Multipl Skleroz Hastalarında Mizaç Karakter Özellikleri ve Aleksitimi Düzeyi

Kuloğlu, Murat; Sağlam, Sema; Korkmaz, Sevda; Sağlam, Sadullah; Gürok, Mehmet Gürkan; Üstün, Suzan Karti; Bulut, Serpil

doi:10.4274/npa.y6267

Cited by 5 publications

(2 citation statements)

References 33 publications

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“…Eboni et al [16] (2018) found higher alexithymia scores in MS women patients while Levant et al [21] (2009) found higher alexithymia scores in healthy men. Unlike our study Kuloğlu et al (2013) found no significant difference between alexithymia scores considering gender differences. The reason for this is probably because of the differences of demographic characteristics of the samples.…”

Section: Discussioncontrasting

confidence: 99%

“…Our study showed high alexithymia scores with high EDSS scores in MS patients which is in correlation with Chalah and Ayache (2017) who in their systematical review reported similar results. [10] Unlike Chalah and Ayache (2017) Kuloğlu et al [22] (2013) found no significant relationship between EDSS and TAS scores which they explained low EDSS scores of the patients enrolled in their study.…”

Section: Discussionmentioning

confidence: 67%

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The Relationship Between Alexithymia and Depression in Patients with Multiple Sclerosis

Sonkaya¹

2019

EJMI

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M ultiple Sclerosis (MS) is a chronic, progressive, demyelinating disorder of the Central Nervous System (CNS), seen mostly in young adolescents and early adulthood and it may result in physical disability. [1] Neuropsychiatric symptoms such as depression, fatigue, anxiety, cognitive impairment and alterations in personality can be seen in MS patients. They are usually seen concomitantly, and it is important to discriminate these symptoms in order to give the appropriate treatment. [1,2] Depression is the most prominent symptom seen in these patients and the prevalence was found to be %30.5 in a recent meta analyses. [2] There are many studies investigating the role of alexithymia in depression. [3] Although there are several studies reporting a close relationship between alexithymia and depression , there is no clear opinion whether these two are distinctive from one another or overlapping. [3] Alexithymia means 'Greek a(α-)= absence, inadequacy; lexis(λεξιζ)=-word; thymos (θυμοζ)=feeling'. Sifneos was the first to define alexithymia in patients with psychosomatic disorders. He defined that these patients as patients having difficulty in defining, discriminating and putting their feelings and thoughts in words; had limited fantasy worlds and mostly focused on outer world realities than their own feelings during the therapy. Alexithymia prevalence in multiple sclerosis is not clear since it is mostly seen together with other psychological conditions. [4] The aim of this study is to investigate the relationship between depression and alexithymia in MS. Objectives: A number of psychiatric disorders emerge during the disease course in Multiple Sclerosis (MS). Depression being the most reported disorder; up to date studies showed no clear relationship between alexithymia and depression in these patients. The aim of this study is to investigate the relationship between alexithymia and depression in MS. Methods: 40 patients between ages 18 and 55 admitted to the Neurology Clinic in Okmeydani Training and Research Hospital who were diagnosed with Relapsing Remitting Multiple Sclerosis (RRMS) according to 2010 Mc Donald's criteria and 40 healthy volunteers participated in this study. All subjects had given written consent. Depression and alexithymia status were assessed with Beck Depression Scale (BDS) and Toronto Alexithymia Scale (TAS) respectively. Results: BDS and TAS scores were found significantly higher in MS group especially in women compared to men (p<0.05). It was also observed that alexithymia levels showed increase with high EDSS scores and longer disease period (p<0.05). Conclusion: In this study, it was observed that depression and alexithymia were related with MS.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 67%

The Relationship Between Alexithymia and Depression in Patients with Multiple Sclerosis

Sonkaya¹

2019

EJMI

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The relationship between alexithymia, reading the mind in the eyes and cognition in patients with multiple sclerosis

Seren¹,

Ateş²,

Cinar³

et al. 2022

Multiple Sclerosis and Related Disorders

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Temperament and character in relapsing-remitting multiple sclerosis: the association with clinical factors and psychiatric disorders

Kılıç

ÇELİK²,

Emül³

et al. 2022

Cukurova Medical Journal

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ÖzPurpose: Despite its implications for quality of life, temperament, and character in multiple sclerosis are underexplored. We aimed to explore temperament and character traits, their association with clinical characteristics, and explore the factors that impact depression in patients with relapsing-remitting multiple sclerosis (RRMS). Materials and Methods: This cross-sectional study enrolled 67 patients (male/female=12/55) (median age=30 (18-53)) and 50 age-and gender-matched healthy controls (HCs) (male/female=16/34) (median age= 26.5 (18-60)) using a convenience sampling method. Temperament and Character Inventory, Beck Depression and Beck Anxiety Inventories, and Structured Clinical Interview for DSM-Axis I Disorders-SCID-I were applied. Results: In the patient group there were 45 MS patients with no psychiatric comorbidity (MSN) and 22 MS patients with psychiatric comorbidity (MSP). Higher selfforgetfulness was observed in the MSP group compared with MSN and HC groups. MSP and MSN demonstrated higher total harm avoidance than HCs. MSP group showed lower total self-directedness compared with HCs. While EDSS, duration of disease, or the number of relapses did not impact depression scores; higher anxiety (Β=0.416) and lower purposefulness (Β=-1.565) significantly impacted them (R2=.50, F=32.459). Conclusion: Temperament and character differences were observed in patients with and without psychiatric Amaç: Yaşam kalitesi üzerindeki etkilerine rağmen, multipl sklerozda mizaç ve karakter yeterince araştırılmamıştır. Mizaç ve karakter boyutlarını, i, bunların klinik özelliklerle ilişkisini ve depresyon şiddetini etkileyen faktörleri tekrarlayan ve düzelen multiple skleroz (TDMS) hastalarında incelemeyi amaçladık. Gereç veYöntem: Bu kesitsel çalışmaya, elverişli örnekleme yöntemiyle 67 hasta (erkek/kadın=12/55) (medyan yaş=30 (18-53)) ve yaş ve cinsiyet açısından eşleştirilmiş 50 sağlıklı kontrol (SK) (erkek/kadın=16/34) (medyan yaş= 26.5 (18-60)) alındı. Mizaç ve Karakter Envanteri, Beck Depresyon ve Beck Anksiyete Envanterleri, DSM-Eksen I Bozuklukları için Yapılandırılmış Klinik Görüşme uygulandı. Bulgular: Hasta grubu içinde, psikiyatrik komorbiditesi olan 45 (MSP), psikiyatrik komorbiditesi olmayan (MSO) 22 hasta bulunuyordu. MSP grubu, MSO grubuna ve SK'lere göre daha yüksek kendilik kaybı gösterdi. MSP grubu ve MSO grubu toplam zarardan kaçınma puanları SK'lere kıyasla yüksekti. Toplam kendini yönetme puanları MSP grubunda SK'lerden düşüktü. EDSS, hastalık süresi, toplam nüks sayısı depresyon şiddetini etkilemezken; yüksek anksiyete (Β=0,416) ve düşük amaçlılık düzeyleri (Β=-1,565) depresyon düzeyini anlamlı derecede etkilemekteydi (R2=0.50, F=32.459). Sonuç: Komorbid psikiyatrik bozukluğu olan ve olmayan hastalar arasında mizaç ve karakter özellikleri açısından farklılıklar gözlendi. Artmış anksiyete düzeyleri; anlamlı Kılıc et al. Cukurova Medical Journal 1340 comorbidity. Higher anxiety levels and the difficulty to establish and attain meaningful goals may relate to higher depression levels. Future studi...

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Multipl Skleroz Hastalarında Mizaç Karakter Özellikleri ve Aleksitimi Düzeyi

Cited by 5 publications

References 33 publications

The Relationship Between Alexithymia and Depression in Patients with Multiple Sclerosis

The Relationship Between Alexithymia and Depression in Patients with Multiple Sclerosis

The relationship between alexithymia, reading the mind in the eyes and cognition in patients with multiple sclerosis

Temperament and character in relapsing-remitting multiple sclerosis: the association with clinical factors and psychiatric disorders

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