İçe/dışa yönelim sorunları ile mizaç, aile işlevleri ve yetiştirme tutumları arasındaki ilişkinin incelenmesi

Amaç: Bu çalışmanın amacı içe yönelim ve dışa yönelim sorunları ile çocuğun mizacı, aile işlevleri ve çocuk yetiştirme tutumları arasındaki ilişkinin incelenmesidir. Yöntem: Çalışmaya psikiyatri polikliniğine başvuran 157 çocuk ve bu çocukların anne-babaları katılmıştır. Çocukların içe yönelim ve dışa yönelim sorunları '6-18 Yaş Çocuk ve Gençler için Davranış Değerlendirme Ölçeğiyle , mizaç özellikleri 'Okul Çağı Çocukları için Mizaç Ölçeği' (OÇÇMÖ), aile işlevsellikleri 'Aile Değerlendirme Ölçeği' (ADÖ), anne-babanın yetiştirme tutumu 'Aile Hayatı ve Çocuk Yetiştirme Tutumu Ölçeği' (AHÇYTÖ) ile değerlendirilmiştir. Sonuçlar: Model testi, ADÖ'nün alt boyutu duygusal tepki verme özelliğinin, AHÇYTÖ alt boyutu demokratik tutum, ev kadınlığını reddetme ve evlilik çatışması özelliği ile içe yönelim ve dışa yönelim sorunları arasındaki ilişkide aracı (mediator) rolünü ortaya koymuştur. Bunun yanı sıra model testi, ADÖ'nün alt boyutu davranış kontrolü özelliğinin, AHÇYTÖ alt boyutu artık boyut/disiplin özelliği ile dışa yönelim sorunları arasındaki ilişkide aracı rolünü ortaya koymuştur. Tartışma: Bu çalışma içe yönelim ve dışa yönelim sorunları ile çocuk yetiştirme tutumu arasındaki ilişkide aile işlevlerinin aracı rolü olduğunu göstermiştir. Bu sonuç, içe yönelim ve dışa yönelim sorunlarının tedavisinde anne-baba eğitimlerinin önemini göstermektedir. Çocuk yetiştirme tutumu ve aile işlevselliği ile içe yönelim ve dışa yönelim sorunları arasındaki ilişkinin belirlenmesi amacıyla uzun süreli izleme çalışmaları yapılmasının gerekli olduğu düşünülmektedir.

The investigation of the relationship between internalizing/externalizing problems and temperament, family functioning, child-rearing attitudes

Objective: This study was aimed to evaluate the relationship between internalizing/ externalizing problems and child temperament characteristics, family functioning and child-rearing attitudes. Methods: One hundred and fiftyseven children with internalizing and externalizing and their parents were included in this study. Internalizing and externalizing problems were evaluated by 'Children Behavior Checklist', child temperament was evaluated by 'School-age Children Temperament Inventory', family functioning was evaluated by 'Family Assessment Device' (FAD) and child-rearing attitudes were evaluated by 'Parental Attitude Research Instrument' (PARI). Results: Modelling test has been revealed that affective responsiveness feature subscales of FAD has a mediator effect on the relation found between in which both internalizing and externalizing problems, and marital conflict, rejection of the home making role and equalitarianism and democratic attitudes feature subscales of PARI. Similarly, modelling test has been pointed out that behavior control feature subscales of FAD has a mediator effect on the relation found between externalizing problems and strictness and authoritarianism feature subscales of PARI. Discussion: Our findings showed that family functioning has a mediator effect on the between internalizing/externalizing problems and child-rearing attitudes, these results indicated the importance of parent education in treatment. Long-term follow-up studies are required to determine relationships between internalizing /externalizing problems with childrearing attitude and family functioning

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1. Doyle MM, Murphy J, Shevlin M. Competing factor models of child and adolescent psychopathology. J Abnorm Child Psychol 2016; 44:1559-1571.
2. Garber J, Gallerani CM, Frankel SA. Depression in children. IH Gotlib, CL Hammen (Eds.), Handbook of Depression, second ed., New York: Guilford Press, 2009, p.405-443.
3. Bayer JK, Hasting PD, Sanson AV, Ukoumunne OC, Rubin KH. Predicting mid-childhood internalising symptoms: A longitudinal community study. Int J Ment Health Promot 2010; 12(Suppl.1):5-17.
4. Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: A review of recent literature. Curr Opin Psychiatry 2007; 20(Suppl.4):359-364.
5. Fergusson DM, Horwood LJ, Ridder EM. Show me the child at seven: The consequences of conduct problems in childhood for psychosocial functioning in adulthood. J Child Psychol Psychiatry 2005; 46:837-849.
6. Reid R, Gonzales JE, Nordness PD, Trout A, Epstein MH. A meta-analysis of the academic status of students with emotional/behavioral disturbance. J Spec Educ 2004; 38:130-143.
7. Masten AS, Roisman GI, Long JD, Burt KB, Obradovic J, Riley JR, et al. Developmental cascades: Linking academic achievement and externalizing and internalizing symptoms over 20 years. Dev Psychol 2005; 41:733-746.
8. Al-Hendawi M. Temperament, school adjustment, and academic achievement: existing research and future directions. Educ Rev 2013; 65(Suppl.2):177-205.
9. Campbell SB, Shaw DS, Gilliom M. Early externalizing behavior problems: Toddlers and preschoolers at risk for later maladjustment. Dev Psychopathol 2000; 12:467-488.
10. Egeland B, Kalkoske M, Gottesman N, Erickson MF. Preschool behavior problems: Stability and factors accounting for change. J Child Psychol Psychiatry 1990; 31(Suppl.6):891-899.
11. Asendorpf JB, Van Aken MAG. Validity of Big Five personality judgments in childhood: A 9-year longitudinal study. Eur J Pers 2003; 17:1-17.
12. Jokela M, Power C, Kivimäki M. Childhood problem behaviors and injury risk over the life course. J Child Psychol Psychiatry 2009; 50(Suppl.12):1541-1549.
13. Muris P, Ollendick TH. The role of temperament in the etiology of child psychopathology. Clin Child Fam Psychol Rev 2005; 8(Suppl.4):271-289.
14. Grant KE, Compass BE, Stuhlmacher AF, Thurm AE, McMahon SD, Halpert J. Stressors and child and adolescent symptoms: Moving from makers to mechanisms of risk. Psychol Bull 2003; 129:447-466.
15. Ramos MC, Guerin DW, Gottfried AW, Bathurst K, Oliver PH. Family conflict and children's behavior problems: the moderating role of child temperament. Struct Equ Modeling 2005; 12(Suppl.2):278-298.
16. Forbes MK, Rapee RM, Camberis AL, McMahon CA. Unique associations between childhood temperament characteristics and subsequent psychopathology symptom trajectories from childhood to early adolescence. J Abnorm Child Psychol 2017; 45:1221-1233.
17. Collins WA, Maccoby EE, Steinberg L, Hetherington EM, Bornstein MH. Contemporary research on parenting: The case for nature and nurture. Am Psychol 2000; 55:218-232.
18. Van der Sluis CM, van Steensel FJA, Bögels SM. Parenting and children's internalizing symptoms: How important are parents? J Child Fam Stud 2015; 24:3652-3661.
19. Marakovitz SE, Wagmiller RL, Mian ND, BriggsGowan MJ, Carter AS. Lost toy? Monsters under the bed? Contributions of temperament and family factors to early ınternalizing problems in boys and girls? J Clin Child Adolesc Psychol 2011; 40(Suppl.2):233-244.
20. Fechete GL, Susa-Erdogan G, Benga O. Internalizing problems in a sample of Romanian preschool children. Contributions of both child and maternal temperament along with family functioning. Early Child Dev Care 2016; Advance online publication. http://dx.doi.org/10.1080/03004430.2016.126648 5
21. Rae-Grant N, Thomas H, Offord DR, Boyle MH. Risk, protective factors, and the prevalence of behavioral and emotional disorders in children and adolescents. J Am Acad Child Adolesc Psychiatry 1989; 28:262-268.
22. Boyle MH, Offord DR. Primary preventing of conduct disorder: Issues ve prospects. J Am Acad Child Adolesc Psychiatry 1990; 29:227-233.
23. Bulut I. Ruh Sağlığının Aile İşlevlerine Etkisi. Ankara: Başbakanlık Kadın ve Sosyal Hizmetler Müsteşarlığı Yayınları, 1993.
24. Achenbach TM, Rescorla LA. Manual for the ASEBA School-Age Forms and Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth and Families, 2001.
25. Erol N, Şimşek Z. Okul Çağı Çocuk ve Gençler için Davranış Değerlendirme Ölçekleri El Kitabı (CBCL, YSR, TRF). Ankara: Mentis Yayınları, 2010.
26. Dumencı L, Erol N, Achenbach TM, Simsek Z. Measurement structure of the Turkish translation of the Child Behavior Checklist using confirmatory factor analytic approaches to validation of syndromal constructs. J Abnorm Child Psychol 2004; 32(Suppl.3):335-340.
27. Eremsoy CE. How do Parental, Familial, and Child Characteristics Differentiate Conduct-Disordered Children with and without Psychopathic Tendencies. Unpublished Master Thesis, Ankara, Middle East Technical University, 2007.
28. Epstein NB, Baldwin LM, Bishop, DS. The McMaster family assessment device. J Marital Fam Ther 1983; 9(Suppl.2):171-180.
29. Bulut I. Aile Değerlendirme Ölçeği El Kitabı. Ankara: Özgüzeliş Yayınları, 1990.
30. Le Compte G, LeCompte A, Özer S. Üç sosyoekonomik düzeyde Ankara'lı annelerin çocuk yetiştirme tutumları: Bir ölçek uyarlaması. Psikoloji Dergisi 1978; 1:5-8.
31. Küçük S. PARI ölçeğinin Türkçe formunun 2., 3., ve 4. alt ölçeklerinin geçerlilik çalışması. V. Ulusal Psikoloji Kongresi (14-16 Eylül 1988, İzmir) Psikoloji Seminer Dergisi Özel Sayısı 1990; 8:451-460.
32. Durak M, Şenol-Durak E, Doğan A, Özkan T, Alpay F, Halisçelik A. Kurumsal bakım hizmeti alan ya da ev ortamında yaşamlarına devam eden yaşlı bireylerde depresyon düzeyini belirleyen bireysel ve çevresel etkenlerin yapısal eşitlik modeli ile test edilmesi. Bolu: TÜBİTAK-SOBAG 1001, 2012.
33. Byrne BM. Structural equation modeling: Perspectives on the present and the future. Int J Test 2001; 1(Suppl.3-4):327-334.
34. Rose J, Roman N, Mwaba K, Ismail K. The relationship between parenting and internalizing behaviours of children: A systematic review. Early Child Dev Care 2017; Advance online publication. http://dx.doi.org/10.1080/03004430.2016.126976 2
35. Rapee RM. Potential role of child rearing practices in the development of anxiety and depression. Clin Psychol Rev 1997; 17:47-67.
36. Bayer JK, Hiscock H, Ukoumunne OC, Price A, Wake M. Early childhood aetiology of mental health problems: A longitudinal population-based study. J Child Psychol Psychiatry 2008; 49:1166- 1174.
37. Coln KL, Jordon SS, Mercer SH. A unified model exploring parenting practices as mediators of marital conflict and children's adjustment. Child Psychiatry Hum Dev 2013; 44(Suppl.3):419-429.
38. Lucia VC, Breslau N. Family cohesion and children's behavior problems: A longitudinal investigation. Psychiatry Res 2006; 141:141-149.
39. Paulussen-Hoogeboom MC, Stams GJ, Hermanns JM, Peetsma TT, van den Wittenboer GL. Parenting style as a mediaor between children's negative emotionality and problematic behavior in early childhood. J Genet Pscyhol 2008; 169(Suppl.3):209-226.
40. Rothbart MK, Posner MI, Kieras J. Temperament, attention, and the development of self-regulation. K McCartney, D Phillips (Eds.), Blackwell Handbook of Early Childhood Development, Oxford, UK: Blackwell, 2006, p.338-357.
41. Rapee RM. The development and modification of temperamental risk for anxiety disorders: Prevention of a lifetime of anxiety? Biol Psychiatry 2002; 52(Suppl.10):947-957.
42. Rubin KH, Burgess K. Parents of aggressive and withdrawn children. M Bornstein (Ed.), Handbook of Parenting, Children and Parenting, second ed., Mahwah, New Jersey: Lawrence Erlbaum, 2002, p.383-418.
43. Kerr DCR, Lopez NL, Olson SL, Sameroff AJ. Parental discipline and externalizing behavior problems in early childhood: The roles of moral regulation and child gender. J Abnorm Child Psychol 2004; 32(Suppl.4):369-383.
44. Burt SA. Rethinking environmental contributions to child and adolescent psychopathology: A metaanalysis of shared environmental influences. Psychol Bull 2009; 135(Suppl.4):608-637.
45. Marceau K, Humbad MN, Burt SA, Klump KL, Leve LD, Neiderhiser JM. Observed externalizing behavior: A developmental comparison of genetic and environmental influences across three samples. Behav Genet 2012; 42(Suppl.1):30-39.
46. Katainen S, Räikkönen K, Keltikangas-Järvinen L. Childhood temperament and mother's childrearing attitudes: Stability and interaction in a three-year follow-up study. Eur J Pers 1997; 11:249-265.
47. Van der Valk JC, Van den Oord EJCG, Verhulst FC, Boomsma DI. Using shared and unique parental views to study the etiology of 7-year-old twins' internalizing and externalizing problems. Behav Genet 2003; 33(Suppl.4):409-420.
48. Lemery KS, Essex MJ, Smider NA. Revealing the relation between temperament and behavior problem symptoms by eliminating measurement confounding; Expert ratings and factor analyses. Child Dev 2002; 73:867-882.
49. Lahey BB. Commentary: Role of temperament in developmental models of psychopathology. J Clin Child Adolesc Psychol 2004; 33(Suppl.1):88-93.
50. Clark LA, Watson D, Mineka S. Temperament, personality and the mood and anxiety disorders. J Abnorm Psychol 1994; 103:103-116.