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Yıl:2016; Cilt: 5; Sayı: 1>> Özet
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Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi; 2016;5(1):13-21
Antisosyal Kişilik Bozukluğu Olan Hastaların İşledikleri Suç Tipine Göre Çocukluk Çağı Özellikleri ve Öfke Düzeyleri
H Karadağ, MH Türkçapar, SO Güriz, K Özdel, AK Kahiloğulları
Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara
Bu çalışmada antisosyal kişilik bozukluğu olan hastalarda suç işleme ve işlenen suçlar ile çocukluk çağı davranış problemleri, klkinik özellikler ve öfke düzeyleri arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. DSM_IV'e göre antisosyal kişilik bozukluğu (ASKB) tanısı alan 153 hasta çalışmaya dahil edilmiştir. Çocukluk çağı özelliklerini değerlendirmek için DSM_IV davranım bozukluğu kriterleri ve yaşam öyküsü envanteri kullanılmıştır. Öfke yaşantısı, dışavurumu ve kontrolü Sürekli Öfke-Öfke Tarzı Ölçeği (SÖÖTÖ ile değerlendirilmiştir. En sık suç tipi kavgaya karışmadır.Çalışma grubumuzda çocukluk çağı davranış problemleri ve fiziksel istismar yüksek oranda bulunmuştur. Bazı özgeçmiş özellikleri ve çocukluk çağı davranış sorunları ile işlenen suç türleri ilişkili bulunmuştur. Kafa travması öyküsü fizksel kavgaya karışan kişilerde daha sıktır. Hırsızlık suçu işleyen grupta çocuklukta ebeveyn kaybı daha sık cinayet işleyen grupta ise çocukluk çağında ebeveyn boşanması/ayrılığı daha sık olarak tespit edilmiştir. Çocuklukta kavgada silah niteliği taşayabilecek alet kullanma cinayet ve yaralama suçu işleyenlerde anlamlı olarak daha sıktır. SÖÖTÖ puanlarına göre öfke kontrolü cinayet ileyen grupta anlamlı olarak düşüktür.ASKB hastaların çocukluk çağı ve davranış özellikleri homojen değildir. Bu farklılıkları açığa çıkarmak ve ASKB için yeni bir sınıflama yapmak için yeni çalışmalara gereksinim duyulmaktadır.
Clinical Characteristics of Patients with Antisocial Personality Disorder According to the Crime Types
We aimed to evaluate the relation between the crimes committed, and the childhood behavioral problems, current clinical characteristics and anger levels of patients with antisocial personality disorder (ASPD). One hundred and fifty-three patients with ASPD were enrolled. The diagnosis was made according to the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria. DSM-IV conduct disorder criteria and life history inventory was used to assess childhood characteristics. The State-Trait Anger Scale (STAS) was used to assess experience, expression, and control of anger. The main differences between crime groups were as follows: A head trauma history was more frequent in ASPD patients who had a crime history of physical assault. Loss of a parent in childhood was more frequent in individuals who committed burglary. Divorce or separation of the parents in childhood was more frequent in those who committed murder. The usage of weapons in fight during childhood was significantly higher in those who committed murder and aggravated assault. According to STAS scores, the anger control scores were significantly lower in those who committed murder. Childhood and behavioral characteristics of ASPD patients is not homogenous. There is a need for further studies to demonstrate these differences and make a new classification for ASPD.

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