The Effects of the New Baby on the Older Sibling

Objectives: The aim of this study is to investigate the effects of the newborn sibling and the otherfactors’ contribution on previous sibling’s behaviors.Materials and Methods: In this cross‐sectional study, we interviewed with 312 mothers who hadchildren under the age of one, between February‐July 2012, in the well‐child outpatient clinics of GaziUniversity Faculty of Medicine, Department of Pediatrics. A structured questionnaire was conducted,interviewing face to face with the mothers. Scores of jealousy behaviors questionnaire could range from0‐13. The cut‐off score is accepted as 8 points and scores between 0‐7 points were evaluated as normal oracceptable, whereas the scores of 8 points or more was evaluated as pathological jealousy behaviors. Thenumerical values of dependent and independent variables asked in the questionnaire were shown asnumber and percentage. Chi‐square test, Fisher's exact test and Likelihood test were used to examinethe effect of independent variables on jealousy behavior. The Spearman Rho correlation coefficient wascalculated to examine the correlation between the age of the focus child and the jealousy score.Variables determined to affect jealousy behavior were examined by logistic regression model (entermethod). With the model established, it was tried to determine the risk factors that could affect thejealousy of the firstborn child. In the Enter method, the probability of entry into the logistic regressionmodel at each step was 0.05 and the probability of being extracted from the model was 0.10. Confidenceintervals of 95% were determined for the Odds Ratio (OR) value obtained by logistic regression.For statistical analysis, SPSS for Win. Ver. 15.0 (SPSS Inc., Chicago, ILL, USA) and for jealousy scorecalculation, tables and graphs MS‐Excel 2016 programs were used. Significance level of p≤0.05 wasaccepted in statistical decisions.Results: Mothers who participated in the study were found to have a median age of 30 (min: 20, max:44, IQR: 6). Age of the previous children was 48 months (IQR: 24 months). The most common negativebehaviors in the previous brothers were regression (77.74%), sleep changes (47.76%), violent behaviors(46.28%), changes in toilet habits (32%) and decrease in appetite (% 31). Children's jealousy behaviorsdecreased as age increased (Rho = ‐0.302; p

Aileye Yeni Katılan Bebeğin Bir Önceki Kardeş Üzerine Etkisi

Amaç: Çalışmamızın amacı, aileye yeni katılan bebeğin, bir önceki kardeş üzerindeki etkilerinin ve kardeş kıskançlığına etki eden faktörlerin belirlenmesine katkıda bulunabilmektir. Materyal ve Metot: Kesitsel tipteki bu çalışmada, Gazi Üniversitesi Tıp Fakültesi Çocuk Hastalıkları Anabilim Dalı Sağlam Çocuk Polikliniği’ne Şubat 2012‐Temmuz 2012 tarihleri arasında başvuran, son çocuğu 1 yaşını geçmemiş olan ve bir önceki çocuğu bir yaşından büyük olan 312 anne ile yüz yüze görüşülerek, yapılandırılmış bir anket uygulandı. Ankette yer alan ve kıskançlık davranışını yansıtan sorularda verilebilecek her bir cevap puanlanarak, toplam kıskançlık puanı belirlendi. Puanlama 0‐13 arasında değişebilmekteydi. Değerlendirmede 0‐7 puan alan çocuklar normal ya da kabul edilebilir tutuma sahip, 8 ve daha yüksek puan alan çocuklar ise patolojik kıskançlık gösteren olarak sınıflandırıldı. Kategorik değişkenler ile çocuğun kıskançlık durumu arasındaki ilişkiler Ki‐kare testi ile araştırıldı. Kıskançlık puanı ile odak çocuğun yaşı arasındaki ilişkiyi belirleyebilmek amacı ile Spearman Rho korelasyon katsayısı hesaplandı. Puanlama sonuçları ile kıskançlık davranışına etki ettiği saptanan değişkenler lojistik regresyon modeliyle analiz edildi. İstatistiksel analizler için SPSS for Win. Ver. 15.0 (SPSS Inc., Chicago, ILL, USA), kıskançlık puan hesabı, tablo ve grafikler için ise MS‐Excel 2016 programları kullanıldı. İstatistiksel kararlarda anlamlılık düzeyi p≤0,05 olarak kabul edildi. Bulgular: Çalışmaya katılan annelerin yaş ortancası 30 (min: 20, maks: 44; ÇAG: 6) olarak bulundu. Sondan bir önceki çocukların yaş ortancası 48 ay (ÇAG: 24 ay) idi. Yeni kardeşin doğumuyla, bir önceki kardeşte en sık görülen olumsuz davranışların regresyon (%77,74), uyku değişikliği (%47,76), şiddet davranışları (%46,28), tuvalet alışkanlıklarında değişiklikler (%32) ve iştahta azalma (%31) olduğu görüldü. Çocuklardaki kıskançlık davranışları yaş arttıkça azalmaktaydı (Rho=‐0,302; p

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