Mehmet Emin DEMİRKOL, Kerim UĞUR, Lut TAMAM

The mediating effects of psychache and dissociation in the relationship between childhood trauma and suicide attempts

Objectives: Childhood maltreatment, including physical, sexual, and emotional abuse and neglect, is a common experience worldwide. The association between childhood maltreatment and suicide has also been well established. This study aimed to investigate the mediator roles of psychache and dissociation in the effect of childhood maltreatment on suicide. Methods: This cross-sectional study included 198 major depressive disorder patients admitted to Çukurova University School of Medicine Balcalı Hospital and diagnosed with major depressive disorder according to DSM-5 criteria. The patients were grouped as those who attempted (97 patients) or did not attempt suicide (101 patients). Sociodemographic data form, Beck Depression Inventory (BDI), Childhood Trauma Questionnaire (CTQ), Dissociative Experiences Scale (DES), and Psychache Scale (PS) were used for data collection. Results: The mean BDI, median DES, median CTQ total, and mean PS scores in the suicide group were higher than those in the non-suicide group (p

Çocukluk çağı travmaları ve intihar girişimleri arasındaki ilişkide psikolojik acı ve dissosiyasyonun aracı etkisi

Amaç: Fiziksel, cinsel, duygusal ihmal ve istismarı içeren çocukluk çağı travmaları tüm dünyada yaygın bir sorundur ve çeşitli çalışmalarda intihar ile ilişkilendirilmiştir. Bu çalışmada çocukluk çağı travmaları ve intihar girişimleri arasındaki ilişkide psikolojik acı ve dissosiyasyon kavramlarının aracı etkisinin araştırılması amaçlanmıştır. Yöntem: Bu kesitsel çalışmaya Çukurova Üniversitesi Tıp Fakültesi Balcalı Hastanesi'ne başvuran, DSM-5 tanı ölçütlerine göre majör depresif bozukluk tanısı konan 198 erişkin hasta alınmıştır. Hastalar intihar girişiminde bulunanlar (97 hasta) ve bulunmayanlar (101 hasta) olarak gruplandırılmıştır. Katılımcılara Sosyodemografik Veri Formu, Beck Depresyon Ölçeği (BDÖ), Çocukluk Çağı Travmaları Ölçeği (ÇÇTÖ), Dissosiyatif Yaşantılar Ölçeği (DYÖ) ve Psikolojik Acı Ölçeği (PAÖ) uygulanmıştır. Sonuçlar: İntihar girişimi olan grupta ortalama BDÖ, PAÖ puanları ve ortanca DYÖ, ÇÇTÖ puanları intihar girişimi olmayanlara göre daha yüksek saptanmıştır. Çoklu regresyon analizi sonuçlarına göre dissosiyasyon puanları intihar girişimlerini anlamlı şekilde yordamaktadır. Çocukluk çağı travmaları ve intihar girişimleri arasındaki ilişkide dissosiyasyon ve psikolojik acının tam aracı etkisi gösterilmiştir. Tartışma: Çocukluk çağı travmaları intihar girişimlerinin güçlü bir yordayıcısıdır, psikolojik acı ve dissosiyasyon kavramlarıbu ilişkide aracı rol üstlenmektedir. Çocukluk çağı travması olan depresif hastalarda psikolojik acı ve dissosiyasyon kavramlarının araştırılması ve özgün tedavi yöntemlerinin uygulanması intihar girişimlerinin önlenmesine yardımcı olacaktır. (Anadolu Psikiyatri Derg 2020; 21(5):453-460)

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