Alexithymia and self-esteem in patients with ankylosing spondylitis/Ankilozan spondilitli hastalarda aleksitimi ve benlik saygisi

• Published in: Noro-Psikiyatri Arsivi Vol. 51; no. 4; p. 350
• Main Authors: Solmaz, Mustafa, Binbay, Zerrin, Cidem, Muharrem, Sagir, Selim, Karacan, Ilhan
• Format: Journal Article
• Language: English
• Published: AVES 01-12-2014
• Subjects: Alexithymia; Ankylosing spondylitis; Complications and side effects; Health aspects; Psychological aspects; Risk factors; Self esteem
• ISSN: 1300-0667
• DOI: 10.5152/npa.2014.6977

Introduction: Ankylosing spondylitis (AS), which has an unknown etiology, inflammatory disorder, characterized by inflammation of the spinal joints and adjacent structures. It has a negative effect on all aspects of a patient's life: Physically, psychologically and socially. The purpose of this study was to determine the effect of AS on self- esteem and alexithymia. Method: In this study, 50 patients from the department of physical therapy and rehabilitation with the diagnosis of AS who were under treatment and follow-up and 50 healthy volunteers who matched for age and gender were taken. Toronto Alexithymia Scale (TAS), Beck Depression Inventory (BDI), Rosenberg Self-Esteem Scale (RSES), Beck Anxiety Inventory (BAI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) were performed to both patients and control group. Results: Compared to the control group, the anxiety and depression scores were higher in the patient group and the alexithymic characteristics were significantly higher, self-esteem scores were significantly lower in the patient group (p<0.05). Conclusion: Like all the other inflammatory chronic diseases, depression and anxiety are commonly seen in AS patients. Alexkhymai and self-esteem of these patients should be considered carefully. More studies are needed on this regard. (Archives of Neuropsychiatry 2014; 51:350-354) Key words: Self esteem, alexitymia, ankylosing spondylitis Giris: Ankilozan spondilit (AS), etyolojisi tam olarak bilinmeyen, spinal eklemlerde ve komsu yapilarda inflamasyonla karakterize inflamatuar bir hastaliktir. Hastanin hayatinin basta fiziksel, sosyal ve psikolojik olmak uzere butun yonlerinde negatif bir etkiye sahiptir. Bu calismanin amaci AS'in benlik saygisi ve aleksitimi uzerine olan etkisini belirlemektir. Yontem: Bu calismaya fizik tedavi ve rehabilitasyon kliniginde AS tanisiyla tedavisi ve takibi yapilan 50 hasta ile cinsiyet ve yas acisindan uyumlu saglikli 50 gonullu alinmistir. Hastalara ve kontrol grubuna Toronto aleksitimi olcegi, Beck Depresyon olcegi (BDO), Rosenberg Benlik Saygisi Olcegi(RBSO), Beck Anksiyete Olcegi (BAO), Bath Ankilozan Spondilit Hastalik aktivite Indexi (BASDAI) uygulandi. Bulgular: Kontrol grubuna gore hasta grubunda kaygi ve depresyon puanlari anlamli olarak yuksek bulunmustur ayrica aleksitimik ozellikler kontrol grubuna gore anlamli duzeyde yuksek, benlik saygisi puanlari ise anlamli duzeyde dusuk bulunmustur (p<0.05). Sonuc: AS hastalarinda, diger tum inflamatuar kronik gidisli hastaliklarda oldugu gibi depresyon ve anksiyete sik olarak gorulmektedir. Bu hastalarda aleksitimi ve benlik saygisi uzerine de dikkatle durulmalidir. Bu konuda daha fazla sayida calismaya ihtiyac vardir. (Noropsikiyatri Arsivi 2014; 51:350-354) Anahtar kelimeler: Benlik saygisi, aleksitimi, ankilozan spondilit