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Yıl:2001; Cilt: 8; Sayı: 3>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2001;8(3):145-155
Otizmi Olan Çocuklar ve Kardeşlerinin Davranış Sorunları ve Kişilik Özellikleri Örüntüleri
G Erden, M Akçakın
Ankara Üniversitesi, Tıp Fakültesi, Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Ankara
Amaç: Otizmi olan çocuklar ve kardeşlerine ilişkin yayınlarda bazı davranış sorunlarının ve kişilik örüntülerinin normalden daha sık olduğu vurgulanmaktadır. Bu nedenle bu çalışmada otizmi olan çocuklar, kardeşleri ve kontrol grubunun davranış sorunları ve kişilik özellikleri örüntülerinin incelenmesi amaçlanmıştır. Yöntem: Bu araştırmada DSM-III-R tanı ölçütlerine göre otizm tanısı konmuş 40 çocuk ve onların kardeşleri (n=40) ile kliniğe başvurmamış 40 çocuk için, anne babalara Çocuklar İçin Kişilik Ölçeği (Personality Inventory for Children-PIC) ve Çocuklar İçin Davranış Değerlendirme Ölçeği (Child Behavior Checklist-CBCL) uygulanarak elde edilen puan ortalamaları karşılaştırılmıştır. Bulgular: Otizm tanısı konmuş çocuklar alt ölçeklerin çoğunda kardeşlerinden ve kontrol grubundan yüksek puan almışlardır. Kardeşler ile kontrol grubu arasında depresyon, hiperaktivite, sosyal ilişkiler alt ölçekleri arasında farklılık saptanırken; uyum, okul başarısı, dikkat ve davranış sorunları, sosyal yeterlik gibi alt ölçeklerde farklılık bulunmamıştır. Depresyon ve hiperaktivite ölçeklerinde otizm olan çocukların kardeşlerinin kontrol grubu çocuklarından daha yüksek ortalamalar elde ettikleri gözlenmiştir. Entellektüel tarama ve sosyal beceriler alt ölçeklerinde ise farklılığın kontrol grubundan kaynaklandığı saptanmıştır. Kontrol grubunun otizmi olan çocukların kardeşlerinden entellektüel tarama ve sosyal beceriler alt ölçeklerinde daha yüksek ortalamalar elde ettikleri bulunmuştur. Tartışma: Bu çalışma, otistik çocukların kardeşlerinin sağlıklı davranış ve kişilik örüntüleri devamlı bir stres kaynağına karşın çeşitli koruyucu nedenlerle koruyabildiklerini göstermiştir.
Patterns of Behavioral Problems and Personality Characteristics of Autistic Children and Their Siblings
Objective: The related literature suggest that the siblings of the autistic children have an increased frequency of certain behavior problems and personality characteristics. The aim of this study is to examine the characteristics of autistics, their siblings, and a group of normal children. Method: The subjects were 40 autistic proband, 40 siblings of autistic and 40 siblings of nonclinical children. The autistic children were diagnosed according to DSM-III-R criteria for autistic disorder. The siblings of autistics, autistic probands, control group were evaluated with the Personality Inventory for Children (PIC) and Child Behavior Checklist (CBCL). Results: The autistic probands had generally higher scores on the subscales of the PIC and CBCL compared to their siblings and control group. there were significant differences on the subscales of the depression, hyperactivity and social skills between the siblings and control group. It is observed that the siblings of autistic children had more means than the controls at depression and hyperactivity subscales. On the other hand, the difference is determined for the intellectual screening and social skills subscales, was originating from controls. No significant differences were found on the subscales of adjustment, achievement, social compotency, attention and thouht problems. Discussion: The results of this study suggest that despite their continuous stress the siblings of autistic children had healthy patterns of behaviors and personality characteristics because of different protective factors.

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