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Eksiklik Sendromu Olan ve Olmayan Şizofrenide Aleksitimi, Depresyon ve Negatif Belirtiler Arasındaki İlişki

Leman İNANÇ, Ergün SEVİNÇ, Ümit Başar SEMİZ
2019; 30(4): 225-235
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SUMMARY
Relationship between Alexithymia, Depression and the Negative Symptoms in Schizophrenia with and without Deficit Syndrome

Objective: The aim of this study was to compare schizophrenia patients
with and without Deficit Syndrome (DS) with respect to alexithymia,
depression and negative symptoms and to investigate the relationship
between these variables.
Method: A total of 210 schizophrenia patients who joined the
study were grouped on the basis of the Schedule for the Deficit
Syndrome (SDS). Each patient was evaluated using the Positive and
Negative Syndrome Scale (PANSS), the Calgary Depression Scale for
Schizophrenia (CDSS), the Toronto Alexithymia Scale (TAS) and the
UKU - Side Effect Rating Scale (UKU-SERS).
Results: The DS group had higher alexithymia scores that were not
related to the negative symptoms. The prevalence of depression was
significantly lower in the same group. Positive symptoms in the DS
group were negatively correlated with the two TAS subscales of difficulty
describing and identifying feelings. The negative symptoms scores of all
the patients with and without DS correlated positively with the mean
score on the TAS subscales. The severity of depressive and the negative
symptoms predicted alexithymic symptoms.
Conclusion: Lack of a correlation between the negative symptoms and
alexithymic symptoms in DS suggested that the respective symptoms
represented different independent phenomena in schizophrenia. A
future study might explore the relationship between alexithymia and
negative symptoms in association with cognitive functioning.
Key Words: Schizophrenia, deficit syndrome, depression, alexithymia