Pınar DEMİR GÜNDOĞMUŞ, İbrahim GÜNDOĞMUŞ

Esansiyel Hipertansiyon Tanılı Hastaların Üstbilişler, Bilişsel Dikkat Kilitlenmesi ve Anksiyete Belirtilerinin İncelenmesi: Vaka-Kontrol Çalışması

Amaç: Üstbilişsel değişkenlere odaklanan bu araştırma, hipertansiyon hastaları ve sağlıklı kontrol grubu arasında üstbilişsel inançlar, bilişsel dikkat kilitlenmesi ve anksiyete belirtilerini karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: Vaka-kontrol çalışması şeklinde dizayn edilen mevcut çalışmanın örneklemini kardiyoloji polikliniğine ardışık başvuran 128 hipertansiyon hastası ve 231 sağlıklı kontrol oluşturmaktadır. Çalışmaya dahil edilen gönüllülere sosyodemografik veri formu, Beck Anksiyete Envanteri (BAE), Üstbilişler-30 ölçeği (ÜBÖ-30) ve Bilişsel Dikkat Kilitlenmesi Ölçeği (CAS-1) uygulanmıştır. Elde edilen veriler usulüne uygun hesaplanarak istatistiki işleme tabi tutulmuştur. Bulgular: Çalışmaya dahil edilen katılımcıların yaş ortalaması 51.81±8.07 yıldı ve %75.5’i (n=271) kadındı. İki çalışma grubu arasında sosyodemografik verilerin karşılaştırılmasında istatiksel olarak fark saptanmamıştır (p>0.05). Esansiyel hipertansiyon ve sağlıklı kontrol grubu arasında BAE (t=-3.700, p<0.001), ÜBÖ-30 kontrol edilemezlik ve tehlike (t=-3.587, p<0.001) ve düşünceleri kontrol ihtiyacı (t=-2.233, p=0.020) alt boyutları, CAS-1 bilişsel dikkat (t=-3.543, p<0.001), inanç (t=-2.454, p=0.015) ve toplam (t=-3.364, p<0.001) skorlarında istatiksel olarak anlamlı farklılık saptanmıştır. Sonuçlar: Mevcut çalışma, esansiyel hipertansiyon hastalarının anksiyete ve üstbiliş aktivasyonlarının daha yüksek olduğunu ortaya koymuştur. Bu sonuçların üstbilişsel süreçler ile fiziksel sorunlar arasındaki ilişkiyi ortaya koyması nedeniyle önemli olduğunu düşünüyoruz. Bununla birlikte esansiyel hipertansiyon hastalarına yönelik planlanacak terapotik müdahaleler için çalışmamızın sonuçlarının ışık tutacağı düşünülebilir.

Anahtar Kelimeler:

hipertansiyon, anksiyete, üstbilişler, bilişsel dikkat

Investigation of Metacognitions, Cognitive Attentional and Anxiety Symptoms in Patients Diagnosed with Essential Hypertension: A Case-Control Study

Objective: Focusing on metacognitive processes, this study aims to compare metacognitive beliefs, cognitive attention syndrome, and anxiety symptoms between hypertension patients and healthy control group. Materials and Methods: The sample of the present study, which was designed as a case-control study, consists of 128 consecutive patients with essential hypertension who applied to the cardiology outpatient clinic and 231 healthy controls. Sociodemographic data form, Beck Anxiety Inventory (BAI), Metacognition Questionnaire 30 (MCQ-30), and Cognitive Attentional Syndrome-1 Questionnaire (CAS-1) were applied to the volunteers included in the study. The obtained data were duly calculated and subjected to statistical processing. Results: The mean age of the participants included in the study was 51.81±8.07 years, and 75.5% (n=271) were female. No statistical difference was found between the two study groups in the comparison of sociodemographic data (p>0.05). A statistically significant difference was found in BAI (t=-3.700, p<0.001), MCQ-30 Uncontrollability and danger (t=-3.587, p<0.001), need to control thoughts (t=-2.233, p=0.020), CAS-1 cognitive attention (t=-3.543, p<0.001), belief (t=-2.454, p=0.015) and total (t=-3.364, p<0.001) scores between essential hypertension and the healthy control group. Conclusion: The present study revealed that patients with essential hypertension have higher activation of anxiety and metacognition. We think that these results are important because they reveal the relationship between metacognitive processes and physical problems. However, it can be thought that the results of our study will shed light on the therapeutic interventions to be planned for essential hypertension patients.

Keywords:

hipertansiyon, anksiyete, üstbilişler, bilişsel dikkat,

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