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Amaç: Travma sonrası stres bozukluğu TSSB , çocuk ve ergenlerin yaşamlarını etkileyen önemli bir psikiyatrik hastalıktır. Dolayısıyla bu çalışmanın amacı, bir çocuk ve ergen psikiyatrisi bölümüne başvuran TSSB'li hastaların sosyodemografik ve tanısal özelliklerini ortaya koymaktır.Gereç ve Yöntemler: Çalışmaya katılan çocuk ve ergenlere araştırmacılar tarafından oluşturulan sosyodemografik verilerin ve yaşanılan travmatik olayla ilgili soruların olduğu bir form doldurulmuştur. Ayrıca psikiyatrik tanılar için yarı yapılandırılmış bir klinik görüşme aracı olan Okul Çağı Çocukları İçin Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi- Şimdi ve Yaşam Boyu versiyonu uygulanmıştır. Bulgular: Çalışmamıza Gaziantep Üniversitesi Tıp Fakültesi Çocuk ve Ergen Psikiyatrisi Kliniğine başvuran ve TSSB tanısı almış 40 çocuk ve ergen dahil edildi. 13ʼü %32,5 erkek, 27ʼsi %67,5 kızdı. Yaş ortalaması 14,7 ± 2,87 olarak bulundu. 9 %22,5 hastada ebeveyn kaybı mevcuttu. 13 hastada sadece TSSB %32,5 tanısı vardı. Diğer hastalarda birden fazla tanı vardı. 12 %30 hasta daha önce psikiyatri kliniğine başvurmuş olmasına rağmen, diğer 28 %70 hasta daha önce başvuru yapmamıştı. Hastaların yaşadığı travma ile uzmanlık başvurusu arasındaki ortalama süre 3,97 ± 3,4 yıldı. 24 hastada %60 yalnızca bir travmatik olay yaşanmıştı, 16 hastada %40 birden fazla travmatik olay yaşanmıştı. Cinsel istismar n=19, %47,5 hâkim travma tipiydi.Sonuç: Bu küçük örneklemli çalışma psikiyatri kliniklerine başvuran TSSBʼli çocuk ve ergenlerin tanınması açısından önem arz etmektedir. Ancak yine de daha büyük örneklem sayılarına sahip çalışmalara ihtiyaç vardır
Purpose: Post-traumatic stress disorder TSSB is a major psychiatric disease that affects the lives of children and adolescents. Therefore, the purpose of this study is to reveal the sociodemographic and diagnostic characteristics of patients with TSSB who apply to a child and adolescent psychiatric department.The purpose and methods: The children and adolescents involved in the study are filled in a form with sociodemographic data created by the researchers and questions about the traumatic event. It is also a semi-configured clinical conversation tool for psychiatric diagnoses for School Age Children's Emotional Disorders and Schizophrenia Conversation Schedule- Now and Lifelong version has been applied. Results: Our study included 40 children and adolescents who apply to the Child and Adolescent Psychiatric Clinic of the University of Gaziantep School of Medicine and received TSSB diagnosis. 13 percent were men 32.5 percent, 27 percent were women 67.5 percent. The average age was 14.7 ± 2.87. 9% of 22,5 patients experienced parental loss. In 13 patients, only 32.5 percent of patients were diagnosed with TSSB. There were more than one diagnosis in other patients. Although 12% and 30% of patients have previously applied to a psychiatric clinic, the remaining 28% and 70% have not previously applied. The average time between the trauma that patients experience and the application for specialization was 3.97 ± 3.4 years. In 24 patients, 60% had only one traumatic incident, while in 16 patients, 40% had more than one traumatic incident. Sexual abuse n = 19, 47.5 percent was a type of trauma. Result: This small sample study is of importance for the recognition of children and adolescents with TSSB who apply to psychiatric clinics. But there is still need for studies with greater amounts of samples.
Objective: Posttraumatic stress disorder PTSD is a debilitating psychiatric disorder that impacts many children and adolescents. The aim of this study was to determine the sociodemographic and diagnostic characteristics of PTSD patients presenting to a child and adolescent psychiatry clinic.Material and Methods: Children and adolescents who participated in this study were asked to fill a questionnaire about sociodemographic data and were asked questions about the traumatic event. In addition, they were evaluated with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version K-SADS , a semi-structured interview for psychiatric diagnoses.Results: Forty children and adolescents presenting to the Gaziantep University School of Medicine’s Department of Child and Adolescent Psychiatry and diagnosed with PTSD were included in the study. There were 13 32.5% boys and 27 67.5% girls. The mean age was 14.7 ± 2.87 years. Nine 22.5% patients had lost a parent. Thirteen 32.5% patients had PTSD only whereas the rest had more than one psychiatric diagnosis. Twelve 30% patients had presented to a psychiatry clinic previously and 28 70% patients had not. The mean time between trauma and admission was 3.97 ± 3.4 years. A total of 24 patients 60% had only one traumatic event while 16 patients 40% had more than one traumatic event. Sexual abuse n=19, 47.5% was the dominant trauma type. Conclusion: This study had a small sample size but it ensures better understanding of the characteristics of children and adolescents with PTSD who present to psychiatry clinics. Studies with larger sample sizes are needed.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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