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Yıl:1999; Cilt: 6; Sayı: 2>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 1999;6(2):108-113
Gilles de la Tourette Sendromu Olan Çocuk ve Ergenlerde Obsesif Kompulsif Bozukluk Birlikteliği
B Semerci
Hacettepe Üniversitesi, Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Ankara
Amaç: Bu çalışmada DSM-IV (APA 1994) tanı ölçütlerine göre Gilles de la Tourette Sendromu (GTS) tanısı konan hastalarda obsesif kompulsif (OKB) birlikteliğinin değerlendirilmesi amaçlanmıştır. Yöntem: GTS tanısı konan 40 çocuk ve ergene Yale Tik Ağırlığını Değerlendirme Ölçeği uygulanmıştır. Ayrıca bu çocuk ve ergenlerde OKB'u değerlendirmek için DSM-IV tanı ölçütleri, Maudsley Obsesif Kompulsif Soru Listesi kullanılmıştır. Aile öyküsü ve sosyo-demografik özellikler hazırlanan bir form ile sorgulanmış,ulaşılabilen akrabalar DSM-IV tanı ölçütlerine göre taranmıştır. Bulgular: Araştırmaya katılan 40 çocuk ve ergenin %37.5'inde OKB ve %15'inde obsesif kompulsif semptomlar saptanmıştır. Yakın akrabalarda OKB görülme oranı %15 olarak belirlenmiştir.. Tartışma: OKB'un GTS ile birlikte görülme oranı yüksek bulunmuştur. Bu nedenle OKB birlikteliğinin saptanması tedavinin planlanması, okul ve yaşama ilişkin sorunların daha kolay çözümlenmesi açısından önemlidir.
Obsessive Compulsive Disorder Comorbidity in Children and Adolescents with Gilles De La Tourette Syndrome
Objective:The purpose of this study is to investigate the incidence of obsessive compulsive disorder (OCD) in patients with Gilles de la Tourette syndrome (GTS) according to DSM-IV criteria. Method: For this purpose the Yale Global Tic Sverity Scale and Maudsley Obsessive-Compulsive Disorder scale were administered to 40 children and adoelscents with GTS: A questionnaire that is including family history and demographic characteristics were administered to their family and some of them were examined according to DSM-IV criteria. Results: 37.5% of the subjects met the DSM-IV diagnosis criteria for OCD and 15% of the subjects had obsessive compulsive symptoms. Findings showed that relatives had 15% of the OCD. Conclusion: There was a significantly greater incidence of OCD in the patients with the GTS. This comorbidity is important for the treatment and solution of the school and social life problems.

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