Amaç: Gençlerde somatoform bozukluklar üzerinde az
çalýþýlmýþ bir konudur. Annenin baðlanma biçiminin ve
aile sisteminin çocuk ve gençlerdeki somatik belirtilerle
iliþkili olduðu ileri sürülmektedir. Bu çalýþmada somatoform
bozukluk tanýsý alan gençlerin kaygý düzeyi,
annelerinin kaygý düzeyi ve baðlanma biçimi ve aile
iþlevselliklerinin araþtýrýlmasý amaçlandý. Yöntem:
Somatoform bozukluk tanýsý alan 33 genç kendi yaþ
grubundaki herhangi bir ruhsal bozukluk tanýsý almayan
28 genç ile karþýlaþtýrýldý. Katýlýmcýlardan veri toplanmasýnda
Eriþkin Baðlanma Biçimi Ölçeði, Durumluluk
Süreklilik Kaygý Ölçeði, Aile Deðerlendirme Ölçeði ve
Çocukluk Çaðý Anksiyete Tarama Ölçeði kullanýldý.
Bulgular: Çalýþmamýzda gruplar arasýnda yaþ ve cinsiyet
açýsýndan fark bulunmadý. Eriþkin Baðlanma Biçemi
Ölçeði'nde somatoform bozukluk tanýsý alan gençlerin
annelerinin kaçýngan baðlanma puanlarý kontrol grubundan
yüksek bulundu. Aile Deðerlendirme Ölçeði anne
formunda roller, duygusal tepki verebilme, davranýþ
kontrolü ve gereken ilgiyi gösterme alt ölçeklerinde vaka
grubu daha yüksek puan almasýna raðmen çocuk formunda
gruplar arasýnda fark görülmedi. Anne ve gençlerin
kaygý düzeyinin vaka grubunda daha yüksek olduðu
saptandý. Sonuç: Somatoform bozukluk tanýsý alan gençlerin
stresle baþ etme becerilerinin zayýf olduðu ve olaylara
uygunsuz tepkiler verdikleri bilinmektedir. Gençlerin
ve annelerinin daha kaygýlý olmalarý, aile iþlevselliðindeki
bozulmalar ya da annelerinin güvensiz baðlanmasý gençlerin
tepkilerini etkileyerek somatoform bozukluðun
oluþmasýna katkýda bulunabilir.

Objectives: Somatoform disorders in adolescents is a little
studied topic. It is hypothesized that maternal attachment
style and the family system was associated with
the somatic symptoms in children and adolescents. In
this study, it's aimed to examine the anxiety level of adolescents
with the diagnosis of somatoform disorders,
anxiety level and attachment style of their mothers and
their family functioning. Method: 33 adolescents with
the diagnosis of somatoform disorders were compared
with 28 age matched adolescents without any diagnosis
of mental disorders. Adult Attachment Scale , State and
Trait Anxiety Inventory , Family Assessment Device , and
Screen for Child Anxiety Related Emotional Disorders
was used to obtain data from the participants. Results:
In our study, there was no significant difference between
the groups in terms of age and gender. In Adult
Attachment Scale, maternal avoidant attachment scores
of adolescents diagnosed as somatoform disorders was
higher than the control group. While maternal reports of
Family Assessment Device indicated that the index group
had higher scores in roles, affective responsiveness,
behavior control, and affective involvement subscales,
child reports implied no difference between the groups.
Anxiety levels of adolescents and maternal anxiety levels
was higher in the index group. Conclusion: It's known
that adolescents diagnosed with somatoform disorders
have poor skills in coping with stress and inconvenient
responses to life events. Being anxious and having anxious
mothers, deterioration in family functioning and
maternal avoidant attachment style may contribute to
the formation of somatoform disorders by effecting the
responses of the adolescents.