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Kurum bakımında yaşayan ve evlat edinilen çocuk ve ergenlerin ruhsal bozukluklar açısından karşılaştırılması

Year 2019, Volume: 44 Issue: 3, 904 - 910, 30.09.2019
https://doi.org/10.17826/cumj.504819

Abstract

Amaç: Bu araştırmada kurum bakımında yaşayan çocuk ve ergenler ile evlat edinilenlerin ruhsal bozukluklar açısından karşılaştırılması amaçlanmıştır.

Gereç ve Yöntem: Bu araştırmada Tekirdağ Devlet Hastanesi çocuk ve ergen psikiyatrisi polikliniğine başvuran 31 evlat edinilen ve 57 kurumda kalan çocuk ve ergenin dosyaları geriye dönük olarak incelendi. Olguların yaş, cinsiyet, DSM-5’e dayalı psikiyatrik tanıları ve psikiyatrik ilaç tedavisi kullanma sıklıkları, öğretmen ve öz bildirim ölçekleri ile depresyon, dikkat eksikliği, hiperaktivite ve davranım sorun düzeyleri verileri elde edildi.

Bulgular: Kurum bakımında yaşayan olgularda davranım bozukluğu tanısı oranları ve antipsikotik  ilaç kullanımı sıklığı daha yüksek bulundu. Aynı şekilde bu grubun depresyon ve dikkat eksikliği belirti düzeyleri  evlat edinilen gruba göre anlamlı düzeyde yüksek tespit edildi.  Evlat edinilen çocuklarda ise anksiyete bozukluğu tanısı kurum bakımındaki çocuk ve ergenlere göre anlamlı düzeyde yüksekti. 

Sonuç: Kurum bakımında yaşayan çocuklarda davranım bozukluğu tanısına depresif ve dikkat eksikliği gibi içselleştirme belirtilerinin eşlik etmesi dikkat çekici bir bulgudur. İçselleştirme belirtilerine yönelik destekleyici psikoterapötik yaklaşımların, psikofarmakolojik tedavilerin yanısıra davranım bozukluğu belirtilerinde de düzelme sağlayıp sağlayamayacağı merak konusudur.


References

  • www.mevzuat.gov.tr/MevzuatMetin/1.5.2828.pdf.
  • www.resmigazete.gov.tr/eskiler/2008/10/20081005-1.htm.
  • Zeanah CH, Egger HL, Smyke AT, Nelson CA, Fox NA, Marshall PJ et al. Institutional rearing and psychiatric disorders in Romanian preschool children. Am J Psychiatry. 2009;166:777–85.
  • Milot T, Ethier LS, St-Laurent D, Provost MA. The role of trauma symptoms in the development of behavioral problems in maltreated preschoolers. Child Abuse Negl. 2010;34:225-34.
  • Lee RM, Seol KO, Sung M Miller MJ. The behavioral development of Korean children in institutional care and international adoptive families. Dev Psychol. 2010;46:468-78.
  • Şişmanlar ŞG, Yar A, Şenturk E, Dıkmen S, Ayaz M, Ayaz AB et al. Prevalence of mental disorders and associated factors in institutionalized 3-5 year old children. Turkish Journal of Psychiatry. 2012;23(2).
  • Simsek Z, Erol N, Öztop D, Müni K. Prevalence and predictors of emotional and behavioral problems reported by teachers among institutionally reared children and adolescents in Turkish orphanages compared with community controls. Children and Youth Services Review. 2007;29(7), 883-899.
  • Şimşek Z, Erol N, Öztop D, Özcan ÖÖ. Kurum Bakımındaki Çocuk ve Ergenlerde Davranış ve Duygusal Sorunların Epidemiyolojisi; Ulusal Örneklemde Karşılaştırmalı Bir Araştırma. Turk Psikiyatri Dergisi. 2008;19(3).
  • https://cocukhizmetleri.aile.gov.tr/evlat-edinme
  • Van Ijzendoorn MH, Juffer F, Klein Poelhuis CW. Adoption and cognitive development. A meta analytic comparison of adopted and nonadopted children’s IQ and school performance. Psychol Bull. 2005;131:301-16.
  • Nickman S, Rosenfeld AA, Fine P, MacIntyre JC, Pilowsky DJ, Howe RA. Children in adoptive families: Overview and update. J Am Acad Child Adolesc Psychiatry. 2005;44:987-95.
  • ALTINOĞLU-DİKMEER Pİ, EROL PN, GENÇÖZ PT. Evlat Edinilmiş ve Biyolojik Ebeveyniyle Yaşayan Çocukların Davranışsal ve Duygusal Sorunları ve Bağlanma Düzeyleri ile Anne Babalarının Çocuk Yetiştirme Stillerinin Karşılaştırmalı Olarak Değerlendirilmesi. Türk Psikiyatri Derg. 2014;25.
  • Dereboy Ç, Şener Ş, Dereboy F, Sertcan Y. Conners öğretmen derecelendirme ölçeği Türkçe uyarlaması-2. Çocuk ve Gençlik Ruh Sağlığı Derg. 1997;4:10-18.
  • Öy B. Çocuk Depresyon Ölçeği: geçerlik güvenilirlik çalışması. Türk Psikiyatri Derg. 1991; 2(1):132-135.
  • http://sbu.saglik.gov.tr/ekutuphane/kitaplar/t12.pdf. 2008, Ankara.
  • Humphreys KL, Gleason MM, Drury SS, Miron D, Nelson 3rd CA, Fox NA et al. Effects of institutional rearing and foster care on psychopathology at age 12 years in Romania: follow-up of an open, randomised controlled trial. The Lancet Psychiatry. 2015;2(7), 625-634.
  • Wiik KL, Loman MM, Van Ryzin MJ, Armstrong JM, Essex MJ, Pollak SD et al. Behavioral and emotional symptoms of post-institutionalized children in middle childhood.Journal of Child Psychology and Psychiatry. 2010;52: 56-63.
  • Miller BC, Fan X, Grotevant HD, Christensen M, Coyl D, van Dulmen M. Adopted adolescents’ overrepresentation in mental health counseling: Adoptees’ problems or parents’ lower threshold for referral? Journal of the American Academy of Child and Adolescent Psychiatry. 2000;39, 1504–1511.
  • Stevens SE, Sonuga-Barke E, Kreppner JM, Beckett C, Castle J, Colvert E et al. Inattention/overactivity following early severe institutional deprivation: Presentation and associations in early adolescence. Journal of Abnormal Child Psychology. 2008;36, 385–398.
  • Beverly BL, McGuinness TM, Blanton, DJ. Communication and academic challenges in early adolescence for children who have been adopted from the former Soviet Union. Language, Speech, and Hearing Services in Schools. 2008;39, 303–313.
  • Roy P, Rutter M, Pickles A. Institutional care: Associations between overactivity and lack of selectivity in social relationships. Journal of Child Psychology and Psychiatry.2004;45(4), 866-873.

Comparison of adopted children and adolescents with the ones living in institution care in terms of mental disorders

Year 2019, Volume: 44 Issue: 3, 904 - 910, 30.09.2019
https://doi.org/10.17826/cumj.504819

Abstract

Purpose: This study aimed to compare the children and adolescents living with the care of the institution and those who were adopted in terms of mental disorders.

Materials and Methods: In this study, 31 adopted child who were admitted to Tekirdag State Hospital compared with 57 children living in the institution.  DSM-5 diagnostic criteria, frequency of drug treatment, depression, attention deficit, hyperactivity and behavior problem levels and sociodemographic data forms were examined retrospectively. 

Results: The prevalence of conduct disorder and antipsychotic drug use were found to be higher in the patients living in the institution. Similarly, the depression and attention deficit symptom levels of this group were significantly higher than the adopted group. The diagnosis of anxiety disorder was significantly higher in the adopted children than in children living in the institution. 

Conclusion: It is noteworthy that accompanied by symptoms of internalization, such as depressive and attention deficit, in the diagnosis of conduct disorder in children living in institution care.Whether supportive psychotherapeutic approaches to internalization symptoms can lead to improvement in conduct disorder symptoms as well as psychopharmacological treatments is a matter of concern.


References

  • www.mevzuat.gov.tr/MevzuatMetin/1.5.2828.pdf.
  • www.resmigazete.gov.tr/eskiler/2008/10/20081005-1.htm.
  • Zeanah CH, Egger HL, Smyke AT, Nelson CA, Fox NA, Marshall PJ et al. Institutional rearing and psychiatric disorders in Romanian preschool children. Am J Psychiatry. 2009;166:777–85.
  • Milot T, Ethier LS, St-Laurent D, Provost MA. The role of trauma symptoms in the development of behavioral problems in maltreated preschoolers. Child Abuse Negl. 2010;34:225-34.
  • Lee RM, Seol KO, Sung M Miller MJ. The behavioral development of Korean children in institutional care and international adoptive families. Dev Psychol. 2010;46:468-78.
  • Şişmanlar ŞG, Yar A, Şenturk E, Dıkmen S, Ayaz M, Ayaz AB et al. Prevalence of mental disorders and associated factors in institutionalized 3-5 year old children. Turkish Journal of Psychiatry. 2012;23(2).
  • Simsek Z, Erol N, Öztop D, Müni K. Prevalence and predictors of emotional and behavioral problems reported by teachers among institutionally reared children and adolescents in Turkish orphanages compared with community controls. Children and Youth Services Review. 2007;29(7), 883-899.
  • Şimşek Z, Erol N, Öztop D, Özcan ÖÖ. Kurum Bakımındaki Çocuk ve Ergenlerde Davranış ve Duygusal Sorunların Epidemiyolojisi; Ulusal Örneklemde Karşılaştırmalı Bir Araştırma. Turk Psikiyatri Dergisi. 2008;19(3).
  • https://cocukhizmetleri.aile.gov.tr/evlat-edinme
  • Van Ijzendoorn MH, Juffer F, Klein Poelhuis CW. Adoption and cognitive development. A meta analytic comparison of adopted and nonadopted children’s IQ and school performance. Psychol Bull. 2005;131:301-16.
  • Nickman S, Rosenfeld AA, Fine P, MacIntyre JC, Pilowsky DJ, Howe RA. Children in adoptive families: Overview and update. J Am Acad Child Adolesc Psychiatry. 2005;44:987-95.
  • ALTINOĞLU-DİKMEER Pİ, EROL PN, GENÇÖZ PT. Evlat Edinilmiş ve Biyolojik Ebeveyniyle Yaşayan Çocukların Davranışsal ve Duygusal Sorunları ve Bağlanma Düzeyleri ile Anne Babalarının Çocuk Yetiştirme Stillerinin Karşılaştırmalı Olarak Değerlendirilmesi. Türk Psikiyatri Derg. 2014;25.
  • Dereboy Ç, Şener Ş, Dereboy F, Sertcan Y. Conners öğretmen derecelendirme ölçeği Türkçe uyarlaması-2. Çocuk ve Gençlik Ruh Sağlığı Derg. 1997;4:10-18.
  • Öy B. Çocuk Depresyon Ölçeği: geçerlik güvenilirlik çalışması. Türk Psikiyatri Derg. 1991; 2(1):132-135.
  • http://sbu.saglik.gov.tr/ekutuphane/kitaplar/t12.pdf. 2008, Ankara.
  • Humphreys KL, Gleason MM, Drury SS, Miron D, Nelson 3rd CA, Fox NA et al. Effects of institutional rearing and foster care on psychopathology at age 12 years in Romania: follow-up of an open, randomised controlled trial. The Lancet Psychiatry. 2015;2(7), 625-634.
  • Wiik KL, Loman MM, Van Ryzin MJ, Armstrong JM, Essex MJ, Pollak SD et al. Behavioral and emotional symptoms of post-institutionalized children in middle childhood.Journal of Child Psychology and Psychiatry. 2010;52: 56-63.
  • Miller BC, Fan X, Grotevant HD, Christensen M, Coyl D, van Dulmen M. Adopted adolescents’ overrepresentation in mental health counseling: Adoptees’ problems or parents’ lower threshold for referral? Journal of the American Academy of Child and Adolescent Psychiatry. 2000;39, 1504–1511.
  • Stevens SE, Sonuga-Barke E, Kreppner JM, Beckett C, Castle J, Colvert E et al. Inattention/overactivity following early severe institutional deprivation: Presentation and associations in early adolescence. Journal of Abnormal Child Psychology. 2008;36, 385–398.
  • Beverly BL, McGuinness TM, Blanton, DJ. Communication and academic challenges in early adolescence for children who have been adopted from the former Soviet Union. Language, Speech, and Hearing Services in Schools. 2008;39, 303–313.
  • Roy P, Rutter M, Pickles A. Institutional care: Associations between overactivity and lack of selectivity in social relationships. Journal of Child Psychology and Psychiatry.2004;45(4), 866-873.
There are 21 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research
Authors

Yasemin Yulaf 0000-0001-9573-3642

Funda Gümüştaş 0000-0001-8104-9567

Publication Date September 30, 2019
Acceptance Date February 1, 2019
Published in Issue Year 2019 Volume: 44 Issue: 3

Cite

MLA Yulaf, Yasemin and Funda Gümüştaş. “Kurum bakımında yaşayan Ve Evlat Edinilen çocuk Ve Ergenlerin Ruhsal Bozukluklar açısından karşılaştırılması”. Cukurova Medical Journal, vol. 44, no. 3, 2019, pp. 904-10, doi:10.17826/cumj.504819.