ISSN 1302-6631
 

Original Research (Original Article) 


The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia

Orkun Aydın, Fikret Poyraz Çökmüş, Kuzeymen Balıkçı, Pınar Ünal Aydın, Ayşen Esen Danacı.

Abstract
Objective: Schizophrenia effects both patients and their caregivers significantly. Psychotic diseases, especially schizophrenia, are problematic for caregivers in almost every period of the illness. In our study, the presence of variables that may have an impact on the severity of illness such as social anxiety, aggression and attachment style in schizophrenia patients’ healthy caregivers are assessed with healthy controls. Methods: Thirty-eight chronic schizophrenia patients and their caregivers and healthy controls were included in the study. The study was conducted with a total of 92 people. Sociodemographic data form and Positive and Negative Symptom Severity Scale (PANSS) were applied to the patient group and additional Liebowitz Social Anxiety Scale, Buss-Perry Aggression Scale and Experiences in Close Relationship-II were applied to the other participants. Results: A significant difference was found only in the mean score of social avoidance subscale when the healthy control group and the caregivers of schizophrenia patients were compared in terms of social anxiety, aggression and attachment style. It was found that the mean score of the social avoidance subscale significantly differentiated between the caregivers of the schizophrenia patients and the healthy control group. The positive symptom severity was predicted significantly by the mean score of the anger subscale in the caregivers of schizophrenia patients through the linear regression analysis. Discussion: Nowadays, non-hospital treatment facilities are being tried to be widespread, and therefore factors affecting family burden and studies to reduce this burden are gaining importance. Determining the needs of the patient's relatives and determining the areas of distress are also contributing to the patient's well-being. In this study for caregivers, we think that psychosocial interventions for social avoidance as well as motivational interviews for managing anger control and illness severity will benefit both patient and caregiver levels.

Key words: social anxiety, attachment style, aggression, caregiver



Şizofreni hastalarının bakım verenlerinde sosyal kaygı, saldırganlık ve bağlanma stilinin hastalık şiddeti üzerine etkisi

Ozet
Amaç: Şizofreni, yalnız hastaları değil, aynı zamanda hastaların bakım verenlerini önemli derecede etkilemektedir. Psikotik hastalıklar ve özellikle şizofreni, bakım verenler için hastalığın neredeyse her döneminde sorun oluşturmaktadır. Çalışmamızda, şizofreni hastalarının psikiyatrik bozukluğu bulunmayan bakım verenlerinde sosyal anksiyete, agresyon ve bağlanma stili gibi hastalık şiddeti üzerine etkisi olabilecek değişkenlerin varlığı sağlıklı kontroller ile karşılaştırılmalı olarak değerlendirilmiştir. Yöntem: Çalışmaya 38 kronik şizofreni hastası ve bu hastaların bakım verenleri ile sağlıklı kontroller alınmıştır. Çalışma toplam 92 kişi ile yürütülmüştür. Çalışmaya alınan katılımcılardan hasta grubuna Sosyodemografik Veri Formu ve Pozitif ve Negatif Belirti Şiddeti Ölçeği, diğer katılımcılara sosyodemografik veri formuna ek Liebowitz Sosyal Kaygı Ölçeği, Buss-Perry Saldırganlık Ölçeği ve Yakın İlişkilerde Yaşantılar Ölçeği-II uygulanmıştır. Sonuçlar: Şizofreni hastalarının bakım verenleri ile sağlıklı kontrol grubu sosyal anksiyete, saldırganlık ve bağlanma stili açısından karşılaştırıldığında yalnız sosyal kaçınma alt ölçeği ortalama puanında anlamlı farklılık saptanmıştır. Sosyal kaçınma alt ölçeği ortalama puanının, şizofreni hastalarının bakım verenleri ile sağlıklı kontrol grubunu anlamlı olarak birbirinden ayırt ettiği bulunmuştur. Pozitif belirti şiddetini yordamada, şizofreni hastalarının bakım verenlerinde bakılan öfke alt ölçeği ortalama puanının lineer regresyon analizinde de anlamlılığını yitirmediği saptanmıştır. Tartışma: Günümüzde hastane dışı tedavi olanakları yaygınlaştırılmaya çalışılmakta, bu nedenle aile yükünü̈ etkileyen etkenler ve bu yükü̈ azaltmaya yönelik çalışmalar önem kazanmaktadır. Hasta yakınlarının gereksinimlerinin belirlenmesi ve sıkıntı çektikleri alanların belirlenmesi hastalara da olumlu katkı sağlamaktadır. Bakım verenlere yönelik yaptığımız bu çalışmada sosyal kaçınmalarına yönelik ruhsal-toplumsal girişimler bununla birlikte öfke kontrolü ve hastalık şiddetini yönetme konusunda yapılacak motivasyonel görüşmelerin hem hasta, hem de bakım veren düzeyinde fayda sağlayacağını düşünüyoruz.

Anahtar Kelimeler: Sosyal anksiyete, bağlanma stili, agresyon, bakım veren


 
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Pubmed Style

Aydin O, Cokmus FP, Balikci K, Aydin PU, Danaci AE. [The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]. Anadolu Psikiyatri Derg. 2018; 19(3): 274-280. Turkish. doi:10.5455/apd.276919


Web Style

Aydin O, Cokmus FP, Balikci K, Aydin PU, Danaci AE. [The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]. http://www.anadolupsikiyatri.net/?mno=276919 [Access: September 21, 2018]. Turkish. doi:10.5455/apd.276919


AMA (American Medical Association) Style

Aydin O, Cokmus FP, Balikci K, Aydin PU, Danaci AE. [The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]. Anadolu Psikiyatri Derg. 2018; 19(3): 274-280. Turkish. doi:10.5455/apd.276919



Vancouver/ICMJE Style

Aydin O, Cokmus FP, Balikci K, Aydin PU, Danaci AE. [The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]. Anadolu Psikiyatri Derg. (2018), [cited September 21, 2018]; 19(3): 274-280. Turkish. doi:10.5455/apd.276919



Harvard Style

Aydin, O., Cokmus, F. P., Balikci, K., Aydin, P. U. & Danaci, A. E. (2018) [The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]. Anadolu Psikiyatri Derg, 19 (3), 274-280. Turkish. doi:10.5455/apd.276919



Turabian Style

Aydin, Orkun, Fikret Poyraz Cokmus, Kuzeymen Balikci, Pinar Unal Aydin, and Aysen Esen Danaci. 2018. [The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]. Anatolian Journal of Psychiatry, 19 (3), 274-280. Turkish. doi:10.5455/apd.276919



Chicago Style

Aydin, Orkun, Fikret Poyraz Cokmus, Kuzeymen Balikci, Pinar Unal Aydin, and Aysen Esen Danaci. "[The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]." Anatolian Journal of Psychiatry 19 (2018), 274-280. Turkish. doi:10.5455/apd.276919



MLA (The Modern Language Association) Style

Aydin, Orkun, Fikret Poyraz Cokmus, Kuzeymen Balikci, Pinar Unal Aydin, and Aysen Esen Danaci. "[The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]." Anatolian Journal of Psychiatry 19.3 (2018), 274-280. Print.Turkish. doi:10.5455/apd.276919



APA (American Psychological Association) Style

Aydin, O., Cokmus, F. P., Balikci, K., Aydin, P. U. & Danaci, A. E. (2018) [The effects of caregivers’ social anxiety, aggression and attachment style on the severity of schizophrenia]. Anatolian Journal of Psychiatry, 19 (3), 274-280. Turkish. doi:10.5455/apd.276919





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