Dergi Ara >>
Yıl:2003; Cilt: 10; Sayı: 2>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2003;10(2):50-57
Dikkat Eksikliği Hiperaktivite Bozukluğu Alt Gruplarında Conners Öğretmen ve Anababa Ölçeklerinin Ayırıcı Özellikleri
BG Kılıç, Ş Şener
Ankara Üniversitesi Tıp Fakültesi, Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Ankara
Amaç: Bu araştırmada Conner's Anababa ve Öğretmen Derecelendirme Ölçeklerinin alt ölçek puanlarının Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) alt gruplarına göre farklı olup olmadıklarının ve DEHB grubunun ya. ve cinsiyet değişkenleriyle ilişkisinin belirlenmesi amaçlanmıştır. Yöntem: İki aşamalı psikiyatrik değerlendirme sonucunda DEHB tanısı konan 6-11 yaş arası 105 olgunun anne ve babalarına Conner's Anababa Derecelendirme Ölçeği, öğretmenlerine Conner's Öğretmen Derecelendirme Ölçeği uygulanmıştır. DEHB grubunda ya. ve cinsiyet değişkenlerinin, DEHB alt gruplarının ve ek tanıların Conner's Ölçeklerinden elde edilen alt ölçek puanlarına yansıması ve ayrıştrma güçleri istatistiki olarak analiz edilmiştir. Bulgular: DEHB grubunda ya. ve cinsiyet değişkenlerinin Conner's Ölçeklerinin alt ölçek puanlarına etkisinin analizinde ya. temel etkisi ile ya. ve cinsiyet ortak etkisi hiçbir Conner's alt ölçeğinde anlamlı bulunmamıştır. Öğretmen ölçeğinin dikkat eksikliği alt ölçeğinde ise cinsiyet temel etkisinin anlamlı olduğu saptanmış ve kızların daha yüksek puanlar aldıkları belirlenmiştir. DEHB üç alt grubunun birbirleri arasında anlamlı fark ortaya koyan alt ölçeğin öğretmen ölçeğinin Dikkat eksikliği alt ölçeği olduğu belirlenmiştir. DEHB olgularında ek olarak Karşıt Olma Karşı Gelme (KGB) ve Davranım Bozukluğu (DB) tanılarını da alan grupların anababa ölçeğinin dikkat, KGB, DB alt ölçeklerinde anlamlı olarak farklılaştığı bulunmuştur. Tartışma: Bu çalışma Conner's Derecelendirme Ölçeklerinin DEHB klinik alt gruplarını belirlemede yol gösterici olmakla birlikte belirli sınırlılıklarının olduğunu göstermiştir. Öğretmen değerlendirmelerinde Dikkat eksikliği alt ölçeğinin üç alt grubu birbirinden ayırabilmesinin çocukları sınıf içinde ve akademik uğraşılar sırasında gözleme şansı olan öğretmenlerin bozukluğun dikkatsizlik boyutunu daha nesnel değerlendirmeleriyle ilişkili olabileceği ileri sürülmüştür. KGB-DB ek tanılarını alan DEHB'li çocukların anababaları tarafından daha hareketli ve dikkatsiz olarak değerlendirilmesinde ise ek olarak var olan davranışsal bozuklukların etkisi olduğu düşünülmüştür.

Discriminant Validation of Conner's Teacher and Parent Rating Scales for Attention Deficit Hyperactivity Disorder Subtypes
Objective: To test Conner's Parent and Teacher Rating Scales discriminative properties for Attention Deficit Hyperactivity Disorder (ADHD) subtypes and to determine relations with age and gender variables of a clinical group of children with ADHD. Method: Parents and teachers of 105 children aged 6-11, diagnosed as ADHD, were administered Conner's Parent Rating Scales and Conner's Teacher Rating Scales, respectively. Conner's sub-scale scores were analysed in terms of age, gender, ADHD subtypes and comorbid diagnostic effects. Conner's sub-scale discriminative properties were also evaluated. Results: There were no age main effects or age and gender interaction effects for any of the Conners? sub-scales. Girls scored significantly higher on the attention deficit sub-scale of the teacher ratings. Attention deficit sub-scale of Conner's Teacher Rating Scale discriminated between the three subtypes of ADHD. Conners Parent Rating Scales could discriminate clinical groups with comorbid Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD). Conclusions: Conner's Rating Scales are effective in discriminating ADHD subtypes but with some limitations. The discriminative power of teachers? attention deficit ratings for ADHD subtypes seemed to stem from teachers? opportunity to observe children objectively during classwork. Parents perceived their children with ODD and CD comorbidity to be more hyperactive and inattentive possibly due to a halo effect.

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