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Yıl:2018; Cilt: 19; Sayı: 1>> Özet
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Anadolu Psikiyatri Dergisi; 2018;19(1):71-79
DEHB'li ergenlerde toplumsal biliş ve duygu düzenleme
E Şan, S Köse, B Özbaran, T Bildik, C Aydın
Ege Üniversitesi, İzmir
Amaç: Çalışmamızda dikkat eksikliği hiperaktivite bozukluğu (DEHB) tanısı konan ergen olguların duygu tanıma ve düzenleme becerilerinin değerlendirilmesi ve bulguların sağlıklı kontrol olguları ile karşılaştırılması amaçlanmış- tır. Yöntem: Çalışmamıza 11-18 yaşları arasında, DEHB’li 63 olgu ve hasta gruplarına benzer sosyodemografik özelliklere sahip 32 kontrol olgusu alınmıştır. Psikiyatrik tanı değerlendirmesi için tüm olgulara ‘Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli Türkçe Uyarlaması’ (ÇDŞG-ŞY-T) uygulanmıştır. Ek olarak tüm olgularda 4-18 Yaş Çocuk ve Gençler için Davranış Değerlendirme Ölçeği (ÇDDÖ), Turgay Dikkat Eksikliği ve Yıkıcı Davranış Bozuklukları için DSM-IV’e Dayalı Tarama ve Değerlendirme Ölçeği (T-DSM-IV-Ö), Duygu Düzenlemede Güçlükler Ölçeği (DDGÖ) ve toplumsal biliş özelliklerinin değerlendirilmesi amacıyla Yüzler Testi, Gözlerden Zihin Okuma Testi (GZOT), Beklenmeyen Sonuçlar Testi (BST) ve Anlamı ve İlişkileri Kavrayabilme Testi (AİKT) kullanılmıştır. Bulgular: DEHB’li ergenlerin duygu tanıma ve düzenleme becerilerini değerlendiren test puanları sağlıklı kontrollere göre daha düşük saptanmıştır. Tartışma: DEHB’li ergen olguların duygu tanıma ve düzenleme becerilerindeki sorunların daha iyi anlaşılması, bu konuda ne tür giri- şimlere (toplumsal beceri eğitimi gibi) gereksinim duyabileceklerini anlamada yararlı olabilir.
Social cognition and emotion regulation in adolescents with ADHD
Objective: In our study, it’s aimed to evaluate the emotion recognition and regulation skills of adolescents with attention deficit and hyperactivity disorder (ADHD) and to compare the results to healthy control cases. Methods: To our study, 63 ADHD diagnosed and 32 control cases with similar sociodemographic characteristics to patient group aged 11-18 years were included. ‘Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version' (K-SADS-PL) was applied to all cases in order to psychiatric evaluation. In all cases Child Behavior Checklist (CBCL), Turgay DSM-IV-Based Child and Adolescent Behavior Disorders Screening and Rating Scale (T-DSM-IV-S), Difficulties in Emotion Regulation Scale (DERS) and to evaluate social cognitive properties Faces Test, Reading the Mind in the Eyes Test (RMET), The Unexpected Outcomes Test (UOT) and Comprehension Test are applied. Results: The scores of tests evaluating emotion recognition and regulation abilities in adolescents with ADHD were lower than control group. Conclusion: The better understanding of the problems in emotion recognition and regulation abilities of the adolescents with ADHD may be helpful in determining the required interventions (social skill training etc.) in this respect.

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