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Yıl:2017; Cilt: 28; Sayı: 1>> Özet
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Türk Psikiyatri Dergisi; 2017;28(1):25-32
Anababalık Tutumları ile Dikkat Eksikliği ve Hiperaktivite Bozukluğu Belirtileri Arasındaki İlişki
E Çöp, SEÇ Kültür, GŞ Dinç
Yenimahalle Eğitim Araştırma Hastanesi, Ankara
Amaç: Bu çalışmanın amacı dikkat eksikliği hiperaktivite bozukluğu (DEHB) olan çocuklarda algılanan anababa tutumu ve annelerin bildirdiği anababalık özelliklerini ve bunların dikkat eksikliği hiperaktivite bozukluğu belirtileri, cinsiyet, yaş, DEHB alt tipi, eş-hastalanım gibi demografik ve klinik değişkenler arasındaki ilişkiyi incelemektir. Yöntem: Çalışmaya DEHB tanısı konan 58 ve sağlıklı 30 çocuk dahil edilmiştir. Tüm çocuklara Çocuk ve Gençler için Duygulanım Bozukluğu ve Şizofreni Ölçeği-Şimdi ve Yaşam Boyu Versiyonu (ÇGDBŞÖ-ŞY) uygulanmıştır. Conners derecelendirme ölçeklerinden alınan puanlarla DEHB belirti düzeyi belirlenmiştir. Anne çocuk ilişkisini değerlendirmek için, hastalara ve kontrol grubuna Anne Baba Tutum Ölçeği (ABTÖ) ve Aile Hayatı ve Çocuk Yetiştirme Tutumu Ölçeği (AHÇ- YTÖ) doldurtulmuştur. Bulgular: DEHB grubu kontrol grubu ile karşılaştırıldığında ABTÖ iki alt boyutundan (kabul/ilgi ve kontrol/denetleme) ve AHÇYTÖ “Demokratik tutum ve eşitlik tanıma” alt ölçeğinden anlamlı olarak daha düşük, AHÇYTÖ “Sıkı disiplin” alt ölçeğinden ise daha yüksek puanlar almıştır. DEHB grubunda artmış karşıt olma karşı gelme bozukluğu belirti puanları ile artmış AHÇYTÖ “Sıkı disiplin” puanı ve azalmış ABTÖ “Kabul/ilgi” puanları arasında bir ilişki olduğu gösterilmiştir. Sonuç: Sonuçlar DEHB tanılı çocuğu olan ailelerde anababalık tutumları ile DEHB belirtileri arasında bir ilişki olabileceği görüşünü desteklemiştir. Bu bulgular DEHB tanısının değerlendirilmesi ve tedavisinde bütüncül bir yaklaşım geliştirmenin ve çocuğu aile bağlamında değerlendirmenin önemine işaret etmiştir.
Association Between Parenting Styles and Symptoms of Attention Deficit Hyperactivity Disorder
Objective: We aimed to study characteristics of child and mother reported parenting styles of children with Attention Deficit Hyperacitivity Disorder (ADHD) and association of parenting styles of mothers with demographic and clinical variables like ADHD symptoms, sex, age, ADHD subtype, and comorbidity. Method: 58 children with ADHD and 30 healthy children were included in this study. All children were assessed by The Schedule for Affective Disorders and Schizophrenia for School Aged ChildrenPresent and Lifetime Version. ADHD symptom severity was assessed by The Conners Parent Rating Scale and The Conners Teacher Rating Scale. The Parenting Style Inventory (PSI) and The Parental Attitude Research Instrument (PARI) were used to assess parenting styles of mothers. Results: ADHD group had lower scores on two subscales of PSI (acceptance/involvement and strictness/supervision) and democratic attitude and equality subscale of PARI and higher scores on strict discipline subscale of PARI compared to control group. In ADHD group, higher symptoms of oppositional defiant disorder were associated with higher mother’s strict discipline scores and lower child reported mother’s acceptance/involvement scores. Conclusion: Our findings supported the idea that there may be an association between parenting attitudes and ADHD symptoms in families having a child with ADHD. These results indicated the importance of integrated approach to ADHD diagnosis and treatment and evaluating the child with ADHD in the context of family environment.

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