ObjectiveThe aim of this study was to find out the level of death anxiety among 3 groups: patients with acute myocardial infarction, patients with cancer and healthy individuals in two training and research hospitals; also to evaluate its relationship with several sociodemographic and clinical variables.Materials and methodThis study was conducted with one hundred and eighty persons (108 male, 72 female) who have been referred to cardiology or oncology departments and the healthy individuals. Participants completed sociodemographic and clinical data form, State and Trait Anxiety Inventory (STAI-I, STAI-II), Thorson Powell Death Anxiety Scale (TPDAS), Death Depression Scale (DDS).ResultsParticipants included in the present study were 40% female with an average age of 53.48 for whole group. The mean TPDAS score for patients with AMI was 51.60 ± 16.40, for patients with cancer 37.10 ± 10.23 and for healthy individuals 43.40 ± 13.35. In AMI group there were positive correlations between STAI-I and TPDAS, DDS scores and also between STAI-II and DDS. In cancer group positive correlations were between STAI-I, II and TPDAS, DDS. TPDAS and DDS were positively correlated in all three groups. Women and participants who were unemployed scored higher on DDS.ConclusionIn this study patients with AMI had higher death anxiety than patients with cancer or healthy individuals. Generally death anxiety was related with education, employment and socioeconomic status. Prospective studies carefully searching for different variables in different medical groups would reveal and help us to understand the importance of death anxiety and its impact on courses of physical and mental disorders.
ÖzetAmaç: Bağlanma süreçleri, psikopatolojik gelişimleri anlamamız için kuramsal bir çerçeve sunmaktadır. Güvensiz bağlanma biçimi yaşamın ilerleyen dönemlerinde psikopatolojinin ortaya çıkışı ile sık ilişkilendirilmiştir.Yöntem: Çalışmaya, DSM-IV'e göre Panik Bozukluğu (PB) tanılı 65 kişiyle kontrol grubunu oluşturan 65 sağlıklı gönüllü alınmıştır. SCID-I uygulanarak PB tanısı alan hastalara, klinik durumlarının ve hastalık şiddetlerinin belirlenebilmesi için Panik-Agorafobi Ölçeği; Erişkinlikteki ayrılma anksiyetesini (EAA) araştırmak için EAA Ölçeği ve sahip olunan bağlanma biçimini ölçmek amacıyla İlişki Ölçekleri Anketi uygulanmıştır. Panik-Agorafobi Ölçeği dışındaki ölçekler kontrol grubu için de kullanılmıştır. Bulgular: EAA, PB olan grupta anlamlı olarak yüksekti. Bağlanma biçimleri ortalamalarında sadece "saplantılı" alt boyutuna ait bağlanma biçimi ortalamasında hem PB olan grupta hem de kontr ol grubunda, EAA düzeyleri yüksekti. Hastalar incelendiğinde kadın cinsiyet ve agorafobi varlığı ile EAA birlikteliği anlamlı oranda yüksekti. Erken yaşta anne-babasını kaybeden ve anne-baba ayrılığı olanların bağlanma biçimleri ortalamalarında "korkulu" ve "saplantılı" alt boyutlarına ait ortalamalar hasta gurubunda daha yüksekti.Sonuç: PB ile EAA birlikteliğinin yüksek, bu durumun kadınlarda daha sık ve hem PB grubunda hem de kontrol grubunda, saplantılı bağlanma biçiminin diğer bağlanma biçimlerine göre daha yaygındı. PB olan kişilerde, EAA ve/veya agorafobi varlığı ile bağlanma biçimleri arasında anlamlılık saptanmamıştır. EAA ve PB hastalarında ek tanı olarak depresyon diğer anksiyete bozukluklarından yüksekti. The attachment processes give us a theoretical framework to understand the psychopathological development. Unsafe attachment type is often associated with the emergence of psychopathology in the later periods of life.
In our previous studies we reported that there were more childhood trauma (CT, 1) and cognitive deficits (2) in UHR group. The aim of this study is to measure the relationship between CT and cognitive functioning in UHR group. Sixty-four individuals at UHR for psychosis were applied a neurocgnitive battery assessing attention, processing speed, verbal learning and memory, working memory, interference inhibition and sustained attention. CT was assessed by short version of Childhood Trauma Questionnary (CTQ). We dychotomized the sample by using cut off scores for the existence of emotional, physical, sexual taruma, physical and emotional neglect. Those with history of physical trauma had worse performance on Digit Span-forward, Trail making B (time), Stroop test-difference between colour and word reading times, WCSTcompleted categories. Physical trauma scores were negatively correlated with WCST-completed categories, and physical neglect scores were negatively correlated with Digit span test-forward. Our findings suggest that history of physical trauma has a negative impact on cognitive functioning in individuals at UHR for psychosis.
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