Dergi Ara >>
Yıl:2008; Cilt: 15; Sayı: 2>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2008;15(2):75-86
Erken Çocukluk Dönemi Psikiyatrik Sorunları İle Ebeveyn Depresyonu Arasındaki İlişki: Cinsiyetin Rolü
K Karabekiroğlu, AR Arman, M Berkem
19 Mayıs Üniv. Tıp Fak., Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Samsun
Amaç: 43 aylıktan daha küçük çocuklardaki psikiyatrik sorunlar ile anne ve babalarındaki depresif
duygudurum arasındaki ilişkinin ve cinsiyetin bu ilişki üzerine olan etkisinin araştırılması amaçlanmıştır.
Yöntem: On bir aylık dönemde çocuk psikiyatrisi kliniğine getirilen yaşları 14-43 (30.81 ± 8.11)
aylık tüm olgular (%72,2'si erkek, %27,7'si kız, toplam 108 olgu) ile anne ve babaları çalışmaya alınmıştır.
Çocuklarla yapılan ayrıntılı klinik değerlendirmeler ve ebeveynlerle yapılan yapılandırılmış
klinik görüşmelerin yanı sıra, çocuklardaki sosyal ve duygusal sorun düzeyini incelemek için "2-3 Yaş
Çocukları için Davranış Değerlendirme Ölçeği", ebeveynlerdeki depresyon şiddetini değerlendirmek
için Beck Depresyon Envanteri kullanılmıştır. Bulgular: Annelerindeki depresyon tanısı varlığı ve şiddeti
ile kız çocuklarında içe yönelim (p=0.004), dışa yönelim (p=0.003) ve toplam (p=0.002) psikiyatrik
sorun düzeyleri, babalarındaki depresyon tanısı varlığı ve şiddeti ile erkek çocuklarında dışa
yönelim (p=0.05) sorun düzeyleri arasında anlamlı bir ilişki saptanmıştır. İleri analizlerde, yaygın
gelişim bozukluk grubu dışlandığında da, stres indeksi puanı yükseldikçe ve/veya anne depresyon
varlığında sadece kızlarda daha yüksek ÇDDÖ puanları görülmüştür. Tartışma: Erken çocukluk döneminde
gözlenen psikiyatrik sorunlar ile özellikle aynı cinsiyetteki ebeveynin depresyonu arasında
anlamlı bir ilişki görülmektedir. Ayrıca, bulgular erken çocukluk döneminde kız çocuklarının psikiyatrik
yakınma gelişimi açısından sosyal stres etkenlerine daha duyarlı olduklarını düşündürmektedir.

Psychiatric Problems Of Toddlers and Parental Depression: The Role Of Gender
Objective: The aim of this study is to investigate the association between the psychiatric problems of
the toddlers and maternal and/or paternal depression, as well as the effect of gender on this association.
Method: In a period of eleven [month]s, all consecutive referrals to a child psychiatry out-patient
clinic between 14-43 (30.81 ± 8.11) [month]s of age were included (n=108) (males 72.2%, females
27.7%). In addition to comprehensive clinical assessment of children and structured clinical interview
with parents, for toddlers Child Behavior Checklist 2/3 and for parents Beck Depression Inventory were
given. Results: The severity of maternal depression was significantly correlated with the severity of
internalizing (p=0.004), externalizing (p=0.003) and total (p=0.002) problems of their daughters. The
severity of paternal depression was found to be significantly correlated with the severity of externalizing
(p=0.05) problems of their sons. After exclusion of the pervasive developmental disorders, CBCL
scores of girls were only found to be significantly higher when the mother was depressive and/or had
higher stress index scores. Discussion: Results of the present study suggested that psychiatric problems
in early childhood were significantly associated with depression of the parent of the same gender.
In addition, in early childhood, girls appeared to be more vulnerable to social stresors in terms of
the development of psychiatric complaints.

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