Dikkat eksikliği hiperaktivite bozukluğu olan çocukların ebeveynleri ve kardeşlerinde psikopatoloji

Amaç: Bu makalede Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) tanısı olan çocukların ebeveynleri ve kardeşlerinde görülen psikopatoloji ve psikososyal uyum problemlerinin gözden geçirilmesi amaçlanmıştır. Yöntem: Bu amaçla, Medline taraması yapılmış, konu ile ilişkili kitaplar ve bu ailelerle ilgili yapılan araştırmalar incelenmiştir. Bulgular: DEHB tanılı çocukların ebeveynlerinde ve kardeşlerinde DEHB’nin, diğer psikiyatrik bozuklukların ve sosyal emosyonel uyum problemlerinin daha fazla oranda görüldüğü bildirilmektedir. Tartışma: DEHB tanılı çocukların ebeveynleri ve kardeşleri, gerek genetik kalıtım gerekse bozukluğun aile üzerine getirdiği yük nedeniyle artmış psikopatoloji riskine sahiptirler. Risklerin en aza indirgenmesi ve erken tanı ve müdahale için, aileler bilgilendirilmeli ve aile temelli müdahale yaklaşımlarında bulunulmalıdır.

Psychopathology in parents and siblings of children with attention deficit hyperactivity disorder

Objective: In this article, developmental and psychosocial adjustment problems observed in parents and siblings of children with Attention Deficit Hyperactivity Disorder (ADHD) are aimed to review. Method: For this purpose we searched Medline, and examined books related with the subject and previous studies related with these families. Results: ADHD, other psychiatric disorders and social emotional adjustment problems were more frequently seen in parents and siblings of children with ADHD. Discussion: Because of the genetic and psychosocial effects on the family, the risk of psychopathology is increased in parents and siblings of children with ADHD. In order to decrease the risk and have early diagnosis and interventions, families should be informed and involved in the treatment process.

___

  • 1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fourth Revised Ed. Washington, DC: American Psychiatric Association, 2000.
  • 2. Biederman J, Faraone SV. Attention deficit hyperactivity disorder. Lancet 2005; 366:237-248.
  • 3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fourth Ed. Washington, DC: American Psychiatric Association, 1994.
  • 4. Faraone S, Sergeant J, Gillberg C, Biederman J. The worldwide prevalence of ADHD: is it an American condition? World Psychiatry 2003; 2:104-113.
  • 5. Polanczyk G, De Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 2007; 164:942-948.
  • 6. Erşan EE, Doğan O, Doğan S, Sümer H. The distribution of symptoms of attention deficit hyperactivity disorder and oppositional defiant disorder in school age children in Turkey. Eur Child Adolesc Psychiatry 2004; 13:354-361.
  • 7. Faraone S, Biederman J, Monuteaux MC. Further evidence for the diagnostic continuity between child and adolescent ADHD. J Atten Disord 2002; 6:5-13.
  • 8. Spencer TJ, Biederman J, Wilens TE, Faraone SV. Novel treatments for attention deficit/hyperactivity disorder in children. J Clin Psychiatry 2002; 63 (Suppl.12):16-22.
  • 9. Faraone SV, Biederman J, Spencer T, Wilens T, Seidman LJ, Mick E, Doyle AE. Attention –deficit/hyperactivity disorder in adults: an overview. Biol Psychiatry 2000; 48:9-20.
  • 10. Bradly JD, Golden CC. Biological contributions to the presentation and understanding of attention-deficit/hyperactivity disorder: a review. J Clin Psychol 2001; 21:907-929.
  • 11. Biederman J, Faraone SV, Keenan K, Knee D, Tsuang MT. Family-genetic and psychosocial risk factors in DSM-III attention deficit disorder. J Am Acad Child Adolesc Pychiatry 1990; 29:526-533.
  • 12. Biederman J, Faraone SV, Keenan K, Benjamin J, Krifcher B, Moore C, Buckminster SS, Ugaglia K, Jellinek MS, Steingard R, Spencer T, Norman D, Kolodny R, Kraus I, Perrin J, Keller MB, Tsuang MT. Further evidence for family-genetic risk factors in attention deficit hyperactivity disorder. Patterns of comorbidity in probands and relatives psychiatrically and pediatrically referred samples. Arch Gen Psychiatry 1992; 49:728-738.
  • 13. Faraone SV, Biederman J, Krifcher Lehman B. Intellectual performance and school failure in children with attention deficit hyperactivity disorder and in their siblings. J Abnormal Psychol 1993; 102:616-623.
  • 14. Rutter M, Cox A, Tupling C, Berger M, Yule W. Attainment and adjustment in two geographical areas: Vol 1. The prevalence of psychiatric disorders. Br J Psychiatry 1975; 126:493-509.
  • 15. Biederman J, Millberger S, Farone S, Kiely K, Guite J, Mick E, Ablon S, Warburton R, Reed E. Family-environment risk factors for attention-deficit hyperactivity disorder. Arch Gen Psychiatry 1995; 52:464-470.
  • 16. Breen MJ, Barkley RA. Child psychopathology and parenting stress in girls and boys having attention deficit disorder with hyperactivity. J Pediatr Psychol 1988; 13:265-280.
  • 17. Cussen A, Sciberras E, Ukoumunne OC, Efron D. Relationship between symptoms of attention-deficit/hyperactivity disorder and family functioning: a community-based study. Eur J Pediatr 2012; 171:271-280.
  • 18. Anastopoulos AD, Sommer JL, Schatz NK. ADHD and family functioning. Current Attention Disorders Reports 2009; 1:167- 170.
  • 19. Johnston C, Mash EJ. Families of children with attention deficit/ hyperactivity disorder: review and recommendations for future research. Clin Child Fam Psychol Rev 2001; 4:183-207.
  • 20. Sprich S, Biederman J, Crawford MH, Mundy E, Farone SV. Adoptive and biological families of children and adolescents with ADHD. J Am Acad Child Adolesc Psychiatry 2000; 39:1432-1437.
  • 21. Epstein JN, Conners CK, Erhardt D, Arnold LE, Hechtman L, Hinshaw SP, Hoza B, Newcorn JH, Swanson JM, Vitiello B. Familial aggregation of ADHD characteristics. J Abnorm Child Psychol 2000; 28:585–594.
  • 22. Aydın H, Diler RS, Yurdagül E, Uğuz Ş, Şeydaoğlu G. DEHB tanılı çocukların ebeveynlerinde DEHB oranı. Klinik Psikiyatri Dergisi 2006; 9:70-74.
  • 23. Camcıoğlu T, Yıldız Ö, Ağaoğlu B. DEHB tanısı konmuş çocukların anne babalarında DEHB sıklığı. Anadolu Psikiyatri Dergisi 2011; 12:212-220.
  • 24. Brody GH. Siblings’ direct and indirect contributions to child development. Curr Dir Psychol Sci 2004; 13:124-126.
  • 25. Blachman DR, Stephan PH. Patterns of friendship among girls with and without attention-deficit/hyperactivity disorder. J Abnorm Child Psychol 2002; 30: 625-640.
  • 26. Mikami AY, Pfiffner LJ. Sibling relationships among children with ADHD. J Atten Disord 2008; 11:482-492.
  • 27. Newman J. Conflict and friendship in sibling relationships: a review. Child Study J 1994; 24:119-152.
  • 28. Branje SJT, Van Lieshout CFM, Van Aken MAG, Haselager GJT. Perceived support in sibling relationships and adolescent adjustment. J Child Psychol Psychiatry 2004; 45:1385-1396.
  • 29. Faux SA. Siblings of children with chronic physical and cognitive disabilities. J Pediatr Nurs 1993; 8:305-317.
  • 30. Gallo AM, Breitmayer BJ, Knafl KA, Zoeller LH. Mothers’ perceptions of sibling adjustment and family life in childhood chronic illness. J Pediatr Nurs 1993; 8:318-324.
  • 31. Kendall JRN. Sibling accounts of attention deficit hyperactivity disorder (ADHD). Fam Process 1999; 38:117-136.
  • 32. Seligman M, & Darling R B A. Ordinary families, special children: a systems approach to childhood disability. New York: Guilford Press, 1997.
  • 33. Barkley RA, Fischer M, Edelbrock CS, Smallish L. The adolescent outcome of hyperactive children diagnosed by research criteria: an 8-year prospective follow-up study. Am Acad Child Adolesc Psyhiatry 1990; 29:546-557.
  • 34. Greene RW, Biederman J, Faraone SV, Monuteaux MC, Mick E, Dupre EP, Fine CS, Goring JC. Social impairment in girls with ADHD: Patterns, gender comparisons, and correlates. J Am Acad Child Adolesc Psychiatry 2001; 40:704-710.
  • 35. Smith AJ, Brown RT, Bunke V, Blount RL, Christophersen E. Psychosocial adjustment and peer competence of siblings of children with attention-deficit/hyperactivity disorder. J Atten Disord 2002; 5:165-177.
  • 36. Cantwell DP, Psychiatric illness in the families of hyperactive children. Arch Gen Psychiatry 1972; 27:414-417.
  • 37. Faraone S, Bierderman J. Is attention deficit hyperactivity disorder familial? Harv Rev Psychiatry 1994; 1:271-287.
  • 38. Faraone SV, Biederman J, Mennin D, Gershon J, Tsuang MT. A prospective four-year follow-up study of children at risk for ADHD: psychiatric, neuropsychological, and psychosocial outcome. J Am Acad Child Adolesc Psychiatry 1996; 35:1449-1459.
  • 39. Jones KB, Welsh RK, Glassmire DM, Tavegia BD. Psychological functioning in siblings of children with attention deficit hyperactivity disorder. J Child Fam Stud 2006; 15:757-763.
  • 40. Welner Z, Welner A, Stewart M, Palkes H, Wish E. A controlled study of siblings of hyperactive children. J Nerv Ment Dis 1977; 165:110-117.
  • 41. Listug-Lunde L, Zevenbergen AA, Petros TV. Psychological symptomatology in siblings of children with ADHD. J Atten Disord 2008; 12:239-247.
  • 42. Yang LK, Shang CY, Gau SSF. Psychiatric comorbidities in adolescents with attention deficit hyperactivity disorder and their siblings. Can J Psychiatry 2011; 56:281-292.
  • 43. İmren Gökçe S, Arman Rodopman A. Dikkat Eksikliği Hiperaktivite Bozukluğu Tanılı Çocuk Ve Ergenlerin Kardeşlerinde Dikkat Eksikliği Hiperaktivite Bozukluğu Belirtileri, Duygusal, Davranışsal Sorunlar Ve Psikopatoloji. Uzmanlık Tezi, Marmara Üniversitesi Tıp Fakültesi, İstanbul, 2010.
  • 44. Steinhausen HC, Zülli-Weilenmann Nicole, Brandeis D, Müller CU, Valko L, Drechsler R. The behavioural profile of children with attention-deficit/hyperactivity disorder and of their siblings. Eur Child Adolesc Psychiatry 2012 (in press).
Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi-Cover
  • ISSN: 1018-8681
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1984
  • Yayıncı: Kare Yayıncılık