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Yıl:2001; Cilt: 8; Sayı: 3>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2001;8(3):127-131
Çocuklukta Dikkat Eksikliği Hiperaktivite Bozukluğu Tanısı Almış Olguların Ergen Görünümleri: Kesitsel Bir Çalışma
A Aysev, P Öner
Ankara Üniversitesi, Tıp Fakültesi, Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Ankara.\r\n\r\n
Amaç: Bu çalışmada çocukluğunda dikkat eksikliği hiperaktivite bozukluğu (DEHB) tanısı almış alan olguların ergenlik dönemlerindeki psikiyatrik durumlarının değerlendirilmesi amaçlanmıştır. Çalışmaya 13 DEHB dahil edilmiştir. Yöntem: DEHB grubunda yaş ortalaması 19.3 (± 2.6). Tüm olgulara DSM-IV Eksen-I Bozuklukları İçin Yapılandırılmış Görüşme (YG) uygulanmış; ayrıca olgular Beck Depresyon Ölçeği (BDÖ), Belirti Tarama Listesi (BTL-90) ile değerlendirilmiştir. Bulgular: YG ile deneklerin büyük kısmında psikiyatrik ek tanı saptanmış olmasına karşın, BTL-90 ve BDÖ'den aldıkları ortalama puanların anlamlı sınırda olmadıkları gözlenmiştir. Tartışma: Sonuçlar, DEHB olan çocuklarda ergenlik döneminde fazla sayıda psikiyatrik bozukluk geliştiğine işaret etmektedir. Ayrıca bu çalışmadan elde edilen veriler, DEHB olan ergenlerde ölçeklerle yapılan değerlendirmelerin yeterli olmadığını ve yanıltıcı olabileceğini, yapılandırılmış görüşmelerle psikiyatrik değerlendirme yapmanın tanıların saptanması açısından en önemli unsur olduğunu göstermektedir.
Adolescent Perspective of Cases Who were Diagnosed as Attention Deficit Hyperactivity Disorder in Childhood: A Cross-Sectional Study
Objective: The aim of this study was to examine the psychiatric status of cases diagnosed as having attention deficit hyperactivity disorder (ADHD) in childhood, during adolescence. Thirteen ADHD cases were included in the study. Method: Mean age of ADHD group was 19.3 (± 2.6). SCID-I (Structurec Clinical Interview for DSM-IV)was applied to all subjects. Subjects were also assessed with Beck Depression Scale, and SCL-90. Results: Although SCL-90 and Beck Depression Scale were in normal ranges, ADHD cases had several psychiatric diagnoses when assessed with SCID-I. Discussion: Results indicate tahat ADHD group received several psychiatric diagnoses in adolescence. These observations suggest that psychiatric assessment with structured interviewe is very important for the diagnosis of additional disorders. Using only scales for diagnosis is not a very reliable of evaluation of comorbid conditions.

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