{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T10:24:53Z","timestamp":1649154293217},"reference-count":44,"publisher":"Akademiai Kiado Zrt.","issue":"35","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,9,1]]},"abstract":"<jats:p>Az \u00e9letmin\u0151s\u00e9g fogalma az ut\u00f3bbi \u00e9vtizedekben egyre ink\u00e1bb el\u0151t\u00e9rbe ker\u00fclt a kr\u00f3nikus betegek ell\u00e1t\u00e1s\u00e1val kapcsolatban. A jelen tanulm\u00e1ny c\u00e9lja, hogy a fejf\u00e1j\u00e1s (tenzi\u00f3s t\u00edpus), a hangulatzavar (depresszi\u00f3), a szorong\u00e1s diagn\u00f3zis\u00e1val, valamint a komorbid \u00e1llapotokkal \u00f6sszef\u00fcgg\u00e9sben elemezz\u00fck e betegs\u00e9gek \u00e9letmin\u0151s\u00e9gre gyakorolt hat\u00e1s\u00e1t, bevonva n\u00e9h\u00e1ny kiemelt pszichol\u00f3giai jellemz\u0151t, mint p\u00e9ld\u00e1ul a hosztilit\u00e1s vagy a t\u00e1rsas t\u00e1mogat\u00e1s. \n <jats:italic>M\u00f3dszerek:<\/jats:italic>\n A vizsg\u00e1latban 157 beteg vett r\u00e9szt, akik a SZTE \u00c1OK Pszichi\u00e1triai Klinika Neuropszichi\u00e1triai Rehabilit\u00e1ci\u00f3s Oszt\u00e1ly ambul\u00e1ns beteganyag\u00e1b\u00f3l ker\u00fcltek ki 2005 els\u0151 f\u00e9l\u00e9v\u00e9ben. A minta v\u00e9gs\u0151 elemsz\u00e1ma 151 szem\u00e9ly volt, akiket \u00f6t f\u0151 betegs\u00e9gcsoportba osztottunk be: hangulatzavar (depresszi\u00f3); szorong\u00e1sos k\u00f3rk\u00e9pek; kevert pszichi\u00e1triai diagn\u00f3zis; fejf\u00e1j\u00e1s \u00e9s komorbidit\u00e1s (fejf\u00e1j\u00e1s \u00e9s pszichi\u00e1triai zavar egy\u00fctt). Az \u00e9letmin\u0151s\u00e9gi sk\u00e1l\u00e1k pont\u00e9rt\u00e9keit nemenk\u00e9nt, betegs\u00e9gcsoportonk\u00e9nt vizsg\u00e1ltuk, valamint elemezt\u00fck az \u00e9letmin\u0151s\u00e9g pszichol\u00f3giai h\u00e1tter\u00e9t. A k\u00e9rd\u0151\u00edves felm\u00e9r\u00e9s \u00f6nkit\u00f6lt\u00e9ses form\u00e1ban t\u00f6rt\u00e9nt, a v\u00e1laszad\u00e1s \u00f6nk\u00e9ntes volt. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n Faktoranal\u00edzis seg\u00edts\u00e9g\u00e9vel k\u00e9t \u00e9letmin\u0151s\u00e9gi faktort k\u00fcl\u00f6n\u00edtett\u00fcnk el: az \u00fan. \u201emindennapi \u00e9lettev\u00e9kenys\u00e9g\u201d \u00e9letmin\u0151s\u00e9gi faktort (p\u00e9ld\u00e1ul munka, anyagi helyzet, t\u00e1pl\u00e1lkoz\u00e1s, szexu\u00e1lis \u00e9let vagy \u00f6nkifejez\u00e9s), valamint a \u201et\u00e1rsas aktivit\u00e1sok\u201d \u00e9letmin\u0151s\u00e9gi faktort (p\u00e9ld\u00e1ul a h\u00e1zast\u00e1rssal, csal\u00e1ddal, egy\u00e9b szem\u00e9lyekkel val\u00f3, vall\u00e1sos \u00e9s k\u00f6z\u00f6ss\u00e9gi tev\u00e9kenys\u00e9gek). A betegs\u00e9gcsoportok szerint els\u0151sorban a mindennapi tev\u00e9kenys\u00e9gek ter\u00e9n mutatkozott k\u00fcl\u00f6nbs\u00e9g: legink\u00e1bb a hangulatzavarban szenved\u0151k ezzel kapcsolatos \u00e9letmin\u0151s\u00e9ge romlott, hozz\u00e1juk k\u00e9pest a fejf\u00e1j\u00e1sos betegek kev\u00e9sb\u00e9 jeleztek v\u00e1ltoz\u00e1st. Amennyiben komorbid pszichi\u00e1triai zavar el\u0151fordul a fejf\u00e1j\u00e1s mellett, az \u00e9letmin\u0151s\u00e9g-v\u00e1ltoz\u00e1s sz\u00e1mottev\u0151bb. A mindennapi tev\u00e9kenys\u00e9geket \u00e9rint\u0151 \u00e9letmin\u0151s\u00e9g-roml\u00e1shoz els\u0151sorban a hosztilit\u00e1s (ellens\u00e9gess\u00e9g), valamint a pszichoszomatikus\/szorong\u00e1sos t\u00fcnetek megl\u00e9te j\u00e1rul hozz\u00e1, \u00e9s az \u00e9letkor el\u0151rehaladt\u00e1val a betegek az \u00e9letmin\u0151s\u00e9g-roml\u00e1st is er\u0151teljesebben \u00e9lik meg. A betegs\u00e9gcsoportb\u00f3l a hangulatzavar megl\u00e9te rontja legink\u00e1bb a betegek \u00e9letmin\u0151s\u00e9g\u00e9t. A szoci\u00e1lis aktivit\u00e1sokat \u00e9rint\u0151 \u00e9letmin\u0151s\u00e9g-faktor eset\u00e9ben a t\u00e1rsas t\u00e1mogat\u00e1s v\u00e9d\u0151faktor. \n <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n A jelen tanulm\u00e1nyunkban szeretn\u00e9nk felh\u00edvni a figyelmet a pszichoszomatikus \u00e9s pszichi\u00e1triai zavarok \u00e9letmin\u0151s\u00e9gre gyakorolt hat\u00e1saira, amelynek seg\u00edts\u00e9g\u00e9vel k\u00f6zelebb juthatunk a betegek viselked\u00e9s\u00e9nek m\u00e9lyebb meg\u00e9rt\u00e9s\u00e9hez. Az \u00e9letmin\u0151s\u00e9g-kutat\u00e1s nemcsak kedvez\u0151tlen hat\u00e1sokat azonos\u00edt, hanem a pozit\u00edvakat is felt\u00e9rk\u00e9pezi. Ez mag\u00e1ban foglalja a hat\u00e9kony alkalmazkod\u00e1s lehet\u0151s\u00e9g\u00e9t.<\/jats:p>","DOI":"10.1556\/oh.2007.28133","type":"journal-article","created":{"date-parts":[[2007,8,28]],"date-time":"2007-08-28T15:55:54Z","timestamp":1188316554000},"page":"1657-1666","source":"Crossref","is-referenced-by-count":0,"title":["Influences of psychiatric and psychosomatic disorders on patients\u2019 quality of life"],"prefix":"10.1556","volume":"148","author":[{"given":"Bettina","family":"Pik\u00f3","sequence":"first","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Pszichi\u00e1triai Klinika Magatart\u00e1studom\u00e1nyi Csoportja Szeged Szenth\u00e1roms\u00e1g u. 5. 6722"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Rudisch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1126\/science.847460","volume":"196","year":"1977","journal-title":"Science"},{"key":"atypb2","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/S0022-3999(96)00294-2","volume":"42","year":"1997","journal-title":"J. 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