Hüseyin ARPAĞ, Nurhan ATİLLA, Ebru FINDIKLI

Kronik obstrüktif akciğer hastalığı olan erkek hastalarda afektif mizaç profillerinin gruplara göre karşılaştırılması

Giriş: Bu çalışmanın amacı, kronik obstrüktif akciğer hastalığı (KOAH) tanısı olan erkek hastaların hastalık gruplarına göre mizaç profillerini araştırmaktır. Gereç ve Yöntem: KOAH tanısı olup, ek hastalığı olmayan 80 erkek hasta bu kesitsel çalışmaya dahil edildi. Hastalar 2019 Global Initiative for Chronic Obstructive Lung Disease (GOLD) kriterlerine göre A grubu, B grubu, C ve D grubu olarak evrelendirildi. Baskın mizacı belirlemek için Memphis, Pisa, Paris ve San Diego Oto Mizaç Değerlendirme Türk versiyonu ve Hastane Anksiyete Depresyon (HAD) anket ölçeği kullanıldı. Bulgular: Her gruptan 20 olmak üzere toplam 80 KOAH hastası çalışmaya dahil edildi. KOAH hastalarının büyük çoğunluğunda herhangi bir baskın mizaç yoktu (n:28). Depresif mizaç 10 hastada (% 12.5) görülürken, endişeli mizaç en sık baskın mizaç olarak 18 hastada (% 22.5) saptandı. Depresif mizaç için gruplar arasında anlamlı bir fark yok iken gruplar karşılaştırıldığında endişeli mizaç profilinin, grup A'da baskın olduğu görüldü . Siklotimik ve irritabl mizaç grup A’da (Tablo 1) daha sık olarak saptandı. HAD ölçeğine göre grup B hastaları diğer gruplara göre daha depresifti (Tablo 2). Sonuç: Çalışmamız KOAH şiddeti ve afektif mizaç sıklığı arasında negatif bir korelasyon olduğunu göstermiştir. KOAH hastalarının hastalıkla daha iyi başa çıkabilmeleri için, sadece ileri evrede değil, erken evrelerde de psikolojik desteğe ihtiyacı vardır.

Anahtar Kelimeler:

afektif mizaç profilleri, Kronik obstrüktif akciğer hastalığı, erkek

Comparing the affective temperament profiles in male patients with chronic obstructive pulmonary disease according to groups

Introduction: The aim of this study was to determine the temperament profiles of male patients with chronic obstructive pulmonary disease (COPD) between the groups. Material and Method: A total of 80 male patients without any additional disease were included in the study. Patients were staged as group A, group B, group C and group D according to 2019 Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. The Turkish version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto and the Hospital Anxiety Depression (HAD) Questionnaire scales (HADS) were used to determine the dominant affective temperaments. Results: Totally 80 COPD patients including 20 from each group were recruited into our study. The majority of COPD patients did not have any dominant temperament (n:28). Depressive temperament was found in 18 patients (22.5%) as the most common dominant affective temperament, followed by anxious temperament in 10 patients (12.5%). When groups were compared anxious temperament was significantly dominant in group A, while there wasn’t any significant difference between groups for depressive temperament. Cyclothymic and irritabl temperaments were found to be more common in group A (Table 1). According to HADS depression was seen significantly higher in group B (Table 2). Conclusion: Our study demonstrated that there is a negative correlation between COPD severity and incidence of affective temperaments. To cope with the disease better, COPD patients in early stages are in need of psychological support at least patients in advanced stage.

Keywords:

affective temperament profiles, chronic obstructive pulmonary disease, male,

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