Gelişimsel dil gecikmesi tanısı olan çocuklarda dil özelliklerinin teknolojik alet kullanmaları, aile işlevselliği, anne depresyonu ile ilişkisi ve sağlıklı kontrollerle karşılaştırılması
Gonca Ozyurt, Cagla Dinsever Elikucuk
Makale No: 3   Makale Türü:  Araştırma
Amaç: Çocukların duygusal, sosyal ve bilişsel gelişiminde dil ve iletişimin önemi çok büyüktür. Gelişimsel dil gecikmesi (GDG) çocukluk döneminin en sık görülen gelişimsel sorunlarından biridir. Bu çalışmada GDG tanılı çocukların dil profillerini incelemek ve kontrollerle karşılaştırmak amaçlanmıştır. Dil gelişimi ile annenin depresyonu, aile işlevselliği ve çocukların dijital alet kullanım özellikleri arasındaki ilişki de değerlendirilmiştir.

Yöntem: Yaşı 24-72 ay arasında olan ve gelişimsel dil gecikmesi olan 88 çocuk olgu grubu olarak ve gelişimsel gecikmesi veya kronik hastalığı olmayan ve diğer polikliniklere başvuran 92 çocuk kontrol grubu olarak çalışmaya alınmıştır. Dil becerilerini ölçmek için Türkçe Erken Dil Gelişim Testi, annelerin depresyon düzeyini ölçmek için Beck Depresyon Ölçeği ve aile işlevselliğini değerlendirmek için McMaster Aile Değerlendirme Ölçeği kullanılmıştır. Çocukların dijital alet kullanımına yönelik sorular araştırmacılar tarafından hazırlanmıştır.

Bulgular: Olgu ve kontrollerin sosyodemografik özellikleri farksızdır. Gruplar alıcı dil ve ifade edici dil becerileri açısından karşılaştırıldığında tüm dil becerileri açısından gruplar arasında anlamlı farklılık saptanmıştır. GDG tanısı olan çocukların annelerinin depresyon düzeyleri sağlıklı kontrollerin annelerinden daha yüksektir ve aile işlevselliğindeki güçlükler daha belirgindir. GDG tanısı olan çocukların dijital alet kullanma süreleri daha fazla ve dijital alet kullanımı esnasında ebeveyn denetimi daha azdır.

Sonuç: GDG yaşayan olguların erken müdahalesi çok önemlidir. Tedaviye annelerini dahil etmek, annelerin ruh sağlığını değerlendirmek ve dijital alet kullanımına dair bilgiler vermek GDG tanısı olan çocuklar için önemli olumlu sonuçlara yol açabilir.
Anahtar Kelimeler: Gelişimsel dil gecikmesi, dijital teknolojik alet kullanımı, aile işlevselliği, anne depresyonu
Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2017;30:299-308
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