Merve TEKEN, Melek Gözde LUŞ, Şaziye Senem BAŞGÜL

Karın Ağrısı Şikayetiyle Hastaneye Başvuran Çocuk ve Ergenlerde Fiziksel Sebep Bulunanlarla Bulunmayanlar Arasındaki Depresyon, Anksiyete ve Somatizasyon Değerlerinin Karşılaştırılması

Amaç: Fiziksel nedenleri olan ve olmayan karın ağrısı şikayeti olan çocukların depresyon, anksiyete ve somatizasyon düzeyle rini belirledik. Gereçler ve Yöntem: Çalışmaya, özel bir hastanenin pediatri servisinde 24 yaşında fiziksel nedenleri bulunan bir karın ağrısı şikayeti ile başvuran ve 8-15 yaşları arasındaki 48 ço cuk alındı. Bu çalışmada sosyodemografik veri formu, çocuk depresyon ölçeği (ÇDÖ), Pediatrik Anksiyete Derecelendirme Ölçeği (ÇATÖ) ve Çocuk Somatizasyon Envanteri-24 (ÇSE-24) kullanıldı. Bulgular: Bulguların istatistiksel analizi, fiziksel ağrı ve anksiyete ile depresyon, anksiyete ve somoizasyon değerleri olan hastalar arasında istatistiksel bir fark olmadığını göstermektedir. Sonuç: Bu bulguların sonuçları literatür kapsamında tartışılmıştır

Comparison of Depression, Anxiety and Somatization Values Betw

Objective: We determined the levels of depression, anxiety and somatization of children with a complaint of abdominal pain who has a physical causes and not. Material and Methods: The sample is 48 children aged 8-15 years who were admitted to the pediatric ward of a private hos pital with a complaint of abdominal pain whose physical cau ses were found in 24. In this study, the Sociodemographic Data Form, Depression Scale for Children (CES-DC), The Pediatric Anxiety Rating Scale (PARS), and Children's Somatization In ventory-24 (CSI-24) were used. Results: The statistical analyses of the findings show that there are no statistical diffrences between the patients with physi - cal pain and anxiety and depression, anxiety and somoization values. Conclusion: The results of these findings were discussed within the scope of literature.

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1) Devanarayana NM, Adhikari C, Pannala W, Rajindrajith S: Prevalence offnctional gastrointestinal diseases in a cohort of Sri Lankan adolescents: comparison between Rome II and Rome III criteria. J TropPediatr 2011, 57:34–39.
2) Devanarayana NM, Mettananda S, Liyanarachchi C, Na nayakkara N, Mendis N, Perera N, Rajindrajith S: Abdominal pain-predominant functional gastrointestinal diseases in children and adolescents: prevalence,symptomatology, and associa tion with emotional stress. J Pediatr Gastroenterol Nutr 2011, 53:659–665.
3) Abbott RA, Martin AE, Newlove-Delgado TV, Bethel A, Whe ar RS, Coon JT, Logan S.Recurrent Abdominal Pain in Children: Summary Evidence From 3 Systematic Reviews of Treatment Effctiveness. J Pediatr Gastroenterol Nutr. 2018 Feb 21.
4) Apley J, Naish N. Recurrent abdominal pain: a field survey of 1000 school children. Arch Dis Child 1958; 33: 165–70.
5) Rasquin-Weber A, Hyman PE, Cucchiara S, et al. Childhood functional gastrointestinal disorders. Gut. 1999;Sep;45 Suppl 2:II60-8. PubMed PMID: 10457047; PubMed Central PM- CID: PMCPMC1766693.
6) Rasquin A, Di Lorenzo C, Forbes D, et al. Childhood fun ctional gastrointestinal disorders: child/adolescent. Gastro enterology. 2006 Apr;130(5):1527-37. doi: 10.1053/j.gastro.2005.08.063. PubMed PMID: 16678566.
7) Hyams JS, Di Lorenzo C, Saps M, et al. Functional Di - sorders: Children and Adolescents. Gastroenterology. 2016 Feb 15. doi: 10.1053/j.gastro.2016.02.015. PubMed PMID: 27144632.
8) NASPGHAN. Chronic abdominal pain in children: a techni - cal report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2005; 40: 249–61.
9) Levy RL, Olden KW, Nalibof BD, Bradley LA, Francisco ni C, Drossman DA, et al. Psychosocial aspects of the func tional gastrointestinal disorders. Gastroenterology 2006; 130: 1447–58.
10 ) Ruepert L, Quartero AO, de Wit NJ, van der Heijden GJ, Rubin G, Muris JW. Bulking agents, antispasmodics and anti - depressants for the treatment of irritable bowel syndrome. Co chrane Database Syst Rev 2011; 8: CD003460.
11) Ford AC, Quigley EM, Lacy BE, Lembo AJ, Saito YA, Sc hiller LR, Soffr EE, Spiegel BM et al. Effct of antidepres sants and psychological therapies, including hypnotherapy, in irritable bowel syndrome: systematic review and meta-analy - sis. Am J Gastroenterol 2014; 109: 1350–65; in press. doi: 10. 1038/ajg.2014.148
12) Campo JV, Bridge J, Ehmann M, Altman S, Lucas A, Birmaher B, Di Lorenzo C, Iyengar S, Brent DA. Recurrent abdo minal pain, anxiety, and depression in primary care. Pediatrics. 2004 Apr;113(4):817-24.
13) Walker, LS, Beck, JE, Garber, J, Lambert, W. Children’s Somatization Inventory: psychometric properties of the revised form (CSI-24). J Pediatr Psychol, 2009;34: 430-40
14) Kadıoğlu, H, Sişman, FN, Ergün A. Reliability and validity of the turkish version of Children’s Somatization Inventory. Asi - an Nursing Research 2012;6: 9-12.
15) Kovacs M: Rating scale to assess depression in school aged children. Acta Paedopsyhiatr 1981; 46: 305- 315.
16) Öy B. Çocuklar için depresyon ölçeği: geçerlilik ve güve nirlik çalışması. Türk Psikiyatri Dergisi 1991;2:132–136.
17) Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J, Neer SM. “The Screen For Child Anxiety Related Emotional Disorders (SCARED): Scale Construction And Psy - chometric Characteristics”. Journal of the American Academy of Child & Adolescent Psychiatry, 1997 Apr;36(4):545-53
18) Karaceylan Çakmakçı F. Çocuklarda anksiyete bozukluklarını tarama ölçeği geçerlik ve güvenirlik çalışması. Kocaeli Üniversitesi Tıp Fakültesi Yayınlanmamış Uzmanlık Tezi, Ko caeli, 2004.
19) Bryant RV, van Langenberg DR, Holtmann GJ, Andrews JM. Functional gastrointestinal disorders in inflmmatory bowel disease: impact on quality of life and psychological sta tus. J. Gastroenterol. Hepatol. 2011; 26: 916–23.
20) Shelby GD, Shirkey KC, Sherman AL, et al. Functional Abdominal Pain in Childhood and Long-term Vulnerability to Anxiety Disorders. Pediatrics. 2013;132(3):475-82.
21) Murray KT, and Sines JO. Parsing the genetic and non geneticvariance in children's depressive behavior. Journal of Affctive Disorders, 1996; 56 (4), 23-34.
22) Allgood-Merten, B, Lewinsohn PM., & Hops H. Sex diff rences in adolescent depression. Journal of Abnormal Psycho logy, 1990; 99, 55-63.
23) Avison William R, Donna D McAlpine. Gender Diffrences in Symptoms and Depression among Adolescents. Journal of Health and Social Behavior, 1992;33: 77–96
24) Litcher, L, Bromet, E, Carlson, G, Gilbert, T., et al. Ukrainian application of theChildren’s Somatization Inventory: psychometric properties and associationswith internalizing sy - mptoms. J Abnorm Child Psychol; 2001;29: 165- 7
25) Meesters, C, Muris P, Ghys A, Reumerman T, et al. The Children’s Somatization Inventory: further evidence for its re liability and validity in a pediatric and a community sample of Dutch children and adolescents. J Pediatr Psychol 2003;28: 413-22
26) Pigott, TA. Anxiety disorders in women. Psychiatr Clin North Am, 2003;26: 621-672.
27) Fagioli-Petrillo L, Viguera A, Kennen J, Cohen L Utilizati - on of health care services by obstetric patients with psychiatric disorders. In: 13. Annual Meeting of American Psychiatric As sociation; Philadelphia, 2002.
28) Klerman, GL, Weissman, MM, Quellette R. Panic attacks in the community. Social morbidity and health care utilization. J Am Med Assos 1991; 265: 742-746
29) Rhee H, Holditch-Davis D, Miles MS. Patterns of physical symptoms andrelationships with psychosocial factorsin adoles cents. Psychosom Med 2005; 67: 1006-12
30) Pina, AA, Zerr AA, Gonzales N.A, Ortiz CD. Psychosocial Interventions for School Refusal Behavior in Children and Ado lescents. Child Development Perspectives 2009;3(1), 11–20.
31) Berntsson, LT, Köhler L. Long-term illness and psychoso matic complaints in children aged 2-17 years in the five Nordic countries. Comparison between 1984 and 1996. Eur J Public Health 2001;11: 35-42
32)Beyenburg S, Mitchell AJ, Schmidth D et al. Anxiety inpa tients with epilepsy: Systematic review and suggestions for cli - nicalmanagement. Epilepsy Behav 2005;7: 161-171
33) Oğuz A, Kurul S, Dirik E.et al. Relationship of epilepsy-re lated factors to anxiety and depression scores in epileptic children. J Child Neurol 2002;17: 37-40.