Ahmet TÜRKCAN, Doğan YILMAZ, Neşe HATİBOĞLU

Ergenlerde bilişsel davranışçı yönelimli bir grup psikoterapisi uygulaması

Amaç: Bu çalışmada, Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi Ergen ve Genç Erişkin Psikiyatrisi İkinci Basamak Biriminde yürütülen ayaktan bilişsel davranışçı yönelimli grup terapisi programı ve sonuçları hakkında bilgi verilmesi amaçlanmıştır. Yöntem: Grup psikoterapisi programı, majör depresyon tanısı almış ergenlerin tedavisine yönelik olarak Clarke, Lewinsohn ve arkadaşları tarafından geliştirilen bilişsel davranışçı yönelimli grup terapisi programı temel alınarak hazırlandı. Her biri 12 seanslık 10 grup programına katılan ve farklı tanıları bulunan (depresif bozukluk, anksiyete bozukluğu, davranım bozukluğu gibi) 100 ergen hastanın tedavi süreç ve sonuçları değerlendirildi. Bulgular: Hastaların %24’ü tedaviyi tamamlamadı. Cinsiyetin veya psikiyatrik tanının tedaviyi tamamlama üzerinde etkisi olmadığı görüldü. Özellikle öğrencilerin okul dönemindeyken programı tamamlayamadığı saptandı. Sonuç: Ergenlere yönelik bu terapi programı, pratik olarak kolay uygulanır bir programdır. Öğrencilere tatil dönemlerinde uygulanması tedaviyi tamamlama oranını artırabilir.

A practice of a cognitive behavioral oriented group psychotherapy in adolescents

Objective: Cognitive behavioral psychotherapy is one of the effective methods in the treatment of various psychiatric problems seen in adolescence. This paper is aimed to report on the cognitive behavioral oriented group therapy program which was conducted in Bakırköy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatric and Neurological Diseases, Adolescence and Young Adult Psychiatry Second Step Clinic. Method: This group therapy program was adopted from a cognitive behavioral group therapy course, which was developed by Clarke, Lewinsohn and their friends in order to treat adolescents diagnosed with major depressive disorder. The treatment processes and outcomes of 100 adolescents with different diagnoses and who had participated in 10 group therapy programs, each consisted of 12 sessions, were evaluated. Results: Twenty-four percent of the participants did not complete the group therapy program. Gender and psychiatric diagnoses were found to have no effect on the completion of the treatment. It was seen especially that the students have not completed the program during the school term. Conclusion: Practically, this therapy program for adolescents is an easily applicaple program. The percentage of treatment completion could be increased by implementing it on holiday periods.

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