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Yıl:2011; Cilt: 49; Sayı: 2>> Özet
TAM METİN
Yeni Symposium; 2011;49(2):77-82
Genç Erişkin Kekemelik Vak'alarında Anksiyete Düzeyi ile Başa Çıkma Tutumlarının İlişkisi
M Erdem, C Çelik, A Doruk, F Özgen, A Özşahin
GATA Psikiyatri Anabilim Dalı, Ankara
Amaç: Bu çalışmada genç erişkin kekeme vak'a lardaki anksiyete düzeylerinin sağlıklı kontrol grubundan farklı olup olmadığı ve anksiyete düzeylerinin başa çıkma tutumları ile ilişkisinin araştırılması amaçlanmıştır. Yöntem: Çalışmaya gelişimsel kekemeliği olan 45 hasta ile normâl konuşan 30 sağlıklı birey dâhil edildi. Kekemeliğin şiddeti Kekemelik Şiddeti Değerlendirme Ölçeği (SSI-3) ile tesbit edildi. Bütün katılımcılara yarı yapılandırılmış sosyodemografik veri formu, Beck Anksiyete Ölçeği (BAÖ) ve Başa Çıkma Tutumlarını Değerlendirme Ölçeği (COPE) uygulandı. Bulgular: Kekemelik grubunun BAÖ puanının kontrol grubundan yüksek olduğu, kekemelik grubunun sorun odaklı ve duygusal odaklı başa çıkma alt ölçek toplam puanlarının kontrol grubundan düşük olduğu, işlevsel olmayan başa çıkma alt ölçek toplam puanının kontrol grubundan yüksek olduğu bulundu. Kekemelik grubunda BAÖ puanı ile kekemeliğin başlangıç yaşının negatif bağıntılı, işlevsel olmayan başa çıkma toplam puanının pozitif bağıntılı olduğu tesbit edildi. Tartışma: Kekeme vak'a larda anksiyete düzeylerinin önceki çalışmalara benzer şekilde kontrol grubundan yüksek olduğu ve anksiyete düzeylerinin işlevsel olmayan başa çıkma yöntemlerinin kullanımı ile ilişkili olduğu bulunmuştur. Sonuç: Başa çıkma tutumları, sorunun kişi üzerinde oluşturacağı stresin olağan seyrini etkiler ve sorunun çözümünü karmaşık hale getirebilir. İşlevsel olmayan başa çıkma tutumlarının kullanımının azaltılmasının keke melerdeki anksiyetenin tedavisinde yararlı olabileceği düşü-nülmektedir.
Relation of Anxiety Levels and Coping Strategies in Young and Adult Stutterers
Objective: The aim of this study was to compare the anxiety levels between stuttering and healthy control groups and the anxiety levels in stutterers are associated with coping strategies. Method: We studied 45 patients with developmental stuttering and 30 normal speakers as healthy controls. The stuttering severity is evaluated by the Stuttering Severity Instrument (SSI-3). The semi-structured sociodemographic data form, Beck Anxiety Inventory and The Coping Orientations to Problems Experienced Scale (COPE) were performed to all subjects. Results: Beck anxiety scores in stuttering group were higher than healthy controls. Problem focused and emotion focused coping strategies scores were lower and dysfunctional coping strategies scores were higher in stuttering group than healthy controls. Beck anxiety scores were positive correlated with the scores of dysfunctional coping strategies scores and negative correlated with the onset of disorder in stuttering group. Discussion: Similar with previous studies the anxiety levels in stutterers were higher than healthy controls and the anxiety levels are associated with the using of dysfunctional coping strategies. Conclusion: The coping strategies affect the natural pattern of stress and may complicate the solving of the problem. The reducing of dysfunctional coping strategies levels may be useful in the treatment of stutterer's anxiety.

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