Erişkin Enürezis Nokturna Tanılı Hastalarda Psikiyatrik Ek Hastalıklar

Amaç: Çocukluk ça?ynyn en syk kar?yla?ylan üriner sistemsorunlaryndandyr. Enürezis noktürna etiyolojisine yönelikyapylan ara?tyrmalarda birçok faktör ara?tyrylmy? ve çe?itliteoriler öne sürülmü?tür. Eri?kin gruptaki enürezis ileilgili olarak ise yapylan çaly?ma sayysy kysytlydyr. Bu çaly?manyn amacy üroloji poliklini?ine ba?vuran eri?kinenüretik olgularda psikiyatrik ek hastalyklary de?erlendirmek ve bu hastalardaki benlik algysy ve sosyal kaygydüzeylerini incelemektir. Yöntem: Çaly?maya alynan 36eri?kin enürezis nokturna tanyly hasta, DSM-IV Eksen IBozukluklary Yçin Yapylandyrylmy? Klinik Görü?me (SCID-I),Hastane Anksiyete ve Depresyon Ölçe?i (HADÖ),Rosenberg Benlik Saygysy Ölçe?i (RBSÖ), Liebowitz SosyalKaygy Ölçe?i (LSKÖ) ile de?erlendirilmi?tir. Kontrolgrubu, hasta grubu ile ya?, cinsiyet ve e?itim düzeyibakymyndan benzer olan 32 sa?lykly gönüllüden olu?turulmu?tur. Bulgular: Enürezis grubunda, kontrolgrubuna göre psikiyatrik morbidite sykly?y anlamly olarakdaha yüksek, benlik saygysy belirgin olarak daha dü?üksaptanmy?tyr. Ayryca sosyal kaygy, kontrol grubundakinden anlamly olarak yüksek bulunmu?tur. Sonuç:Bulgular, enürezis olgularynda psikiyatrik morbidite sykly?ynyn sa?lykly kontrol grubuna kyyasla daha yüksekoldu?unu göstermektedir. Üroloji polikliniklerine ba?vuran enürezis olgulary psikiyatrik açydan de?erlendirilmeli,gerekli durumlarda hastalaryn psikiyatrik destek almasysa?lanmalydyr.

Psychiatric Comorbidity in Patients with Adult Enuresis Nocturna

Objectives: Enuresis Nocturna is the most common urinary tract problem of childhood. Etiological factors hadbeen researched and several theories are suggested. Butstudy on adult nocturnal enuresis is limited. The aim ofthis study is to determine the frequency of psychiatriccomorbidity in adult enuresis patients treated at theurology outpatient clinic and to investigate the its relation with social anxiety, and self esteem levels. Method:Thirty-six adult enuretic patients are assessed withStructured Clinical Interview for DSM-IV Axis I Disorders(SCID-I), Hospital Anxiety Depression Scale (HADS),Rosenberg Self-Esteem Scale (RSES) and Liebowitz SocialAnxiety Scale (LSAS). Control group included subjectsmatched to patients in terms of age, sex and educationlevel. Results: In comparison to healthy controls, therate of psychiatric morbidity is higher and mean selfesteem scores in the enuresis group are lower. There isalso a significant difference between groups in terms ofsocial anxiety. Liebowitz Social Anxiety scores are higherin the enuresis group. Conclusion: These findings suggest that the rate of psychiatric morbidity is higher inpatients with enuresis than healthy control subjects.Adult patients with enuresis should be assessed inregard of mental disorders and psychiatric interventionsmay become necessary in the course of illness.

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