부산대학교 도서관

Aim: We aimed to compare the sociodemographic and clinical variables of the patients with bipolar disorder (BD), who were required guardianship by Mental Health Hospital's Health Board. Materials and Methods: This retrospective study consisted of 201 patients with BD-1, aged between 18 and 65 years, who were sent to medical health board in order to prepare a report on whether guardianship was required by the courts. Sociodemographic and clinical variables data form including age, marital status, education, employment, the number of episodes, the history of electroconvulsive therapy (ECT), the type of medication, the number of hospitalization, and the history of suicide were used. Results: One-hundred (49.75%) patients with BD were required guardianship decision (GD). The mean age of the group with GD (43.57 [+ or -] 11.53 years) was significantly higher than the group without GD (39.54 [+ or -] 10.73 years). There was a significant relationship between GD and marital status and employment. The group with GD had significantly higher number of total and manic episodes, duration of hospitalization, and duration of illness than the group without GD. A significant relationship was found between GD and medical comorbidity, history of ECT, the presence of psychotic delusion, and treatment with antipsychotic, lithium and valproic acid. Paranoid-persecution, reference, and bizarre types of delusion were found to be related to GD. Conclusion: A significant relationship was found between GD and marital status, employment, duration of illness, number and duration of hospitalizations, number of total and manic episodes, medical comorbidity, and history of ECT, presence of psychotic delusions, and type of treatment. Clinicians should be aware of these variables during the decision of guardianship for patients with BD. Keywords: Bipolar disorder, guardianship, restriction Amac: Bu calicmada Ruh Sagligi Hastanesi Saglik Kurulu tarafindan vesayet altina alinan bipolar bozukluk (BB) hastalarinin sosyodemografik ve klinik degickenlerinin karcilactirilmasi amaclandi. Gerec ve Yontem: Bu retrospektif calicma, mahkeme tarafindan vesayetin gerekli olup olmadigi konusunda rapor hazirlanmak uzere saglik kuruluna gonderilen 18-65 yaclari arasindaki BB-1 olan 201 hastadan oluctu. Hastalarin dijital kayitlarindan hastaneye yatis dosyalari taranarak bilgi elde edildi. Yas, medeni durum, egitim, calicma, hastalik oykusu, atak sayisi, elektrokonvulsif (EKT) tedavi oykusu, ilac turu, hastaneye yatis sayisi, intihar oykusu gibi sosyodemografik ve klinik degickenler icin veri formu kullanildi. Bulgular: Tum katilimcilar arasindan 100 (%49,75) BB tanili hastaya vesayet karari (VK) cikarilmictir. VK olan grubun yas ortalamasi (43,57 [+ or -] 11,53), VK olmayan gruba (39,54 [+ or -] 10,73) gore anlamli olarak daha yuksekti. VK ile medeni durum ve is durumu arasinda anlamli bir ilicki vardi. VK alan grupta toplam atak sayisi, manik atak sayisi, hastanede yatis suresi ve hastalik suresi, VK almayan gruba gore anlamli olarak daha yuksekti. VK ile tibbi komorbidite, EKT tedavi oykusu, psikotik sanri varligi, antipsikotik, lityum ve valproik asit tedavisi arasinda anlamli bir ilicki bulundu. Ayrica vesayet ile paranoid-persekutif, referans ve bizar sanri turleri arasinda anlamli bir ilicki bulundu. Sonuc: BB hastalarinda VK ile medeni durum, calicma durumu, hastalik suresi, yatis sayisi ve suresi, toplam ve manik atak sayisi, tibbi komorbidite ve EKT oykusu, psikotik sanrilarin varligi ve tedavi cekli arasinda anlamli bir ilicki bulundu. Klinisyenler BB olan hastalara VK verirken bu degickenlerin farkinda olmalidirlar. Anahtar Kelimeler: Bipolar bozukluk, vesayet, kisitlama
INTRODUCTION The Civil Code (CC) defines the conditions for a person's entitlement to and exercise of the rights, as well as guarantees those rights in cases where those rights are [...]