Kronik obstrüktif akciğer hastalığı olan erkek hastalarda afektif mizaç profillerinin gruplara göre karşılaştırılması
Abstract
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.
References
- Global strategy for the diagnosis, management and prevention of chronic obstructive lung disease. GINA-2019.
- Strelau J. Psychologia temperamentu. Warszawa: Wydawnictwo Naukowe PWN 2009.
- Vahip S, Kesebir S, Alkan M, Yazici O, Akiskal KK, Akiskal HS. Affective temperaments in clinically-well subjects in Turkey: initial psychometric data on the TEMPS-A. J Affect Disord 2005; 85: 113–25.
- Akiskal HS, Akiskal KK. TEMPS: Temperament evaluation of Memphis, Pisa, Paris and San Diego. J Affect Disord 2005; 85: 1–2.
- Kurt E, Karacan I, Ozaras N, Alatas G. Affective temperament in stroke patients. J Acta Neuropsychiatrica 2008; 20: 295-9.
- Akiskal KK, Akiskal HS. The theoretical underpinnings of affective temperaments: implications for evolutionary foundations of bipolar disorder and human nature. J Affect Disord 2005; 85: 231-9.
- Akiskal HS, Akiskal KK. Cyclothymic, hyperthymic and depressive temperaments as subaffective variants of mood disorders. In: Tasman A, Riba MB, Eds. Annual Review, vol II. Washington, D.C.: American Psychiatric Press 1992; pp. 43-62.
- Possl J, von Zerssen D. A case history analysis of the “manic type” and the “melancholic type” of premorbid personality in affectively ill patients. Eur Arch Psychiatry Clin Neurosci 1990; 23: 347-55.
- Kraepelin E. Manic-depressive illness and paranoia. Edinburgh: Livingstone 1921.
- Akiskal HS. Toward a definition of generalized anxiety disorder as an anxious temperament type. Acta Psychiatr Scand Suppl 1998; 393: 66-73.
- Akiskal HS, Mallya G. Criteria for the “soft” bipolar spectrum: treatment implications. Psychopharmacol Bulletin 1987; 23: 68-73.
- Gillespiea NA, Cloningerb CR, Heathc AC, Martina NG. The genetic and environmental relationship between Cloninger’s dimensions of temperament and character. J Pers Individ Diff 2003; 35: 1931-46.
- Hynninen KM, Breitve MH, Wiborg AB, Pallesen S, Nordhus IH. Psychological characteristics of patients with chronic obstructive pulmonary disease: a review. J Psychosom Res 2005; 59: 429-43.
- Van Manen JG, Bindels PJ, Dekker FW, Jzermans CI, van der Zee J S, Schade E. Risk of depression in patients with chronic obstructive pulmonary disease and its determinants. Thorax 2002; 57: 412–6.
- Kömürcüoğlu B, Balıoğlu M, Öztuna I, Büyükşirin M, Işık E, Kunter P. KOAH’lı erkek olgularda depresyon (Depression among male COPD patients). J Toraks 2000; 2910: 31-4.
- Yohannes AM, Connolly MJ. Do antidepressants work in patients with chronic obstructive pulmonary disease with comorbid depression? Expert Rev. J Respir Med 2011; 5: 727-9.
- Van Ede L, Yzermans CJ, Brouwer HJ. Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review. J Thorax 1999; 54: 688-92.
- Hill K, Geist R, Goldstein RS, Lacasse Y. Anxiety and depression in end-stage COPD. Eur Respir J 2008; 31: 667-77.
- Çelik P, Esen A, Akın M. Kronik obstrüktif akciğer hastalığı olgularında depresyon. (Depression in COPD patients). J Solunum Hastalıkları 1998; 9: 25-32.
- Eisner MD, Blanc PD, Yelin EH, et al. Influence of anxiety on health outcomes in COPD. J Thorax 2010; 65: 229-34.
- Rutter BM. Some psychological concomitants of chronic bronchitis. Psychol Med 1977; 7: 459-64.
- Thakur N, Blanc PD, Julian LJ, et al. COPD and cognitive impairment: the role of hypoxemia and oxygen therapy. Int J Chron Obstruct Pulmon Dis 2010; 5: 263-9.
Comparing the affective temperament profiles in male patients with chronic obstructive pulmonary disease according to groups
Abstract
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.
References
- Global strategy for the diagnosis, management and prevention of chronic obstructive lung disease. GINA-2019.
- Strelau J. Psychologia temperamentu. Warszawa: Wydawnictwo Naukowe PWN 2009.
- Vahip S, Kesebir S, Alkan M, Yazici O, Akiskal KK, Akiskal HS. Affective temperaments in clinically-well subjects in Turkey: initial psychometric data on the TEMPS-A. J Affect Disord 2005; 85: 113–25.
- Akiskal HS, Akiskal KK. TEMPS: Temperament evaluation of Memphis, Pisa, Paris and San Diego. J Affect Disord 2005; 85: 1–2.
- Kurt E, Karacan I, Ozaras N, Alatas G. Affective temperament in stroke patients. J Acta Neuropsychiatrica 2008; 20: 295-9.
- Akiskal KK, Akiskal HS. The theoretical underpinnings of affective temperaments: implications for evolutionary foundations of bipolar disorder and human nature. J Affect Disord 2005; 85: 231-9.
- Akiskal HS, Akiskal KK. Cyclothymic, hyperthymic and depressive temperaments as subaffective variants of mood disorders. In: Tasman A, Riba MB, Eds. Annual Review, vol II. Washington, D.C.: American Psychiatric Press 1992; pp. 43-62.
- Possl J, von Zerssen D. A case history analysis of the “manic type” and the “melancholic type” of premorbid personality in affectively ill patients. Eur Arch Psychiatry Clin Neurosci 1990; 23: 347-55.
- Kraepelin E. Manic-depressive illness and paranoia. Edinburgh: Livingstone 1921.
- Akiskal HS. Toward a definition of generalized anxiety disorder as an anxious temperament type. Acta Psychiatr Scand Suppl 1998; 393: 66-73.
- Akiskal HS, Mallya G. Criteria for the “soft” bipolar spectrum: treatment implications. Psychopharmacol Bulletin 1987; 23: 68-73.
- Gillespiea NA, Cloningerb CR, Heathc AC, Martina NG. The genetic and environmental relationship between Cloninger’s dimensions of temperament and character. J Pers Individ Diff 2003; 35: 1931-46.
- Hynninen KM, Breitve MH, Wiborg AB, Pallesen S, Nordhus IH. Psychological characteristics of patients with chronic obstructive pulmonary disease: a review. J Psychosom Res 2005; 59: 429-43.
- Van Manen JG, Bindels PJ, Dekker FW, Jzermans CI, van der Zee J S, Schade E. Risk of depression in patients with chronic obstructive pulmonary disease and its determinants. Thorax 2002; 57: 412–6.
- Kömürcüoğlu B, Balıoğlu M, Öztuna I, Büyükşirin M, Işık E, Kunter P. KOAH’lı erkek olgularda depresyon (Depression among male COPD patients). J Toraks 2000; 2910: 31-4.
- Yohannes AM, Connolly MJ. Do antidepressants work in patients with chronic obstructive pulmonary disease with comorbid depression? Expert Rev. J Respir Med 2011; 5: 727-9.
- Van Ede L, Yzermans CJ, Brouwer HJ. Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review. J Thorax 1999; 54: 688-92.
- Hill K, Geist R, Goldstein RS, Lacasse Y. Anxiety and depression in end-stage COPD. Eur Respir J 2008; 31: 667-77.
- Çelik P, Esen A, Akın M. Kronik obstrüktif akciğer hastalığı olgularında depresyon. (Depression in COPD patients). J Solunum Hastalıkları 1998; 9: 25-32.
- Eisner MD, Blanc PD, Yelin EH, et al. Influence of anxiety on health outcomes in COPD. J Thorax 2010; 65: 229-34.
- Rutter BM. Some psychological concomitants of chronic bronchitis. Psychol Med 1977; 7: 459-64.
- Thakur N, Blanc PD, Julian LJ, et al. COPD and cognitive impairment: the role of hypoxemia and oxygen therapy. Int J Chron Obstruct Pulmon Dis 2010; 5: 263-9.
Details
| Primary Language | English |
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| Subjects | Health Care Administration |
| Journal Section | Original Article |
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| Publication Date | October 22, 2020 |
| Published in Issue | Year 2020 Volume: 3 Issue: 4 |
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