PDF | On Jan 1, , Elif güneri yöyen and others published ŞİZOFRENİ- BİPOLAR AFFEKTİF BOZUKLUK (MANİ). Bipolar bozukluk, manik depresif bozukluk, iki uçlu bozukluk Bipolar affektif bozukluk ise bu dışavurumun iki yönlü olarak bozuk olmasıdır. Şizofreni, Bipolar Bozukluk ve Kontrol Grubunun Sözel .. korteksin, bilişsel değil ama affektif ZK becerisi ile ilişkili olduğu gösterilmiştir.
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Sosyal anksiyete bozukluğu eştanısı alan bipolar bozukluk hasta- . affektif belirtilerin ve bipolar bozukluğun daha erken başlaması, hızlı. PDF. Article No: 3 Article Type: Research. Affective Spectrum Disorder (ASD) is Unipolar hastalarda Affektif Spektrum Bozukluğu sıklığı bipolar hastalardan ve . mevsimsel affektif bozukluklar gibi duygudurum bozuklukları ile such as bipolar disorder, major depression and seasonal affective disorder.
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What if radio played only the shows you care about, when you want? Your subcriptions will sync with your account on this website too. Player FM might just be it. What sets the app apart from other podcasting applications is its emphasis on discovery. In male bipolar patients, frequency, sensuality, avoidance, satisfaction, premature ejaculation and GRISS total mean scores were higher than in the control group 1.
The sample group of this study was larger than that of our study. The reason why different results have been obtained in studies on sexual function in bipolar patients may be that sample groups were different gender, age distribution, place of residence, education level, drug treatment received, comorbid diseases, etc.
In a study in Turkey in evaluating the relationship between metabolic syndrome and sexual function in bipolar patients, it was determined that approximately half of the patients showed sexual dysfunctions In this study, differently from ours, sexual functions were assessed with the Arizona Sexual Experiences Scale.
According to the results of a study by Nagaraj et al. In this study, sexual functions were evaluated using the UKU side effects rating scale. In our study, the most frequently experienced problems in male bipolar patients according to GRISS were firstly frequency of sexual function and the second was premature ejaculation.
In research by Hariri et al. Using the same scale on our study, it was found that the most frequent problem in men was infrequency, and in women non-communication.
In our study, we examined not only sexual functions but also the adjustment of patients to their partners. Eight persons in the patient group and three in the control group were single or widowed.
All other participants were married. Most participants in both groups had children. The patient and control groups had similar characteristics in terms of dyadic and family characteristics.
When a comparison was made of the total DAS scores and the subscale scores dyadic satisfaction, dyadic cohesion, dyadic consensus and affectional expression used to assess adjustment of the control and patient groups, the total DAS score was found to be higher in the control group, although this did not reach statistical significance.
That is, dyadic adjustment was roughly the same in the two groups.
When the subscales were examined, it was found that the control group was significantly better adjusted in the areas of dyadic cohesion and affectional expression. There are not many studies assessing family functions in patients diagnosed with bipolar disorder. In a study by Frank et al. In a study in Turkey comparing the partners of bipolar patients with those of a healthy control group using the Family Assessment Scale, the proportion of those feeling that family structure and operation were healthy was Assessing the subscales of the Family Assessment Scale problem solving, roles, ability to give an emotional response, ability to show the necessary interest, behavior control and general functions , a significant difference was found between the two groups in all areas except ability to give an emotional response The subscales of DAS used in our study and those of the Family Assessment Scale are considerably different from one another.
Ability to give an emotional response and affectional expression are subscales which are similar. However, there was a difference between the patient and control groups in our study in the area of affectional expression which may be because of the difference between the questions on the scales. One of the important parameters influencing sexual functions is the adjustment of the partners to each other.
It is thought that when dyadic adjustment is defective, sexual function will be negatively affected, or conversely that when sexual function is affected, dyadic adjustment can also be negatively affected. In a study by Rust et al. Evaluating the data regarding dyadic adjustment in our study, it was found that the scores of bipolar patients on the subscales of dyadic cohesion and affectional expression were lower than those of the control group.
In an evaluation performed by separating the two groups into those with and without sexual dysfunction, no statistically significant difference was found in the subscale and total scores.
It was determined that being in the bipolar or control group had no effect on the total score on the dyadic adjustment scale, that the presence of sexual dysfunction had an effect, and that within the groups the presence of sexual dysfunction had no effect. From this it can be said that the main factor affecting dyadic adjustment is whether sexual function is affected rather than the factor of being sick or healthy. This may suggest that the choice of a drug which may affect sexual function in bipolar patients should be made more carefully as it may affect dyadic adjustment.
According to the results of regression analysis, Total GRISS score and the satisfaction subscale score, marital status and frequency of pre-marital sexual intercourse affect the total DAS score. An important limitation of our study was that the sample group was small and that sexual function was evaluated with a scale but no diagnostic interviews were conducted. Fifty patients and fifty individuals in the control group were included in the study.
In order to obtain results which are statistically more significant, it may have been appropriate to conduct a study with a broader group. Also, no assessment was made of the effect of drugs on sexual function in bipolar patients because of their use of multiple drugs and the difficulty of grouping the drugs used.
Sexuality is very much affected by cultural values, and so the evaluation of the questionnaires may be misleading. Dyadic adjustment was assessed in the patient and control groups in our study by means of a scale.