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Yıl:2017; Cilt: 18; Sayı: 4>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2017;18(4):369-378
Anksiyete bozukluğu olan çocuklarda duygu düzenlemenin annelerinin duygu düzenlemesi, bağlanması ve anksiyete duyarlılığı ile ilişkisinin incelenmesi
G Özyurt, Y Öztürk, A Akay
Katip Çelebi Üniversitesi, İzmir
Amaç: Anksiyete bozukluğu çocukluk çağında sık görülmesine karşın anksiyete bozukluğunun nasıl ortaya çıktığına yönelik bilgiler halen sınırlıdır. Bu çalışmada anksiyete bozukluğu olan çocukların duygu düzenleme becerileri ve anksiyete şiddetinin, annenin bağlanması, anksiyete duyarlılığı ve duygu düzenleme becerileri ile ilişkisini değerlendirmek ve sağlıklı kontroller ile karşılaştırmak amaçlanmıştır. Yöntem: Çalışmaya 8-12 yaşları arasında 64 anksiyete bozukluğu olan olgu ve annesi ile anksiyete bozukluğu grubu ile yaş ve cinsiyet olarak benzer 78 sağlıklı çocuk ve annesi katılmıştır. Çocuklarda anksiyete bozukluğunun şiddetini ölçmek için Çocuklarda Anksiyete Tarama Ölçeği (ÇATÖ), çocukların duygularını düzenlemesini değerlendirmek için Duygu Ayarlama Ölçeği (DAÖ) kullanılmıştır. Annelerin duygularını düzenlemesini değerlendirmek için Duygu Düzenleme Güçlüğü Ölçeği (DDGÖ), annelerin yaşadığı anksiyete için Anksiyete Duyarlılığı İndeksi-3 (ADİ-3) ve annelerin bağlanma özellikleri için Yakın İlişkide Yaşantılar Ölçeği-II kullanılmıştır. Sonuçlar: ÇATÖ anne-baba formu ve çocuk formu puanları ile ADİ-3, DAÖ alt ölçekleri ve DDGÖ toplam puanı Pearson korelasyon analizi ile karşılaştırılmıştır. ÇATÖ anne-baba formu ve çocuk formu puanları ile DAÖ’nün duygusal değişkenlik puanları, ADİ-3 ölçeğinin sosyal, bilişsel, fiziksel anksiyete, annelerin kaygılı bağlanma ve duygu düzenleme ölçeği puanları arasında pozitif korelasyon ve DAÖ’nün duygu düzenleme puanları arasında negatif korelasyon saptanmıştır. Annelerin kaçıngan bağlanması ile ÇATÖ anne-baba formu ve çocuk formu puanları arasında ilişki saptanmamıştır. Tartışma: Bu çalışma anksiyete bozukluğu olan çocukların yaşadığı duygu düzenleme güçlüklerinin annelerin duygu düzenleme güçlükleri ve annelerin bağlanma özellikleri ile ilişkisini değerlendiren ilk çalışmadır. Anksiyete bozukluğu olan çocukların duygu düzenleme güçlüklerine uygulanabilinecek bilişsel ve davranışçı yöntemlere tedavide daha fazla yer verilmesi ile duygu düzenleme becerileri gelişen çocukların anksiyete belirtileri azalabilir.
Evaluation of the relation between emotion regulations of children diagnosed with anxiety disorders and attachment, anxiety sensitivity, emotion regulation of their mothers
Objective: The information about the etiology of anxiety disorders are still limited however anxiety disorders are prevalent disorders in childhood. In this study it is aimed to evaluate the relation of emotion regulation and anxiety level of children diagnosed with anxiety disorder with attachment and emotion regulation in the children’s mother and it is also aimed to compare the results with healthy controls. Methods: The study group consisted of 64 children (8-12 years old) diagnosed with anxiety disorder and their mothers. The control group (78 children and mothers) comprised patients of other clinics at hospital and was matched for gender and age to the anxious patients. We evaluated disorder severity at the time of assessment using the Screen for Child Anxiety Related Emotional Disorders (SCARED). Emotional Regulation Checklist (ERC) was used to examine children emotional regulation. Difficulties in Emotion Regulation Scale (DERS) was used to indicate maternal emotional dysregulation status, Anxiety Sensitivity Index-3 (ASI-3) was used for anxiety sensitivity in mothers and Experiences in Close Relationship ScaleII was used to evaluate attachment properties in mothers. Results: SCARED child and parent form scores were compared with anxiety sensitivity index, ERC subscales, DERS and ASI with Pearson’s correlation analysis. Positive correlation was found between SCARED child, parent form scores and ERC emotional lability scores, social, physical, cognitive anxiety scores of ASI, maternal anxious attachment and DERS scores and negative correlation was found between SCARED child, parent form scores and ERC emotional regulation scores. There was no relation between SCARED child, parent form scores and maternal avoidant attachment. Conclusion: This is the first study which evaluated the relationship of emotion regulation difficulties of children, who are diagnosed with anxiety disorder, and maternal attachment properties and maternal emotion regulation. The anxiety symptoms may decrease with using cognitive behavioral methods in emotion regulation difficulties of children diagnosed with anxiety disorder.

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