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Yıl:2009; Cilt: 16; Sayı: 3>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2009;16(3):137-143
Düşük Sosyoekonomik Düzey İlköğretim Çocuklarında Çinko Desteğinin Kaygı Düzeylerine Etkisi
Y Üçkardeş, SEÇ Kültür, EN Özmert, F Ünal, K Yurdakök
Başkent Üniv. Tıp Fak.
Amaç: Günümüzde, psikiyatrik bozukluklarda alternatif tedavi yaklaşımlarından biri olarak mikronutrient desteği verilmesinin sonuçları araştırılan bir konudur. Bu mikronutrientlerden biri olan çinko, özellikle merkezi sinir sistemindeki etkileri nedeniyle dikkat eksikliği hiperaktivite bozukluğunda önem kazanmıştır. Hayvan çalışmalarında kaygı belirtileri ile de ilişkili olabileceği belirtilen çinkonun, ilköğretim çocuklarında destek tedavi olarak uygulanması ve kaygı belirti düzeyine etkilerine ilişkin çalışma bulunmamaktadır. Bu çalışmada çinko desteğinin risk grubu olarak kabul edilen düşük sosyoekonomik düzey ilköğretim çocuklarında kaygı belirti düzeyine etkisinin araştırılması amaçlanmıştır. Yöntem: Randomize plasebo konrollü bu çalışmaya 226 ilköğretim üçüncü sınıf öğrencisi katılmıştır. Çalışma grubuna günlük 15 mg elementel çinko içeren şurup, kontrol grubuna ise plasebo şurup 10 hafta süre ile verilmiştir. Çocuklarda Durumluk- Sürekli Kaygı Envanteri (ÇDSKE; State- Trait Anxiety Inventory for Children, STAIC) kullanılırak kaygı belirtileri değerlendirilmiştir. Sonuçlar: Çalışma sonunda Sürekli Kaygı Envanteri (SKE) puanının çinko verilen grupta 37,39±5,96'dan 35,23±6,96'a ve plasebo grubunda 36,07±6,05'dan 33,55±7,46'a düşmüştür. SKE puanındaki bu azalma, her iki grupta istatistiksel olarak anlamlı bulunmuştur. Tartışma: Çinko desteğinin kaygı belirtileri üzerine etkisi ile plasebo etkisi arasın- da bir fark olmadığı görülmüştür. Kaygı bozukluğu olan çocuklarda yapılan çalışmalar farklı sonuçlar verebilir.
The effect of zinc supplementation on the anxiety symptoms of primary school children from low socioeconomic level
Objective: Alternative treatments including micronutrient supplementation have been searched in psychiatry in many studies recently. One of them is the zinc supplementation which was found to be effec- tive in the treatment of attention deficit hyperactivity disorder. In animal studies its deficiency has been found to be related with anxiety like behaviors. In primary school children zinc supplementation was searched in few studies. In this study it was aimed to search the effect of zinc supplementation on the level of anxiety symptoms. Method: The study was designed as a randomized, placebo controlled trial. 226 third-grade children received 15 mg elemental zinc daily or placebo for 10 weeks. State- Trait Anxiety Inventory for Children (STAIC) was used to evaluate the level of anxiety symptoms. Results: It was found that trait anxiety scores of STAIC decreased statistically significantly from 37,39±5,96 to 35,23±6,96 in the zinc supplementation group and from 36,07±6,05 to 33,55±7,46 in the placebo group. Discussion: In this study, it was found that zinc supplementation in a high risk group of primary school children led to a decrease in anxiety level. On the other hand, this effect was not significantly superior to placebo effect on anxiety levels. It may be possible to observe different results in a group of children with anxiety symptoms at clinical level.

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