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Yıl:2000; Cilt: 7; Sayı: 3>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2000;7(3):143-152
Down Sendromu Çocuğu Olan Anne-Babaların Depresyon Düzeyleri ve Depresyonla Başaçıkma Becerileri
H Herken, M Turan, S Şenol, S Karaca
Gaziantep Tıp Fakültesi, Psikiyatri Anabilim Dalı, Gaziantep.\r\n\r\n
Amaç: Down sendromlu çocuğu olan anne babaların birçok zorlukla karşı karşıya olduğu ve annebabaların bu sorunlarla başetmekte zorlandıkları bilinmektedir. Başaçıkma, insanın gücünü aşan, belirgin, iç ve dış kaynaklı stresi düzenlemede bilişsel ve davranışsal bir çabadır. Bu çaba, çevresel olgu ile duygusal tepki arasında aktif bir süreçtir. Bu çalışmada Down sendromlu çocuğu olma gibi zorlanma ile karşı karşıya bulunan anne babaların depresyon düzeyleri ile başaçıkma biçimlerinin belirlenmesi amaçlandı. Yöntem: Down sendromlu çocuğu olan 21 anne ve 21 baba ile benzer sayıda sağlıklı çocuğu olan anne babaya depresyon düzeyleri ile başaçıkma biçimlerinin belirlenmesi amacıyla Beck Depresyon Ölçeği ve Depresyonla Başaçıkma Ölçeği verilmiş, sosyodemografik bilgi formu doldurulmuştur. Bulgular: Down sendromlu çocuğu olan anne babaların Beck Depresyon Ölçeği puan ortalaması (17.31±8.7), kontrol grubunun puan ortalamasından (9.76±6.17) istatistiksel olarak anlamlı olacak şekilde daha yüksek olarak belirlenmiştir. Depresyon puanları yönünden Down sendromlu çocukların anne (20.81±9.61) ve babaları (13.81±6.04) karşılaştırıldığında ise annelerin puanlarının anlamlı düzeyde daha yüksek olduğu, yani daha depresif olduğu belirlenmiştir. Bu grubun kadercilik-dinsel davranış puan ortalamaları yüksek, bağımlılık, kaçış, sosyal destek, plan yapma, aktif davranış puanları düşük bulunmuştur. Tartışma: Down sendromlu çocuğu olan ailelerin daha zorlandıkları ve onlara verilecek hizmetlerin en iyi şekilde sağlanabilmesi için anne-babaların ruhsal yönlerinin de dikkate alınması, sadece bilgilendirmenin ve biraraya gelmelerinin sağlanmasının yeterli olmayacağı, doğru başaçıkma biçimlerinin kazandırılmasının üzerinde durulmasının önemli ve gerekli olduğu düşünülmektedir.
Coping Strategies and Depression Levels of Mothers and Fathers of Down's Syndrome Children
Objective: It is known that parents of Down’s syndrome children have so many problems and distresses to overcome. Coping is a cognitive and behavioral method to deal with inner and outer stress. This is an active process between environment and emotional responses. In this study parents of Down’s syndrome children were investigated in terms of their depression levels and coping strategies. Method: 21 mothers and 21 fathers of Down’s syndrome children were investigated in terms of their depression levels and coping strategies.The Beck Depression Inventory (BDI) and Coping with Depression Inventory were administered and the sociodemographic variables were gathered via a form. Results: Parents of Down’s syndrome children BDI score mean was (17.31±8.7) statistically significantly higher than the control group’s mean (9.76±6.17). When the scores of mothers and fathers of Down’s syndrome children were compared, it was found that mothers’ scores were (20.81±9.61) significantly higher than fathers (13.81±6.04), namely be determined more depressive. Parent of Down’s syndrome children had high averages on fate-religion behaviors scale, whereas their averages on escape, social support, planning, active behavior scales were low. Discussion: It is thought that parents of Down’s syndrome children are facing hardship, therefore the services provided to them must be more than just debriefing and getting them together to form support groups. They must be trained to be equipped with the right coping mechanisms.

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