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Yıl:2015; Cilt: 1; Sayı: 1>> Özet
Türkiye Klinikleri Çocuk Psikiyatrisi Özel Dergisi; 2015;1(1):17-24
Dikkat Eksikliği Hiperaktivite Bozukluğunda Yürütücü İşlevler
KU Yazıcı, İ Perçinel
Fırat Üniversitesi, Elazığ
Son yıllarda, gerek normal gelişim gösteren bireylerde, gerekse dikkat eksikliği hiperaktivite bozukluğu (DEHB) tanılı bireylerde yürütücü işlevlerin değerlendirilmesine yönelik ilgide artış olduğu görülmektedir. Çalışmalar, çoğunlukla, DEHB tanılı çocuklarda yürütücü işlev bozukluğuna güçlü bir şekilde işaret etmektedir. Ancak, her DEHBli olguda yürütücü işlevlerde bozulma görülmediği gibi, bazı normal gelişim gösteren çocuklarda da yürütücü işlev sorunları saptanmaktadır. Çalışma sonuçlarının heterojenite göstermesi nedeniyle, mevcut yürütücü işlev modelleri DEHB'deki bozukluğu net olarak açıklayamamaktadırlar. Çalışmalarda kullanılan yürütücü işlev alanlarının ve bu alanları değerlendiren testlerin de oldukça çeşitli olması, sonuçların standardize edilmesini zorlaştırmaktadır. Bu yazıda, DEHB tanılı olguların yürütücü işlev performanslarını değerlendiren literatür bilgilerinin gözden geçirilmesi ve tartışılması amaçlanmıştır.
Executive Functions in Attention Deficit Hyperactivity Disorder
Recently, there has been an increase in interest in the assessment of executive functions in both normally developed individuals and individuals with attention deficit hyperactivity disorder (ADHD). Most studies strongly point to executive function impairments in children with ADHD. However, while not all ADHD patients show impairment in executive functions, some normally developing children may have executive function problems, as well. Since studies show heterogeneous results, existing models on executive functions do not clearly explain the impairment seen in ADHD populations. The wide variety of executive function domains in studies and tests evaluating these domains makes it harder to standardize the results. This article aims to review and discuss the literature assessing executive function performances of individuals with ADHD.

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