Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
İstanbul'da Özel Ruh Sağlığı ve Hastalıkları Polikliniğine Başvuran Hastaların Sosyodemografik Özelliklerine İlişkin Tanımlayıcı Bir Araştırma
A Descriptive Study on the Sociodemographic Characteristics of Patients who Applied to the Private Mental Health and Diseases Polyclinic in İstanbul
Tahir ÖZAKKAŞa, Fatümatü Zehra ERCANb
aSerbest Hekim, Kocaeli, Türkiye
bSelçuk Üniversitesi Sağlık Bilimleri Fakültesi, Sosyal Hizmet Bölümü, Konya, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(1):123-33
doi: 10.5336/healthsci.2022-90873
Article Language: TR
Full Text
ÖZET
 Amaç: Türkiye'de özel bir ruh sağlığı ve hastalıkları polikliniğine 2000-2010 yılları arasında başvuran danışanların sosyodemografik özelliklerini tasvir etmek amaçlanmıştır. Bu bağlamda Türkiye'de psikiyatri tedavisine ve psikoterapiye gösterilen ilginin zaman içinde nasıl bir görünüm arz ettiği anlaşılmaya çalışılmıştır. Gereç ve Yöntemler: Bu araştırma, doküman incelemesine dayalı retrospektif bir araştırmadır. Araştırmanın gereçleri özel bir ruh sağlığı ve hastalıkları polikliniğine başvuran hastaların ilk görüşme formudur. Bulgular: 2000-2010 yılları arasında 1.451 kişi başvurmuştur. Yaş bakımından en çok %72,8 ile 21-45 yaş grubu başvurmuştur. Eğitim durumu açısından bakıldığında %57,3'ünün en az lisans mezunu, %24'ünün ise lise mezunu olduğu görülmüştür. Başvuranların %66,6'sı kliniğe yakın bir akrabasıyla gelmiştir. Başvuranların %57,9'u gerekli durumlarda ulaşılabilecek yakın bir arkadaş belirtememiştir. Başvuranların hastalık durumuna bakıldığında %65,9'unun daha önce ruhsal veya fiziksel hastalık geçirdikleri görülmüştür. %50,4'ünde bağımlılık yapan madde kullanımı vardır. Başvuranlar Ruhsal Bozuklukların Tanısal ve İstatistiksel El Kitabı [The Diagnostic and Statistical Manual of Mental Disorders (DSM)]-IV birinci eksende aldığı tanılar açısından bakıldığında en fazla %36,7'si anksiyete bozukluğu ve %21,3'ü duygudurum bozukluğu tanısı almışlardır. %67,1'i DSM-IV ikinci eksende tanılanmış herhangi bir bozukluk tanısı almamıştır. Sonuç: Ruh sağlığı ve hastalıkları polikliniğine başvurularda yıllara göre artış olmuştur. Başvuranların çoğu genç, orta erişkinlik döneminde ve üniversite mezunudur. Başvuranların çoğu kliniğe akrabasıyla gelmiştir ve yakın arkadaşı yoktur. Başvuranların çoğu daha önce ruhsal veya fiziksel hastalık geçirmiştir. Başvuranların neredeyse yarısında bağımlılık yapan madde kullanımı vardır. Başvuranların çoğu DSM-IV birinci eksende tanı almış olup, eksen ikide tanı almamıştır.

Anahtar Kelimeler: Özel ruh sağlığı ve hastalıkları poliklinikleri; psikoterapi klinikleri, demografik özellikler; psikiyatri hastaları; ruh sağlığı
ABSTRACT
 Objective: The study investigated the socio-demographic characteristics of the individuals who were admitted to a private mental health and diseases polyclinic in Türkiye between 2000-2010. The aim was to understand how the interest shown in psychiatry treatment and psychotherapy in Türkiye has developed over time. Material and Methods: This retrospective study is based on document review. The research tool is the first interview form of the clients who applied to a private mental health and diseases polyclinic. Results: A total of 1,451 people were admitted to the specified clinic between 2000-2010. 72.8% of the applicants were in the 21-45 age group. 57.3% were at least university graduates and 24% were high school graduates. 66.6% came to the clinic with a close relative. 57.9% could not specify a close friend to be reached when necessary. It was seen that 65.9% had a previous mental or physical illness. 50.4% reported that they use an addictive substance. According to the first axis of The Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV, 36.7% of the applicants were diagnosed with anxiety disorder and 21.3% were diagnosed with mood disorder. 67.1% were not diagnosed with any disorder according to the second axis of DSM-IV. Conclusion: There has been an increase in applications to the mental health and diseases polyclinic over the years. Most applicants were found to be young or middle-aged and have a university degree. The majority came to the clinic with their relatives, and they do not have close friends. Most of the applicants had a previous mental or physical illness. Almost half of them use an addictive substance. Most applicants were diagnosed in DSM-IV axis one but were not diagnosed in axis two.

Keywords: Private mental health and disease polyclinics; psychotherapy clinics, demographic characteristics; psychiatric patients; mental health
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