An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder
Yıl: 2019 Cilt: 11 Sayı: 2 Sayfa Aralığı: 269 - 273 Metin Dili: İngilizce DOI: 10.18521/ktd.530900 İndeks Tarihi: 28-05-2020
An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder
Öz: Objective: Emotion regulation difficulties (ERD) such as anger, irritability and frustration intolerance leading to severe functional losses may be observed in attention deficithyperactivity disorder (ADHD). The purpose of this study was to compare children and adults diagnosed with ADHD and a healthy control group in terms of emotion regulation characteristics and to examine factors potentially associated with ERD. Methods: The study was performed with 72 children/adults aged 6-18 diagnosed with ADHD based on DSM-V diagnostic criteria at the Namık Kemal University Medical School of Child and Adolescent Psychiatry Polyclinic, Turkey, and 30 healthy controls. The Schedule for Affective Disorders and Schizophrenia for School-Age Children – Present and Lifetime Version (K-SADS-PL), a semi-structured interview form, was used to determine comorbidities. ERD scores (ERD=attention+anxiety/depression+aggression subscales) were determined using the Childhood Behavior Checklist (CBCL). Results: Mean ERD scores were 189.45±19.33 in the ADHD group and 164.13±9.94 in the healthy control group. A significant difference was determined in ERD scores between the two groups (p˂0.001**). When the ADHD group was evaluated in terms of clinical characteristics, comorbid psychiatric disorders were not associated with ERD, but combined type ADHD characteristics emerged as significant predictors for ERD (p=0.011*). Conclusions: The results of this research revealed significantly greater ERD in individuals diagnosed with ADHD compared to healthy controls, and that combined type ADHD is a predictor for ERD. Since ERD accompanying ADHD lead to greater function loss in the individual and are associated with persistence of the disorder in adulthood, these are important clinical characteristics also requiring evaluation during the diagnosis and treatment of ADHD.
Anahtar Kelime: Konular:
Dikkat Eksikliği Hiperaktivite Bozukluğunda Duygu Düzenleme ve İlişkili Faktörlerin İncelenmesi
Öz: Amaç: Dikkat Eksikliği Hiperaktivite Bozukluğu‘nda (DEHB) önemli fonksiyonel kayıplara neden olan öfke, irritabilite ve engellenme toleranssızlığı gibi duygu düzenleme güçlükleri (DDG) görülebilir. Bu araştırmada DEHB tanılı çocuk ve ergenler ile sağlıklı kontrol grubunu duygu düzenleme özellikleri bakımından karşılaştırmak, duygu düzenleme güçlüğü ile ilişkili olabilecek faktörleri incelemek amaçlanmıştır.Gereç ve Yöntem: Araştırma Namık Kemal Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Psikiyatri polikliniğinde DSM-V tanı kriterlerine göre DEHB tanısı konulan 6-18 yaĢ aralığında 72 çocuk-ergen ve 30 sağlıklı kontrol ile yürütülmüĢtür. Okul Çağı Çocukları için Duygulanım Bozuklukları ve şizofreni Görüşme Çizelgesi – şimdi ve Yaşam Boyu Şekli (ÇDŞG – ŞY) yarı yapılandırılmıĢ görüĢme formu kullanılarak komorbiditeler belirlenmiĢtir. Çocukluk Çağı Davranış Değerlendirme Ölçeği (ÇDDÖ) ile duygu düzenleme güçlüğü (DDG=dikkat+anksiyete/depresyon+agresyon alt ölçekleri) puanı elde edilmiĢtir. Bulgular: DEHB grubunda DDG puanı 189.45±19.33 iken, sağlıklı kontrol grubunda DDG puanı 164.13±9.94 olarak bulunmuĢtur. Ġki grup arasında DDG puanları bakımından anlamlı fark saptanmıĢtır (p˂0.001**). DEHB grubu klinik özellikler bakımından değerlendirildiğinde eĢ psikiyatrik bozuklukların DDG ile iliĢkili olmadığı, DEHB bileşik görünüm özelliklerinin ise DDG için önemli yordayıcı olduğu sonucu elde edilmiĢtir (p=0.011*). Sonuç: Bu araştırmanın sonuçları DEHB tanılı bireylerde DDG‘nün sağlıklı kontrollere göre anlamlı düzeyde fazla olduğu ve DEHB bileşik görünümün DDG için yordayıcı olduğu sonucunu ortaya koymuştur. DEHB‘ye eşlik eden duygu düzenleme güçlüğü, kişide daha fazla işlevsellik kaybına yol açtığı ve bozukluğun yetişkin yaşta devamı ile ilişkilendirildiğinden, DEHB tanı ve tedavi sürecinde ayrıca ele alınması gereken önemli klinik özelliklerdendir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | BAYKAL S, Nalbantoğlu A (2019). An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. , 269 - 273. 10.18521/ktd.530900 |
| Chicago | BAYKAL Saliha,Nalbantoğlu Ayşin An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. (2019): 269 - 273. 10.18521/ktd.530900 |
| MLA | BAYKAL Saliha,Nalbantoğlu Ayşin An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. , 2019, ss.269 - 273. 10.18521/ktd.530900 |
| AMA | BAYKAL S,Nalbantoğlu A An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. . 2019; 269 - 273. 10.18521/ktd.530900 |
| Vancouver | BAYKAL S,Nalbantoğlu A An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. . 2019; 269 - 273. 10.18521/ktd.530900 |
| IEEE | BAYKAL S,Nalbantoğlu A "An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder." , ss.269 - 273, 2019. 10.18521/ktd.530900 |
| ISNAD | BAYKAL, Saliha - Nalbantoğlu, Ayşin. "An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder". (2019), 269-273. https://doi.org/10.18521/ktd.530900 |
| APA | BAYKAL S, Nalbantoğlu A (2019). An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. KONURALP TIP DERGİSİ, 11(2), 269 - 273. 10.18521/ktd.530900 |
| Chicago | BAYKAL Saliha,Nalbantoğlu Ayşin An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. KONURALP TIP DERGİSİ 11, no.2 (2019): 269 - 273. 10.18521/ktd.530900 |
| MLA | BAYKAL Saliha,Nalbantoğlu Ayşin An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. KONURALP TIP DERGİSİ, vol.11, no.2, 2019, ss.269 - 273. 10.18521/ktd.530900 |
| AMA | BAYKAL S,Nalbantoğlu A An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. KONURALP TIP DERGİSİ. 2019; 11(2): 269 - 273. 10.18521/ktd.530900 |
| Vancouver | BAYKAL S,Nalbantoğlu A An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder. KONURALP TIP DERGİSİ. 2019; 11(2): 269 - 273. 10.18521/ktd.530900 |
| IEEE | BAYKAL S,Nalbantoğlu A "An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder." KONURALP TIP DERGİSİ, 11, ss.269 - 273, 2019. 10.18521/ktd.530900 |
| ISNAD | BAYKAL, Saliha - Nalbantoğlu, Ayşin. "An Examination of Emotion Regulation and Associated Factors in Attention Deficit-Hyperactivity Disorder". KONURALP TIP DERGİSİ 11/2 (2019), 269-273. https://doi.org/10.18521/ktd.530900 |
