Derya Karpuz, Fevziye Toros, Fatma Yıldırım

Kronik Psikiyatrik Bozukluğu olan Ebeveynlerin Çocuklarının Psikopatolojilerinin Karşılaştırılması

Amaç: Bu araştırmada ebeveynlerinde şizofreni veya bipolar I bozukluk (BIB) tanısı bulunan çocuklar, ebeveynlerinde herhangi bir ruhsal bozukluk bulunmayan çocuklar ile ve birbirleri ile psikopatoloji varlığı ve türleri açısından karşılaştırıldı. Yöntemler: Çalışmaya 6-17 yaş aralığında, ebeveyni şizofreni tanılı 11 çocuk, ebeveyniBIB tanılı 36 çocuk ve kontrol grubu olarak ebeveyninde herhangi bir ruhsal bozukluğu olmayan 47 çocuk dahil edilmiştir. Araştırmaya alınan tüm çocuk ve ergenlere çocuklar için durumluk-sürekli kaygı envanteri (ÇDSKE) doldurtulmuştur, ebev-eynlerine de sosyodemografik veri formu, conners ana baba derecelendirme ölçeği kısa formu, (CADÖ-KF) çocuk ve ergenlerde davranım bozuklukları için DSM IV e dayalı tarama ve değerlendirme ölçeği (T-DSM-IV), çocuk uyku alışkanlıkları anketi kısa formu (ÇUAA) doldurtulmuştur.Bulgular: Değerlendirmeler sonucunda, Karşıt olma karşıt gelme bozukluğu (KOKGB) belirtileri; BIB tanılı ebeveyne sahip çocuklarda (BIB-ç) hem şizofreni tanılı ebeveyne sahip çocuk (ŞZ-ç) grubuna göre hem de kontrol grubuna göre daha yüksek bulunmuştur (p=0,08). Öğrenme sorunu ise ŞZ-ç grubunda hem (BIB-ç) grubuna hem de kontrol grubuna göre daha yüksek bulunmuştur (p=0,025). Durumluk kaygı ŞZ-ç grubunda kontrol grubuna göre daha yüksek bulunmuştur (p=0,020). Davranım bozukluğu (DB), dikkat eksikliği (DE), hiperaktivite, psikosomatik yakınma, uyku bozukluğu ve sürekli kaygı açısından gruplar arası farklılık belirlenememiştir (sırasıyla; p=0,112, p=0,590, p=0,098, p= 0,776, p=0,741, p=0, 924) .Sonuç: Araştırmanın sonuçları, BIB-ç grubunda KOKGB belirtilerinin daha sık olabileceğini, ŞZ-ç grubunda öğrenme sorununun daha sık olabileceğini düşündürtmüştür. Bipolar I Bozukluk tanılı ebeveynlerin çocuklarında KOKGB açısından, şizofreni tanılı ebeveynlerin çocuklarında ise öğrenme sorunu açısından dikkatli olunmalıdır.

Comparison of psychopathologies of children of Parents with Chronic Psychiatric Disease

Aim: In this study, children whose parents were diagnosed with schizophrenia and bipolar I disorder (BID), were compared with each other, and compared with those who did not have any mental disorders in their parents in terms of presence and types of psychopathology.Methods: This study was carried out on a group of children aged 6 to 17 years. The parents of 11 children were diagnosed with schizophrenia, the parents of 36 children were diagnosed with bipolar disorder and 47 children whose parents did not have any mental disorders, were included in the control group. All children and adolescents filled in the State-Trait Anxiety Inventory for Children (STAI-CH); the parents completed a socio-demographic data form, Conners’ Parent Rating Scale-Short form (CPRSSF), DSM IV-based Screening and Assessment Scale for Behavioural Disorders in Children and Adolescents (T-DSM-IV) and Children’s Sleep Habits Questionnaire (CSHQ)-Abbreviated Form.Results: As a result of the assessments, Oppositional defiant disorder (ODD) symptoms were found to be higher in children who had parents diagnosed with the BID (BID-c) when compared with both children who had parents diagnosed with schizophrenia (SZ-c) and the control group (p=0,08). Learning problems were found to be higher in the SZ-c group when compared with both the (BID-c) and the control group (p=0,08). State anxiety was found to be higher in the SZ-c group when compared with the control group (p=0,020). No difference was found between the groups in terms of conduct disorder (CD), attention deficit (AD), hyperactivity, psychosomatic complaint, sleep disorder and trait anxiety (respectively; p=0,112, p=0,590, p=0,098, p= 0,776, p=0,741, p=0, 924).Conclusion: The results of the study suggested that the symptoms of ODD may be more common in the BID-c group, and the learning problem might be more common in the SZ-c group. Care should be taken in terms of ODD in children of parents diagnosed with bipolar I disorder, and in terms of learning problems in children of parents diagnosed with schizophrenia.

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