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Yıl:2020; Cilt: 21; Sayı: 4>> Özet
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Anadolu Psikiyatri Dergisi; 2020;21(4):409-416
Obsesif kompulsif bozukluğu olan ergenlerin toplumsal becerilerinin değerlendirilmesi
FD Şen, NÇ Memik
Malatya Eğitim ve Araştırma Hastanesi, Malatya
Amaç: Bu çalışmada obsesif kompulsif bozukluğu (OKB) olan ergenlerin toplumsal becerilerinin sağlıklı ergenlerin toplumsal becerileri ile karşılaştırılması amaçlanmıştır. Yöntem: Çalışmaya 12-18 yaşları arasındaki 70 katılımcı alınmıştır. Yaşamının bir döneminde DSM-5’e göre OKB tanı ölçütlerini karşılayan 33 kişi olgu grubunu, 37 sağlıklı katılımcı ise kontrol grubunu oluşturmuştur. Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüş-me Çizelgesi - Şimdi ve Yaşam Boyu Versiyonu-Türkçe Uyarlaması, Çocuklar için Yale-Brown Obsesyon Kompul-siyon Ölçeği, Çocuklar için Genel Değerlendirme Ölçeği, Sosyodemografik Bilgi Formu, University of California Los Angeles Yalnızlık Ölçeği, Boyun Eğici Davranışlar Ölçeği, Utangaçlık Ölçeği (UÖ) ve Sosyal Karşılaştırma Ölçeği (SKÖ) kullanılmıştır. Sonuçlar: OKB grubundaki ergenlerin SKÖ puanlarının daha düşük, UÖ puanlarının daha yüksek olduğu, aradaki farkın istatistiksel olarak anlamlı olduğu bulunmuştur (p=0.003, p=0.043). OKB’li ergenlerin anne-babaları, çocuklarının arkadaş edinmekte daha çok güçlük yaşadığını ve akranları tarafından daha çok dışlan-dığını bildirmişlerdir (p=0.001, p=0.005). Olgu grubundaki katılımcıların anne-babaları, çocuklarının daha az sayıda arkadaşlarının olduğunu ve utangaçlık düzeylerinin daha yüksek olduğunu bildirmişler, ancak aradaki fark istatistik-sel olarak anlamlı bulunmamıştır (p=0.212, p=0.368). Tartışma: SKÖ’de bulunan düşük puanın OKB tanılı ergenle-rin mükemmeliyetçi özellikleri ile ve bu nedenle kendi özelliklerini akranlarına göre daha yetersiz algılamasıyla ilişkili olduğu düşünülmüştür. UÖ’de saptanan farka, ergenlerin OKB belirtilerini saklamak amacıyla sosyal ortamlardan kaçınmalarının neden olmuş olabileceği düşünülmüştür.
Assessment of social skills in adolescents with obsessive compulsive disorder
Objective: The aim of this study is to compare social skills of adolescents diagnosed with obsessive compulsive disorder (OCD), with their healthy counterparts. Methods: Seventy adolescents aged between 12 and 18 years were included in this study. Case group comprised 33 adolescents meeting DSM-5 criteria for OCD at any certain period of their lives and control group comprised 37 healthy adolescents. Kiddie Schedule for Affective Disorders and Schizophrenia, Children's Yale-Brown Obsessive Compulsive Scale, Children’s Global Assessment Scale, sociodemographic data form, UCLA Loneliness Scale, submissive acts scale, shyness scale and social comparison scale (SCS) were applied. Results: Adolescents in the OCD group had lower SCS scores and higher shyness scores (p=0.003, p=0.043). Parents of adolescents with OCD reported higher rates of struggles on the part of their children in making friends as well as higher odds of being excluded by their peers (p=0.001, p=0.005). Parents of children in the case group reported less number of friends for their children, and higher levels of shyness; however this did not reach a statistically significant difference between two groups (p=0.212, p=0.368). Discussion: Lower SCS scores obtained in adolescents with OCD were thought to be related to their perfectionist nature and self-perceptions of not being good enough. Scoring significantly higher on shyness scale might be related to their tendencies to avoid social occasions and interactions in order to hide their symptoms.

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