Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Majör Depresif Bozukluk Tanılı Hastalarda Çocukluk Çağı Travmatik Yaşantılarının Cinsel İşlev Üzerine Etkisi
The Effects of Childhood Traumatic Experiences on Sexuel Function in Patients with Major Depressive Disorder
Fatma Gül HELVACI ÇELİKa, Çiçek HOCAOĞLUb, Bülent BAHÇECİb
aHitit Üniversitesi Erol Olçok Eğitim ve Araştırma Hastanesi, Psikiyatri Kliniği, Çorum, TÜRKİYE
bRecep Tayyip Erdoğan Üniversitesi Tıp Fakültesi, Psikiyatri ABD, Rize, TÜRKİYE
Turkiye Klinikleri J Pediatr. 2021;30(1):38-47
doi: 10.5336/pediatr.2020-75640
Article Language: TR
Full Text
ÖZET
 Amaç: Çocukluk çağı travmaları (ÇÇT)nın, erişkin dönemde ortaya çıkan çok sayıda ruhsal bozukluğun etiyolojisinde önemli bir rolü vardır. Bu çalışmanın amacı, majör depresif bozukluk (MDB) tanısı alan hastalarda, ÇÇT'nin cinsel işlev üzerine olan etkilerini araştırmaktır. Gereç ve Yöntemler: Çalışmaya, Recep Tayyip Erdoğan Üniversitesi Eğitim ve Araştırma Hastanesi Psikiyatri Polikliniğine ardışık sıra ile başvuran, 'The Diagnostic and Statistical Manual of Mental Disorders (DSM) IV-R' tanı ölçütlerine göre MDB tanısı alan 112 olgu dâhil edilmiştir. Tüm olgulara sosyodemografik veri formu, Hamilton Depresyon Derecelendirme Ölçeği, çocukluk çağı ruhsal travmaları ölçeği, Arizona Cinsel Yaşantılar Ölçeği uygulanmıştır. Bulgular: Çalışmaya katılanların 86 (%81,1)'sı kadın, 20 (%18,9)'si erkek idi. Olguların %68,9'unda ÇÇT öyküsünün olduğu, %56,6'sında duygusal istismar, %37,7'sinde fiziksel istismar, %34'ünde cinsel istismar, %53,8'inde duygusal ihmal ve %44,3'ünde ise fiziksel ihmal bulunduğu belirlendi. Depresyon düzeyi ve cinsel problem varlığı ile ÇÇT toplam ve tüm alt tipleri arasında istatistiksel olarak anlamlı bir fark elde edilemedi. Bununla birlikte, ÇÇT öyküsü olmayan olgulardan farklı olarak, ÇÇT öyküsü bulunan olgularda depresyon düzeyi arttıkça cinsel problemlerin de arttığı saptandı. Sonuç: Çalışmamızda, ÇÇT ve tüm alt boyutları ile cinsel problem varlığı arasında anlamlı bir ilişki olmadığı sonucu elde edilmiştir. Ancak çalışmamızda, MDB tanılı olgulardaki yüksek oranda ÇÇT öyküsünün bulunması ve ÇÇT bulunan hastalarda depresyon düzeyi arttıkça, cinsel problem düzeyinin de artması dikkat çekici bulgulardır.

Anahtar Kelimeler: Cinsel işlev bozukluğu; çocukluk çağı travması; majör depresif bozukluk
ABSTRACT
 Objective: Childhood traumatic experiences (CTE) have an important role in the etiology of many psychiatric disorders that occur in adulthood. The aim of this study is to investigate the effects of CTE on sexual function in patients diagnosed with major depressive disorder (MDD). Material and Methods: 112 cases who were admitted to Recep Tayyip Erdoğan University Training and Research Hospital Psychiatry Outpatient Clinic consecutively and diagnosed with MDD according to DSM IV-R diagnostic criteria were included in the study. Sociodemographic Data Form, Hamilton Depression Rating Scale, childhood trauma questionnaire, Arizona Sexual Experiences Scale were applied to all cases. Results: 86 (81.1%) of the participants were female and 20 (18.9%) were male. It was determined that 68.9% of the cases had a history of CTE, 56.6% emotional abuse, 37.7% physical abuse, 34% sexual abuse, 53.8% emotional neglect, and 44.3% physical neglect. No statistically significant difference was found between the level of depression and the presence of sexual problems, between the total and all subtypes of the CTE. However, unlike those without a history of CTE, in cases with an history of CTE, sexual problems increased as the level of depression increased. Conclusion: In our study, it was concluded that there was no significant relationship between CTE, all its sub-dimensions and the presence of sexual problems. However, in our study, there was a high level of CTE in patients with MDD and it is noteworthy that in patients with CTE, the level of sexual problems increases as the level of depression increases.

Keywords: Sexual disfunction; childhood trauma; major depressive disorder
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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