ERGENLERDE OBSESİF KOMPULSİF BELİRTİLERE YÖNELİK BİLİŞSEL DAVRANIŞÇI MÜDAHALELERİN ARAŞTIRMA EĞİLİMLERİ VE FENOMENOLOJİK ARAŞTIRMA TEMELİNDE İNCELENMESİ

Bu araştırmada ergenlerde obsesif kompulsif bozukluk (OKB) belirtilerine yönelik bilişsel davranışçı müdahaleler olgusunun temel bileşenlerini araştırma eğilimleri ve olguyu deneyimleyen ergenlerin bakış açısı üzerinden belirlemek amaçlanmıştır. Bu amaç kapsamında çalışma iki aşamalı olarak gerçekleştirilmiştir. Sırasıyla durum çalışması ve fenomenoloji deseni kullanılmıştır. İlk aşamada kabul ölçütleri kapsamında 6 yüksek lisans ve uzmanlık tezi ile 35 makale veri kaynağı olarak kullanılmıştır. İkinci aşamada ise veriler ölçüt örnekleme yöntemi ile belirlenen ve olguyu deneyimleyen 10 ergenle görüşmeler yoluyla toplanmıştır. Her iki aşamada veriler içerik analizi ile analiz edilmiştir. Analizler sonucu araştırmanın birinci basamağında elde edilen sonuçlar “müdahaleye etki eden faktörler”, “bilişsel ve davranışsal süreçler” ve “bilişsel davranışçı müdahale yöntemleri” olmak üzere 3 tema altında toplanmıştır. Araştırmanın ikinci basamağında ise ergenlerde OKB belirtilerine yönelik bilişsel davranışçı müdahaleler olgusunun “OKB belirtilerine ilişkin değişimlere katkısı”, “Günlük yaşam değişimlerine katkıları”, “Kişisel hedefleri gerçekleştirmeye ilişkin yeterliliği” ve “OKB belirtilerine ilişkin yeni öğrenmelere katkıları” olmak üzere dört bileşen etrafında toplandığı görülmüştür. Araştırma sonucunda, bilişsel davranışçı müdahaleler fenomeninin durum çalışması kapsamında temel bileşenleri tanımlanmış ve fenomenoloji kapsamında yapılan görüşmelerle de ergenlerde OKB belirtilerini azaltmada ve yaşam işlevselliğini arttırmada etkili bir müdahale yaklaşımı olduğu belirlenmiştir.

Investigation of Cognitive Behavioral Interventions for Obsessive Compulsive Symptoms in Adolescents on the Basis of Research Trends and Phenomenological Research

This study sets out to determine the basic components of the phenomenon of cognitivebehavioral interventions for obsessive compulsive disorder (OCD) symptoms in adolescents through research tendencies and the perspective of adolescents experiencing the phenomenon. Within the scope of this purpose, the study was carried out in two stages. Case study and phenomenology design were used, respectively. In the first stage, 6 master's theses and dissertations and 35 articles were used as data sources within the scope of acceptance criteria. In the second stage, data were collected through interviews with 10 adolescents who were determined by the criterion sampling method and who experienced the phenomenon. Data in both stages were analyzed with content analysis. As a result of the analyzes, the results obtained in the first stage of the study were grouped under three themes: “factors affecting the intervention”, “cognitive and behavioral processes” and “cognitive-behavioral intervention methods”. In the second stage of the study, it was seen that the phenomenon of cognitive behavioral interventions for OCD symptoms in adolescents grouped under four components: “Contribution to changes in OCD symptoms”, “Contribution to daily life changes”, “Competence in achieving personal goals” and “Contribution to new learning about OCD symptoms”. As a result of the study, the main components of the phenomenon of cognitive-behavioral interventions were defined within the scope of the case study, and it was determined that it is an effective intervention approach in reducing OCD symptoms and increasing life functioning in adolescents through interviews conducted within the scope of phenomenology.

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