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Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri

Yıl 2025, Cilt: 7 Sayı: 2, 636 - 647, 07.08.2025
https://doi.org/10.46413/boneyusbad.1521035

Öz

Kaygı bozukluğu, okul öncesi çağdaki çocuklar da dahil olmak üzere çocukluk çağında en sık görülen ruhsal bozukluklar arasında ilk sırada olup tahmini yaygınlık oranı %10 ila 20 aralığındadır. Çocukluk çağı kaygı bozuklukları akademik performans, aile ve akran ilişkileri ve sosyal işlevselliklerde bozulma gibi pek çok alanda olumsuz etkilemekte ve yaşam kalitesini azaltmaktadır. Bilişsel davranışçı terapi, çocukluk çağı kaygı bozuklukları için etkili bir tedavi yöntemidir ancak kaygı bozukluğu olan çocukların yalnızca küçük bir kısmı bu kanıta dayalı tedaviye erişebilmektedir. BDT’nin bireysel olarak veya gruplar halinde ve değişen düzeylerde ebeveyn veya aile katılımıyla uygulanabilen işbirlikçi bir psikolojik tedavi olduğu düşünüldüğünde, çocukluk çağı kaygı bozukluklarının yönetiminde, çocukların mevcut durumları ve potansiyelleri de göz önünde bulundurularak BDT’nin çeşitli formatlarda uygulama yöntemleri geliştirilmiştir. Bu çalışmada literatür doğrultusunda çocukluk çağı kaygı bozukluğu tedavisinde etkili olduğu kanıtlanmış olan bilişsel davranışçı müdahaleler ve kaygı üzerine etkileri incelenmiştir.

Kaynakça

  • Alemdar, H., Karaca, A., Konuk Şener, D., Halmatov, S. (2023). The Impact of Cognitive-Behavioral Play Therapy on Children’s Anxiety Levels: A Systematic Review. Balıkesır Health Sciences Journal. doi:10.53424/balikesirsbd.1349116
  • Ançel, G. (2015). Türkiye’de Çocuk-Ergen Ruh Sağlığı: Epidemiyoloji, Hizmet Sunumu ve Hemşirelik. Türkiye Klinikleri Psikiyatri Hemşireliği - Özel Konular, 1(2), 8-14.
  • Arendt, K., Thastum, M., Hougaard, E. (2016). Efficacy of a Danish version of the Cool Kids program: A randomized wait-list controlled trial. Acta Psychiatrica Scandinavica, 133(2), 109-121. doi:10.1111/acps.12448
  • Arıkan, A. (2020). Bilişsel Davranışçı Terapi Temelli Önleyici Müdahale Programları. (Z. Hamamcı ve F. Türk). Geçmişten Geleceği Bilişsel Davranışçı Terapi. İstanbul, Türkiye: Pegem Akademik Yayıncılık, 245-261.
  • Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, …WHO WMH-ICS Collaborators. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623-638. doi:10.1037/abn0000362
  • Ayhan, C. H., Uluman, Ö., Buzlu, S. (2022). Nurses: The Important Power for Protecting and Developing of Children’s and Adolescents’ Mental Health. Journal of Academic Research in Nursing, 8(2), 87-96. doi:10.55646/jaren.2022.08769
  • Beck, J. S. (2011). Bilişsel Davranışçı Terapi Temelleri ve Ötesi. (M. Şahin, Çev.) New York: The Guildforn Press.
  • Beck, A. T., & Dozois, D. J. A. (2011). Cognitive Therapy: Current Status and Future Directions. Annual Review of Medicine, 62, 397–409.
  • Becker-Blease, K. A., Turner, H. A., Finkelhor, D. (2010). Disasters, victimization, and children’s mental. Child Development, 81(4), 1040-1052.
  • Behere, A. P., Basnet P., Campbel, P. (2017). Effects of family structure on mental health of children: a preliminary study. Indian Journal of Psychological Medicine, 39(4), 457–463.
  • Bayer, J. K., Rapee, R. M., Hiscock, H., Ukoumunne, O. C., Mihalopoulos, C., Wake, M. (2011). Translational research to prevent internalizing problems early in childhood. Depression and Anxiety, 28(1), 50-57. doi:10.1002/da.20743
  • Beesdo, K., Pine, D. S., Lieb, R., Wittchen, H.-U. (2010). Incidence and risk patterns of anxiety and depressive disorders and categorization of generalized anxiety disorder. Archives of General Psychiatry, 67(1), 47-57. doi:10.1001/archgenpsychiatry.2009.177
  • Cartwright-Hatton, S., Roberts, C., Chitsabesan, P., Fothergill, C., Harrington, R. (2004). Systematic review of the efficacy of cognitive behaviour therapies for childhood and adolescent anxiety disorders. British Journal of Clinical Psychology, 43(4), 421-436. doi:10.1348/0144665042388928
  • Celik, G. (2017). Bilişsel Davranışçı Terapi Cognitive Behavior Therapy Turkiye Klinikleri J Child Psychiatry-Special Topics 2017;3(2):115-20. Turkiye Klinikleri J Child Psychiatry-Special Topics 2017;3(2):115-20.
  • Chen, T., Ou, J., Li, G., Luo, H. (2024). Promoting mental health in children and adolescents through digital technology: A systematic review and meta-analysis. Frontiers in Psychology, 15. doi:10.3389/fpsyg.2024.1356554
  • Chiu, A., Falk, A., Walkup, J. T. (2016). Anxiety Disorders Among Children and Adolescents. FOCUS, 14(1), 26-33. doi:10.1176/appi.focus.20150029
  • Costello, E. J., Egger, H. L., Angold, A. (2004). Developmental Epidemiology of Anxiety Disorders. İçinde Phobic and anxiety disorders in children and adolescents: A clinician’s guide to effective psychosocial and pharmacological interventions (ss. 61-91). Oxford University Press. doi:10.1093/med:psych/9780195135947.003.0003
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Childhood Anxiety Disorders and Cognitive ve Behavioral Therapy Interventions

Yıl 2025, Cilt: 7 Sayı: 2, 636 - 647, 07.08.2025
https://doi.org/10.46413/boneyusbad.1521035

Öz

Anxiety disorder is one of the most common mental disorders in childhood, including preschool children, with an estimated prevalence rate of 10 to 20%. Anxiety disorders reduce the child's quality of life by causing negative effects in many areas such as academic performance, family and peer relationships, and impairment in social functioning. The most commonly used treatment approach for childhood anxiety disorders is Cognitive Behavioral Therapy (CBT). Cognitive behavioral therapy is an effective treatment for childhood anxiety disorders, but only a small proportion of children with anxiety disorders have access to this evidence-based treatment. Considering that CBT is a collaborative psychological treatment that can be applied individually or in groups and with varying levels of parent or family involvement, application methods of CBT in various formats have been developed in the management of childhood anxiety disorders, taking into account children's current situations and potentials. In this study, cognitive behavioral interventions that have been proven to be effective in the treatment of childhood anxiety disorder and their effects on anxiety were examined in line with the literature.

Kaynakça

  • Alemdar, H., Karaca, A., Konuk Şener, D., Halmatov, S. (2023). The Impact of Cognitive-Behavioral Play Therapy on Children’s Anxiety Levels: A Systematic Review. Balıkesır Health Sciences Journal. doi:10.53424/balikesirsbd.1349116
  • Ançel, G. (2015). Türkiye’de Çocuk-Ergen Ruh Sağlığı: Epidemiyoloji, Hizmet Sunumu ve Hemşirelik. Türkiye Klinikleri Psikiyatri Hemşireliği - Özel Konular, 1(2), 8-14.
  • Arendt, K., Thastum, M., Hougaard, E. (2016). Efficacy of a Danish version of the Cool Kids program: A randomized wait-list controlled trial. Acta Psychiatrica Scandinavica, 133(2), 109-121. doi:10.1111/acps.12448
  • Arıkan, A. (2020). Bilişsel Davranışçı Terapi Temelli Önleyici Müdahale Programları. (Z. Hamamcı ve F. Türk). Geçmişten Geleceği Bilişsel Davranışçı Terapi. İstanbul, Türkiye: Pegem Akademik Yayıncılık, 245-261.
  • Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, …WHO WMH-ICS Collaborators. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623-638. doi:10.1037/abn0000362
  • Ayhan, C. H., Uluman, Ö., Buzlu, S. (2022). Nurses: The Important Power for Protecting and Developing of Children’s and Adolescents’ Mental Health. Journal of Academic Research in Nursing, 8(2), 87-96. doi:10.55646/jaren.2022.08769
  • Beck, J. S. (2011). Bilişsel Davranışçı Terapi Temelleri ve Ötesi. (M. Şahin, Çev.) New York: The Guildforn Press.
  • Beck, A. T., & Dozois, D. J. A. (2011). Cognitive Therapy: Current Status and Future Directions. Annual Review of Medicine, 62, 397–409.
  • Becker-Blease, K. A., Turner, H. A., Finkelhor, D. (2010). Disasters, victimization, and children’s mental. Child Development, 81(4), 1040-1052.
  • Behere, A. P., Basnet P., Campbel, P. (2017). Effects of family structure on mental health of children: a preliminary study. Indian Journal of Psychological Medicine, 39(4), 457–463.
  • Bayer, J. K., Rapee, R. M., Hiscock, H., Ukoumunne, O. C., Mihalopoulos, C., Wake, M. (2011). Translational research to prevent internalizing problems early in childhood. Depression and Anxiety, 28(1), 50-57. doi:10.1002/da.20743
  • Beesdo, K., Pine, D. S., Lieb, R., Wittchen, H.-U. (2010). Incidence and risk patterns of anxiety and depressive disorders and categorization of generalized anxiety disorder. Archives of General Psychiatry, 67(1), 47-57. doi:10.1001/archgenpsychiatry.2009.177
  • Cartwright-Hatton, S., Roberts, C., Chitsabesan, P., Fothergill, C., Harrington, R. (2004). Systematic review of the efficacy of cognitive behaviour therapies for childhood and adolescent anxiety disorders. British Journal of Clinical Psychology, 43(4), 421-436. doi:10.1348/0144665042388928
  • Celik, G. (2017). Bilişsel Davranışçı Terapi Cognitive Behavior Therapy Turkiye Klinikleri J Child Psychiatry-Special Topics 2017;3(2):115-20. Turkiye Klinikleri J Child Psychiatry-Special Topics 2017;3(2):115-20.
  • Chen, T., Ou, J., Li, G., Luo, H. (2024). Promoting mental health in children and adolescents through digital technology: A systematic review and meta-analysis. Frontiers in Psychology, 15. doi:10.3389/fpsyg.2024.1356554
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  • Costello, E. J., Egger, H. L., Angold, A. (2004). Developmental Epidemiology of Anxiety Disorders. İçinde Phobic and anxiety disorders in children and adolescents: A clinician’s guide to effective psychosocial and pharmacological interventions (ss. 61-91). Oxford University Press. doi:10.1093/med:psych/9780195135947.003.0003
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  • Howes Vallis, E., Zwicker, A., Uher, R., Pavlova, B. (2020). Cognitive-behavioural interventions for prevention and treatment of anxiety in young children: A systematic review and meta-analysis. Clinical Psychology Review, 81, 101904. doi:10.1016/j.cpr.2020.101904
  • Hudson, J.L., Rapee, R. M., Lyneham, H. J., McLellan, L. F., Wuthrich, V. M. Schniering, C. A. (2015). Comparing outcomes for children with different anxiety disorders following cognitive behavioural therapy. Behav Res Ther, 72, 30-37.
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  • James, A. C., Reardon, T., Soler, A., James, G., Creswell, C. (2020). Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database of Systematic Reviews, 2020(11).doi:10.1002/14651858.CD013162.pub2
  • Jones, E. A. K., Mitra, A. K., Bhuiyan, A. R. (2021). Impact of COVID-19 on Mental Health in Adolescents: A Systematic Review. International Journal of Environmental Research and Public Health, 18(5), Article 5. doi:10.3390/ijerph18052470
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  • Karakaya, E., Öztop, D. B. (2013). Kaygı Bozukluğu Olan Çocuk ve Ergenlerde Bilişsel Davranışçı Terapi. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 2(1).
  • Kato, S., Shimizu, E. (2017). A pilot study on the effectiveness of a school-based cognitive-behavioral anxiety intervention for 8- and 9-year-old children: A controlled trial in Japan. Mental Health & Prevention, 8, 32-38. doi:10.1016/j.mhp.2017.10.001
  • Kemp, G. N., Langer, D. A., Tompson, M. C. (2016). Childhood Mental Health: An Ecological Analysis of the Effects of Neighborhood Characteristics. Journal of Community Psychology, 44(8), 962-979. doi:10.1002/jcop.21821
  • Khanna, M. S., Kendall, P. C. (2010). Computer-assisted cognitive behavioral therapy for child anxiety: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 78(5), 737-745. doi:10.1037/a0019739
  • Knell S. M. , S., Dasari , M. (2006). Short-term Play Therapy for Children. H. G. Schaefe içinde, Cognitive-behavioral play therapy for children with anxiety and phobias. (s. 22-50). New York: The Guilford Press.
  • Knell, S. M. (2021). Bilişsel Davranışçı Oyun Terapisi. (Z. Traş, Çev.) İstanbul: Yeni Kapı Yayınlar.
  • Lockwood, J., Williams, L., Martin, J. L., Rathee, M., Hill, C. (2022). Effectiveness, User Engagement and Experience, and Safety of a Mobile App (Lumi Nova) Delivering Exposure-Based Cognitive Behavioral Therapy Strategies to Manage Anxiety in Children via Immersive Gaming Technology: Preliminary Evaluation Study. JMIR Mental Health, 9(1), e29008. doi:10.2196/29008
  • Manassis, K., Wilansky-Traynor, P., Farzan, N., Kleiman, V., Parker, K., Sanford, M. (2010). The feelings club: Randomized controlled evaluation of school-based CBT for anxious or depressive symptoms. Depression and Anxiety, 27(10), 945-952. doi:10.1002/da.20724
  • McCashin, D., Coyle, D., O’Reilly, G. (2021). Pesky gNATs for children experiencing low mood and anxiety – A pragmatic randomised controlled trial of technology-assisted CBT in primary care. Internet Interventions, 27, 100489.doi:10.1016/j.invent.2021.100489
  • Mental Health ATLAS. (2017). Erişim tarihi: 13.05.2024, https://www.who.int/publications-detail-redirect/9789241514019
  • Merikangas, K. R., He, J., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., Georgiades, K., …Olfson, M. (2011). Service utilization for lifetime mental disorders in U.S. adolescents: Results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 50(1), 32-45. doi:10.1016/j.jaac.2010.10.006
  • Mheen, M. van der, Legerstee, J. S., Dieleman, G. C., Hillegers, M. H. J., Utens, E. M. W. J. (2020). Cognitive Behavioural Therapy for Anxiety Disorders in Young Children: A Dutch Open Trial of the Fun FRIENDS Program. Behaviour Change, 37(1), 1-12. doi:10.1017/bec.2019.16
  • Mian, N. D. (2014). Little Children with Big Worries: Addressing the Needs of Young, Anxious Children and the Problem of Parent Engagement. Clinical Child and Family Psychology Review, 17(1), 85-96. doi:10.1007/s10567-013-0152-0
  • Mifsud, C., Rapee, R. M. (2005). Early intervention for childhood anxiety in a school setting: Outcomes for an economically disadvantaged population. Journal of the American Academy of Child and Adolescent Psychiatry, 44(10), 996-1004. doi:10.1097/01.chi.0000173294.13441.87
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  • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 56(3), 345-365. doi:10.1111/jcpp.12381
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  • Ruocco, S., Gordon, J., McLean, L. A. (2016). Effectiveness of a school-based early intervention CBT group programme for children with anxiety aged 5–7 years. Advances in School Mental Health Promotion, 9(1), 29-49.doi:10.1080/1754730X.2015.1110495
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  • Sevi Tok, E. S., Arkar, H., Bildik, T. (2016). [The Effectiveness of Cognitive Behavioral Therapy, Medication, or Combined Treatment For Child Hood Anxiety Disorders]. Turk Psikiyatri Dergisi = Turkish Journal of Psychiatry, 27(2), 0.
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  • Younger, D. S. (2017). Epidemiology of Childhood Mental Illness: A Review of U.S. Surveillance Data and the Literature. World Journal of Neuroscience, 07(01), 48-54. doi:10.4236/wjns.2017.71005
Toplam 73 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ruh Sağlığı Hemşireliği
Bölüm DERLEME MAKALE
Yazarlar

Hacer Alemdar 0000-0001-8599-3213

Aysel Karaca 0000-0003-4507-0726

Erken Görünüm Tarihi 6 Ağustos 2025
Yayımlanma Tarihi 7 Ağustos 2025
Gönderilme Tarihi 24 Temmuz 2024
Kabul Tarihi 24 Şubat 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 2

Kaynak Göster

APA Alemdar, H., & Karaca, A. (2025). Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, 7(2), 636-647. https://doi.org/10.46413/boneyusbad.1521035
AMA Alemdar H, Karaca A. Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. Ağustos 2025;7(2):636-647. doi:10.46413/boneyusbad.1521035
Chicago Alemdar, Hacer, ve Aysel Karaca. “Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 7, sy. 2 (Ağustos 2025): 636-47. https://doi.org/10.46413/boneyusbad.1521035.
EndNote Alemdar H, Karaca A (01 Ağustos 2025) Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 7 2 636–647.
IEEE H. Alemdar ve A. Karaca, “Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri”, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, c. 7, sy. 2, ss. 636–647, 2025, doi: 10.46413/boneyusbad.1521035.
ISNAD Alemdar, Hacer - Karaca, Aysel. “Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 7/2 (Ağustos2025), 636-647. https://doi.org/10.46413/boneyusbad.1521035.
JAMA Alemdar H, Karaca A. Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2025;7:636–647.
MLA Alemdar, Hacer ve Aysel Karaca. “Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, c. 7, sy. 2, 2025, ss. 636-47, doi:10.46413/boneyusbad.1521035.
Vancouver Alemdar H, Karaca A. Çocukluk Çağı Kaygı Bozuklukları ve Bilişsel Davranışçı Terapi Müdahaleleri. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2025;7(2):636-47.

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