Üniversite öğrencilerinde riskli davranışlar ile çocukluk çağı istismar, dürtüsellik ve riskli davranışlar arasındaki ilişki

Amaç: Bu çalışmanın amacı, üniversite öğrencileri arasında riskli davranışları belirlemek ve riskli davranışlar, dürtüsellik ve çocukluk çağı istismarı arasındaki ilişkiyi araştırmaktır. Yöntem: Araştırmanın çalışma grubu 2012-2013 öğretim yılında 24 farklı ildeki devlet ve vakıf üniversitelerinde okuyan 740’ı kadın, 362’si erkek toplam 1102 üniversite öğrencisidir. Araştırmada, ‘Demografik Bilgi Formu’, 18 yaşından önceki örselenme yaşantılarını tarayan ‘Çocukluk Çağı Örselenme Yaşantıları Ölçeği (ÇÖYÖ)’, dürtüselliği ölçmek için kullanılan ‘Barratt Dürtüsellik Ölçeği (BDÖ-11)’ ve araştırmacılar tarafından hazırlanan riskli davranışlarda bulunma durumunu belirleyen ‘Riskli Davranışlar Soru Formu’ uygulanm ıştır. Bulgular: Erkeklerin tek gecelik ilişkide prezervatif kullanmama dışında diğer riskli davranışları kadınlardan daha fazla gerçekleştirdikleri saptanm ıştır. ÇÖYÖ ile BDÖ-11 puanları arasında yüksek düzeyde ve pozitif yönde ilişki saptanm ış, riskli davranışlarda bulunanlarla bulunmayanların ÇÖYÖ ve BDÖ-11 puanları arasında da anlamlı düzeyde farklılık belirlenmiştir. Sonuç: Gençler arasında görülen dürtüsellik ve riskli davranışlar bireysel ve toplumsal temelli önemli sorunlara yol açmaktadır. Dürtüsellik ve riskli davranışların çocukluk çağı istismarının uzun dönemdeki etkilerinden olması, çocuk istismarına yönelik önleme ve müdahale programlarına ağırlık verilmesi gerektiğini göstermektedir. Ayrıca gençler arsında ciddi bir risk etkeni olan dürtüsellik ve riskli davranışlara yönelik koruyucu programlar devreye sokulmalıdır.

The relationship between risky behaviors and childhood abuse, impulsivity and risky behaviors in university students

The aim of this study is to investigate risky behaviors among university students and to reveal the rela- tionship between risky behaviors, impulsivity and childhood abuse. Methods: Participants of this research were 1102 university students (740 women and 362 men) who attended state or foundation universities at Turkey’s 24 different cities in 2012-2013 educational year. In this study, ‘Demographic Information Form’, ‘Childhood Abuse Experience Scale (CAES)’, which collects information about abuse experiences before the age of 18, ‘Barratt Impul- sivity Scale (BIS-11)’, which measures impulsivity and ‘Risky Behaviors Questionnaire’, which identifies habituation and frequency of risky behaviors that were applied. Results: Male university students tend to engage in risky behaviors more than female university students do, except not using condom in one-night stand. A positive and strong correlation was found between CAES and BIS-11 scores. CAES and BIS-11 scores were also significantly different between participants who reported risky behavior and who did not. Conclusion: Impulsivity and risky behaviors which are observed among young people lead to individual and communal problems. Risky behaviors and impulsivity are long term effects of childhood abuse, so this situation shows the requirement of putting on _emphasis on prevention and intervention programs about childhood abuse. Furthermore, impulsivity, which is con- sidered to be a serious risk factor, and risky behavior oriented protective programs should be employed. <

___

  • 1. Taner Y, Gökler B. Çocuk istismarı ve ihmâli: Psi- kiyatrik yönleri. Hacettepe Tıp Derg 2004; 35:82- 86.
  • 2. Kendall-Tackett K. The long-term health effects of child sexual abuse. P Goodyear-Brown (Ed.), Handbook of Child Sexual Abuse: Identification, Assessment and Treatment. New Jersey: John Wiley & Sons, 2012, p.49-70.
  • 3. Brown GR, Anderson B. Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse. Am J Psychiatry 1991; 148:55-61.
  • 4. Bifulco A, Moran PM, Baines R, Bunn A, Standford K. Exploring psychological abuse in childhood: II. Association with other abuse and adult clinical de- pression. Bull Menninger Clin 2002; 66:241-258.
  • 5. Eskin M, Kaynak DH, Demir S. Same-sexual orientation, childhood sexual abuse and suicidal behavior in university students in Turkey. Arch Sex Behav 2005; 34:185-195.
  • 6. Brodsky BS, Oquendo M, Ellis SP, Haas GL, Malone KM, Mann J. The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression. Am J Psychiatry 2001; 158:1871-1877.
  • 7. Felson RB, Lane KJ. Social learning, sexual and physical abuse and adult crime. Aggress Behav 2009; 35:489-501.
  • 8. Boutwell BB, Franklin CA, Barnes JC, Beaver KM. Physical punishment and childhood aggression: The role of gender and gene-environment interplay. Aggress Behav 2011; 37:559-568.
  • 9. Tuscic JS, Flander GB, Mateskovic D. The conse- quences of childhood abuse. Pediatrics Today 2013; 9:24-35.
  • 10. Thompson MP, Kingree JB, Desai S. Gender differences in long-term health consequences of physical abuse of children: Data from a nationally representative survey. Am J Public Health 2004; 94:599-604.
  • 11. Oshri A, Tumban JG, Burnette ML. Childhood maltreatment histories, alcohol and other drug use symptoms and sexual risk behavior in a treatment sample of adolescents. Am J Public Health 2012; 102:250-257.
  • 12. Moeller FG, Barratt ES, Dougherty DM, Schmitz JM, Swann AC. Psychiatric aspects of impulsivity. Am J Psychiatry 2001; 158:1783-1793.
  • 13. Peluso MAM, Hatch JP, Glahn DC, Monkul ES, Sanches M, Najt P, et al. Trait impulsivity in patients with mood disorder. J Affect Disord 2007; 100:227-231.
  • 14. Ridderinkhof KR, Ullsperger M, Crone EA, Nieu- wenhuis S. The role of medial frontal cortex in cognitive control. Science 2004; 306:443-447.
  • 15. Kalenscher T, Ohmann T, Güntürkün O. The neuroscience of impulsive and self-controlled decisions. Int J Psychophysiol 2006; 62:203-211.
  • 16. Chamberlain SR, Sahakian BJ. The neuropsychi- atry of impulsivity. Curr Opin Psychiatry 2007; 20:255-261.
  • 17. Najt P, Perez J, Sanches M, Peluso MA, Glahn D, Soares JC. Impulsivity and bipolar disorder. Eur Neuropsychopharmacol 2007; 17:313-320.
  • 18. Roy A. Childhood trauma and impulsivity. Possible relevance to suicidal behavior. Arch Suicide Res 2005; 9:147-151.
  • 19. Corstorphine E, Waller G, Lawson R, Ganis C. Trauma and multi-impulsivity in the eating disor- ders. Eating Behav 2007; 8:23-30.
  • 20. Braquehais MD, Oquendo MA, Baca-García E, Sher L. Is impulsivity a link between childhood abuse and suicide? Compr Psychiatry 2010; 51:121-129.
  • 21. Alikaşifoğlu M. Ergenlerde davranışsal sorunlar. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri, Adolesan Sağlığı II, Sempozyum Dizisi, No:63, 2008, s.55-59.
  • 22. Senn TE, Carey MP. Child maltreatment and women’s adult sexual risk behavior: Childhood sexual abuse as a unique risk factor. Child Maltreatment 2010; 14:324-335.
  • 23. Senn TE, Carey MP, Vanable PA. Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research. Clin Psychol Rev 2008; 28:711-735.
  • 24. Brown LK, Hadley W, Stewart A, Lescano C, Whiteley L, Donenberg G. Psychiatric disorders and sexual risk among adolescents in mental health treatment. J Consult Clin Psychol 2010; 78:590-597.
  • 25. Dahlberg LL. Youth violence in the United States. Major trends, risk factors, and prevention ap- proaches. Am J Prev Med 1998; 14:259-272.
  • 26. Freeman RC, Collier K, Parillo KM. Early life sexual abuse as a risk factor for crack cocaine use in a sample of community-recruited women at high risk for illicit drug use. Am J Drug Alcohol Abuse 2002; 28:109-140.
  • 27. Kendall-Tackett K, Williams L, Finkelhor D. Impact of sexual abuse on children: A review and synthe- sis of recent emprical articles. Psychol Bull 1993; 113:164-180.
  • 28. Penolazzi B, Gremigni P, Russo PM. Impulsivity and reward sensivity differentially affective and deliberative risky decision making. Pers Individ Dif 2012; 53:655-659.
  • 29. Donohew L, Zimmerman R, Cupp PS, Novak S, Colon S, Abell R. Sensation seeking, impulsive decision-making, and risky sex: Implications for risk-taking and design of interventions. Pers Individ Dif 2000; 28:1079-1091.
  • 30. Zuckerman M, Buchsbaum MS, Murphy DL. Sensation seeking and its biological correlates. Psychol Bull 1980; 88:187-214.
  • 31. Güleç H, Tamam L, Güleç MY, Turhan M, Karakuş G, Zengin M, ve ark. Barratt Dürtüsellik Ölçeği-11 (BIS)’in Türkçe uyarlamasının psikometrik özellik- leri. Klinik Psikofarmakoloji Bul 2008; 18:251-259.
  • 32. Aslan SH, Alparslan ZN. Çocukluk Örselenme Yaşantıları Ölçeği’nin bir üniversite öğrencisi örnekleminde geçerlik, güvenirlik ve faktör yapısı. Türk Psikiyatri Derg 1999; 10:275-285.
  • 33. Yurtsever Z. Üniversite Gençlerinde Riskli Davranışlar. Yayımlanmam ış Yüksek Lisans Tezi, Erciyes Üniversitesi, Sosyal Bilimler Enstitüsü, 2011.
  • 34. Rosenblitt JC, Soler H, Johnson SE, Quadagno DM. Sensation seeking and hormones in men and women: exploring the link. J Horm Behav 2001; 40:396-402.
  • 35. Lowry R, Powell KE, Kann L, Collins JL, Kolbe LJ. Weapon-carrying, physical fighting, and fight- related injury among U.S. adolescents. Am J Prev Med 1998; 14:122-129.
  • 36. Tyler KA. Social and emotional outcomes of child sexual abuse: a review of recent research. Aggress Violent Behav 2002; 7:567-589.
  • 37. Krahe B, Scheinberger-Olwig R, Waizenhoffer E, Kolpin S. Childhood sexual abuse and revictimi- zation in adolescence. Child Abuse Negl 1999; 23:383-394.
  • 38. Meston CM, Heiman JR, Trapnell PD. The relation between early abuse and adult sexuality. J Sex Res 1999; 36:385-395.
  • 39. Noll JG, Trickett PK, Putnam FW. A prospective investigation of the impact of childhood sexual abuse on the development of sexuality. J Consult Clin Psychol 2003; 71:575-586.
  • 40. Bloom SL. Creating sanctuary: Healing from systemic abuses of power. Therapeutic Communities 2000; 21:67-91.
  • 41. Krause ED, Mendelson T, Lynch TR. Childhood emotional invalidation and adult psychological distress: The mediating role of emotional inhibition. Child Abuse Negl 2003; 27:199-213.
  • 42. Street AE, Gibson LE, Holohan DR. Impact of childhood traumatic events, trauma-related guilt, and avoidant coping strategies on PTSD symp- toms in female survivors of domestic violence. J Trauma Stress 2005; 18:245-252.
  • 43. Finkelhour D, Browne A. The traumatic impact of child sexual abuse: A conceptualization. Am J Orthopsychiatry 1985; 55:530-541.
  • 44. Wilson HW, Widom CS. An examination of risky sexual behavior and HIV in victims of child abuse & neglect: A 30-year follow-up. Health Psychol 2008; 27:149-158.
  • 45. Lemieux SR, Byers S. The sexual well-being of women who have experienced child sexual abuse. Psychol Women Quart 2008; 32:126-144.
  • 46. Nelson CA, Bloom FE, Cameron JL, Amaral D, Dahl RE, Pine D. An integrative, multidisciplinary approach to the study of brain-behavior relations in the context of typical and atypical development. Dev Psychopathology 2002; 14:499-520.
  • 47. Conner KR, Meldrum SV, Vieczorek WF, Dubers- tein PR, Welte JW. The association of irritability and impulsivity with suicidal ideation among 15 to 20 year old males suicide and life-threatening be- havior. J Consult Clin Psychol 2004; 34:363-373.
  • 48. Romer D, Hennessy M. A biosocial-affect model of adolescent sensation seeking: The role of affect evaluation and peer-group influence in adolescent drug use. Prev Sci 2007; 8:89-101.
  • 49. Braddock KH, Dillard JP, Voigt DC, Stephenson MT, Sopory P, Anderson JW. Impulsivity partially mediates the relationship between BIS/BAS and risky health behaviors. J Pers 2011; 79:793-810.
  • 50. Birthrong A, Latzman RD. Aspects of impulsivity are differentially associated with risky sexual behaviors. Pers Individ Dif 2014; 57: 8-13.
  • 51. Narvaez JC, Maqalhaes PV, Trindade EK, Vieira DC, Kauser-Sant’anna M, Gama CS, et al. Child- hood trauma, impulsivity and executive functioning in crack cocaine users. Compr Psychiatry 2011; 53:238-244.
  • 52. Casada JH, Roache JD. Behavioral inhibition and activation in posttraumatic stress disorder. J Nerv Ment Dis 2005; 193:102-109.
  • 53. Dileo JF, Brewer WJ, Hopwood M, Anderson V, Creamer M. Olfactory identification dysfunction, aggression and impulsivity in war veterans with post-traumatic stress disorder. Psychol Med 2008; 38:523-531.
Anadolu Psikiyatri Dergisi-Cover
  • ISSN: 1302-6631
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 2000
  • Yayıncı: -
Sayıdaki Diğer Makaleler

Aile bireylerinde paylaşılmış psikotik bozukluğa yol açan bir pseudologia fantastica olgusu

HALİL ÖZCAN, Atakan YUCEL, Erdem Önder SÖNMEZ

Bağlanma ve obsesif kompulsif belirtiler arasındaki ilişkide obsesif inançların aracı rolünün incelenmesi

SEVGİNAR VATAN

Elektrokonvülzif tedavide rokuronyum-sugammadeks ve süksinilkolinin derlenme üzerine etkilerinin karşılaştırılması

ERSİN KÖKSAL, Yasemin Burcu ÜSTÜN, CENGİZ KAYA, AHMET RİFAT ŞAHİN, Ali Haydar ŞAHİNOĞLU

Geç yaşta başlayan çalma ve biriktirme davranışı olan olgu

Buket Belkız GÜNGÖR, Almıla İkra AKGÜL, Ersin BUDAK, İbrahim TAYMUR, Rüstem AŞKIN, Asuman ALİ

Psikiyatri kliniğinde yatan hastalarda intihar olasılığı ve etkileyen etkenler

SELMA SABANCIOĞULLARI, DİLEK AVCI, Selma DOĞAN, MERAL KELLECİ, ELVAN EMİNE ATA

Combining transcranial magnetic stimulation and cognitive- behavioral therapy in treatment resistant obsessive-compulsive disorder

OĞUZ TAN, Gökben SAYAR HIZLI, BARIŞ ÖNEN ÜNSALVER, Mustafa Murat ARAT, KAYIHAN OĞUZ KARAMUSTAFALIOĞLU

Risperidone use in preschool children with aggressive and destructive behavioral symptoms

Caner MUTLU, Özden ÜNERI ŞÜKRAN, CANAN TANIDIR, Hatice GÜNEŞ, Mazlum ÇÖPÜR, ALİ GÜVEN KILIÇOĞLU, Hilal ADALETLİ, Hamiyet İPEK, AYTEN ERDOĞAN

Kafa travması sonrası gelişen frontal lob sendromu: Olgu sunumu

BETÜL ÇEVİK, Ali YILDIRIM, DÜRDANE AKSOY, Erdal ÖZER, SEMİHA GÜLSÜM KURT

Üniversite öğrencilerinde riskli davranışlar ile çocukluk çağı istismar, dürtüsellik ve riskli davranışlar arasındaki ilişki

Özge EREL, ZEYNEP BELMA GÖLGE

Validation of Turkish version of Premenstrual Symptoms Impact Survey™ (PMSIS™) for assessing status of premenstrual syndrome in women of reproductive age

ÖMER TOLGA GÜLER, Tijen ATAÇAĞ, Eyüp YAYCI, Ali ÇETİN, Meral ÇETİN