Şenay KILINÇEL, Ayşe Pınar VURAL, Oğuzhan KILINÇEL

Majör depresif bozukluğu olan ergenlerde zihin kuramı bozukluğu

Amaç: Bu çalışmada majör depresif bozukluğu olan ergen hastaları sağlıklı kontrol grubu ile karşılaştırarak zihin kuramının (ZK) iki boyutunu (sosyal-algısal ve sosyal-bilişsel) araştırmak amaçlanmıştır. Yöntem: Majör depresyonu olan 30 ergen hasta ve yaş ve eğitim düzeyi olarak uyumlu 31 sağlıklı gönüllü çalışma kapsamına alındı. Tüm katılımcılara Sosyodemografik ve Klinik Bilgi Formu verildi ve ardından Kiddie-SADS (Duygusal Bozukluklar ve Şizofreni için Çocuk Programı), Kovacs Çocuk Depresyon Envanteri, Çocukluk Kaygılarına İlişkin Bozukluklar Ekranı, Wechsler İstihbarat Çocuk Gözden Geçirilmiş (WISC-R), Smarties Testi, Dondurma Van Testi, Renklendirme Testi ve Göz Testi için ölçek uygulandı. Bulgular: Majör depresif bozukluğu olan hastalarda zihin kuramı eksikliği bulundu. Kovacs Çocuk Depresyon Envanteri, Çocukluk Kaygılarına İlişkin Bozukluklar Ekranı, Dondurmalı Kamyon Testi, İma Testi ve Gözler Testlerin sonuçları açısından her iki grubun arasında anlamlı farklılık vardı. Hastaların WISC-R sözel sonuçları ile Gözler test sonuçları arasında anlamlı korelasyon vardı. Hastaların Kovacs Çocuk Depresyon Envanteri ile Dondurmalı Kamyon test sonuçları arasında anlamlı ilişki vardı. Sonuç: Bu çalışma alan yazına ek olarak bize majör depresyonu olan ergenlerde ZK'nın iki boyutunun da bozulabileceğini göstermiştir. (Anadolu Psikiyatri Derg 2020; 21(2):158-164)

Theory of mind deficit in adolescents with major depressive disorder

Objective: This study aims to investigate the two aspects of ToM (social-perceptual and social-cognitive) bycomparing patients with major depressive disorder with in adolescents a healthy control group. Methods: The studyincluded 30 adolescent patients with major depression and 31 healthy volunteers matched with patients in terms ofage and educational stage. All participants were administered a form for sociodemographic and clinical information and then Kiddie-SADS (Kiddie-Schedule for Affective Disorders and Schizophrenia), Kovacs Children’s Depression Inventory (CDI), The Screen for Child Anxiety Related Disorders (SCARED), Wechsler Intelligence Scale for Children-Revised (WISC-R), Smarties Test, Ice Cream Van Test, Hinting Test and Eyes Test were performed. Results: ToM deficit was found in patients diagnosed with major depressive disorder. There was a significant difference between the two groups in the parameters of the CDI, SCARED, Ice Cream Van test, Hinting test, and Eyes test. The WISC-R verbal scores of the patients were significantly correlated with the Eyes test. There was a significant relationship between the patients’ depression scale for children and the ice cream van test. Conclusion: In addition to the literature, this study showed us that both dimensions of ToM may be impaired in adolescents with major depression. (Anatolian Journal of Psychiatry 2020; 21(2):158-164)

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