Türk toplumu içinde bir grup erişkinin GSA-28 ile ruhsal sağlık problemlerinin taranması

Amaç: Bu çalışmanın amacı İstanbul’da toplum içinde yaşayan bireylerin ruhsal durumlarını ve etkileyen faktörleri incelemektir.Yöntem: Bu tanımlayıcı çalışma İstanbul-Dudullu’da toplum içinde yaşayan ve psikiyatrik sorunu olmayan 972 birey ile yapıldı. Veriler Kasım 2007’de görüşme yöntemi ile toplandı. Psikolojik bozuklukları tanılamak için tarama aracı olarak 28 sorudan oluşan Genel Sağlık Anketi kullanıldı. Veriler tanımlayıcı istatistikler, Mann-Whitney U testi ve logistik regresyon analizi ile değerlendirildi. Anlamlılık düzeyi p<0.05 ve güven aralığı %95 olarak kabul edildi.Bulgular: Araştırmaya katılan bireylerin yaşları 18 - 65 arasında değişmekte, yaş ortalaması 36.84±13.22’dir. Çoğunluğu kadın (82.5%), ev hanımı (72.9%) ve evlidir (86.1%). Katılımcıların %32’si (kadın=%34 erkek=%22) ruhsal sağlık sorunu açısından olası vaka olarak tanımlandı. Psikolojik bozukluk prevelansı kadınlarda, kronik hastalığı bulunanlarda istatistiksel olarak anlamlı yüksek bulundu. Kadınlarda ruhsal bozukluk oranı erkekler ile karşılaştırıldığında 1.64 kez daha yüksekti. Herhangi bir kronik hastalığı olanlar olmayanlara göre 2 kez daha riskliydi. Sonuç: Kadın olmak, kronik hastalığı olmak ve sigortası olmamak ruhsal sağlık problemleri açısından riskli bulundu.

Screening of mental health problems with GHQ-28 in a sample of Turkish community dwelling adult people

Objective: In this study, our objective was to examine the mental health problems and the factors affecting their mental health in a Turkish primary care sample.Method: This research was a descriptive study. Study population included 972 non psychiatric community-dwelling people in Dudullu-Istanbul of Turkey. Data were collected by interviewing in November of 2007. The 28- item General Health Questionnaire (GHQ-28) was used as a screening tool for the detection of mental disorders. The data were analyzed with descriptive statistics, Mann-Whitney U test and logistic regression. Significance was set at p<0.05 and confidence interval estimated at the 95% level.Result: The mean age of respondents was 36.84±13.22 with a range from 18 to 65 years. Most participants were female (82.5%), housewife (72.9%) and married (86.1%). Thirty two percent the people in the study (34% of the women and 22% of the men) were detected as likely cases. Prevalence was found statistically higher in females those who have any chronic diseases and no health insurance. Females were 1.64 times more at the risk of mental disorders compared with males. Those who have any chronic diseases were 2 times more at the risk than those who haven’t. Conclusion: Female, those who have any chronic disease and no health insurance are at greater risk for mental health problems.

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