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Yıl:1997; Cilt: 4; Sayı: 2>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 1997;4(2):84-91
Onbeş Trikotillomani Olgusunun Nedenler, Eşlik Eden Bozukluklar
S Şenol, E Karacan
Gazi Üniversitesi, Çocuk Psikiyatrisi Anabilim Dalı, Ankara
Gazi Üniversitesi Tıp Fakültesi Çocuk ve Ergen Psikiyatrisi polikliniğine başvuran ya da dermatoloji ve pediatri polikliniklerinden konsultasyon istemi ile gönderilen olgulardan trikotillomani tanısını karşılayan 15 çocuk ve ergen ile yapılmıştır. Poliklinikte yapılan değerlendirmelerde araştırmacılar tarafından geliştirilen bir form ile sosyodemografik bilgiler, aile özellikleri, belirtilerin başlama yaşı, süresi, şiddeti, doktora başvurmadan önce aile ve çocuğun hastalıkla başetme yöntemi, belirtilerle ilgili stres etkeni olup olmadığı sorgulanmıştır. Bu olgular klinik özellikleri, bozukluğa yol açan nedenler, eşlik eden diğer psikiyatrik bozukluklar ve tedavi yönünden değerlendirilmiştir. Olguların çocuk ve ergen psikiyatrisi polikliniklerinde değerlendirmelerinde klinisyenler DSM-IV trikotillomani tanı ölçütlerini tartışmışlardır. Bu tanı ölçütlerinden özellikle çekim öncesi gerginlik ve çekim sonrası rahatlama ölçütlerinin çocuklar açısından uygunluğu ile bozukluğa ile ilişkin kliniğin tedavi eğilimi yazın ışığında değerlendirilmiştir.
The Evaluation of Fifteen Cases of Trichotillomania Means of Reasons, Comorbid Disorders and Treatment
This study was performed with 15 children and adolescents with the diagnosis of trichotillomania who applied to Gazi University, faculty of medicine, child and adolescent psychiatry clinic or referred from dermatology and pediatric clinics. Sociodemographic, family features, age of onset, duration, severity and children and families manner to overcome the symptom before consulted by a physcian, stress effect related symptoms were investigated by the means of questionnaire which was developed by the investigators. DSM-IV diagnostic criteria for trichotillomania was discussed during psychiatric evaluation of the case. Among this criteria, tension before and relief after hair pulling and treatment modalities were evaluated under the light of the literature.

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