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Yıl:2001; Cilt: 8; Sayı: 1>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2001;8(1):39-47
Dikkat Eksikliği Hiperaktivite Bozukluğunda Anne Baba Öğretmen Eğitimi: Gözden Geçirme
Ö Erman
İmge Ruh Sağlığı ve Danışma Merkezi, Ankara.\r\n\r\n
Amaç: Bu yazıda Dikkat Eksikliği Hiperaktivite Bozukluğunda (DEHB) anne baba ve öğretmen eğitiminin gelişimi, uygulama biçimleri, etkinliği ve sonuçları gözden geçirilecektir. Yöntem: Son 15 yıl içinde DEHB’da anne baba öğretmen eğitimi konusunda yapılmış olan çalışmalar taranmıştır. Sadece anne baba eğitimini konu alan çalışmaların yanı sıra anne baba eğitiminin diğer tedavi yöntemleri ile birlikte uygulandığı karşılaştırmalı çalışmalar da gözden geçirilmiştir. Sonuç:Anne baba ve öğretmen eğitimi DEHB’nda etkinliği kanıtlanmış tedavi yöntemlerinden birisi olarak kabul edilmektedir. Kısa süreli çalışmalarda ve az sayıda izleme çalışmasında gerek çocuğun davranışları gerekse anne baba tutumları ve çocukla ilişkiler üzerinde oldukça etkin olduğu bildirilmektedir. Psikostimulan ilaçlarla yapılan karşılaştırmalı çalışmalarda kısa dönemde etkinlik açısından ilaçlarla anne baba eğitimi arasında fark bulunmazken, uzun süreli izleme çalışmalarında tedavinin kalıcılığı ve DEHB’na eşlik eden diğer sorunlar açısından ilaç ve psikososyal tedavilerin birlikte uygulanması daha etkin bulunmuştur. Tartışma: DEHB’nda anne baba öğretmen eğitimi ve birleşik tedavilerin etkinliği konusunda özellikle okul öncesi dönem ve ergenlik dönemindeki olgular ve başka psikiyatrik bozuklukların eşlik ettiği olgular konusunda yeterli bilgi bulunmamaktadır. Tedavinin uzun süreli etkinliği konusunda daha fazla çalışma yapılması gerekmektedir.
Parent and Teacher Training in Attention Deficit Hyperactivity Disorder: Review
Objective: Improvement, practice and effectiveness of the parent and teacher training in ADHD will be reviewed in this article. Method: The studies on the parent and teacher education in ADHD on the last 15 [year] have been reviewed. In addition, combined studies and comparative studies have been reviewed. Result: Training of the teacher and parents should be accepted as an effective mode of treatment in ADHD. In short term studies and few follow-up studies it has been found very effective on the patient behavior, parent attitude and their relations with the child. When psychostimulant drugs were compared with parent education, in short term studies no difference was found in their effects, while in long term studies, combined studies were found superior for the permenancy of the effects and for the additional problems accompanying ADHD. Discussion: Parent and teacher education have been studied and found effective in ADHD while there is not enough information on their effects on the comorbid psychiatric disorders, preschool and adolescence periods. Long term efficacy of the treatment should also bewidely studied.

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