Evrim AKTEPE, Abdulbaki AKYILDIZ, Yakup ERDOĞAN, İjlal ERTURAN

VİRAL SİĞİLLİ ERGENLERDE YAŞAM KALİTESİ İLE PSİKİYATRİK KOMORBİDİTE VE İLİŞKİLİ DİĞER PSİKOSOSYAL FAKTÖRLERİN (AKRAN ZORBALIĞINA MARUZ KALMA/BENLİK SAYGISI/YALNIZLIK/SOSYAL DESTEK) DEĞERLENDİRİLMESİ: OLGU KONTROL ÇALIŞMASI

Amaç Bu çalışmanın ilk amacı, siğilli ergenlerde komorbid psikiyatrik bozuklukların sıklığının yanı sıra akran mağduriyeti, benlik saygısı, yalnızlık ve sosyal destek özellikleri gibi psikososyal faktörlerin değerlendirilmesidir. Bu çalışmanın ikinci amacı, bu ergenlerdeki yaşam kalitesini etkileyen faktörler ile çeşitli psikososyal faktörler (sosyal destek/yalnızlık/akran zorbalığına maruziyet/benlik saygısı) arasındaki ilişkiyi incelemektir. Gereç ve Yöntem Çalışma, 62 viral siğilli ergen ile yaş ve cinsiyet açısından olgu grubuna benzer 62 sağlıklı kontrol ile yürütülmüştür. Olgu ve kontrol gruplarına Piers-Harris Öz-kavramı Ölçeği, Çocuklar için Sosyal Destek Değerlendirme Ölçeği, UCLA Yalnızlık Ölçeği-Kısa Formu, Akran Zorbalığı Kurbanlarını Belirleme Ölçeği uygulanmıştır. Her iki grup Okul Çağı Çocukları İçin Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi Şekli Türkçe uyarlaması ile değerlendirilmiştir. Olgu grubuna Çocuklar için Dermatoloji Yaşam Kalite İndeksi uygulanmıştır. Bulgular Olgu kontrol grupları arasında psikiyatrik komorbidite sıklığı ile benlik saygısı/sosyal destek/yalnızlık/akran zorbalığına maruz kalma düzeyleri açısından anlamlı farklılık olmadığı saptanmıştır. Siğil süresi/sayısı/ yerleşim yeri/bölge sayısı gibi faktörlerin yaşam kalitesi üzerinde etkili olduğu tespit edilmiştir. Viral siğilli ergenlerin sosyal destek ve yalnızlık düzeylerinin bu ergenlerin benlik saygıları ve akran zorbalığına maruz kalmaları ile ilişkili faktörler olduğu tespit edilmiştir. Sonuç Viral siğilli ergenlerin sosyal destek düzeylerini artırarak yalnızlık düzeylerinin azaltılması, bu ergenlerin akran zorbalığına maruz kalma riskini azaltıp yaşam kalitesi ve benlik saygısı düzeyleri üzerinde koruyucu rol oynayabilir.

EVALUATION OF QUALITY OF LIFE, PSYCHIATRIC COMORBIDITY AND OTHER RELATED PSYCHOSOCIAL FACTORS (PEER VICTIMIZATION/SELF-ESTEEM/ LONELINESS/SOCIAL SUPPORT) IN ADOLESCENTS WITH WARTS: A CASE-CONTROL STUDY

ObjectiveThe first aim of this study was to evaluate the frequency of comorbid psychiatric disorders as well as psychosocial factors such as peer victimization, self-esteem, loneliness and social support properties inadolescents with warts. The second aim of this studywas to investigate the relationship between factorsaffecting quality of life and the various psychosocialfactors (social support/loneliness/ peer victimization/self-esteem) in these adolescents.Materials and MethodsThis study included 62 adolescents with viral wartsand 62 age and gender-matched healthy controls.The Piers-Harris Self-Concept Scale, Social SupportScale for Children, short-form UCLA Loneliness Scale, and Peer Victimization Scale were administered tothe case and control groups. Both groups were evaluated with the Schedule for Affective Disorders and Schizophrenia for School Age Children- Present and Lifetime Version-Turkish Version. The Dermatology LifeQuality Index was administered to the case group.ResultsThere were no significant differences in the frequency of comorbid psychiatric disorders and the levels ofpeer victimization, self-esteem, loneliness and socialsupport between the case and control groups. It wasdetermined that the duration of presence of warts/number of warts/location of warts/number of involvedsites significantly affected the quality of life. The levelsof loneliness and social support were related to thelevels of peer victimization and self-esteem in adolescents with viral warts.ConclusionAmelioration of loneliness by increasing social support can play a protective role on the levels of qualityof life and self-esteem by reducing the risk of peervictimization in adolescents with viral warts.

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