Dergi Ara >>
Yıl:2007; Cilt: 14; Sayı: 1>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2007;14(1):33-37
Çocukluk Çağı Şizofrenisinde Obsesif Kompulsif Semptomlar: Bir Olgu Sunumu
MK Bahalı, AY Tahiroğlu, A Avcı
Çukurova Üniv. Tıp Fak. Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Adana
Obsesif Kompulsif Bozukluk (OKB) ve şizofreni bilinen en eski psikiyatrik hastalıklardır. Şizofreni,
OKB'u andıran bir şekilde başlayabilmekte ya da şizofrenik hastalarda obsesif düşünceler ve kompulsif
davranışlar bulunabilmektedir. Her iki bozukluğun başlangıcının genellikle ergenlik döneminde
olmasına rağmen şizofrenili ergen hastalarda OKB oranını değerlendiren çalışma ve olgu bildirilerinin
sayısı çok azdır. Bu yazıda obsesif-kompulsif semptomlarla başlayan ve daha sonra işitsel ve görsel
varsanıların eklenmesi ile çocukluk çağı şizofrenisi tanısı alan bir olguda çocukluk çağı şizofrenisi ile
OKB'un birlikteliği (Şizo-obsesif bozukluk), iki bozukluğun ayırıcı tanısı ve tanı-tedavi açısından
değerlendirme süreci tartışılacak, olgunun klinik seyri ile ilgili bilgi aktarılacaktır.
Obsessive-Compulsive Symptoms In Childhood Onset Schizophrenia : A Case Report
Obsessive Compulsive Disorder (OCD) and schizophrenia are known among the oldest psychiatric disorders.
Schizophrenia may present resembling OCD or OC symptoms could be encountered in schizophrenic
patients. Although the onset of both disorders is usually in adolescence, the rate of OCD in adolescent
patients with schizophrenia has not yet been evaluated and such case reports are limited. In
this paper we present a case which onset with OC symptoms, in later stage accompanied by visual
and auditory hallucinations and eventually diagnosed childhood onset schizophrenia. In concerning of
this case, the co-occurrence of childhood schizophrenia and OCD (Schizo-obsessive disorder) will be
discussed in aspect of diagnosis-treatment period.

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