Otizm spektrum bozukluðu tanýsýna sahip
çocuklarýn ebeveynlerinde zihin kuramý ve
iliþkili faktörler

Yilmaz, Semra; KARA, Tayfun

doi:10.5505/kpd.2018.83007

Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler

Tayfun KARA, (Alanya Alaaddin Keykubat Üniversitesi, Tip Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalığı Anabilim Dalı, Antalya)

Semra YILMAZ (Sağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları, istanbul)

Klinik Psikiyatri Dergisi

7 1

Yıl: 2019 Cilt: 22 Sayı: 2 Sayfa Aralığı: 139 - 147 Metin Dili: Türkçe DOI: 10.5505/kpd.2018.83007 İndeks Tarihi: 23-06-2022

Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler

Öz:

Otizm Spektrum Bozukluðu (OSB) temellerini oluþturan bozulmalar zihin kuramý (ZK) ile açýklanmaktadýr. Çalýþmamýzda OSB’li bireylerin ebeveynlerinde ZK ile iliþkili olabilecek sosyodemografik özellikler ve psiki-yatrik bozukluklarý cinsiyet farklýlýðý baðlamýnda incelemeyi amaçladık. Yöntem: Çalýþma OSB tanýlý çocuða sahip 84 aile (anne, baba ve OSB tanýlý çocuk – 252 katýlýmcý) ile yapýldý. Ebeveynlerin zihin kuramý deðerlendirilmesi için Gözlerden Zihin Okuma Testi (Gözler Testi) uygulandý. Ebeveynler ayrýca, Sosyodemografik Bilgi Formu, Toronto Aleksitimi Ölçeði (TAÖ), Beck Depresyon Ölçeði (BDÖ) ve Beck Anksiyete Ölçeði (BAÖ) ile deðerlendirildi. Çocuklarýn otizm þiddetini deðerlendirmek için Çocukluk Otizmi Derecelendirme Ölçeði (ÇODÖ) uygulandý. Elde edilen veriler istatistiksel olarak karþýlaþtýrýldý. Bulgular: Ebeveynlerin Gözler Testi, BAÖ, TAÖ skorlarý açýsýndan aralarýnda anlamlý fark olmadýðý görüldü. Annelerin BDÖ skorunun babalardan anlamlý olarak daha yüksek olduðu görüldü (p=0.009). OSB þiddeti hafif olan ve komorbid hastalýðý olmayan çocuklarýn ebeveynlerinde Gözler Testi skorunun daha yüksek olduðu saptandý. Çocuðun ÇODÖ skoru ile ebeveynlerin Gözler Testi skoru arasýnda negatif yönlü (r=-0,528 p=<0.0001/r=-0,473 p=<0.0001) anlamlý iliþki olduðu saptandý. Ebeveynlerin TAÖ skoru ile Gözler Testi skorlarý arasýnda negatif yönlü korelasyon olduðu saptandý (r=-0,303 p=0,005/r=-0,327 p=0,002). Sonuç: Çocuklarda OSB þiddeti arttýkça ebeveynlerde ZK’ya dair bozukluðun arttýðý görüldü ancak cinsiyetler arasýnda farklýlaþma saptanmadý. OSB semptomlarý þiddetli olan çocuklarýn ebeveynlerine dair daha geniþ kapsamlý ZK çalýþmalarýna ihtiyaç olduðu kanaatindeyiz.

Anahtar Kelime:

Theory of mind and related factors in parents of children diagnosed with autism spectrum disorders

Öz:

Objective: Impairments constituting the basis of Autism Spectrum Disorder (ASD) are explained in terms of theory-of-mind (ToM). Our study aimed to investigate psychiatric disorders and sociodemographic characteristics potentially associated with ToM in the parents of children with ASD in the context of gender variation. Method: The study involved 84 families with a child diagnosed with ASD (mother, father and child with ASD - 252 participants). The Reading the Mind in the Eye Test (RMET) was applied to evaluate parental ToM. Parents were also assessed using a Sociodemographic Information Form, the Toronto Alexithymia Scale (TAS), the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The Childhood Autism Rating Scale (CARS) was applied to assess severity of autism in children. The data obtained were subjected to statistical comparisons. Results:No statistically significant difference was determined between parents’ RMET, BAI, or TAS scores. Mothers’ BDI scores were significantly higher than those of fathers (p=0.009). Higher RMET scores were determined in pa-rents of children with mild ASD and no accompanying disease. Significant negative correlation was determined between children’s CARS scores and parental RMET scores (r=-0.528 p=<0.0001/r=- 0.473 p=<0.0001). Negative correlation was determined between parental TAS and RMET scores (r=-0.303 p=0.005/r=-0.327 p=0.002). Discussion: ToM disturbance in parents increased with severity of ASD in children, although no gender diffe-rence was determined. Further ToM studies involving parents of children with severe ASD are needed.

Anahtar Kelime:

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

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APA	KARA T, Yilmaz S (2019). Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. , 139 - 147. 10.5505/kpd.2018.83007
Chicago	KARA Tayfun,Yilmaz Semra Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. (2019): 139 - 147. 10.5505/kpd.2018.83007
MLA	KARA Tayfun,Yilmaz Semra Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. , 2019, ss.139 - 147. 10.5505/kpd.2018.83007
AMA	KARA T,Yilmaz S Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. . 2019; 139 - 147. 10.5505/kpd.2018.83007
Vancouver	KARA T,Yilmaz S Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. . 2019; 139 - 147. 10.5505/kpd.2018.83007
IEEE	KARA T,Yilmaz S "Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler." , ss.139 - 147, 2019. 10.5505/kpd.2018.83007
ISNAD	KARA, Tayfun - Yilmaz, Semra. "Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler". (2019), 139-147. https://doi.org/10.5505/kpd.2018.83007

APA	KARA T, Yilmaz S (2019). Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. Klinik Psikiyatri Dergisi, 22(2), 139 - 147. 10.5505/kpd.2018.83007
Chicago	KARA Tayfun,Yilmaz Semra Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. Klinik Psikiyatri Dergisi 22, no.2 (2019): 139 - 147. 10.5505/kpd.2018.83007
MLA	KARA Tayfun,Yilmaz Semra Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. Klinik Psikiyatri Dergisi, vol.22, no.2, 2019, ss.139 - 147. 10.5505/kpd.2018.83007
AMA	KARA T,Yilmaz S Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. Klinik Psikiyatri Dergisi. 2019; 22(2): 139 - 147. 10.5505/kpd.2018.83007
Vancouver	KARA T,Yilmaz S Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler. Klinik Psikiyatri Dergisi. 2019; 22(2): 139 - 147. 10.5505/kpd.2018.83007
IEEE	KARA T,Yilmaz S "Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler." Klinik Psikiyatri Dergisi, 22, ss.139 - 147, 2019. 10.5505/kpd.2018.83007
ISNAD	KARA, Tayfun - Yilmaz, Semra. "Otizm spektrum bozukluðu tanýsýna sahip çocuklarýn ebeveynlerinde zihin kuramý ve iliþkili faktörler". Klinik Psikiyatri Dergisi 22/2 (2019), 139-147. https://doi.org/10.5505/kpd.2018.83007