Çağdaş Öykü MEMİŞ, BİLGE DOĞAN, Müge BULUT, Yaşan Bilge ŞAİR, Levent SEVİNÇOK

The Relationship Between Expressed Emotion and Temperament Traits in Caregivers of Schizophrenic Patients

Intoduction: In the present study, we were primarily interested in determining whether some temperamenttraits of the caregivers would be associated withtheir expressed emotion levels. We also examined the relationship of EE levels of the caregivers with some care and illness characteristics of the patients. Material and Method: Seventy-six consecutive schizophrenic patients (aged between 18 and 65) according to the Psychotic Symptoms module of the Structured Clinical Interview for DSM-IV Axis I Disorders Patient Edition (SCIDI/P, Version 2.0) and their primary caregivers who had no current DSM-IV diagnoses of schizophrenia, bipolar disorder, major depression, and any anxiety disorders were included in the study. Expressed Emotion Scale, Temperament Evaluation of Memphis, Pisa, Paris and San Diego auto-questionnaire (TEMPS-A), Positive and Negative Syndrome Scale, The Calgary Depression Scale for Schizophrenia tools were used for evaluation during study. Results: The total and criticism/hostility subscale scores of EES were significantly correlated with depressive (r=0.35, p=0.002; r=0.36, p=0.001, respectively), cyclothymic (r=0.26, p=0.019; r=0.26, p=0.022, respectively), hyperthymic (r=0.28, p=0.014; r=0.26, p=0.022, respectively), and anxious temperament traits (r=0.31, p=0.006; r=0.30, p=0.007, respectively). Irritable temperament scores had a significant association with total EES scores (r=0.23, p=0.037). We have found that duration of the illness and patient care had significant inverse associations with total (r= -0.24,p=0.03;r= -0.29, p=0.009, respectively) and warmth subscale scores of EES (r= -0.34, p=0.002; r= -0.31, p=0.006, respectively). Conclusion: Depressive (β=0.287, t=2.737, p=0.008) and hyperthymic temperaments (β=0.223, t=2.138, p=0.036), and duration of patient care(β= -0.268, t= -2.609, p=0.011) were significantly associated with improved expressed emotion scores.

Şizofreni Hastalarının Bakım Verenlerinde İfade Edilen Duygu ve Mizaç Özellikleri Arasındaki İlişki

Giriş: Bu çalışmada, öncelikle bakım verenlerin bazı mizaç özelliklerinin duygu dışavurum düzeyleri ile ilişkili olup olmayacağını ve duygu dışavurum düzeylerinin hastaların bazı bakım ve hastalık özellikleri ile olan ilişkili olup olmadığını belirlemeyi hedefledik. Materyal ve Metod: DSM-IV Eksen I Bozuklukları Hasta Sürümü (SCID-I)’ne yaşları 18 ile 65 arasında, ardışık 76 şizofrenik hasta ve şizofreni, bipolar bozukluk, majör depresyon ve anksiyete bozuklukları tanısı olmayan bakımverenleri çalışmaya dahil edildi. Değerlendirme araçları olarak Duygu Dışavurum Ölçeği, TEMPS-A Mizaç Ölçeği, Pozitif ve Negatif Belirti Ölçeği ve Calgary Şizofrenide Depresyon Ölçeği kullanıldı. Bulgular ve Tartışma: Duygu dışavurum toplam ve eleştirellik/düşmancıllık alt ölçek puanları depresif, siklotimik, hipertimik ve anksiyöz mizaç özellikleri ile anlamlı şekilde ilişkiliydi. İrritabl mizaç puanları toplam duygudışavurum puanları ile anlamlı şekilde ilişkiliydi. Sonuç: Bakım verenlerin depresif ve hipertimik mizaç özelliklerinin, duygu dışavurum düzeyleri için kuvvetli birer öngörücüdür. Bu bulgular, bakım verenlerin özellikle depresif ve hipertimik mizaç özelliklerinin yüksek duygu dışavurum düzeyleri ile anlamlı şekilde ilişkili olduğunu gösterebilir.

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