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Yıl:2016; Cilt: ; Sayı: 26>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2016;(26):163-168
Hastaneye Yatırılmış Psikiyatrik Bir Ergen Örnekleminde Rorschach Gelişimsel İndeksi
H Toivakka (Çeviren: PG Özbay)
Rorchach Gelişimsel İndeksi (Gİ) (Stanfill, Viglione & Resende, 2013), gelişimsel süreçler ve büyümeyi ölçmektedir. Stanfill ve ark., düşük Gİ puanlarının daha az etkili başa çıkma ve uyumla ve muhtemelen bazı psikopatoloji tipleriyle bağlantılı olabileceğini öne sürmüştür. Bu çalışmanın amacı, hastaneye yatırılmış psikiyatrik bir ergen örnekleminde Gİ'nin dağılımını incelemektir. Örneklem olarak, 1998 – 2002 yılları arasnda Tampere Üniversitesi Hastanesi ergen psikiyatrisi servisinde tanılama ve/veya tedavi planlaması için değerlendirilmiş 105 Fin ergen seçilmiştir. Cinsiyet dağılımı: 63 kadın/42 erkek, yaş M (SS) 15.4 (1.3), yaş aralığı 13 – 18 yaş. Birincil taburculuk tanıları (ICD – 10°a göre) şu şekildedir: psikotik bozukluk = 24, duygu-durum bozukluğu = 42 ve diğer bozukluklar = 39. “Diğer bozukluklar" grubundaki tanılar çoğunlukla kaygı, davranım, yeme ve kimlik bozukluklarıdır. Rorschach testi Bütünleyici Sistem'e göre uygulanmış ve kodlanmıştır. Geçerli Rorschach BS kodlarının kodlayıcılar arası güvenirliği (KAG) iyi ile mükemmel arasında değişmektedir. Gİ yaşla ilişkili bulunmamıştır, bunun muhtemel nedeni, örneklemin yaş aralığının kısıtlı oluşudur. Buna ek olarak, GỈ, bir psikiyatrik şiddet ölçüm aracı olan Ego Zayıflığı İndeksi (EZİ-2) ile ilişkili bulunmamıştır. Psikotik grubun Gİ'si diğer gruplardan anlamlı olarak daha düşüktür, bu durum da daha düşük Gİ ile psikopatoloji arasında bağlantı olduğuna ilişkin hipotezi desteklemektedir.
Rorschach developmental index in a hospitalized adolescent psychiatric sample
The Rorschach Developmental Index (DI) (Stanfill, Viglione & Resende, 2013) measures developmental progress and growth. Stanfill et al. hypothesized that lower DI scores would be associated with less effective coping and adaptation and possibly with some types of psychopathology. The aim of this study was to describe the distribution of the DI in a hospitalized adolescent psychiatric sample. The subjects were 105 Finnish adolescents assessed for diagnosis and/or treatment planning in the adolescent psychiatric word of the Tampere University Hospital during the years 1998 – 2002. Gender distribution: 63 females/42 males, age M (SD) 15.4 (1.3), age range 13 – 18 years. The primary discharge diagnoses (ICD-10) were: psychotic disorder = 24, mood disorder = 42 and other disorders = 39, The diagnoses in the "other disorders" group were mostly anxiety, conduct, eating and identity disorders. The Rorschach was administered and coded according the Comprehensive System. Interrater reliability (ICC) of the relevant Rorschach CS codes varied from good to excellent. DI was not correlated with age, probably because of the restricted age range of the subjects. Furthermore, DI was not correlated with Ego Impairment Index (EII-2), a measure of psychiatric severity. The DI of the psychotic group was significantly lower than the other groups, which supports the hypothesis about the association between lower ID and psychopathology.

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