İntihar girişimi olan ve olmayan İki Uçlu Bozukluk hastalarında mizaç-karakter özel- likleri, dürtüsellik ve işlevsellik düzeyleri: Kontrollü bir çalışma

Temperament-Character Features, Levels of Impulsiveness and Functionality in Bipolar Disorder Patients with and Without Suicide Attempts: A Controlled Study

Ümit Başar SEMİZ, Şakir GICA, Rabia BİLİCİ, Tuğba GÖNCÜ, Filiz İZCİ, Ayşe TERZİ, Özgür AKDUR, Serkan ZİNCİR, Murat YALÇIN, Selma ZİNCİR BOZKURT

Abstract

Objective: In this study, we aimed to comparetemperament-character features, impulsiveness andfunctionality levels of bipolar patients who attemptedsuicide and who did not. Methods: One hundred one patients admitted to ErenköyMental Health Training and Research Hospital who werediagnosed with bipolar disorder according to DSM-IV-TR and50 healthy age and gender-matched controls are includedin this study. We applied Sociodemographical and ClinicalData Form and Diagnostic and Statistical Manual of MentalDisorders Axis-I Structured Clinical Interview for DSM-IV(SCID-I), Temperament and Character Inventory (TCI),Barratt Impulsiveness Scale-11 (BIS-11) to both patientand control groups; Hamilton Rating Scale for Depression(HRSD), Young Mania Rating Scale (YMRS), Bipolar DisorderFunctioning Questionnaire (BDFQ) to only patient group. Results: There was not any statistically significantdifference in sociodemographic features between thepatient and control group (p>0.05). Mean age of thepatient group was 35,69±12,10, mean age of the controlgroup was 32,00±9,24. 38 individuals (%37,62) in thepatient group were found to have one or more suicidalattempts. In the comparison between the patient groupthat attempted suicide and the patient group withoutsuicidal attempt, statistically significant differences werefound in cooperativeness (C), self-directedness (SD), selftranscendence (ST), novelty seeking subgroup (NS2), harmavoidance subgroup (HA4), reward dependency subgroup(RD2) and total scores of BDFQ and BIS-11. Discussion: In our study, the statistically significant lowerC and SD scores found in suicide attempters, which pointsout tendency to personality disorders, suggests thatpersonality disorders might be associated with suicideattempts in bipolar disorder patients. In addition to this,higher impulsiveness and lower bipolar functionalityscores that found in suicide attempters suggests that thesesuicide attempts might be more impulsive attempts andimpair patients functionality.

Özet

Amaç: Bu çalışmada; İki Uçlu Bozukluk (İUB) hastalarındaintihar girişimi öyküsü olan ve olmayan hastaların mizaçkarakter özellikleri ile dürtüsellik ve işlevsellik düzeylerininkarşılaştırılması amaçlandı. Yöntem: Çalışmaya Erenköy Ruh ve Sinir HastalıklarıEğitim ve Araştırma Hastanesi psikiyatri polikliniğine başvuran 101 İUB hastası ile yaş ve cinsiyet açısından eşleştirilmiş 50 sağlıklı bireyden oluşan kontrol grubu alındı.Hasta ve kontrol grubuna DSM-IV Eksen-I Bozuklukları içinYapılandırılmış Klinik Görüşme Ölçeği (SCID-I), Mizaç veKarakter Envanteri (MKE), Barratt Dürtüsellik Ölçeği-11(BDÖ-11) uygulanırken, hasta grubuna ek olarak HamiltonDepreyon Ölçeği (HAM-D), Young-Mani DerecelendirmeÖlçeği (YMDÖ), İki Uçlu Bozukluk İşlevsellik Ölçeği (İUBİÖ)uygulandı.Bulgular: Hasta ve kontrol grubu arasında sosyodemografik özellikler açısından anlamlı bir fark yoktu (p