Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Yeme Bozukluğu Hastalarının Bağlanma Paternlerinin Depresyon, Kendine Zarar Verme ve İntihar Davranışı ile İlişkisinin İncelenmesi
Investigation of the Relationship Between Attachment Patterns and Depression, Self - Injury And Suicidal Behaviour of Eating Disorders Patients
Engin EKERa
aPsikoloji Bölümü, İstanbul Aydın Üniversitesi Fen Edebiyat Fakültesi, İstanbul, TÜRKİYE
Turkiye Klinikleri J Foren Sci Leg Med. 2019;16(3):192-208
doi: 10.5336/forensic.2019-66323
Article Language: TR
Full Text
ÖZET
 Amaç: Anoreksiya nervoza (AN) hastalarının bağlanma stillerini incelemektir. Bunun yanında, bağlanma stillerine paralel olarak bu hastalardaki depresyon ve intihar davranışını araştırmak ve korelasyonunu ortaya çıkarmaktır. Gereç ve Yöntemler: AN tanısı almış, bir psikiyatri kliniğinde yatarak tedavi gören hastaların yakın ilişkilerinde kurdukları bağlanma biçemlerinin ve depresyon-anksiyeteyle bağlantısının incelenmesi amaçlanmıştır. Buna ek olarak, yaşanan depresyonun- anksiyetenin düzeyine ve derinliğine bağlı olarak da intihar düşünceleri, planları ve girişimlerinin derecesi belirlenmeye çalışılmıştır. Bu amaçla AN tanısı almış ve tedavisi devam etmekte olan 20 kadın hasta ile herhangi bir ruhsal bozukluk tanısı almamış 30 kadın denek, bahsedilen değişkenler açısından karşılaştırılmıştır. Kontrol grubu, uygun örnekleme yolu ile elde edilmiştir. Karşılaştırma için kullanılan ölçekler Erişkin Bağlanma Biçemi Ölçeği, Hamilton Depresyon Derecelendirme Ölçeği, Hamilton Anksiyete Derecelendirme Ölçeği ve Yeme Tutumu Testi 40 ve Demografik Bilgi Formu'dur. Bulgular: Araştırmanın sonuçlarına göre AN hastaları ile herhangi bir ruhsal bozukluk tanısı almamış kontrol grubu denekleri arasında bağlanma biçemleri açısından farklılık tespit edilmiştir. Hasta grubundaki deneklerin bağlanma biçemleri kaçıngan bağlanma şeklinde iken kontrol grubu deneklerinde güvenli bağlanma biçemi tespit edilmiştir. Benzer şekilde, hasta grubu deneklerinin depresyon ve anksiyete düzeylerinin kontrol grubu deneklerine göre daha fazla olduğu tespit edilmiştir. Sonuç: Kendine zarar verme davranışı, intihar düşüncesi, planı ve girişiminde bulunma açısından hasta ve kontrol grupları arasında anlamlı bir farklılaşma tespit edilmemiştir.

Anahtar Kelimeler: Yeme bozukluğu; bağlanma biçemi; depresyon; anksiyete; kendine zarar verme davranışı; intihar
ABSTRACT
 Objective: Examine attachment style of hospitalized patients with anorexia nervosa (AN). It aims to investigate depression and suicidal behavior in these patients and reveal correlations parallel to the attachment style. Material and Methods: This study also intent to examine depression and anxiety characteristics of patients hospitalized at a psychiatric clinic with a diagnosis of AN, besides their attachment style that they have established in close relationships. It aims to determine depression-anxiety experienced level also suicidal thoughts, plans and attempts degree depending on depth. To this end, 20 female patients who were diagnosed with AN and 30 women not diagnosed with any psychiatric disorder subjects were compared with each other in terms of the above-mentioned variables. The control group was obtained by convenient sampling model. The scales used in the study; Adult Attachment Scale, Hamilton Depression Rating Scale, Hamilton Rating Scale for Anxiety and Eating Attitudes Test 40. Results: According to the results of the study, it has been determined differences in attachment stylesbetween hospitalized patients with ANand the control subjects without any psychiatric diagnosis. While attachment style of subjects in the patients group were avoidant attachment, in the control group subjects were secure attachment style. It has been also found high levels of depression and anxiety in the patients group compared to the control group. Conclusion: In terms of self-harm behavior, suicidal thoughts, plans and attempts, it has not been found a significant difference between patient and control groups.

Keywords: Eating disorders; attachment style; depression; anxiety; self-injury behaviour; suicide
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4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com