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Yıl:2021; Cilt: 28; Sayı: 2>> Özet
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Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2021;28(2):69-78
Kronotip ve Çocukluk Çağı Psikiyatrik Bozuklukları
B Balta, GG Özcan, M Sari, Y İmrek, M Taşkan, Y Öztürk, A E Tufan
Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi,Bolu
Günlük aktivite düzenleri ve uyku-uyanıklık döngülerindeki bireyler arası farklılıkları yansıtan kronotip, aslında sağlıklı olmakla bağlantılıdır. Kronotipi belirleyen en önemli olay çevresel ışık-karanlık döngüsüdür. Kronotip, insanın fizyolojik ve genetik özelliklerine göre, sabahçıl ya da akşamcıl kronotipler şeklinde sınıflandırılarak incelenmesidir. Kronotipleri belirleyen birçok etmen bulunmaktadır. Her ne kadar kanıtlar, akşamcılık için olumsuz bir tablo çizse de yalnızca akşamcılığın tek başına depresyona veya diğer psikiyatrik bozukluklara neden olamayacağı ve psikiyatrik bozuklukların ortaya çıkmasında ek etkilerin rol oynayabileceği olasılığı vurgulanmalıdır. Kronotip-psikopatoloji bağlantısının altında yatan mekanizmalarla ilgili araştırmaların yapılması, akşamcıl kronotipte psikiyatrik bozuklukların görülme sıklığını azaltmaya yardımcı olabilecek müdahaleler için önemlidir; bu müdahaleler uyku eğitimi, diyet tavsiyesi ve bilişsel-davranışsal teknikleri içerebilir. Bu derlemenin amacı, çocuk ve ergenlerde görülen psikiyatrik bozukluklara ve bunların sabahçıl-akşamcıl kronotipiyle olan ilişkilerine genel bir bakış sağlamaktır.
Chronotype and Childhood Psychiatric Disorders
The chronotype, which reflects differences among individuals in daily activity patterns and sleep-wake cycles, is actually linked to being healthy. The most important factor that determines the chronotype is the environmental light-dark cycle. Chronotype is the study of classification as morning or evening types according to the physiological and genetic characteristics of the human. There are many factors that determine chronotypes. Although the evidence shows a negative picture for evening types, it should be emphasized that only eveningness cannot cause depression or other psychiatric disorders alone and additional effects may play a role. Conducting studies on mechanisms underlying the chronotype-psychopathology connection is important for interventions that can help reduce the incidence of psychiatric disorders in evening types; these interventions may include sleep training, dietary advice, and cognitive-behavioral techniques. The purpose of this review is to provide an overview of psychiatric disorders in children and adolescents and their relationship with the morning and evening types.

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