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Ankilozan Spondilit Hastalarında Cinsel Deneyimler, Bedensel Duyumları Abartma ve Aleksitimi

Year 2024, Volume: 8 Issue: 1, 36 - 42, 28.04.2024

Mehmet Serhat Topaloğlu Meltem Puşuroğlu

https://doi.org/10.29058/mjwbs.1381855

Abstract

Amaç: Ankilozan spondilit fiziksel yakınmalarla seyreden kronik bir hastalıktır. Uzun süren fiziksel
belirtilerle birlikte kişilerde ruhsal hastalıkların görülme sıklığı artmaktadır. Hastalığa eşlik eden ruhsal
hastalıkların değerlendirilmesi ve tedavi sürecine eklenmesi hastalarda iyileşme sürecine olumlu katkı
sağlayacaktır. Araştırmamızda ankilozan spondilit hastalarında ruhsal patolojilere yönelik literatüre katkı
sağlanması amaçlanmıştır.
Gereç ve Yöntemler: Araştırma kesitsel ve gözlemsel bir çalışma olup, toplam 54 ankilozan spondilit hastası ve 51 sağlıklı kontrol çalışmaya
dahil edildi. Katılımcılara Arizona Cinsel Yaşantılar Ölçeği, Toronto Aleksitimi Ölçeği ve Bedensel Duyumları Abartma Ölçeği uygulandı.
Bulgular: Hasta ve kontrol grubunun ölçek puanları karşılaştırıldığında Arizona Cinsel Yaşantılar Ölçeği total ölçek puanı (p= 0,002),
Bedensel Duyumları Abartma Ölçeği toplam ölçek puanı (p= 0,006), Toronto Aleksitimi toplam ölçek puanı (p<0,001), Toronto Aleksitimi
Duyguları Tanımada Güçlük (p<0,001), Toronto Aleksitimi Duyguları İfade Etmekte Zorlanma (p<0,001) ve Toronto Aleksitimi Dışa Vuruk
Düşünme (p<0,001) alt ölçek puanları kontrol grubundan anlamlı derecede yüksektir. Ancak Bath Ankilozan Spondilit Metroloji İndeksi, Bath
Ankilozan Spondilit Hasta Global Skoru, Bath Ankilozan Spondilit Fonksiyonel İndeksi, Bath Ankilozan Spondilit Hastalık Aktivite İndeksi
arasında anlamlı bir ilişki bulunmamıştır (p>0,05).
Sonuç: Çalışmamızda, ankilozan spondilit hastalarının sağlıklı kontrol grubuna göre cinsel işlevlerinin daha kötü, aleksitimi ve bedensel
duyumları abartma düzeylerinin daha yüksek olduğu bulunmuştur. Ankilozan spondilit ayrıca psikolojik olarak yaşam kalitesini olumsuz
etkiler. Bu hastaların takibinde psikiyatrik patolojilerin göz ardı edilmemesi gerekir

Keywords

Ankilozan spondilit aleksitimi bedensel duyumları abartma cinsel disfonksiyon

References

  • 1. Dean LE, Jones GT, MacDonald AG, Downham C, Sturrock RD, Macfarlane GJ. Global prevalence of ankylosing spondylitis. Rheumatology (Oxford, England) 2014; 53 (4):650-657.
  • 2. Onen F, Akar S, Birlik M, Sarı I, Khan MA, Gurler O, Ergor A, Manisali M, Akkoc N. Prevalence of ankylosing spondylitis and related spondyloarthritides in an urban area of Izmir, Turkey. J Rheumatol 2008;35 (2):305-309.
  • 3. Hakkou J, Rostom S, Aissaoui N, Berrada KR, Abouqal R, Bahiri R, Hajjaj-Hassouni N. Psychological status in Moroccan patients with ankylosing spondylitis and its relationships with disease parameters and quality of life. J Clin Rheumatol 2011;17 (8):424-428.
  • 4. Martindale J, Smith J, Sutton CJ, Grennan D, Goodacre L, Goodacre JA. Disease and psychological status in ankylosing spondylitis. Rheumatology 2006;45(10):1288-1293.
  • 5. Barlow JH, Macey SJ, Struthers GR. Gender, depression, and ankylosing spondylitis. Arthritis Care Res 1993;6(1):45-51.
  • 6. Öksüz E, Cinar FI, Cinar M, Tekgoz E, Yilmaz S. Assessment of the effects of loneliness, perceived social support, and depression on medication adherence in patients with ankylosing spondylitis. Perspect Psychiatr Care 2021;57(2):517-523.
  • 7. Özsoy F, Müberra K. Hemodiyaliz hastalarında bedensel duyumları büyütme ve somatizasyon. Konuralp Medical Journal 2020;12(2):276-281.
  • 8. Şaşıoğlu M, Gülol Ç, Tosun A. Aleksitimi kavramı. Psikiyatride Güncel Yaklaşımlar 2013;5(4):507-527.
  • 9. Karabıçak D, Karatekin BD, İçağasıoğlu A. Alexithymia in ankylosing spondylitis. Turk J Phys Med Rehabil 2021;67(3):344- 350.
  • 10. Soykan A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res 2004;16(6):531-534.
  • 11. Turan Ş, Poyraz CA, Sağlam NGU, Batun GC, Yassa A, Duran A. Obsesif Kompulsif Bozukluk Hastalarında Cinsel İşlev Bozuklukları. Yeni Symposium 2015;53(2):37-44.
  • 12. Ünal G. Bir grup üniversiteli gençte çekingenlik, aleksitimi ve benlik saygısının değerlendirilmesi. Klinik Psikiyatri 2004;7 (4):215-222.
  • 13. Dereboy F. Aleksitimi: Bir Gözden Geçirme. Türk Psikiyatri Dergisi 1990;1:157-166.
  • 14. Güleç H, Sayar K, Güleç M. Bedensel Duyumları Abartma Ölçeği türkçe formunun geçerlik ve güvenirliği. Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi 2007;20(1):16-24.
  • 15. Akkoc Y, Karatepe AG, Akar S, Kirazli Y, Akkoc N. A Turkish version of the Bath Ankylosing Spondylitis Disease Activity Index: reliability and validity. Rheumatol Int 2005;25(4):280-284.
  • 16. Ozer HT, Sarpel T, Gulek B, Alparslan ZN, Erken E. The Turkish version of the Bath Ankylosing Spondylitis Functional Index: reliability and validity. Clin Rheumatol 2005;24(2):123-128.
  • 17. Jenkinson TR, Mallorie PA, Whitelock HC, Kennedy LG, Garrett SL, Calin A. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol 1994;21(9):1694-1698.
  • 18. Jones S, Steiner A, Garrett S, Calin A. The bath ankylosing spondylitis patient global score (BAS-G). Rheumatology 1996; 35(1):66-71.
  • 19. Shen B, Zhang A, Liu J, Da Z, Xu X, Gu Z. A primary analysis of sexual problems in Chinese patients with ankylosing spondylitis. Rheumatol Int 2013;33(6):1429-1435.
  • 20. Healey EL, Haywood KL, Jordan KP, Garratt AM, Ryan S, Packham JC. Ankylosing spondylitis and its impact on sexual relationships. Rheumatology 2009;48(11):1378-1381.
  • 21. Rostom S, Mengat M, Mawani N, Jinane H, Bahiri R, Hajjaj-Hassouni N. Sexual activity in Moroccan men with ankylosing spondylitis. Rheumatol Int 2013;33(6):1469-1474.
  • 22. Cakar E, Dincer U, Kiralp MZ, Taskaynatan MA, Yasar E, Bayman EO, Ozgul A, Dursun H. Sexual problems in male ankylosing spondylitis patients: relationship with functionality, disease activity, quality of life, and emotional status. Clin Rheumatol 2007;26:1607-1613.
  • 23. Akkurt HE, Yilmaz H, Yilmaz S, Parlak L, Ordahan B, Salli A. Evaluation of sexual dysfunction in females with ankylosing spondylitis. Arch Rheumatol 2016;31(1):41-47.
  • 24. Demir SE, Rezvani A, Ok S. Assessment of sexual functions in female patients with ankylosing spondylitis compared with healthy controls. Rheumatol Int 2013;33(1):57-63.
  • 25. Eren I, Şahin M, Cüre E, İnanlı İ, Tunç Ş, Küçük A. Interactions between psychiatric symptoms and disability and quality of life in ankylosing spondylitis patients. Arch Neuropsychiatry 2007;44(1):1-9.
  • 26. Aaron RV, Fisher EA, de la Vega R, Lumley MA, Palermo TM. Alexithymia in individuals with chronic pain and its relation to pain intensity, physical interference, depression, and anxiety: a systematic review and meta-analysis. Pain 2019;160(5):994- 1006.
  • 27. Esen SA, Karabulut Y, Esen I, Atmis V. Effects of the disease characteristics and the treatment on psychological status in patients with rheumatoid arthritis and ankylosing spondylitis. Curr Rheumatol Rev 2018;14(3):271-278.
  • 28. Makino S, Jensen MP, Arimura T, Obata T, Anno K, Iwaki R, Kubo C, Sudo N, Hosoi M. Alexithymia and chronic pain: the role of negative affectivity. Clin J Pain 2013;29(4):354-361.
  • 29. Di Tella M, Ghiggia A, Tesio V, Romeo A, Colonna F, Fusaro E, Torta R, Castelli L. Pain experience in Fibromyalgia Syndrome: The role of alexithymia and psychological distress. J Affect Disord 2017;208:87-93.
  • 30. Kooiman CG, Bolk JH, Brand R, Trijsburg RW, Rooijmans HG. Is alexithymia a risk factor for unexplained physical symptoms in general medical outpatients? Psychosom Med 2000;62(6):768-778.
  • 31. Nakao M, Barsky AJ, Kumano H, Kuboki T. Relationship between somatosensory amplification and alexithymia in a Japanese psychosomatic clinic. Psychosomatics 2002;43 (1):55-60.
  • 32. Ciaramella A, Silvestri S, Pozzolini V, Federici M, Carli G. A retrospective observational study comparing somatosensory amplification in fibromyalgia, chronic pain, psychiatric disorders and healthy subjects. Scand J Pain 2021;21(2):317-329.

Sexual Experiences, Exaggeration of Physical Senses and Alexithymia in Patients with Ankylosing Spondylitis

Year 2024, Volume: 8 Issue: 1, 36 - 42, 28.04.2024

Mehmet Serhat Topaloğlu Meltem Puşuroğlu

https://doi.org/10.29058/mjwbs.1381855

Abstract

Aim: Ankylosing spondylitis is a chronic illness associated with physical discomfort. Evaluation of the
accompanying mental illnesses and adding them to the treatment process will contribute positively to
the healing process of the patients. Our study sought to add to the body of literature concerning mental
health issues in individuals with ankylosing spondylitis.
Material and Methods: The research was a cross-sectional and observational study and a total of 54
patients with ankylosing spondylitis and 51 healthy controls were included in the study. The Arizona
Sexual Experiences Scale, the Toronto Alexithymia Scale, and the Physical Senses Exaggeration Scale
were administered to the participants.
Results: When comparing the scale scores between the patient and control groups, Arizona Sexual
Experiences Scale total score (p= 0.002), Exaggeration of Physical Senses Scale total score (p=
0.006), Toronto Alexithymia Scale total score (p<0.001), Toronto Alexithymia Difficulty Identifying
Feelings (p<0.001), Toronto Alexithymia Difficulty Describing Feeling (p<0.001) and Toronto Alexithymia
Externally-Oriented Thinking (p<0.001) subscale scores of the patient group were significantly higher
than the control group. However, no significant correlation was found between the Bath Ankylosing
Spondylitis Metrology Index, Bath Ankylosing Spondylitis Patient Global Score, Bath Ankylosing
Spondylitis Functional Index and Bath Ankylosing Spondylitis Disease Activity Index (p>0.05).
Conclusion: In the study, it was discovered that patients with ankylosing spondylitis exhibited
worse sexual functions, higher levels of alexithymia, and exaggerated levels of physical sensations
compared to the healthy control group. Ankylosing spondylitis also negatively affects the quality of life
psychologically. Psychiatric pathologies should not be ignored in the follow-up of these patiens

Keywords

Ankylosing spondylitis alexithymia exaggeration of physical senses sexual dysfunction

References

  • 1. Dean LE, Jones GT, MacDonald AG, Downham C, Sturrock RD, Macfarlane GJ. Global prevalence of ankylosing spondylitis. Rheumatology (Oxford, England) 2014; 53 (4):650-657.
  • 2. Onen F, Akar S, Birlik M, Sarı I, Khan MA, Gurler O, Ergor A, Manisali M, Akkoc N. Prevalence of ankylosing spondylitis and related spondyloarthritides in an urban area of Izmir, Turkey. J Rheumatol 2008;35 (2):305-309.
  • 3. Hakkou J, Rostom S, Aissaoui N, Berrada KR, Abouqal R, Bahiri R, Hajjaj-Hassouni N. Psychological status in Moroccan patients with ankylosing spondylitis and its relationships with disease parameters and quality of life. J Clin Rheumatol 2011;17 (8):424-428.
  • 4. Martindale J, Smith J, Sutton CJ, Grennan D, Goodacre L, Goodacre JA. Disease and psychological status in ankylosing spondylitis. Rheumatology 2006;45(10):1288-1293.
  • 5. Barlow JH, Macey SJ, Struthers GR. Gender, depression, and ankylosing spondylitis. Arthritis Care Res 1993;6(1):45-51.
  • 6. Öksüz E, Cinar FI, Cinar M, Tekgoz E, Yilmaz S. Assessment of the effects of loneliness, perceived social support, and depression on medication adherence in patients with ankylosing spondylitis. Perspect Psychiatr Care 2021;57(2):517-523.
  • 7. Özsoy F, Müberra K. Hemodiyaliz hastalarında bedensel duyumları büyütme ve somatizasyon. Konuralp Medical Journal 2020;12(2):276-281.
  • 8. Şaşıoğlu M, Gülol Ç, Tosun A. Aleksitimi kavramı. Psikiyatride Güncel Yaklaşımlar 2013;5(4):507-527.
  • 9. Karabıçak D, Karatekin BD, İçağasıoğlu A. Alexithymia in ankylosing spondylitis. Turk J Phys Med Rehabil 2021;67(3):344- 350.
  • 10. Soykan A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res 2004;16(6):531-534.
  • 11. Turan Ş, Poyraz CA, Sağlam NGU, Batun GC, Yassa A, Duran A. Obsesif Kompulsif Bozukluk Hastalarında Cinsel İşlev Bozuklukları. Yeni Symposium 2015;53(2):37-44.
  • 12. Ünal G. Bir grup üniversiteli gençte çekingenlik, aleksitimi ve benlik saygısının değerlendirilmesi. Klinik Psikiyatri 2004;7 (4):215-222.
  • 13. Dereboy F. Aleksitimi: Bir Gözden Geçirme. Türk Psikiyatri Dergisi 1990;1:157-166.
  • 14. Güleç H, Sayar K, Güleç M. Bedensel Duyumları Abartma Ölçeği türkçe formunun geçerlik ve güvenirliği. Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi 2007;20(1):16-24.
  • 15. Akkoc Y, Karatepe AG, Akar S, Kirazli Y, Akkoc N. A Turkish version of the Bath Ankylosing Spondylitis Disease Activity Index: reliability and validity. Rheumatol Int 2005;25(4):280-284.
  • 16. Ozer HT, Sarpel T, Gulek B, Alparslan ZN, Erken E. The Turkish version of the Bath Ankylosing Spondylitis Functional Index: reliability and validity. Clin Rheumatol 2005;24(2):123-128.
  • 17. Jenkinson TR, Mallorie PA, Whitelock HC, Kennedy LG, Garrett SL, Calin A. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol 1994;21(9):1694-1698.
  • 18. Jones S, Steiner A, Garrett S, Calin A. The bath ankylosing spondylitis patient global score (BAS-G). Rheumatology 1996; 35(1):66-71.
  • 19. Shen B, Zhang A, Liu J, Da Z, Xu X, Gu Z. A primary analysis of sexual problems in Chinese patients with ankylosing spondylitis. Rheumatol Int 2013;33(6):1429-1435.
  • 20. Healey EL, Haywood KL, Jordan KP, Garratt AM, Ryan S, Packham JC. Ankylosing spondylitis and its impact on sexual relationships. Rheumatology 2009;48(11):1378-1381.
  • 21. Rostom S, Mengat M, Mawani N, Jinane H, Bahiri R, Hajjaj-Hassouni N. Sexual activity in Moroccan men with ankylosing spondylitis. Rheumatol Int 2013;33(6):1469-1474.
  • 22. Cakar E, Dincer U, Kiralp MZ, Taskaynatan MA, Yasar E, Bayman EO, Ozgul A, Dursun H. Sexual problems in male ankylosing spondylitis patients: relationship with functionality, disease activity, quality of life, and emotional status. Clin Rheumatol 2007;26:1607-1613.
  • 23. Akkurt HE, Yilmaz H, Yilmaz S, Parlak L, Ordahan B, Salli A. Evaluation of sexual dysfunction in females with ankylosing spondylitis. Arch Rheumatol 2016;31(1):41-47.
  • 24. Demir SE, Rezvani A, Ok S. Assessment of sexual functions in female patients with ankylosing spondylitis compared with healthy controls. Rheumatol Int 2013;33(1):57-63.
  • 25. Eren I, Şahin M, Cüre E, İnanlı İ, Tunç Ş, Küçük A. Interactions between psychiatric symptoms and disability and quality of life in ankylosing spondylitis patients. Arch Neuropsychiatry 2007;44(1):1-9.
  • 26. Aaron RV, Fisher EA, de la Vega R, Lumley MA, Palermo TM. Alexithymia in individuals with chronic pain and its relation to pain intensity, physical interference, depression, and anxiety: a systematic review and meta-analysis. Pain 2019;160(5):994- 1006.
  • 27. Esen SA, Karabulut Y, Esen I, Atmis V. Effects of the disease characteristics and the treatment on psychological status in patients with rheumatoid arthritis and ankylosing spondylitis. Curr Rheumatol Rev 2018;14(3):271-278.
  • 28. Makino S, Jensen MP, Arimura T, Obata T, Anno K, Iwaki R, Kubo C, Sudo N, Hosoi M. Alexithymia and chronic pain: the role of negative affectivity. Clin J Pain 2013;29(4):354-361.
  • 29. Di Tella M, Ghiggia A, Tesio V, Romeo A, Colonna F, Fusaro E, Torta R, Castelli L. Pain experience in Fibromyalgia Syndrome: The role of alexithymia and psychological distress. J Affect Disord 2017;208:87-93.
  • 30. Kooiman CG, Bolk JH, Brand R, Trijsburg RW, Rooijmans HG. Is alexithymia a risk factor for unexplained physical symptoms in general medical outpatients? Psychosom Med 2000;62(6):768-778.
  • 31. Nakao M, Barsky AJ, Kumano H, Kuboki T. Relationship between somatosensory amplification and alexithymia in a Japanese psychosomatic clinic. Psychosomatics 2002;43 (1):55-60.
  • 32. Ciaramella A, Silvestri S, Pozzolini V, Federici M, Carli G. A retrospective observational study comparing somatosensory amplification in fibromyalgia, chronic pain, psychiatric disorders and healthy subjects. Scand J Pain 2021;21(2):317-329.
There are 32 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Research Article
Authors

Mehmet Serhat Topaloğlu 0000-0003-4525-3928

Meltem Puşuroğlu 0000-0002-1970-3262

Publication Date April 28, 2024
Submission Date October 26, 2023
Acceptance Date April 14, 2024
Published in Issue Year 2024 Volume: 8 Issue: 1

Cite

Vancouver Topaloğlu MS, Puşuroğlu M. Sexual Experiences, Exaggeration of Physical Senses and Alexithymia in Patients with Ankylosing Spondylitis. Med J West Black Sea. 2024;8(1):36-42.
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