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Yıl:2020; Cilt: 23; Sayı: 3>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2020;23(3):274-279
Okulu bırakan ergenlerde depresyon ve anksiyete düzeylerinin değerlendirilmesi
M Karadağ
Mardin Devlet Hastanesi, Mardin
Bu çalışmanın amacı bir çocuk ve ergen psikiyatrisi kliniğine başvuran örgün eğitim sisteminden ayrılmış olan ergenlerin psikiyatrik tanılarının dağılımının ve anksiyete/depresyon düzeylerinin değerlendirilmesidir. Yöntem: Çalışmaya Mardin Devlet Hastanesi Çocuk Ergen Psikiyatrisi Kliniği’ ne başvuran 12-18 yaş arası okulu bırakmış ergenler alınmıştır. Hastaların psikiyatrik tanıları DSM-V’ e göre yapılan klinik görüşme ile belirlenmiştir. Ayrıca hastalara doldurmaları için sosyodemografik veri formu, Çocuklar için Depresyon Ölçeği ve Spielberger Durumluk-Sürekli Kaygı Ölçeği verilmiştir. Bulgular: Araştırmaya 54 ergen dahil edilmiştir. Başvuran hastaların yaş ortalaması 15,7 idi. DSM-V’ e göre yapılan klinik görüşme sonucunda olgularda en sık saptanan tanı Dikkat Eksikliği Hiperaktivite Bozukluğu(DEHB)(n:16, %29.6) olmuştur. Bunu Depresif Bozukluklar(n:12, %22.2) ve Anksiyete Bozuklukları(n:9, %16.6) izlemiştir. Erkeklerde en sık izlenen tanı DEHB, kızlarda ise Depresif Bozukluklardır. Depresyon skorlarının ortalaması 21.8 puan ve 27(%58.7) hastanın kesme puanının üstünde olduğu, Durumsal Kaygı Ölçeği ortalaması 48.1 puan ve Sürekli Kaygı Ölçeği ortalamasının 50.8 puan olduğu görülmüştür. Kesme puanlarına göre yapılan değerlendirmede 36(%78.3) hastanın durumsal kaygı seviyesinin yüksek olduğu, 35(%76.1) hastanın sürekli kaygı seviyesinin yüksek olduğu bulunmuştur. Sonuç: Okulu bırakan ergenlerde psikopatoloji oranları, depresyon/anksiyete düzeyleri yüksektir.
Evaluation of depression and anxiety levels in school dropout adolescents
The aim of this study was to determine the distribution of psychiatric diagnoses and anxiety/ depression levels of adolescents who applied to a child and adolescent psychiatry department. Method: The study included adolescents aged 12-18 years who applied the Child and Adolescent Psychiatry Department of Mardin State Hospital. The psychiatric diagnoses of the patients were determined by clinical interview according to DSMV. Besides, sociodemographic data form, Children's Depression Inventory and Spielberger State-Trait Anxiety Inventory were filled to the patients. Results: 54 adolescents were included in the study. The mean age of the patients was 15.7 years old. According to DSM-V Attention Deficit Hyperactivity Disorder (ADHD) was found the most common diagnosis (n: 16, 29.6%). This was followed by Depressive Disorders (n: 12, 22.2%) and Anxiety Disorders (n: 9, 16.6%). The most common diagnosis is ADHD in boys and Depressive Disorders in girls. The mean depression score was 21.8 and 27 (58.7%) were above the cut-off score. The mean of the State Anxiety Scale found 48.1 and the mean of the Trait Anxiety Scale found 50.8. According to the cut-off scores, 36 (78.3%) of the patients had a high level of situational anxiety and 35 (76.1%) had a high level of trait anxiety. Discussion: Psychopathology rates and depression / anxiety levels are high peers in adolescents who drop out of school.

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