Elif AKÇAY, Gülsüm AKDENİZ, Pınar ÖZIŞIK, Gulsen YİLMAZ

Daha Yüksek Algılanan Stres, DEHB’nin Öznel Bildirimini Artırır: Tıp Fakültesi Öğrencileri Örneklemi

Bu çalışmada, tıp öğrencilerinde Dikkat eksikliği/hiperaktivite bozukluğuna (DEHB) ait subjektif semptomların objektif nörobilişsel testler ile birlikte değerlendirilmesi amaçlanmıştır. Ayrıca, tıp öğrencileri arasında subjektif DEHB bildirimini öngören olası psikolojik faktörler incelenmiştir. Tıp öğrencileri (N=57) öz bildirim anketlerini doldurmuştur ve dikkat ölçümleri için nörobilişsel testler yapılmıştır. Katılımcıların yaş ortalaması 20.3 yıl olup, %69.0'ı kadındır. Yüksek düzeyde algılanan stres, durumluk ve sürekli kaygı düzeyi ve şimdiki ve çocukluktaki DEHB belirtileri olası risk faktörleri bulunmuştur. Ancak, tıp fakültesi öğrencilerinde kendilerini DEHB olarak bildirme olasılığı için yalnızca yüksek algılanan stres bir risk faktörü olarak saptanmıştır [olasılık oranı [OR] =1.184, %95 güven aralığı [CI] = [1.015; 1.381]]. Algılanan stres seviyeleri ne kadar yüksekse, tıp öğrencilerinde subjektif olarak daha fazla DEHB rapor edilmiştir. Objektif dikkat ölçümlerinin DEHB'yi subjektif olarak bildirmede hiçbir etkisi olmamıştır. Algılanan stres düzeyinin taranması, özellikle subjektif DEHB semptom bildirimleri olan tıp öğrencileri için önemli görünmektedir.

Anahtar Kelimeler:

Dikkat Eksikliği/Hiperaktivite Bozukluğu, Erişkin DEHB, Stres, Stroop/Ters Stroop Etkileşimi, Nörobilişsel Ölçümler

Higher Perceived Stress Increases the Subjective Reporting of ADHD: A Sample of Medical Students

This study aimed to evaluate the subjective Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms with self-reported ratings and objective neurocognitive tests among medical students. Also, we examined to identify the psychological factors that predict ADHD reporting among medical students. Medical students (N=57) completed self-report questionnaires, and neurocognitive tests were conducted for attention measures. Participants had a mean age of 20.3 years, and 69.0% were female. High levels of perceived stress, state-trait anxiety, and current and childhood ADHD symptoms were possible risk factors; however, only higher perceived stress was a risk factor for the possibility of reporting themselves as ADHD in medical school students [odds ratio [OR] =1.184, 95% confidence interval [CI] = [1.015; 1.381]]. Higher perceived stress levels, the more reported ADHD subjectively in medical students. Objective attention measures had no impact on reporting ADHD subjectively. Screening for perceived stress is necessary for medical students, especially those with subjective ADHD symptoms.

Keywords:

Attention-Deficit/Hyperactivity Disorder, Adult ADHD, Stress, Stroop/Reverse Stroop Interference, Neurocognitive Measures,

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