Mete ÖZKIDIK, Ali Cansu BOZACI, Tuncer BAHÇECİ, Alper COŞKUN, Zeliha ERSOY SAYIN, Mehmet Kazım ASUTAY

Okul Çağında Erkek Çocuklarda Sünnetin Psikolojik Etkisi

Amaç: Çocuklarda ameliyat olmanın ciddi strese yol açtığına dair çok sayıda çalışma bulunmaktadır. Biz bu çalışmada okul çağındaki erkek çocuklarda sünnetin yarattığı algılanan stres düzeyini değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışmaya 9 ve 12 yaş arası toplam 1500 hasta çağrıldı. Katılımcılar sünnet olan ve olmayan olarak iki gruba bölündü. Sosyoekonomik düzey ve ikamet yeri de ayrıca değerlendirildi. Çocuklarda Algılanan Stres Düzeyi Ölçeğinin (PSS-C) Türkçe validasyonu kullanılıp, kendilerinin doldurması şartıyla sünnet olmaya bağlı stres düzeyleri değerlendirildi. Bulgular: Sünnet, çocukluk çağındaki her ameliyat için olduğu gibi travmatik bir tecrübe olarak görülmelidir. Dinsel ve kültürel değerlere rağmen, hastalar ve ebeveynleri sünnetin psikolojik etkilerinin farkında olmalı ve konu hakkında bilgilendirilmelidir. Sonuç: Bin yüz yirmi sekiz hasta anketi tamamen doldurdu. Algılanan stres düzeyi sünnetli çocuklarda anlamlı düzeyde yüksek bulundu (p

Psychological Impact of Non-therapeutic Circumcision on School Boys

Objectives: Numerous studies have confirmed high stress levels associated with undergoing an operation in children. In this study we aimed toevaluate perceived stress levels of non-therapeutic circumcision in school boys.Materials and Methods: One Thousand hundred patients aged between 9 and 12 years have been invited to the study. The participants are dividedinto two groups as circumcised and non-circumcised. Socio-economical level and place of residence are also evaluated. Self administered TurkishValidation of Perceived Stress Scale for Children (PSS-C) was used to assess the perceived stress levels due to undergoing circumcision.Results: One hundred and twenty-eight patients filled in the questionnare completely. Results confirmed a significantly higher score of perceivedstress in circumcised population (p

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Goldman R. The psychological impact of circumcision: BJU International. 1999;83:93-102.
American Academy of Pediatrics Task force on circumcision. Technical report: male circumcision. Pediatrics. 2012;130:756-785.
World Health Organization and Joint United Nations Programme on HIV/ AIDS. Male circumcision: global trends and determinants of prevalence, safety and acceptability 2007.
Kose E, Yavascan O, Turan O, et al. The effect of circumcision on the frequency of urinary tract infection, growth and nutrition status in infants with antenatal hydronephrosis. Ren Fail. 2013;35:1365-1369.
Castro JG, Jones DL, Lopez M, et al. Making the case for circumcision as a public health strategy: opening the dialogue. AIDS Patient Care STDS. 2010;24:367-372.
Semo BW, Wirth KE, Ntsuape C, et al. Modifying the health system to maximize voluntary medical male circumcision uptake: a qualitative study in Botswana. HIV AIDS ( Auckl ). 2017;10:1-8.
Jones A , Cremin I, Abdullah F, et al. Transformation of HIV from pandemic to low-endemic levels: a public health approach to combination prevention. Lancet. 2014;384:272-279.
Sorokan ST, Finlay JC, Jefferies AL. Canadian Paediatric Society, Fetus and Newborn Committee, Infectious Diseases and Immunization Committee. Newborn male circumcision. Paediatr Child Health. 2015;20:311-320.
Best K. Male circumcision and HIV risk. Netw Res Triangle Park N C. 1998;18:9.
Bowers R. Circumcision does not affect women’s STD risk. AIDS Alert 2007;22:124-125
Katz J. The question of circumcision. Int Surg. 1977;62:490-492.
Ozturk O. Ritual circumcision and castration anxiety. Psychiatry. 1973;36:55.
Nelson CB, Dunn R, Wan J, et al. The increasing incidence of newborn circumcision: data from the Nationwide Inpatient Sample. J Urol 2005;173:978-981.
Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States. JAMA 1997;277:1052-1057.
Australian College of Paediatrics. Position statement: routine circumcision of normal male infants and boys. 1996.
Poland RL. The question of routine neonatal circumcision. N Engl J Med. 1990;322:1312.
White BP. The Perceived Stress Scale for Children: A Pilot Study in a Sample of 153 Children. Inter J of Pediatr and Child Health 2014;2:1-8.
Oral T, Ersan C. Adaptation of the Perceived Stress Scale in Children (8- 11 Years) Into Turkish. Selçuk Üniv Edebiyat Fakültesi Dergisi (SEFAD). 2017;37:419-428.
Snoeren F, Hoefnagels C. Measuring Perceived Social Support and Perceived Stress Among Primary School Children in the Netherlands. Child Ind Res 2014;7:473-486.
Kesici T, Kocabas Z. Ankara Üniv Eczacılık Fakültesi Bioistatistik Yayınları 2007;94:209-213.
Kim TK. T test as a parametric statistic. Korean J of Anesthes. 2015;68:540- 546.
ICR. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp.2013
Kılıç S. Linear regression analysis. Journal of Mood Disorders. 2013;3:90-92.
Cansever G. Psychological effects of circumcision. Br J Med Psychol. 1965;38:328.
Eth S, Pynoos R. Developmental perspective on psychic trauma in childhood. In Figley C, ed. Trauma and its Wake. New York: Brunner/Mazel, 1985:36-52.
Levy D. Psychic trauma of operations in children. Am J Dis Child. 1945;69:22.
Lipton S. On psychology of childhood tonsillectomy. Psycoanalitic Study Child. 1962;17:363-417.
Jessner L, Blom G, Waldfogel S. Emotional implications of tonsillectomy and adenoidectomy in children. Psycoanalitic Study Child. 1952;7:126-169.
Burgu B, Aydogdu O, Tangal S, et al. Circumcision: pros and cons. Indian J Urol. 2010;26:12-15.
Berry Jr CD, Cross Jr RR. Urethral meatal caliber in circumcised and uncircumcised males. AMA J Dis Child. 1956;92:152-156.
Homer L, Buchanan KJ, Nasr B, et al. Meatal stenosis in boys following circumcision for lichen sclerosus et atrophicus (balanitis xerotica obliterans). J Urol. 2014;192:1784-1788.
Santucci RA, Joyce GF, Wise M. Male urethral stricture disease. J Urol. 2007;177:1667-1674.
Frisch M, Simonsen J. Cultural background, non-therapeutic circumcision and the risk of meatal stenosis and other urethral stricture disease: Two nationwide register-based cohort studies in Denmark 1977-2013. The Surgeon. 2016;1479:30179-30192.
İzgi MC. Ethical Evaluation of Non-Therapeutic Male Circumcision. Turk Psikiyatri Derg. 2015;26:204-212.
Yavuz M, Demir T, Doğangün B. The effect of circumcision on mental health of children: a review. Turk Psikiyatri Derg. 2012;23:63-70.
Kuhn D, Phelps E, Walters J. Correlational reasoning in an everday context. J Appl Dev Psychol. 1985;6:85-97.
Timmermans S, Angell A. Evidence-based medicine, clinical uncertainty, and learning to doctor. J Health Soc Behav 2001;42:342-359.
Patel H. The problem of routine circumcision. Can Med Assoc J 1966;95:578- 81
Briggs A. Circumcision: What Every Parent Should Know. Earlysville, VA: Birth and Parenting Publications. 1985:141.
Brown M, Brown C. Circumcision decision: prominence of social concerns. Pediatrics. 1987;80:219.