Yıl: 2019 Cilt: 56 Sayı: 4 Sayfa Aralığı: 283 - 287 Metin Dili: İngilizce DOI: 10.29399/npa.23527 İndeks Tarihi: 03-09-2020

Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders

Öz:
Introduction: It was aimed to evaluate the efficacy of a day treatmentclinic in Turkey and which has been serving for ten years for children and adolescents with psychiatric disorders.Methods: 262 patients who completed day treatment within ten years were tested at intake and discharge. The patients’ functioning was assessed using the Children’s Global Assesment Scale (CGAS), Clinical Global Impression Scale (CGIS), state-trait anxiety inventory for children, depression rating scale for children, Coopersmith self-esteem inventory for children. Pre/post treatment comparisons were made on same variables.Results: Statistical analyses showed that, improvement was maintained on all measures. The high CGAS scores at discharge were showed well-being and good functioning of patients. The CGIS scores varied from moderately disturbed (4.83±0.88) to much improved (2.55±0.93) demonstratedthattreatmentresponsesshowedimprovement.Wilcoxon T tests showed that patients were significantly more anxious and depressive at intake and had more problems in self esteem. State-trait anxiety inventory for children and depression rating scale for children scores decreased and Coopersmith self-esteem inventory for children scores improved with day treatment.Conclusion: This study points that as results of ten-year experience, day treatment approach seems effective and therefore to be the treatment of choice for treating children and adolescents with psychiatric disorders. It also shows the necessity of a treatment that combines multiple modalities like day treatment and day treatment must be more generalize for these patient population.
Anahtar Kelime:

Psikiyatrik Hastalığı Olan Çocuk ve Ergen Hastalara Hizmet Veren Gündüz Kliniği’nin On Yıllık İzlem Sonuçları

Öz:
Amaç: Bu çalışmada psikiyatrik hastalığı olan çocuk ve ergenlere on yıldırhizmetverengündüzkliniğininetkinliğinindeğerlendirilmesiamaçlanmıştır.Yöntem: Yaklaşık on yıl içerisinde gündüz kliniğini tamamlayan 262 hastakliniğegiriştevetaburculuktadeğerlendirilmiştir.Hastalarınişlevselliği çocuklar için genel değerlendirme ölçeği (ÇGDÖ), klinik global izlem ölçeği (KGİ), çocuklar için durumluk - sürekli kaygı ölçeği, çocuklar için depresyon ölçeği, Coopersmith benlik saygısı ölçeği - çocuk formu ile değerlendirilmiştir. Tedavi öncesi ve sonrası değerlendirmeler benzer değişkenler üzerinden yapılmıştır.Sonuçlar: İstatistiksel analizler değerlendirilen tüm alanlarda iyileşmeler olduğunu göstermiştir. Taburculukta yüksek ÇGDÖ puanları hastaların iyilik hallerini ve iyi işlevselliklerini göstermiştir. KGİ puanları orta derecede rahatsız (4,83±0,88)’dan çok düzelmiş (2,55±0,93) maddesine değişim göstermiştir. Wilcoxon T testi sonuçları hastaların tedavi başlangıcında anlamlı olarak daha anksiyöz ve depresif olduklarını; benlik saygıları ile daha fazla sorunları olduğunu göstermiştir. Çocuklar için depresyon ölçeği ve durumluk-sürekli kaygı ölçeği puanlarında azalma saptanırken, Coopersmith benlik saygısı ölçeği puanları artış göstermiştir.Tartışma: Bu çalışma on yıllık izlemin sonuçlarına göre, gündüz kliniği yaklaşımınınetkinolduğunuvepsikiyatrikhastalığıolançocukveergenlerin tedavisi için tercih edilebileceğini göstermiştir. Ayrıca gündüz kliniği gibi kapsayıcı tedavilere ihtiyacın olduğu ve bu hasta grubu için bu tür tedavi yaklaşımlarının yaygınlaştırılması gerektiği düşünülmüştür
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Ünver H, Kara İ, ÇAKIN MEMIK N, yildiz gundogdu o, COŞKUN A (2019). Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. , 283 - 287. 10.29399/npa.23527
Chicago Ünver Hatice,Kara İhsan,ÇAKIN MEMIK NURSU,yildiz gundogdu ozlem,COŞKUN Ayşen Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. (2019): 283 - 287. 10.29399/npa.23527
MLA Ünver Hatice,Kara İhsan,ÇAKIN MEMIK NURSU,yildiz gundogdu ozlem,COŞKUN Ayşen Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. , 2019, ss.283 - 287. 10.29399/npa.23527
AMA Ünver H,Kara İ,ÇAKIN MEMIK N,yildiz gundogdu o,COŞKUN A Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. . 2019; 283 - 287. 10.29399/npa.23527
Vancouver Ünver H,Kara İ,ÇAKIN MEMIK N,yildiz gundogdu o,COŞKUN A Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. . 2019; 283 - 287. 10.29399/npa.23527
IEEE Ünver H,Kara İ,ÇAKIN MEMIK N,yildiz gundogdu o,COŞKUN A "Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders." , ss.283 - 287, 2019. 10.29399/npa.23527
ISNAD Ünver, Hatice vd. "Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders". (2019), 283-287. https://doi.org/10.29399/npa.23527
APA Ünver H, Kara İ, ÇAKIN MEMIK N, yildiz gundogdu o, COŞKUN A (2019). Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. Nöropsikiyatri Arşivi, 56(4), 283 - 287. 10.29399/npa.23527
Chicago Ünver Hatice,Kara İhsan,ÇAKIN MEMIK NURSU,yildiz gundogdu ozlem,COŞKUN Ayşen Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. Nöropsikiyatri Arşivi 56, no.4 (2019): 283 - 287. 10.29399/npa.23527
MLA Ünver Hatice,Kara İhsan,ÇAKIN MEMIK NURSU,yildiz gundogdu ozlem,COŞKUN Ayşen Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. Nöropsikiyatri Arşivi, vol.56, no.4, 2019, ss.283 - 287. 10.29399/npa.23527
AMA Ünver H,Kara İ,ÇAKIN MEMIK N,yildiz gundogdu o,COŞKUN A Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. Nöropsikiyatri Arşivi. 2019; 56(4): 283 - 287. 10.29399/npa.23527
Vancouver Ünver H,Kara İ,ÇAKIN MEMIK N,yildiz gundogdu o,COŞKUN A Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders. Nöropsikiyatri Arşivi. 2019; 56(4): 283 - 287. 10.29399/npa.23527
IEEE Ünver H,Kara İ,ÇAKIN MEMIK N,yildiz gundogdu o,COŞKUN A "Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders." Nöropsikiyatri Arşivi, 56, ss.283 - 287, 2019. 10.29399/npa.23527
ISNAD Ünver, Hatice vd. "Ten-Year Experience Outcomes of a Day Treatment for Children and Adolescents with Psychiatric Disorders". Nöropsikiyatri Arşivi 56/4 (2019), 283-287. https://doi.org/10.29399/npa.23527