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Yıl:2017; Cilt: 3; Sayı: 2>> Özet
Türkiye Klinikleri Çocuk Psikiyatrisi Özel Dergisi; 2017;3(2):106-114
Dikkat Eksikliği/Hiperaktivite Bozukluğu ve Yıkıcı Davranış Sorunlarının Tedavisinde Anne-Babalık Becerileri
SEÇ Kültür, C Öztekin
Hacettepe Üniversitesi, Ankara
Dikkat eksikliği/hiperaktivite bozukluğu (DEHB) çocuk ve ergen psikiyatri kliniklerine başvurunun en yaygın nedenlerinden birisidir. Çocuğun hayatını erken dönemlerde etkilemeye başlayıp, uygun müdahaleler yapılmadığında kronik bir gidiş sergileyerek hem çocukluk hem ergenlik hem de yetişkinlik döneminde bireyin sosyal, duygusal, akademik ve ilişkisel işlevselliğini bozabilmektedir. Özellikle iyi ele alınmadığında, DSM-5'te "Yıkıcı Bozukluklar, Dürtü Denetimi ve Davranım. Bozuklukları" başlığı altında yer alan Davranım Bozukluğu (DB) ve Karşı Gelme Bozukluğu (KGB) ile sıklıkla birlikte görülmektedir. Anne-babalık becerileri bu durumların şiddeti, tedavisi ve gidişatını belirleme de önem kazanmaktadır. Yetkin bir anne-babaya sahip olmak her çocuğun temel ihtiyacıdır, ancak bu ihtiyaç DEHB ve eşlik eden dışavuruk davranış sorunlarında çok daha vazgeçilmezdir. Bu yazıda etkin anne-babalık becerilerinin DEHB ve yıkıcı davranış sorunları olan çocukların tedavisinde önemli bir parça olduğu vurgulanmış ve bu çocukların sağlıklı gelişimi için gerekli temel anne-babalık becerileri mevcut literatürün ışığında özetlenmiştir.
Parenting Skills in the Treatment of Attention-Deficit/Hyperactivity Disorder and Disruptive Behaviour Disorders
Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most common causes of applying to child and adolescent psychiatry centers. It starts to affect the child from early childhood period and if proper interventions are not made, follows a chronic prognosis and results in impairment in social, emotional, academic and relational functioning in childhood, adoelscence and adulthood. ADHD has a high comorbidity with Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD) which used to be named as disruptive behaviour disorders' in former DSM and which are now classified as "disruptive, impulse-control and conduct disorder" in DSM-5. The way parents handle the child may effect the genetic risk, symptom severity, and prognosis of these disorders. Having a competent and skillful parent is a basic need for every child, but for children with ADHD and disruptive behaviour problems, this need is more indispensable. This paper emphasizes the importance of parenting skills in the treatment of children with ADHD and disruptive behaviour problems and summarizes the basic parenting skills that are necessary for the healthy development of children in the light of the literature.

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