The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period

Çimen, İrem Damla; Dilli Gürkan, Merve; DENKTAŞ ÖZDEMİR, AYSEL; ÇAKIN MEMIK, NURSU; Akpınar, Şeyma Nur; Yavuz Öztürk, Sinem

doi:10.5505/vtd.2023.08456

The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period

İrem Damla ÇİMEN, (Kocaeli Üniversitesi, Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Kocaeli, TÜRKİYE)

Merve DİLLİ GÜRKAN, (Kocaeli Üniversitesi, Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Kocaeli, TÜRKİYE)

Şeyma Nur Akpınar, (Kocaeli Üniversitesi, Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Kocaeli, TÜRKİYE)

Sinem Yavuz Öztürk, (Kocaeli Üniversitesi, Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Kocaeli, TÜRKİYE)

Aysel DENKTAŞ ÖZDEMİR, (Kocaeli Üniversitesi, Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Kocaeli, TÜRKİYE)

Nursu ÇAKIN MEMİK (Kocaeli Üniversitesi, Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Kocaeli, TÜRKİYE)

Van Tıp Dergisi

11 5

Yıl: 2023 Cilt: 30 Sayı: 2 Sayfa Aralığı: 169 - 177 Metin Dili: İngilizce DOI: 10.5505/vtd.2023.08456 İndeks Tarihi: 12-05-2023

The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period

Öz:

Introduction: Thought-action fusion (TAF) is one of the cognitive distortions that can be seen in obsessive-compulsive disorder (OCD) according to learning theory and is defined as the perception that thought and action are equivalent. The aim of our study was to examine the effects of pandemic-related characteristics on OCD symptoms and severity of symptoms during the restriction period an d to evaluate the relationship between OCD and TAF and its sub-dimensions during the pandemic. Materials and Methods: A total of 69 patients aged 7-18 years, who applied to our outpatient cl inics and were diagnosed with OCD, were included in the study. Sociodemographic data form, Children’s Yale Brown Obsessive Compulsive Scale (CY-BOCS) and Thought Action Fusion Scale for Children were used in the study. Results: The CY-BOCS obsession score was found significantly higher in cases with an increase in the time spent with the family during the pandemic, obsession and compulsion scores in those with an increase in the cleaning efforts related to the pandemic, and compulsion score in those with an increase in the behaviors performed for the purpose of preventing virus transmission. The TAFTOTAL score was found to be significantly higher in females, and the TAFSELF subscale score was found to be significantly higher in patients over 12 years old. Conclusion: The researches on the concept of TAF, whose importance has begun to be notic ed with current approaches, and the limited information obtained, cause the additional methods that can be applied in th is field to be limited. In the light of current information, TAF appears to have a critical importance in the onset and maintenance of OCD. It is thought that early diagnosis and inte rvention before the erroneous evaluation and belief areas of OCD become chronic will be important in the prognosis of OCD.

Anahtar Kelime:

Pandemi Döneminde Çocuk ve Ergenlerde OKB ve OKB Belirtilerinin Düşünce Eylem Kaynaşması ile İlişkisi

Öz:

Amaç: Düşünce eylem kaynaşması (DEK), öğrenme kuramına göre obsesif kompulsif bozuklukta (OKB) görülebilen bilişsel çarpıtmalardan biridir ve düşünce ile eylemin birbiri ile eşdeğer algılanması olarak tanımlanmaktadır. Çalışmamızın amacı; ülkemizde COVID-19 pandemisine yönelik kısıtlamaların uygulandığı dönemde pandemi ile ilişkili özelliklerin OKB belirtileri ve belirtilerin şiddeti üzerine etkilerinin incelenmesi ve pandemi sürecinde OKB ile DEK ve alt boyutları arasındaki ilişkinin değerlendirilmesidir. Gereç ve Yöntem: Çalışmaya polikliniklerimize başvuran, DSM-5 tanı kriterleri göre OKB tanısı almış, 7-18 yaş arası toplam 69 hasta dahil edilmiştir. Çalışmada sosyodemografik veri formu, Çocuklar için Yale Brown Obsesif Kompulsif Ölçeği (CY-BOCS), Çocuklar için Düşünce Eylem Kaynaşması Ölçeği kullanılmıştır. Bulgular: Çalışma grubunda en sık kirlenme obsesyonu ve yıkama/temizleme kompulsiyonu olduğu saptanmıştır. Pandemi sürecinde aile ile geçirilen sürede artış olan olgularda CY-BOCS obsesyon puanı, pandemi ile ilişkili temizlik uğraşılarında artış olanlarda CY-BOCS hem obsesyon hem kompulsiyon puanı, virüs bulaşmaması amacıyla yapılan davranışlarda artış olanlarda CY-BOCS kompulsiyon puanı istatistiksel açıdan anlamlı derecede yüksek bulunmuştur. Kız cinsiyette DEK ölçeği TAFTOTAL puanı, 12 yaş üstü olan hastalarda TAFSELF alt ölçek puanı anlamlı düzeyde yüksek saptanmıştır. Sonuç: Güncel yaklaşımlarla beraber önemi fark edilmeye başlanan DEK kavramı hakkında yapılan araştırmalar ve elde edilen bilgilerin kısıtlılığı, tedavide bu alanda uygulanabilecek ek yöntemlerin de kısıtlı kalmasına neden olmaktadır. Mevcut bilgiler ışığında DEK’in OKB’nin ortaya çıkmasında ve belirtilerinin sürdürülmesinde kritik bir önemi olduğu görülmektedir. OKB’ye ilişkin hatalı değerlendirme ve inanç alanları kronikleşmeden erken teşhis ve müdahale yoluna gidilmesinin, OKB’nin prognozunda önem taşıyacağı düşünülmektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Çimen İ, Dilli Gürkan M, Akpınar Ş, Yavuz Öztürk S, DENKTAŞ ÖZDEMİR A, ÇAKIN MEMIK N (2023). The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. , 169 - 177. 10.5505/vtd.2023.08456
Chicago	Çimen İrem Damla,Dilli Gürkan Merve,Akpınar Şeyma Nur,Yavuz Öztürk Sinem,DENKTAŞ ÖZDEMİR AYSEL,ÇAKIN MEMIK NURSU The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. (2023): 169 - 177. 10.5505/vtd.2023.08456
MLA	Çimen İrem Damla,Dilli Gürkan Merve,Akpınar Şeyma Nur,Yavuz Öztürk Sinem,DENKTAŞ ÖZDEMİR AYSEL,ÇAKIN MEMIK NURSU The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. , 2023, ss.169 - 177. 10.5505/vtd.2023.08456
AMA	Çimen İ,Dilli Gürkan M,Akpınar Ş,Yavuz Öztürk S,DENKTAŞ ÖZDEMİR A,ÇAKIN MEMIK N The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. . 2023; 169 - 177. 10.5505/vtd.2023.08456
Vancouver	Çimen İ,Dilli Gürkan M,Akpınar Ş,Yavuz Öztürk S,DENKTAŞ ÖZDEMİR A,ÇAKIN MEMIK N The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. . 2023; 169 - 177. 10.5505/vtd.2023.08456
IEEE	Çimen İ,Dilli Gürkan M,Akpınar Ş,Yavuz Öztürk S,DENKTAŞ ÖZDEMİR A,ÇAKIN MEMIK N "The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period." , ss.169 - 177, 2023. 10.5505/vtd.2023.08456
ISNAD	Çimen, İrem Damla vd. "The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period". (2023), 169-177. https://doi.org/10.5505/vtd.2023.08456

APA	Çimen İ, Dilli Gürkan M, Akpınar Ş, Yavuz Öztürk S, DENKTAŞ ÖZDEMİR A, ÇAKIN MEMIK N (2023). The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. Van Tıp Dergisi, 30(2), 169 - 177. 10.5505/vtd.2023.08456
Chicago	Çimen İrem Damla,Dilli Gürkan Merve,Akpınar Şeyma Nur,Yavuz Öztürk Sinem,DENKTAŞ ÖZDEMİR AYSEL,ÇAKIN MEMIK NURSU The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. Van Tıp Dergisi 30, no.2 (2023): 169 - 177. 10.5505/vtd.2023.08456
MLA	Çimen İrem Damla,Dilli Gürkan Merve,Akpınar Şeyma Nur,Yavuz Öztürk Sinem,DENKTAŞ ÖZDEMİR AYSEL,ÇAKIN MEMIK NURSU The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. Van Tıp Dergisi, vol.30, no.2, 2023, ss.169 - 177. 10.5505/vtd.2023.08456
AMA	Çimen İ,Dilli Gürkan M,Akpınar Ş,Yavuz Öztürk S,DENKTAŞ ÖZDEMİR A,ÇAKIN MEMIK N The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. Van Tıp Dergisi. 2023; 30(2): 169 - 177. 10.5505/vtd.2023.08456
Vancouver	Çimen İ,Dilli Gürkan M,Akpınar Ş,Yavuz Öztürk S,DENKTAŞ ÖZDEMİR A,ÇAKIN MEMIK N The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period. Van Tıp Dergisi. 2023; 30(2): 169 - 177. 10.5505/vtd.2023.08456
IEEE	Çimen İ,Dilli Gürkan M,Akpınar Ş,Yavuz Öztürk S,DENKTAŞ ÖZDEMİR A,ÇAKIN MEMIK N "The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period." Van Tıp Dergisi, 30, ss.169 - 177, 2023. 10.5505/vtd.2023.08456
ISNAD	Çimen, İrem Damla vd. "The Relationship of OCD And OCD Symptoms With The Thought Action Fusion in Children and Adolescents During The Pandemic Period". Van Tıp Dergisi 30/2 (2023), 169-177. https://doi.org/10.5505/vtd.2023.08456