal sorunlarla ilişkisinin incelenmesi

Amaç: Ergenlerde aleksitimik kişilik özellikleri ve eşlik eden ruhsal sorunların somatizasyon sorunları üzerindeetkisinin incelenmesidir. Yöntem: Araştırma İstanbul’dan iki devlet okulundan 11-17 yaşları arasında 773 öğrenciüzerinde yapılmıştır (%49 kız, s=376; %51 erkek, s=397). Değerlendirme araçları olarak, DSM-5 Düzey 2 BedenselBelirti Tarama Ölçeği Çocuk Formu, 20 soruluk Toronto Aleksitimi Ölçeği (TAÖ-20), Güçler ve Güçlükler Anketi(GGA) öz bildirim formu kullanılmıştır. Cinsiyetler arasında ölçek puan karşılaştırmaları bağımsız örneklemde t testiile yapılmıştır. Ölçekler arası korelasyonlar Pearson momentler çarpımı korelasyon testi ile değerlendirilmiştir. TAÖ-20 toplam, GGA toplam sorun ve alt ölçek puanları ile yaşın somatizasyon düzeyi üzerine yordayıcı etkisi çokludoğrusal regresyon analizi ile değerlendirilmiştir. Bulgular: Kızların somatizasyon puanları erkeklere göre anlamlıölçüde yüksektir. Somatizasyon puanları, aleksitimi, GGA toplam sorun, duygusal sorun, davranış sorun, dikkateksikliği ve aşırı hareketlilik ve akran sorun puanları ile pozitif yönde anlamlı korelasyon göstermektedir. Regresyonanalizi sonuçları, aleksitimi, duygusal sorun, davranış sorun puanları ve yaşın somatizasyon düzeyini anlamlı ölçü-de yordadığını göstermektedir. Sonuç: Ergenlerde, duyguların tanımlanması ve ifade edilmesine yönelik terapötikmüdahalelerin somatizasyonun tedavisinde faydalı olabileceği düşünülmektedir. Depresif belirtiler ve yükselmişkaygı düzeyi gibi duygusal sorunlar ve davranış sorunları gibi eşlik eden belirtilerin de somatizasyon tedavisindeele alınması tedavi başarısını artırabilir. (Anadolu Psikiyatri Derg 2019; 20(3):321-326)

The associations between somatization, alexithymia, and mental problems in adolescents

Objective: To investigate the effect of alexithymic personality characteristics, and associated mental problems on somatization in adolescents. Methods: This research was conducted on 773 students (49% female, n=376; 51% male, n=397) aged between 11 and 17. The students were recruited from two state schools in İstanbul. DSM-5 Level 2 Somatic Symptom Scale Child Form, 20 item Toronto Alexithymia Scale (TAS-20), and Strengths and Diffi- culties Questionnaire (SDQ) self-report form were used as measures. The mean scores of the scales between fe- male and male groups were compared with independent sample t test. The correlations between the scales were analyzed with Pearson’s product moment correlation test. The predictability of total scores of TAS-20 and SDQ, and SDQ subscale scores on somatization scores was evaluated with multivariate linear regression analysis. Re- sults: The somatization scores of females were higher than males, significantly. Somatization scores were positive- ly correlated with alexithymia, SDQ total scores, emotional problems, behavior problems, inattention/hyperactivity, and peer relation problems scores, significantly. The results of regression analysis indicated that alexithymia, emoti- onal problems, behavior problems and age significantly predict the somatization levels. Conclusion: It is suggested that therapeutic interventions aiming to improve of emotional identification and expressions may help us to increase the success of somatization treatment in adolescents. Additionally, focusing on emotional problems such as de- pressive symptoms and elevated anxiety levels, and behavioral problems may also increase the success of treat- ment. (Anatolian Journal of Psychiatry 2019; 20(3):321-326)

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