Ergenlerde obsesif-kompulsif belirtilerin travmatik yaşam olaylarıyla ilişkisi

Amaç: Çalışmanın birinci amacı ergenlerin klinik örnekleminde obsesif-kompulsif semptomların (OKS) travmatik yaşam olayları (TYO) ile olası ilişkisinin değerlendirilmesi; ikinci amacı, OKS’nin farklı klinik görünümleri ve şiddetleri ile özgül TYO arasındaki ilişkilerinin değerlendirilmesidir. Yöntem: Çalışma 12-16 yaşları arasında, DSM-5’e göre obsesif-kompulsif bozukluğu olan 60 ergen ve herhangi bir psikiyatrik bozukluğu olmayan 60 ergenle yapıldı. Olguların sosyodemografik özellikleri Sosyodemografik Veri Formu ile, çocukluk çağı travma özellikleri ve entelektüel gelişimleri nöropsikolojik testlerle değerlendirildi. Psikopatolojileri değerlendirmek için Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli Türkçe Sürümü, Çocukluk Çağı Yale-Brown Obsesyon Kompulsiyon ölçeği, Çocukluk Çağı Depresyon Ölçeği, Çocukluk Çağı Travma Soru Ölçeği-Kısa Form uygulandı. Hastaların zeka düzeylerini değerlendirmek için Wechsler Zeka Ölçeği uygulandı. Sonuçlar: Çalışmada kadınlarda daha belirgin olmak üzere TYO ve OKS arasında güçlü bir ilişki olduğu belirlenmiştir. TYO öncelikle cinsel, dinsel ve zarar görme obsesyonları ile güçlü bir ilişki gösterirken; OKS görünümlerinin tamamıyla ilişkili bulunmuştur. Cinsel istismar diğer TYO türlerine göre OKS ile daha güçlü bir ilişki göstermiştir. Tartışma: Hasta sayımızın az olması nedeniyle, bulgularımız OKS’li ergenlerin tamamına genellenemez. Bu alanda daha fazla çalışmaya gerek vardır. (Anadolu Psikiyatri Derg 2020; 21(5):507-514

The relationship between obsessive-compulsive symptoms and traumatic life events in adolescents

Objective: The primary aim of this study is to evaluate the possible relationship between obsessive-compulsivesymptoms (OCS) and traumatic life events (TLEs) in this clinical sample of adolescents. The secondary objectiveis to evaluate the relationship between different clinical presentations and severities of OCS and specific TLEs.Methods: The study included 60 adolescents between 12-16 ages, with obsessive-compulsive disorder (OCD) according to DSM-V and 60 adolescents without any psychiatric diagnosis. Sociodemographic characteristics of caseswere evaluated with detailed form; in addition, neuropsychological tests were applied to investigate development ofıntelligence and trauma characteristics of childhood. Turkish version of Schedule for Affective Disorders and Schizophrenia for School-Age-Children Present and lifetime version, Children's Yale-Brown Obsessive Compulsive Scale,Children's Depression Inventory and Childhood Trauma Questionnaire-short form were applied in order to assesspsychopathology. Intelligence level of patients were assessed with Wechsler Intelligence Scale for Children-Revised. Results: It was determined that there was a strong relationship between TLEs and OCS in adolescents,especially in females. TLEs were associated with all OCS manifestations, most prominently with sexual, religiousand harm obsessions. The sexual abuse showed stronger associations with OCS compared with other TLEs. Discussion: Due to limited number of patients, our findings couldn’t be generalized to all adolescents with OCS; therefore there is a need for more studies in this area. (Anatolian Journal of Psychiatry 2020; 21(5):507-514)

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