South Clin Ist Euras. 2021; 32(2): 154-158 | DOI: 10.14744/scie.2020.19327

Ýrritable Baðýrsak Sendromu Olan Hastalarda D Tipi Kiþilik Özelliklerinin Gastrointestinal Semptom Düzeyiyle Ýliþkisi

Zeynep Erdoðan¹, Mehmet Ali Kurçer², Zeynep Özkan
¹Zonguldak Bülent Ecevit Üniversitesi, Ahmet Erdoðan Saðlýk Hizmetleri Meslek Yüksekokulu, Zonguldak, Türkiye
²Zonguldak Bülent Ecevit Üniversitesi, Halk Saðlýðý Bölümü, Zonguldak, Turkey

GÝRÝÞ ve AMAÇ: Tanýmlayýcý ve kesitsel tipteki bu çalýþmanýn amacý, irritable baðýrsak sendromu (IBS) hastalarýnda D tipi kiþilik ile gastrointestinal semptomlar arasýndaki iliþkiyi ortaya koymaktýr.
YÖNTEM ve GEREÇLER: Bu çalýþma, bir üniversite hastanesinin gastroenteroloji polikliniðinde IBS tanýsý alan hastalarla yapýldý. Çalýþmanýn evrenini, 15 Þubat 2019 ve 15 Mayýs 2019 tarihleri arasýnda poliklinikte IBS tanýsý konan 192 hasta, örneklemini 168 hasta oluþturdu. Veriler bir Hasta Tanýtým Formu, Gastrointestinal Semptom Derecelendirme Ölçeði (GSRS) ve D-14 Kiþilik Tipi Ölçeði (DS-14) kullanýlarak toplandý.
BULGULAR: Ýrritable baðýrsak sendromu hastalarýnýn %70.8’inde tip D kiþiliði vardýr. D Tipi kiþiliðe sahip olan hastalarýn GSRS toplam puaný (p<0.0001) ve alt boyutlarýndan reflü (p<0.0001), diyare (p=0.01), karýn aðrýsý (p=0.001), konstipasyon (p=0.001), hazýmsýzlýk (p=0.004) puanlarý D tipi kiþiliðe sahip olmayan hastalara göre anlamlý derecede yüksekti. Çoklu regresyon analizi yapýldýðýnda; reflü hariç tüm alt boyut ve GSDÖ toplam puanýnýn %20 oranýnda (R2=0.203, p=0.000) belirleyicilik rolü olduðu bulunmuþtur.
TARTIÞMA ve SONUÇ: Bu çalýþmada IBS tanýsý alan bireylerde D tipi kiþilik oranýnýn %70.8 olduðu, gastrointestinal semptomlardan karýn aðrýsý, reflü, diyare, hazýmsýzlýk ve konstipasyonun D tipi kiþiliði olan bireylerde olmayanlara göre daha fazla görüldüðü saptandý.

Anahtar Kelimeler: D tipi kiþilik, gastrointestinal semptom; gastrointestinal sistem; irritable baðýrsak sendromu.

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The Relationship between Type D Personality and Gastrointestinal Symptom Levels in Patients with Irritable Bowel Syndrome

Zeynep Erdoðan¹, Mehmet Ali Kurçer², Zeynep Özkan
¹Bulent Ecevit University, Ahmet Erdoðan Vocational School of Health Services, Zonguldak, Turkey
²Department of Public Health, Bülent Ecevit University Faculty of Medicine, Zonguldak, Turkey

INTRODUCTION: The aim of this descriptive and cross-sectional study was to examine the relationship between type D personality and gastrointestinal symptoms in patients with irritable bowel syndrome (IBS).
METHODS: A total of 168 of 192 patients who presented at the gastroenterology polyclinic of a university hospital between February 15 and May 15, 2019 and were diagnosed with IBS were enrolled. The data were collected using a patient identification form, the Gastrointestinal Symptom Rating Scale (GSRS), and the Type D Scale-14 (DS-14) personality assessment.
RESULTS: Of the IBS patients studied, 70.8% had type D personality. The GSRS total score of the patients with type D personality (p=0.001), as well as their reflux (p=0.001), diarrhea (p=0.01), abdominal pain (p=0.001), constipation (p=0.001), and indigestion (p=0.004) subdimension scores were statistically significantly higher than those without type D personality. Multiple regression analysis indicated that the GSRS total score and all subdimension scores except reflux had a predictive value of 20% (R2=0.203; p<0.0001).
DISCUSSION AND CONCLUSION: In all, 70.8% of individuals diagnosed with IBS were classified as type D personality. The gastrointestinal symptoms of abdominal pain, reflux, diarrhea, indigestion, and constipation were more prevalent among individuals with type D personality compared with other personality types.

Keywords: Gastrointestinal symptom, gastrointestinal system; irritable bowel syndrome; type D personality.

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