ORÇUN YORULMAZ, GÜLBAHAR BAŞTUĞ, Verda TÜZER, Erol GÖKA

Obsesif-kompulsif bozukluğu olan hastalarda yanlıĢ yorumlama, inançlar ve düĢünce kontrol yöntemleri

Amaç: Bilişsel-davranışçı model istem dışı deneyimlerin yanlış biçimde yorumlanmasının obsesif-kompulsif bozuklukta (OKB) önemli bir rolünün olduğunu ileri sürer. Daha derinde yatan hatalı inançların yanlı yorumlamaya katkıda bulunmasıyla hastaların düşüncelerini kontrol etmek için farklı yöntemler kullandığını öne sürer.araştırmada bu bilişsel kavramların ölçümüne yönelik üç öz-bildirim aracının psikometrik özelliklerinin klinik örnek- lemde karşılaştırmalı olarak gözden geçirilmesi amaçlanmıştır. Yöntem: Çalışmada OKB ve başka bir anksiyete bozukluğu tanısı konmuş iki hasta grubu ve üniversite öğrencilerinden oluşan kontrol grubuna anlık yorumlama, inançlar, düşünce kontrol yöntemleri, sorumluluk tutumları, düşünce-eylem kaynaşması, düşünce bastırma, OKB belirtileri, öz-güven ve kişilik özellikleri ile ilgili ölçüm araçları uygulanmıştır. Bulgular: Anlık yorumlama, inançlar ve kontrol yöntemleri ölçüm puanları, OKB hastalarında diğer gruplardan daha yüksektir. Bu üç etken diğersel etkenlerle de anlamlı ilişkiler göstermektedir. Tartışma: Bu bulgular, OKBye özgü anlık yorumlama, inançlar ve kontrol etme yöntemlerinin ülkemizdeki klinik örneklemde de geçerli olduğuna ve uygulanan öz-bildirim ölçüm araçlarının da psikometrik olarak yeterli özelliklere sahip olduğuna işaret etmektedir.

Misinterpretations of intrusions, obsessive beliefs and thought control strategies in patients with obsessive-compulsive disorder

Objective: Misinterpretations of intrusive experiences are suggested to play critical role in the development and maintenance of obsessive-compulsive disorder (OCD). Some faulty belief domains are also assumed to contri- bute to the immediate misappraisal of intrusions and thus, patients with OCD try to control their thoughts with vari- ous thought control strategies. This study aims to examine these cognitive concepts among Turkish patients with OCD and comparatively review the psychometric characteristics of three instruments in clinical samples. Meth- ods: The sample of the study was constituted of patients with OCD and any other anxiety disorders and under- graduate university students as control group. An instrument set on immediate misinterpretations, beliefs, control strategies, responsibility attitudes, fusions of thoughts and actions, thought suppression, OCD symptoms, self- esteem and personality characteristics was administered to the sample. Results: Having acceptable reliability values, instrument tools of immediate interpretations, beliefs and thought control methods were found to be higher in OCD patients. These three factors were found to be significantly associated with other relevant cognitive corre- lates, while they were not related to some other factors such as psychoticism. Conclusion: These findings show that misinterpretations of intrusions, beliefs and control methods are also valid concepts in Turkish clinical samples that live in a different cultural context, and the self-report instruments of these cognitive factors were shown to display satisfactory psychometric properties.

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