Miray KARAKOYUN, Gonca ENGİN OZYURT, Yeliz CAGAN APPAK, Sermin YALİN SAPMAZ, Guzide DOGAN, Masallah BARAN, Erhun KASİRGA

Sağlıklı ve Çölyak Hastalığı Tanısı ile İzlenen Adölesanlarda Psikiyatrik Özellikler ve Aile İşlevselliğinin Karşılaştırılması

Amaç: Çölyak hastalığı; konjenital olarak yatkın bireylerde her yaşta ortaya çıkabilen bir ince bağırsak hastalığıdır. Çölyak hastalarında psikiyatrik sorunlar sağlıklı bireylere kıyasla daha yaygın olabilir. Bu çalışmanın amacı çölyak hastalığı olan hastalarda psikiyatrik sorunları ve aile işlevini kontrol etmek ve bu verilerle çölyak diyetine uyum ile arasındaki ilişkiyi incelemektir. Gereç ve Yöntemler: Çalışmaya Çölyak hastalığı tanısıyla takip edilen 12-18 yaş arası toplam 35 adölesan hasta alınmıştır. Hastaların yaşı, tanı semptomları, Marsh evreleri kaydedildi. Poliklinikte boy ve kilo ölçümleri yapılıp, çölyak seroloji testi alınmıştır. Hastanemiz pediatri polikliniklerine başvuran ve bilinen kronik hastalığı olmayan 47 olgu da kontrol olarak alınmıştır. Hastalara çocuk psikiyatri hekimi tarafından Beck depresyon ölçeği, güçler güçlükler anketi, aile değerlendirme ölçeği yapıldı. Sonuçlar: Çalışma ve kontrol grupları beck depresyon ölçeğisonuçlarına göre karşılaştırıldığında, çölyak hastalığı olanlarda sağlıklı kontrol grubuna göre istatistiksel olarak anlamlı derecede yüksek puanlar elde edildi. Çölyak tanısı alan ergenlerin, çalışma ve kontrol gruplarının güçler ve güçlükler soru formları ile karşılaştırıldığı durumlarda, duygusal ve sosyal alanlarda daha fazla sıkıntı yaşadıkları saptanmıştır. Sonuç: Çölyak Hastalığı tanısı olan çocuklarda, psikiyatrik sorunlar ve depresyon sağlıklı çocuklara göre genellikle daha sık görülür ve yaşam kalitesinde bozulmaya neden olabilir. Bu nedenle, çölyak tedavisinde psikososyal destek önemli olabilir.

Anahtar Kelimeler:

Adölesan, Çölyak Hastalığı

Comparasion of Psychiatric Features and Family Functioning in Adolescents with Celiac and Healthy Adolescents

Objective: Celiac disease (CD); is a small intestinal disease that occurs in congenital predisposing individuals at any age. Psychiatric problems may be more prevalant in celiac patients. The aim of this study is to compare psychiatric problems and family functioning through controls in patients with celiac disease and to analyze the relation between these data and adherence to celiac diet. Material and Methods: A total of 35 adolescent patients aged between 12 and 18 years who were followed up with the diagnosis of celiac disease were included in the study. Patients' age, diagnosis symptoms, Marsh stages were recorded. Height and weight measurements were made in the outpatient clinic and celiac serology test was taken.47 patients who were referred to our pediatric outpatient clinics without known chronic disease were taken as a control. Beck depression inventory, strength difficulties questionnaire, family assessment device were performed.Results: When study and control groups were compared through beck depression inventory, those with celiac disease had statistically significantly higher scores than healthy control group. It was found that adolescents diagnosed with celiac suffer from more difficulties in emotional and social areas when study and control groups were compared through strengths and difficulties questionnaire. Conclusion: Psychiatric problems and depression are often more common in children with CD than without CD, and contribute to a decline in quality of life. For this reason, psychosocial support may be important in treatment of celiac.

Keywords:

Adolescents, Celiac Disease,

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