Childhood Trauma and Dissociative Symptoms in Patients Treated in the Forensic Psychiatry Service/Adli Psikiyatri Servisinde Tedavi Gören Hastalarda Çocukluk Çagi Travmasi ve Dissosiyatif Belirtiler

• Published in: Psikiyatride güncel yaklaşimlar Vol. 13; no. S1; p. 216
• Main Authors: Yildiz, Sevler, Kazgan, Asli, Kurt, Osman, Emir, Burcu Sirlier
• Format: Journal Article
• Language: Turkish
• Published: Anadolu Psikiyatri Dergisi 01-12-2021
• Subjects: Care and treatment; Psychic trauma; Sexual abuse
• ISSN: 1309-0658
• DOI: 10.18863/pgy.963565

The aim of this study was to investigate the prevalence of dissociative symptoms and the relationship between childhood traumas and clinical variables in individuals who have committed crimes and are followed up in the forensic psychiatry service. 55 patients followed in Elazig City Hospital High Security Forensic Psychiatry (YGAP) service were included in the study. A semi-structured sociodemographic data form, Childhood Trauma Scale (CTQ-28) and Dissociative Experiences Scale (DES) were administered to all participants. The DES total score was 26.7[+ ó -]11.9 in delinquent patients with a diagnosis of mood disorder. A positive and significant correlation was found between DES amnesia, depersonalization/derealization subscores and CTQ-28 physical abuse, physical neglect, sexual abuse and minimalization subscores. According to the research findings, the frequency of having dissociative experiences is low in delinquent mood disorder patients, while it is high in other patient groups. It also suggests that it should be routinely investigated in terms of dissociative symptoms and childhood neglect-abuse in psychiatric patients who have committed crimes. Keywords: Forensic psychiatry, childhood trauma, dissociative symptoms Bu çalismada, suç islemis olup adli psikiyatri servisinde takip edilen kisilerdeki dissosiyatif belirti yayginligi ve çocukluk çagi travmalarinin klinik degiskenler ile iliskisinin arastirilmasi amaçlanmistir. Çalismaya Elazig Sehir Hastanesi Yüksek Güvenlikli Adli Psikiyatri (YGAP) servisinde takip edilen 55 hasta dahil edildi. Tüm katilimcilara yari yapilandirilmis sosyodemografik veri formu, Çocukluk Çagi Travma Ölçegi (CTQ-28) ve Dissosiyatif Yasantilar Ölçegi (DES) uygulandi. Bu çalismada duygudurum bozuklugu tanili suç islemis hastalarda DES toplam puanini 26,7[+ ó -]11,9 saptandi. DES amnezi, depersonalizasyon/derealizasyon alt puanlari ile CTQ-28 fizikselistismar, fiziksel ihmal, cinselistismar ve minimalizasyon alt puanlari arasinda pozitif yönde anlamli bir korelasyon tespit edildi. Arastirma bulgularina göre suç isleyen duygudurum bozuklugu tanili hastalarda dissosiyatif yasantilara sahip olma sikligi düsük, diger psikiyatrik hasta gruplarinda ise yüksektir. Ayrica bulgular suç islemis psikiyatri hastalarinda dissosiyatif belirtiler ve çocukluk çagi ihmal-istismar açisindan da rutin olarak arastirilmasi gerektigini düsündürmektedir. Anahtar sözcükler: Adli psikiyatri, çocukluk çagi travmasi, dissosiyatif belirtiler