İletişim bozukluğu tanılı çocuklarda duygusal davranışsal sorunlar, ebeveyn tutum özellikleri, ebeveyn stres düzeyi ve ilişkili faktörlerin sağlıklı kontrollerle karşılaştırılması

Year 2022, , 1154 - 1162, 30.09.2022

Barış Güller , Ferhat Yaylacı

https://doi.org/10.17826/cumj.1125720

Abstract

Amaç: Çalışmamızda iletişim bozukluğu tanılı çocuklarda duygusal, davranışsal sorunlar, ebeveyn tutum özellikleri ve ebeveynlerde kaygı, depresyon riskinin sağlıklı kontrollerle karşılaştırılması amaçlanmıştır.
Gereç ve Yöntem: Çalışmada, DSM 5 tanı kriterlerine göre yapılan psikiyatrik değerlendirmede iletişim bozukluğu tanısı konan 117 çocuk ve ebeveyni iletişim bozukluğu grubunu; çocuk psikiyatrisi dışındaki polikliniklere gelen ve iletişim bozukluğu tanısı almayan 105 çocuk ve ebeveyni ise kontrol grubunu oluşturdu. Ebeveynler tarafından Sosyodemografik Veri Formu, Çocuk Uyumu ve Anne Baba Yeterlik Ölçeği (CAPES-TR), Anne Babalık Stilleri ve Boyutları Ölçeği–Kısa Form (ASBÖ) ve Hastane Anksiyete Depresyon Ölçeği (HADÖ) dolduruldu.
Bulgular: İletişim bozukluğu grubunda çocukların %27.3’ünde psikiyatrik ek tanı saptandı; en sık tanılar Dikkat eksikliği ve hiperaktivite bozukluğu (n:17,%15.5) ve davranım bozukluğu (n:4,%3.6) idi. İletişim bozukluğu grubunda CAPES_TR çocuk uyumu toplam güçlük puanı, duygusal sorunlar ve davranışsal sorunlar puan ortalamaları daha yüksekti. İletişim bozukluğu grubunda CAPES_TR ebeveyn özyeterliği puan ortalaması daha düşüktü. İletişim bozukluğu grubunda demokratik anne babalık tutumu daha düşük, otoriter ve izin verici anne babalık tutumları daha yüksekti. HAD-D puan ortalaması iletişim bozukluğunda daha yüksekti.
Sonuç: Çalışmamız iletişim bozukluğu varlığında duygusal ve davranışsal sorunlarda artış, daha otoriter ya da izin verici ebeveynlik tutumları, ebeveyn öz yeterliğinde azalma ve ebeveynlerde depresyon riskinde artış gibi önemli bilgiler sunmakla birlikte, literatürde bu alanları birlikte ele alan çalışmalar kısıtlıdır. Bulgularımız iletişim bozukluğu varlığında sadece çocuk odaklı değil aynı zamanda ebeveyn ruh sağlığı ve ebeveynlik becerileri gibi faktörlere yönelik değerlendirme ve uygun müdahale programlarının planlanmasına yönelik literatüre katkı sağlayacaktır.

Keywords

İletişim bozukluğu, duygusal ve davranışsal sorunlar, ebeveyn öz yeterliği, ebeveyn tutumları, ebeveyn ruh sağlığı

Comparison of emotional-behavioral problems, parental attitude characteristics, parental stress level, and related factors between children diagnosed with a communication disorder and healthy controls

Abstract

Purpose: We aimed to compare emotional and behavioral problems, parental attitude characteristics, and the risk of parental anxiety and depression between children diagnosed with a communication disorder and healthy controls.
Materials and Methods: A total of 117 children diagnosed with a communication disorder in the psychiatric evaluation according to the DSM-5 diagnostic criteria and their parents were included in the communication disorder group, whereas 105 children who presented to the outpatient clinics other than child psychiatry and were not diagnosed with a communication disorder, and their parents formed the control group. Sociodemographic Data Form, Child Adjustment and Parent Efficacy Scale (CAPES-TR), The Parenting Styles and Dimensions Questionnaire-Short Form (PSDQSF), and Hospital Anxiety Depression Scale (HADS) were filled in by the parents.
Results: Psychiatric comorbidity was found in 27.3% of the children in the communication disorder group, with the most common diagnoses being Attention deficit and hyperactivity disorder (n=17, 15.5%) and Conduct disorder (n=4, 3.6%). CAPES-TR child adjustment total difficulty score and the mean scores of emotional problems and behavioral problems were higher in the communication disorder group. The mean CAPES-TR parental self-efficacy score was lower in the communication disorder group. In the communication disorder group, democratic parenting attitudes were lower , whereas authoritarian and permissive parenting attitudes were higher. HAD-D mean score was higher in the communication disorder group.
Conclusion: Our study provides essential information such as an increase in emotional and behavioral problems, more authoritarian or permissive parenting attitudes, a decrease in parental self-efficacy, an increased risk of depression in parents in the presence of communication disorder, and studies that deal with these areas together are limited in the literature. Our findings will contribute to the literature regarding the assessment and planning of appropriate intervention programs for factors that are not only child-focused but also related to parental mental health and parenting skills in the presence of communication disorders.

Keywords

emotional and behavioral problems, Communication disorder, parental self-efficacy, parental attitudes, parental mental health

References

• American Psychiatric Association. Diagnostic and statical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 2013.
• Tomblin JB, Records NL, Buckwalter P, Zhang X, Smith E, O’Brien M. Prevalence of specific language impairment in kindergarten children. Journal of Speech, Language, and Hearing Research. 1997;40(6): 1245-60.
• Campbell T, Dollaghan C, Rockette H, Paradise JL., Feldman HM, Shriberg L.D. Risk factors for speech delay of unknown origin in 3-year-old children. Child. Dev. 2003;74(2):346-57.
• Bloodstein O, Ratner BN. A handbook on stuttering. sixth edition. Clifton park, NY: Delmar Learning; 2007.
• Tomblin JB, Nippold MA. Understanding individual differences in language development across the school years. New York, NY: Psychology Press/Taylor & Francis; 2014.
• Monfrais-Pfauwadel MC, Lacombe I. Attention deficits in the scholl aged stuttering child: constituent trait or comorbidity. Rev Laryngol Otol rhinol (Bord). 2002:123(5);291-5
• Marrus N, Hall L. Intellectual disability and language disorder. Child Adolesc Psychiatr Clin N Am. 2017:26(3);539-54
• Pan BA, Rowe ML, Singer JD, Snow CE. Maternal correlates of growth in toddler vocabulary production in low-income families. Child Dev 2005; 76:763-782.
• Stein A, Malmberg LE, Sylva K, Barnes J, Leach P. The influence of maternal depression, care giving, and socioeconomic status in the post-natal year on children’s language development. Child Care Health Dev 2008; 34:603-612.
• Respler-Herman M, Mowder BA, Yasik AE, Shamah R. Parenting beliefs, parental stress, and social support relationships. J Child Fam Stud 2012; 21:190-198
• Azar ST, Weinzierl KM. Child maltreatment and childhood injury research: a cognitive behavioral approach. J Pediatr Psychol 2005; 30:598-614
• Bao L, Brownlie EB, Beitchman JH. Mental health trajectories from adolescence to adulthood: Language disorder and other childhood and adolescent risk factors. Development and Psychopathology. 2016;28(2):489-504
• Morawska A, Sanders MR. The child adjustment and parent efficacy scale (CAPES). Brisbane: Parenting and Family Support Centre. 2010.
• Robinson CC, Mandleco B, Olsen SF, Hart CH. The Parenting Styles and Dimensions Questionnaire. In J. Touliatos, B. Perlmutter (Eds.). Handbook of family measurement techniques. Thousand Oaks: Sage. 2nd ed. 2001: 319–321
• Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta. Psychiatr. Scand. 1983;67(6):361-370.
• Aydemir Ö, Güvenir T, Kuey L, Kultur, S. Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale. Türk Psikiyatri Dergisi. 1997;8(4), 280- 287.
• Johnson CJ, Taback N, Escobar M, Wilson B, Beitchman JH. Local norming of the Test of Adolescent/Adult Language-3 (TOAL-3) in the Ottawa Speech and Language Study. Journal of Speech, Language, and Hearing Research.1999; 42, 761–766.
• Carvalho Ade J, Lemos SM, Goulart LM. Language development and its relation to social behavior and family and school environments: a systematic review. Codas. 2016;28(4):470-9.
• Locke A, Gınsberg J, Peers L. Development and disadvantage: implications for the early years and beyond. International Journal of Language and Communication Disorders. 2002;37, 3–15.
• Clegg J, Hollis C, Mawhood L, Rutter M. Developmental language disorders—A follow-up in later adult life: Cognitive, language and psychosocial outcomes. Journal of Child Psychology and Psychiatry.2005; 46, 128–149.
• Howlin P, Mawhood L, Rutter M. Autism and developmental receptive language disorder—A follow-up comparison in early adult life: II. Social, behavioural, and psychiatric outcomes. Journal of Child Psychology and Psychiatry.2000; 41, 561–578.
• Beitchman JH, Wilson B, Brownlie EB, Walters H, Inglis A, Lancee W. Long-term consistency in speech/language profiles: II. Behavioral, emotional, and social outcomes. Journal of the American Academy of Child & Adolescent Psychiatry.1996; 35(6), 815-825.
• Yew SGK, O’Kearney R. Emotional and behavioural outcomes later in childhood and adolescence for children with specific language impairments: meta-analyses of controlled prospective studies. J Child Psychol Psychiatr. 2013;54:516–24.
• Cantwell DP, Baker L. Psychiatric and developmental disorders in children with communication disorders. Washington, DC: American Psychiatric Press; 1991
• Friehe MJ, Bloedow A, Hesse S. Counseling families of children with communication disorders. Communication Disorders Quarterly.2003; 24(4), 211-220.
• Lovejoy MC, Graczyk PA, O’Hare E, Neuman G. Maternal depression and parenting behavior: A metaanalytic review. Clinical Psychology Review.2000; 20:561–592.
• Muris P, Steerneman P, Merckelbach H, Meesters C. The role of parental fearfulness and m modeling in children’s fear. Behav Res Ther. 1996; 34:265-268.
• Karakoç SD, Abalı O. Annelerin çocuk yetiştirme tutumlarının okul öncesi dönem davranış sorunları ile ilişkisi. Anadolu Psikiyatri Derg. 2012;13: 67-74.
• Yaman B. Ebeveyn tutumlarının çocukların mizaç özellikleri ve duygu düzenleme becerileri üzerindeki rolü. Yüksek Lisans Tezi, Işık Üniversitesi, Sosyal Bilimler Enstitüsü, Klinik Psikoloji Bölümü, 2018.
• Coleman PK, Karraker KH. Parenting self–efficacy among mothers of school –age children:Conceptualization, measurement, and correlates. Family Relations. 2000;49(1),13 – 24.
• Kotil Ç. Okul Öncesi Eğitim Kurumuna Yeni Başlayan 5 Yaş Çocukların Sosyal- Duygusal Uyum Düzeylerine Annenin Ebeveyn Öz Yeterlik Algısı İle Okul Beklentilerine Uyum Düzeyinin Etkisi. Yayınlanmamış doktora tezi. Marmara Üniversitesi Eğitim Bilimleri Enstitüsü,2010. İstanbul
• Desjardin JL. Family Empowerment: Supporting Language Development İn Young Children Who Are Deaf Or Hard Of Hearing. The Volta Review.2006; 106 (3), 275-298
• Sanders MR, Woolley ML. The relationship between maternal self‐efficacy and parenting practices: Implications for parent training. Child: care, health and development.2005;31(1), 65-73.
• Bugental DB, Cortez V. Physiological Reactivity to Responsive and Unresponsive Children – As Modified By Perceived Control. Child Development.1988; 59, 686–693
• Arnold DS, O'Leary SG, Wolff LS, Acker MM. Acker MM. The Parenting Scale: A Measure Of Dysfunctional Parenting In Discipline Situations. Psychological Assessment.1993; 5, 137–144.
• Scheel MJ, Rieckmann T. An Empirically Derived Description Of Empowerment for Parents of Children Identified as Psychologically Disordered. The American Journal of Family Therapy.1998; 26, 15-27