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Yıl:2018; Cilt: 29; Sayı: 2>> Özet
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Türk Psikiyatri Dergisi; 2018;29(2):92-101
Dikkat Eksikliği Hiperaktivite Bozukluğu Olan Çocuklarda Motor Yeterlilik: Bilişsel Beceriler ve Belirti Şiddeti ile İlişkisi
Ht Çak, R Karaokur, SA Uysal, A Artık, VY Kabak, B Karakök, N Şahan, Y Karaer ,  B Karabucak, Ş Özusta, EÇ Kültür
Hacettepe Üniversitesi, Ankara
Amaç: Dikkat Eksikliği Hiperaktivite Bozukluğu’nda (DEHB) motor beceri sorunları %45-70 oranında görülmekte ve sosyal uyum, akran ilişkileri ve akademik becerileri daha da olumsuz etkilemektedir. Bu çalışmada, DEHB tanısı konan okul çağı çocukları ve yaş ve cinsiyet açısından eşlenmiş sağlıklı çocuklarda motor yeterlilik değerlendirilerek; DEHB belirti alanları, belirti şiddeti ve bilişsel işlevlerle olan olası ilişkilerinin araştırılması amaçlanmıştır. Yöntem: Çalışmaya 8-11 yaş aralığında 58 çocuk (38 DEHB, 20 kontrol) alınmıştır. Tanısal değerlendirmede Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Versiyonu, belirti şiddeti değerlendirmesinde Yenilenmiş Conners Anababa Derecelendirme Ölçeği Kısa Türkçe Formu, bilişsel değerlendirmede Wechsler Çocuklar İçin Zekâ Ölçeği-IV ve motor beceri değerlendirmesinde Bruininks-Oseretsky Motor Yeterlilik Testi kullanılmıştır. Bulgular: Çalışmamızda DEHB tanısı konan okul çağı çocuklarının pek çok motor beceri alanında sağlıklı gelişen yaşıtlarına göre daha düşük performans gösterdikleri ve özellikle ince motor becerilerin dikkatsizlik belirtileri, çalışma belleği ve işlemleme hızı sorunlarıyla ilişkili olduğu, bu yaş döneminde beklenen yaşla motor beceri artışının gözlenmediği saptanmıştır. Sonuç: DEHB’nin çok aşamalı klinik değerlendirmesi içinde motor yeterliliğin sorgulanması, klinik olarak değerlendirilmesi ve motor beceri sorunları varlığında çocukların uygun objektif değerlendirme ve müdahale programlarına yönlendirilmesi gerekir
Motor Proficiency in Children with Attention Deficit Hyperactivity Disorder: Associations with Cognitive Skills and Symptom Severity
Objectives: Of children with Attention Deficit Hyperactivity Disorder (ADHD), 45-70% have motor skill problems, which can adversely affect social competence, peer relations, and academic skills. The aim of this study is to assess motor skills in school-aged children with ADHD, and to elucidate if there are any relationships between ADHD symptoms and cognitive function. Method: Included in this study were 58 children (38 ADHD, 20 controls) between 8-11 years of age. Children were diagnosed with ADHD via the Schedule for Affective Disorders and Schizophrenia for School-Aged Children Present and Lifetime Version. The parents were asked to fill out the Conner’s’ Parent Rating Scale – Revised Short Turkish Form to determine the symptom domains and the symptom severity. The Wechsler Children’s Intelligence Scale-IV was used to assess cognitive skills, and the Bruininks -Oseretsky Motor Proficiency Test was used to assess motor skills. Results: Children with ADHD had impaired performance in many motor skill areas compared to the controls. Impairments in fine motor skills were correlated with problems in attention, working memory, and processing speed. In the ADHD group, age was not correlated with motor skills enhancement. Conclusion: The multistage clinical evaluation of ADHD should include screening for problems in motor skills. If deficiencies are found, the child should be clinically evaluated for motor proficiency and, if necessary, should be referred for appropriate objective assessment and intervention programs.

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