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Yıl:2002; Cilt: 9; Sayı: 1>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2002;9(1):3-15
Otizmde Cinsiyet Farklılıkları
M Akçakın
Ankara Üniversitesi, Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Ankara
Amaç: Bu çalışmada, otistik bozukluk tanısı konmuş kız ve erkek çocukların, demografik ve klinik özellikleri yönünden karşılaştırılması amaçlanmıştır. Yöntem: DSM III-R ve DSM IV ölçütlerine göre, otistik bozukluk tanısı konmuş, yaşlarına ve geliş tarihlerine göre eşleştirilmiş 60 kız ve 58 erkek çocuk demografik özelliklerine, doğum öncesi, doğum, doğum sonrası ile ilgili değişkenlere, motor-dil becerilerine, tuvalet eğitimi gelişim düzeylerine, anababaların belirtileri farketme yaşlarına, otizm belirtilerine, Ankara Gelişim Tarama Envanteri'ne (AGTE) ve Stanford-Binet L-M (S-B) zeka ölçeği bulguları na göre karşılaştırılmış, cinsiyetler arası fark olup olmadığı incelenmiştir. Bulgular: Kızlar ve erkekler arasında demografik özellikler, doğum öncesi, doğum, doğum sonrası değişkenler, motor dil becerileri, tuvalet eğitimi gelişim düzeyleri, anababaların belirtileri farketme yaşları ve otizm belirtileri yönünden fark bulunmamıştır. Ayrıca, AGTE ve S-B ölçeklerine göre cinsiyetler arası fark saptanmamıştır. Ancak erkek çocuklarının doğum kilolarının daha fazla olması, işitmemelerinden daha fazla kuşku duyulması ve aralarında hiç konuşmayanların daha fazla olması yönünden kızlardan farklı bulunmuştur. Buna karşın kız çocukları arasında erkeklere göre konuşmanın durması ya da bir süre gerilemesi daha fazla görülmüştür. Tartışma: Ülkemizde ilk kez otizmi olan kız çocukları, ayrı bir grup olarak ele alınmış ve incelenmiştir. Bu çalışmada kız çocuklarında konuşmanın durması ya da bir süre gerilemesine daha sık rastlanması diğer çalışmalarda da bu konunun araştırılmasını ve bunda rol oynayabilecek etkenlerin organik ve çevresel boyutta incelenmesini gerektirecektir. Elde edilen bulgular, konuyla ilgili yayınlarla birlikte değerlendirilmiştir.
Sex Differences in Autism
Objective: The aim of this study is to compare demographic and clinical characteristics of girls and boys with autistic disorder. Method: 60 girls and 58 boys who fulfilled the DSM III-R and DSM IV criteria for autistic disorder are matched according to their ages at referral. These children are compared in relation to their demographic and pre-natal, natal and post-natal characteristics, motor skills, [language] skills, toilet training, developmental level, age when parents first realized the symptoms, symptoms of autism, scores of Ankara Development Screening Inventory (AGTE) and scores of Stanford Binet (S-B) intelligence scales and the differences between girls and boys are examined. Results: There were no significant differences between boys and girls in relation to their demographic and prenatal, natal and post natal characteristics, motor and [language] skills, toilet training , developmental level, age when parents first realized the symptom, symptoms of autism, scores of AGTE and S-B. There were significant gender differences in the birth weight, doubt in hearing, lack of speech, pause or regression of speech. Boys had more points in birth weight, there were more doubt in their hearing and more number of boys had lack of speech. On the other hand, girls had more pause or regression in their speech. Discussion: For the first time in our country girls are examined separately as a group. The findings about the pause or regression of girls? speech may encourage other researchers to study the related factors and their organic and environmental aspects. The results are discussed with reference to related literature.

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