Solunum Yolu Allerjik Hastalığı Olan Ergenlerin ve Ailelerinin Psikolojik Durumları

Year 2016, Volume: 17 Issue: 3, 120 - 128, 01.12.2016

Duygu Erge Pınar Uysal Hatice Aksu Sibelnur Avcil Börte Gürbüz Özgür Faruk Demir İmran Kurt Ömürlü Şahap Dede

Abstract

Amaç: Çalışmanın amacı solunum yolu allerjileri olan adölesanların ve ailelerinin psikolojik durumlarının değerlendirilmesidir.Gereç ve Yöntemler: Çocuk ve adölesan psikiyatristleri adölesanların psikiyatrik durumlarını Çocuklar için Depresyon Ölçeği (CDI) ve Çocuk ve Ergenlerde Anksiyete ve İlgili Bozukluklar için Tarama ve Değerlendirme Ölçeği (SCARED) ile değerlendirdi. Psikiyatristler ailelerin psikolojik durumlarını Hamilton Depresyon Değerlendirme Ölçeği (HAM-D) ve Hamilton Aksiyete Değerlendirme Ölçeği (HAM-A) ile değerlendirdi. Bulgular: Anksiyete semptomları hastaların 63’ünden 21’inde saptandı. CDI skorları kontrollerde hastalara göre yüksekti (p=0,03). HAM-D skorları allerjik rinit ve eşlik eden astımı olan adölesanların ailelerinde kontrollere göre yüksekti (p=0,025). Hiçbir skor astım ve allerjik rinitin ağırlığından, astım kontrol düzeyinden, son bir yıl içindeki astım atak varlığından ve akciğer fonksiyon testlerinden etkilenmedi (p>0,05). SCARED ve CDI arasında orta düzeyde (r=0,644, p<0,001), HAM-A ve HAM-D skorları arasında yüksek düzeyde pozitif korelasyon saptandı (r=0,860, p<0,001).Sonuç: Aksiyete semptomların hastaların üçte birinde görüldü. HAM-D skorları allerjik rinit ve eşlik eden astımı olan adölesanların ailelerinde kontrollere göre yüksekti

Keywords

Adolesan, allerjik rinit, anksiyete, astım, depresyon

Psychological Status of Adolescents with Respiratory Allergic Diseases and Their Caregivers

Abstract

Objective: The aim of the study was to evaluate the psychological status of adolescents with respiratory allergies and their caregivers. Materials and Methods: Child and adolescent psychiatrists evaluated the adolescents’ psychological status using the Children’s Depression Inventory (CDI) and Screen for Child Anxiety-Related Emotional Disorders (SCARED). Psychiatrist evaluated the psychological status of their caregivers using the Hamilton Depression Scale (HAM-D) and the Hamilton Anxiety Scale (HAM-A). Results: Anxiety symptoms were found in 21 of 63 patients. CDI scores were higher in controls than in patients (p=0.03). HAM-D scores were higher in the caregivers of adolescents with allergic rhinitis and comorbid asthma than in those of controls (p=0.025). None of the scores were affected by the severity of asthma and allergic rhinitis, asthma control levels, presence of an asthma attack in the preceding year as well as by pulmonary function tests (p>0.05). Moderate and strong positive correlations were found between SCARED and CDI (r=0.644, p<0.001) and HAM-A and HAM-D scores (r=0.860, p<0.001). Conclusion: Anxiety symptoms were found in one-third of the patients. HAM-D scores were higher in the caregivers of adolescents with allergic rhinitis and comorbid asthma than in those of controls.

Keywords

Adolescent, allergic rhinitis, anxiety, asthma, depression

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