Dikkat eksikliği hiperaktivite bozukluğu tanısı konulan çocukların ebeveynlerindeki kabul-red durumunu algılayışları ve psikolojik uyum düzeylerinin incelenmesi
Halime Senay Guzel, Esra Guney, Gulser Senses Dinc
Makale No: 5   Makale Türü:  Araştırma
Amaç: Bu çalışmada dikkat eksikliği hiperaktivite bozukluğu (DEHB) olan çocukların algıladıkları ebeveyn kabul-red ve psikolojik uyumlarının incelenmesi amaçlanmaktadır.

Yöntem: Çalışmaya DEHB tanısı konulan 9-12 yaş arasındaki 64 ve herhangi bir tanısı olmayan 52 çocuk ve aileleri katılmıştır. Çocuklar ilk olarak ‘Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Versiyonu’ ile değerlendirilmiştir. Veri toplama aracı olarak Ebeveyn Kabul-Red Ölçeği- Çocuk formu, Kişilik Değerlendirme Ölçeği ve araştırmacılar tarafından hazırlanan Kişisel Bilgi Formu kullanılmıştır.

Bulgular: Klinik ve normal örneklem gruplarının karşılaştırıldığı bu çalışmada, DEHB’li çocukların, tanısı olmayanlara göre anne ve babaları tarafından daha fazla reddedildiklerini algıladıkları, bunun yanı sıra daha kötü psikolojik uyuma sahip oldukları bulunmuştur. DEHB’li çocuklar annelerinden daha fazla red algılarken, normal örneklemdeki çocuklar babalarından daha az ilgi aldıklarını bildirmektedir.

Sonuç: Bu çalışma DEHB’li çocukların ebeveyn kabul-red algılarını ve psikolojik uyumlarını göstermesi açısından son derece önemlidir. Bunun yanı sıra, ebeveynin anne ya da baba olmasının, çocuğun DEHB tanısı olup olmamasına bağlı olarak, kabul-red algısını etkilediği görülmüştür. Kabul-red ile ilgili olarak elde edilen bu bulgular, DEHB aile eğitimlerinde kullanılabilecek yararlı ipuçları sunmasının yanı sıra bu çocukların psikolojik uyumlarını geliştirmek için yapılacak çalışmalar için de yararlı olacaktır.
Anahtar Kelimeler: Dikkat eksikliği hiperaktivite bozukluğu, ebeveyn kabul-red, psikolojik uyum
Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2018;31:50-60
KAYNAKLAR
1.Goldman LS, Genel M, Bezman RJ, Slanetz PJ. Diagnosis and treatment of attention-deficit hyperactivity disorder in children and adolescents. Council on Scientific Affairs, American Medical Association. JAMA 1998; 279:1100-1107.

2.Millichap JG. Attention Deficit Hyperactivity Disorder Handbook: A Physician’s Guide to ADHD. Second ed. Chicago, Illinois: Springerlink, 2010; 31-38.

3.Nigg JT, Barkley RA. Attention-deficit hyperactivity disorder: In Mash EJ, Barkley RA (editors). Child Psychopathology. Third ed. New York: The Guildford Press, 2014; 75-145.

4.Barkley RA. Attention-deficit hyperactivity disorder:a hand-book for diagnosis and treatment. Fourth ed. London: The Guildford Press, 2015; 51-81.

5.Deault LC. A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit hyperactivity disorder (ADHD).Child Psychiatry Hum Dev 2010; 41:168-192.

6.Thapar A, O’Donovan M, Owen M. The genetics of attention deficit hyperactivity disorder. Hum Mol Genet 2005; 14:R275-R282.

7.Johnson C, Mash EJ. Families of children with attention-deficit hyperactivity disorder: review and recommendations for future research. Clin Child Fam Psychol Rev 2001; 4:183-207.

8.Thapar A, van den Bree M, Fowler T, Langley K, Whittinger N. Predictors of antisocial behaviour in children with attention deficit hyperactivity disorder. Eur Child Adolesc Psychiatry 2006; 15:118-125.

9.Barkley RA, Fischer M, Edelbrock C, Smallish L. The adolescent outcome of hyperactive children diagnosed by research criteria-III. Mother-child interactions, family conflicts and maternal psychopathology. J Child Psychol Psychiatry 1991; 32:233-255.

10.Lange G, Sheerin D, Carr A, Dooley B, Barton V, Marshall D, Mulligan A, Lawlor M, Belton M, Doyle M. Family factors associated with attention deficit hyperactivity disorder and emotional disorders in children. J Fam Ther 2005; 27:76-96.

11.Cussen A, Sciberras E, Ukoumunne OC, Efron D. Relationship between symptoms of attention-deficit hyperactivity disorder and family functioning: a community-basedstudy. Eur J Pediatr 2012; 171:271-280.

12.Moriyama TS, Cho AJM, Verin RE, Fuentes J, Polanczyk GW. Attention deficit hyperactivity disorder. In Rey JM, Zepf FD (editors). IACAPAP Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions, 2012; 1-23.

13.Rohner RP, Khaleque A, Cournayer DE. Introduction to parental acceptance-rejection theory, methods, evidence, and implications. http://csiar.uconn.edu/wp-content/uploads/sites/494/2014/02/INTRODUCTION-TO-PARENTAL-ACCEPTANCE-3-27-12.pdf. Accessed May, 2017.

14.Rohner RP, Chaki-Sircar M. Woman and Children In a Bengali Willage. Hannover and London: University Press of New England, 1988; 125-130.

15.Hortacsu N. Human Relationship. Ankara: Imge Bookstore, 1997; 69-78. (Turkish)

16.Wolchilk SA, Wilcox KL, Tein JY, Sandler IN. Maternal acceptance and consistency of discipline as buffers of divorce stressors on children’s psychological adjustment problems. J Abnorm Child Psychol 2000; 28:87-102.

17.Lila M, Garcia F, Gracia E. Perceived paternal and maternal acceptance and children’s outcomes in Colombia. Soc Behav Pers 2007; 35:115-124.

18.Khaleque A, Rohner RP. Perceived parental acceptance-rejection and psychological adjustment: a meta-analysis of cross-cultural and intracultural studies. J Marriage Fam 2002; 64:54-64.

19.Khaleque A. Perceived parental warmth, and children’s psychological adjustment, and personality dispositions: a meta-analysis. J Child Fam Stud 2013; 22:297-306.

20.Cohen P, Brook JS. The reciprocal influence of punishment and child behavior disorder. In McCord J (editor). Coercion and punishment in long-term perspectives. New York: Cambridge University Press, 1995; 154-164.

21.Rohner RP, Britner PA. Worlwide mental health correlates of parental acceptance-rejection: review of cross-cultural and intracultural evidence. Cross-Cult Res 2002; 36:6-47.

22.Gershoff ET. Corporal punishment by parents and associated child behaviors and experience: a meta-analytic and theoretical review. Psychol Bull 2002; 128:539-579.

23.Scanlon NM, Epkins CC. Aspects of mothers’ parenting: independent and specific relations to children’s depression, anxiety, and social anxiety symptoms. J Child Fam Stud 2015; 24:249-263.

24.Festen H, Hartman CA, Hogendoorn S, de Haan E, Pier P, Reichart CG, Moorlag H, Nauta MH. Temperament and parenting predicting anxiety change in cognitive behavioral therapy: the role of mothers, fathers, and children. J Anxiety Disord 2013; 27:289-297.

25.Gere MK, Villabo MA, Torgersen S, Kendall PC. Overprotective parenting and child anxiety: the role of cooccurring child behavior problems. J Anxiety Disord 2012; 26:642-649.

26.Rohner RP. The parental “acceptance-rejection syndrome”: universal correlates of percieved rejection. Am Psychol 2004; 59:827-840.

27.Khaleque A. Perceived parental hostility and aggression, and children’s psychological maladjustment, and negative personality dispositions: a meta-analysis. J Child Fam Stud 2017; 26:977-988.

28.Khaleque A. Perceived parental neglect, and children’s psychological maladjustment, and negative personality dispositions: a meta-analysis of multi-cultural studies. J Child Fam Stud 2015; 24:1419-1428.

29.Buhrmester D, Camparo L, Christensen A, Gonzalez LS, Hinshaw SP. Mothers and fathers interacting in dyads and triads with normal and hyperactive sons. Dev Psychol 1992; 28:500-509.

30.Lifford KJ, Harold GT, Thapar A. Parent-child relationships and ADHD symptom: a longitudinal analysis. J Abnorm Child Psychol 2008; 36:285-296.

31.Chronis AM, Chacko A, Fabiano GA, Wymbs BT, Pelham WE Jr. Enhancements to the behavioral parent training paradigm for families of children with ADHD: review and future directions. Clin Child Fam Psychol Rev 2004; 7:1-27.

32.McLaughlin DP, Harrison CA. Parenting practices of mothers of children with ADHD: the role of maternal and child factors. Child Adolesc Ment Health 2006; 11:82-88.

33.Gau SS. Parental and family factors for attention-deficit hyperactivity disorder in Taiwanese children. Aust N Z J Psychiatry 2007; 41:688-696.

34.Woodward L, Taylor E, Dowdney L. The parenting and family functioning of children with hyperactivity. J Child Psychol Psychiatry 1998; 39:161-169.

35.Lewis C, Lamb ME. Fathers’s infulences on children’s development: the evidence from two-parent families. European Journal of Psychology of Education 2003; 18:211-228.

36.Volling BL, Belsky J. The contribution of mother-child and father-child relationships to the quality of sibling interaction: a longitudinal study. Child Dev 1992; 63:1209-1222.

37.Rohner RP, Veneziano RA. The importance of father love: history and contemporary evidence. Rev Gen Psychol 2001; 5:382-405.

38.Edwards G, Barkley RA, Laneri M, Fletcher K, Metevia L. Parent-adolescent conflict in teenagers with ADHD and ODD. J Abnorm Child Psychol 2001; 29:557-572.

39.Gadeyne E, Ghesquiere P, Onghena P. Longitudinal relations between parenting and child adjustment in young children. J Clin Child Adolesc Psychol 2004; 33:347-358.

40.Ongider N. The comparison of parental acceptance-rejection and psychological adjustment of children in divorced and married families. Turkish Journal of Clinical Psychiatry 2013; 16:164-174. (Turkish)

41.Sut N. Sample size determination and power analysis in clinical trials. RAED Journal 2011; 3:29-33. (Turkish)

42.Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, Williamson D, Ryan N. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997; 36:980-988.

43.Gokler B, Unal F, Pehlivanturk B, Cengel-Kultur E, Akdemir D, Taner Y. Reliability and validity of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T). Turkish Journal of Child and Adolescent Mental Health 2004; 11:109-116. (Turkish)

44.Rohner RP. Parental Acceptance-Rejection Questionnaire (PARQ): test manual. Rohner RP, Khaleque A (editors). Handbook for the study of parental acceptance and rejection. Fourth ed., Storrs, CT: Rohner Research Publications, 2005a; 43-106.

45.Anjel M. The Transliteral Equivalence, Reliability and Validity Studies of the Parental Acceptance- Rejection Questionnaire (PARQ), Mother Form. A Tool for Assessing Child Abuse. Unpublished Master Thesis, Istanbul, Bogazici University, 1993.

46.Sireli O, Soykan AA. Examination of relation between parental acceptance-rejection and family functioning with severity of depression in adolescents with depression. Anatolian Journal of Psychiatry 2016; 17:403-410. (Turkish)

47.Rohner RP, Khaleque A. Personality Assessment Questionnaire (PAQ): Test manual. In Rohner RP, Khaleque A (editors). Handbook for the study of parental acceptance and rejection. Fourth ed. Storrs, CT: Rohner Research Publications, 2005b; 187-226.

48.Ertugrul G, Toros F. Correlation between perceived parenting style children and adolescents with ADHD and marital adjustment of their parents. New Symposium 2010; 48:172-183. (Turkish)

49.Cop E, Cengel-Kultur, SE, Senses-Dinc G. Association between parenting styles and symptoms of attention deficit hyperactivity disorder. Turk Psikiyatri Derg 2017; 28:25-32. (Turkish)

50.Hortacsu N, Oral A, Yasak-Gultekin Y. Factors affecting relationships of Turkish adolescents with parents and same-sex friends. J Soc Psychol 1991; 131:413-426.
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