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Erschienen in: Archives of Women's Mental Health 1/2018

27.07.2017 | Original Article

The association of experience of violence and somatization, depression, and alexithymia: a sample of women with medically unexplained symptoms in Turkey

verfasst von: Dilek Anuk, Güler Bahadır

Erschienen in: Archives of Women's Mental Health | Ausgabe 1/2018

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Abstract

The aim of the study was to examine the relationship between the levels of somatization, depression as well as alexithymia, and MUS in women going through violence experience in three contexts (childhood, adulthood, and both childhood and adulthood). The study was performed on 180 patients attending the Internal Medicine Department of Istanbul University Medical Faculty. The data of women with MUS (n = 50) were compared those of women with acute physical conditions (n = 46) and chronic physical conditions (n = 84). Semi-structured Interview Form, Childhood Abuse and Neglect Inventory, Brief Symptom Inventory, Beck Depression Inventory, and the Toronto Alexithymia Scale were administered. The levels of somatization and depression were found to be higher in women who were exposed to emotional abuse (EA) and physical abuse (PA) in adulthood in the MUS group compared with those of the women exposed to EA and PA in adulthood in the other groups. The levels of somatization, depression, and alexithymia in the MUS group exposed to childhood emotional abuse (CEA) were also higher than those in the controls exposed to CEA. The levels of somatization and alexithymia in the MUS group who were exposed to childhood physical abuse (CPA) were higher than those in the controls exposed to CPA. The levels of somatization and depression in the MUS group who were exposed to violence both in childhood and in adulthood were higher than those in the controls who experienced violence both in childhood and in adulthood. Most women exposed to domestic violence present to health care institutions with various physical and psychological symptoms in Turkey. So, it is important that health caregivers also ask questions about experiences of violence and psychological symptoms in women presenting with medically unexplained symptoms.
Literatur
Zurück zum Zitat Bach M, Bach D (1996) Alexithymia in somatoform disorder and somatic disease: a comparative study. Psychother Psychosom 65:150–152CrossRefPubMed Bach M, Bach D (1996) Alexithymia in somatoform disorder and somatic disease: a comparative study. Psychother Psychosom 65:150–152CrossRefPubMed
Zurück zum Zitat Brown RJ, Anette Schrag C, Trimble MR (2005) Dissociation, childhood interpersonal trauma, and family functioning in patients with somatization disorder. Am J Psychiatry 162:899–905. doi:10.1176/appi.ajp.162.5.899 Brown RJ, Anette Schrag C, Trimble MR (2005) Dissociation, childhood interpersonal trauma, and family functioning in patients with somatization disorder. Am J Psychiatry 162:899–905. doi:10.​1176/​appi.​ajp.​162.​5.​899
Zurück zum Zitat Dereboy İ (1990) Aleksitimi Özbildirim Ölçeklerinin Psikometrik Özellikleri Üzerine Bir Çalışma [A study on alexithymia self-disclosure scales of psychometric properties] Unpublished master’s thesis, Hacettepe University, Ankara, Turkey Dereboy İ (1990) Aleksitimi Özbildirim Ölçeklerinin Psikometrik Özellikleri Üzerine Bir Çalışma [A study on alexithymia self-disclosure scales of psychometric properties] Unpublished master’s thesis, Hacettepe University, Ankara, Turkey
Zurück zum Zitat Derogatis LR, Melisaratos N (1983) The Brief Symptom Inventory: an introductory report. Psychol Med 13:595–605CrossRefPubMed Derogatis LR, Melisaratos N (1983) The Brief Symptom Inventory: an introductory report. Psychol Med 13:595–605CrossRefPubMed
Zurück zum Zitat Efe ŞY, Ayaz S (2010) Kadına yönelik aile içi şiddet ve kadınların aile içi şiddete bakışı/Domestic violence against women and women’s opinions related to domestic violence. Anadolu Psikiyatr Derg 11:23–29 Efe ŞY, Ayaz S (2010) Kadına yönelik aile içi şiddet ve kadınların aile içi şiddete bakışı/Domestic violence against women and women’s opinions related to domestic violence. Anadolu Psikiyatr Derg 11:23–29
Zurück zum Zitat Güleç MY, Hocaoğlu Ç, Durmuş İ (2007a). Kalple İlişkili olmayan göğüs ağrisi olan hastalarda psikiyatrik eştani [Psychiatric comorbidity in patients with chest pain without cardiac etiology]. Klinik Psikiyatri Dergisi (J Clin Psychiatry) 10(1):7–13 Güleç MY, Hocaoğlu Ç, Durmuş İ (2007a). Kalple İlişkili olmayan göğüs ağrisi olan hastalarda psikiyatrik eştani [Psychiatric comorbidity in patients with chest pain without cardiac etiology]. Klinik Psikiyatri Dergisi (J Clin Psychiatry) 10(1):7–13
Zurück zum Zitat Güleç MY, Hocaolu Ç, Gökçe M et al (2007b) Kalple ilişkili olmayan göğüs ağrısı aleksitimi, öfke ve bedensel duyumlar büyütme (Alexithymia, anger and somatosensory amplification with chest pain without cardiac etiology). Anadolu Psikiyatri Dergisi (Anatolian J Psychiatry) 8:14–21 Güleç MY, Hocaolu Ç, Gökçe M et al (2007b) Kalple ilişkili olmayan göğüs ağrısı aleksitimi, öfke ve bedensel duyumlar büyütme (Alexithymia, anger and somatosensory amplification with chest pain without cardiac etiology). Anadolu Psikiyatri Dergisi (Anatolian J Psychiatry) 8:14–21
Zurück zum Zitat Hotopf M, Mayou R, Wadsworth M, Wessely S (1999) Childhood risk factors for adults with medically unexplained symptoms: results from a national birth cohort study. Am J Psychiatry 156:1796–1800. doi:10.1176/ajp.156.11.1796 PubMed Hotopf M, Mayou R, Wadsworth M, Wessely S (1999) Childhood risk factors for adults with medically unexplained symptoms: results from a national birth cohort study. Am J Psychiatry 156:1796–1800. doi:10.​1176/​ajp.​156.​11.​1796 PubMed
Zurück zum Zitat Hund AR, Espelage DL (2006) Childhood emotional abuse and disordered eating among undergraduate females: Mediating influence of alexithymia and distress. Child Abuse Negl 30(4):393–407 Hund AR, Espelage DL (2006) Childhood emotional abuse and disordered eating among undergraduate females: Mediating influence of alexithymia and distress. Child Abuse Negl 30(4):393–407
Zurück zum Zitat Kooiman CG, Bolk JH, Brand R et al (2000) Is alexithymia a risk factor for unexplained physical symptoms in general medical outpatients? [in process citation]. PsychosomMed 62:768–778 doi: 0033-3174/00/6206-0768 Kooiman CG, Bolk JH, Brand R et al (2000) Is alexithymia a risk factor for unexplained physical symptoms in general medical outpatients? [in process citation]. PsychosomMed 62:768–778 doi: 0033-3174/00/6206-0768
Zurück zum Zitat Koptagel İlal G (2000) Somatizasyonu Nasıl Anlamalıyız?-Psikodinamik Değerlendirme (How to understand somatization?—apsychodymamic approach). Türkiye Klinikleri Psikiyatri Dergisi (Turkiye Klin J Psychiatry Spec Top) 1:27–33 Koptagel İlal G (2000) Somatizasyonu Nasıl Anlamalıyız?-Psikodinamik Değerlendirme (How to understand somatization?—apsychodymamic approach). Türkiye Klinikleri Psikiyatri Dergisi (Turkiye Klin J Psychiatry Spec Top) 1:27–33
Zurück zum Zitat Krystal H (1979) Alexithymia and psychotherapy. Am J Psychother 33(1):17-31 Krystal H (1979) Alexithymia and psychotherapy. Am J Psychother 33(1):17-31
Zurück zum Zitat Marple RL, Kroenke K, Lucey CR et al (1997) Concerns and expectations in patients presenting with physical complaints. Frequency, physician perceptions and actions, and 2-week outcome. Arch Intern Med 157:1482–1488CrossRefPubMed Marple RL, Kroenke K, Lucey CR et al (1997) Concerns and expectations in patients presenting with physical complaints. Frequency, physician perceptions and actions, and 2-week outcome. Arch Intern Med 157:1482–1488CrossRefPubMed
Zurück zum Zitat Nimnuan C, Hotopf M, Wessely S (2001) Medically unexplained symptoms: an epidemiological study in seven specialities. J Psychosom Res 51:361–367CrossRefPubMed Nimnuan C, Hotopf M, Wessely S (2001) Medically unexplained symptoms: an epidemiological study in seven specialities. J Psychosom Res 51:361–367CrossRefPubMed
Zurück zum Zitat Özenli Y, Yoldaşcan E, Topal K, Özçürümez G (2009) Türkiye’de bir eğitim fakültesinde somatizasyon bozukluğu yaygınlığı ve ilişkili risk etkenlerinin araştırılması [Prevalence and associated risk factors of somatization disorder among Turkish university students at an education faculty]. Anadolu Psikiyatr Derg 10:131–136 Özenli Y, Yoldaşcan E, Topal K, Özçürümez G (2009) Türkiye’de bir eğitim fakültesinde somatizasyon bozukluğu yaygınlığı ve ilişkili risk etkenlerinin araştırılması [Prevalence and associated risk factors of somatization disorder among Turkish university students at an education faculty]. Anadolu Psikiyatr Derg 10:131–136
Zurück zum Zitat Özer Ü, Selimoğlu E, Badur E et al (2015) Fibromiyalji Olgularında Aile İçi Fiziksel Şiddetin Ağrı Şiddet, Depresyon ve Anksiyete Düzeyleri İle Ilişkisi [Relationship of domestic physical violence and severity of pain, depression and anxiety levels in fibromyalgia cases]. Nobel Med 11:27–32 Özer Ü, Selimoğlu E, Badur E et al (2015) Fibromiyalji Olgularında Aile İçi Fiziksel Şiddetin Ağrı Şiddet, Depresyon ve Anksiyete Düzeyleri İle Ilişkisi [Relationship of domestic physical violence and severity of pain, depression and anxiety levels in fibromyalgia cases]. Nobel Med 11:27–32
Zurück zum Zitat Rasmussen NH, Agerter DC, Colligan RC et al (2008) Somatisation and alexithymia in patients with high use of medical care and medically unexplained symptoms. Ment Health Fam Med 5:139–148PubMedPubMedCentral Rasmussen NH, Agerter DC, Colligan RC et al (2008) Somatisation and alexithymia in patients with high use of medical care and medically unexplained symptoms. Ment Health Fam Med 5:139–148PubMedPubMedCentral
Zurück zum Zitat Romans S, Belaise C, Martin J et al (2002) Childhood abuse and later medical disorders in women an epidemiological study. Psychother Psychosom 71:141–150CrossRefPubMed Romans S, Belaise C, Martin J et al (2002) Childhood abuse and later medical disorders in women an epidemiological study. Psychother Psychosom 71:141–150CrossRefPubMed
Zurück zum Zitat Sahin N, Durak-Batıgün A (1994) Kısa Semptom Envanteri: Gençler için Uyarlanması (Brief Symptom Inventory: adaptation for Turkish youth). Turkish J Psychol 9(31):44–56 Sahin N, Durak-Batıgün A (1994) Kısa Semptom Envanteri: Gençler için Uyarlanması (Brief Symptom Inventory: adaptation for Turkish youth). Turkish J Psychol 9(31):44–56
Zurück zum Zitat Şenkal İ, Işikli S (2015) Çocukluk Çağı Travmalarının ve Bağlanma Biçiminin Depresyon Belirtileri ile İlişkisi: Aleksitiminin Aracı Rolü (Childhood traumas and attachment style-associated depression symptoms: the mediator role of alexithymia). Türk Psikiyatri Dergisi (Turk J Psychiatry) 26(4):261–67 Şenkal İ, Işikli S (2015) Çocukluk Çağı Travmalarının ve Bağlanma Biçiminin Depresyon Belirtileri ile İlişkisi: Aleksitiminin Aracı Rolü (Childhood traumas and attachment style-associated depression symptoms: the mediator role of alexithymia). Türk Psikiyatri Dergisi (Turk J Psychiatry) 26(4):261–67
Zurück zum Zitat Shea A, Walsh C, MacMillan H, Steiner M (2004) Child maltreatment and HPA axis dysregulation: relationship to major depressive disorder and post traumatic stress disorde in females. Psychoneuroendocrinology 30:162–178. doi:10.1016/j.psyneuen.2004.07.001 CrossRef Shea A, Walsh C, MacMillan H, Steiner M (2004) Child maltreatment and HPA axis dysregulation: relationship to major depressive disorder and post traumatic stress disorde in females. Psychoneuroendocrinology 30:162–178. doi:10.​1016/​j.​psyneuen.​2004.​07.​001 CrossRef
Zurück zum Zitat Taylor GJ, Ryan D, Bagby RM (1985) Toward the development of a new self-report alexithymia scale. Psychother Psychosom 44:191–199CrossRefPubMed Taylor GJ, Ryan D, Bagby RM (1985) Toward the development of a new self-report alexithymia scale. Psychother Psychosom 44:191–199CrossRefPubMed
Zurück zum Zitat Tegın B (1980) Depresyonda bilişsel bozukluklar Beck modeline göre bir inceleme (Cognitive impairments in depression: an analysis according to Beck’s model) Nonpublished doctorate dissertation. Hacettepe University, Psychology Department, Ankara Tegın B (1980) Depresyonda bilişsel bozukluklar Beck modeline göre bir inceleme (Cognitive impairments in depression: an analysis according to Beck’s model) Nonpublished doctorate dissertation. Hacettepe University, Psychology Department, Ankara
Zurück zum Zitat Vahip I, Doğanavşargil Ö (2006) Aile içi fiziksel şiddet ve kadın hastalarımız. Türk Psikiyatr Derg 17:107–114 Vahip I, Doğanavşargil Ö (2006) Aile içi fiziksel şiddet ve kadın hastalarımız. Türk Psikiyatr Derg 17:107–114
Zurück zum Zitat Walker CE, Bonner BL, Kaufman KL (1988) The physically and sexually abused child: evaluation and treatment. Pergamon Press, Oxford Walker CE, Bonner BL, Kaufman KL (1988) The physically and sexually abused child: evaluation and treatment. Pergamon Press, Oxford
Zurück zum Zitat Yargıç LI, Tutkun H, Şar V (1994) Çocukluk çağı travmatik yaşantıları ve erişkinde disosiyatif belirtiler. Psikiyatr Psikol Psikofarmakol Derg 2:338–348 Yargıç LI, Tutkun H, Şar V (1994) Çocukluk çağı travmatik yaşantıları ve erişkinde disosiyatif belirtiler. Psikiyatr Psikol Psikofarmakol Derg 2:338–348
Metadaten
Titel
The association of experience of violence and somatization, depression, and alexithymia: a sample of women with medically unexplained symptoms in Turkey
verfasst von
Dilek Anuk
Güler Bahadır
Publikationsdatum
27.07.2017
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 1/2018
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-017-0762-5

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