Dikkat Eksikliği ve Hiperaktivite Bozukluğu’nda Doğum Sırası ve Kardeş Sayısı: Olgu Kontrol Çalışması

Yıl 2024, Cilt: 8 Sayı: 1, 26 - 31, 30.04.2024

Orhan Kocaman , Tayfun Kara , Pınar Aydoğan Avşar , Tacettin Kuru

https://doi.org/10.30565/medalanya.1439641

Öz

Amaç: Son yıllarda Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) etyolojisine yönelik çalışmalarda aile ve doğuma ilişkin etkenlere odaklanılmıştır. Bu çalışmada Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) ile doğum sırası ve kardeş sayısı arasındaki ilişkinin incelenmesi amaçlanmıştır.

Yöntem: Çalışmaya DEHB tanısına sahip 135 çocuk ile 104 sağlıklı çocuk olmak üzere toplam 239 katılımcı alınmıştır. Tüm katılımcılar DSM-5 temelli psikiyatrik muayene ile değerlendirilmiş ve sosyodemografik veri formları elde edilmiştir. Olgu grubuna ilave olarak DEHB belirti şiddetini değerlendirmek için Conners Anababa Dereceleme Ölçeği-Yenilenmiş Kısa Formu uygulanmıştır. Elde edilen bulgular istatistiksel yöntemler ile karşılaştırılmıştır.

Bulgular: DEHB olan bireyler ile sağlıklı kontroller arasında doğum sırası ve kardeş sayısı açısından anlamlı farklılık saptanmamıştır (sırasıyla p=0,252/p=0,222). DEHB’li grupta doğum sırası ile hiperaktivite ve karşı gelme alt ölçekleri arasında anlamlı düzeyde pozitif korelasyon saptanmıştır (sırasıyla r=0.212, p=0,022/ r=0,231, p=0,012). DEHB li grupta kardeş sayısı ile karşı gelme alt ölçeği arasında anlamlı düzeyde pozitif korelasyon saptanmıştır (r=0,237, p=0,009).

Sonuç: Çalışmamızda DEHB ve kontrol grubu arasında doğum sırası ve kardeş sayısı açısından anlamlı fark saptanmadı. DEHB tanılı çocuklarda doğum sırası arttıkça hiperaktivite ve karşı gelme bulgularının arttığı görüldü. Aynı zamanda kardeş sayısı arttıkça karşıt gelme bulgularının arttığı görüldü. Bu bulguların gelecekteki DEHB’ye yönelik araştırmalarda dikkate alınması gerektiğini düşünmekteyiz.

Anahtar Kelimeler

Dikkat eksikliği hiperaktivite bozukluğu, doğum sırası, kardeş sayısı

Birth Order and Number of Siblings in Attention Deficit Hyperactivity Disorder: A Case Control Study

Öz

Aim: Studies addressing the etiology of Attention Deficit Hyperactivity Disorder (ADHD) in recent years have focused on family and birth-related factors.This study aimed to examine the relationship between Attention Deficit Hyperactivity Disorder (ADHD) and birth order and number of siblings.

Method: A total of 239 participants, 135 children diagnosed with ADHD and 104 healthy children, were included in the study. All participants were evaluated through DSM-5-based psychiatric examinations, and their sociodemographic data forms were obtained. Conners’ Parent Rating Scale-Revised Short form (CPRS-RS) was also applied to the case group in order to determine the severity of ADHD symptoms. The findings were then compared using statistical methods.

Results: No significant difference was observed between the individuals with ADHD and the healthy controls in terms of birth order or number of siblings (p= 0.252 and p= 0.222, respectively). A significant positive correlation was determined in the ADHD group between birth order and hyperactivity and oppositional subscales (r= 0.212, p= 0.022 and r= 0.231, p= 0.012, respectively). A significant positive correlation was also determined in the ADHD group between number of siblings and the oppositional subscale (r= 0.237, p= 0.009).

Conclusions:In our study, no significant difference was observed between the ADHD and control groups in terms of birth order or number of siblings.It was observed that hyperactivity and defiance symptoms increased as birth order increased in children diagnosed with ADHD. Oppositional findings also increased in line with the number of siblings.We think that these findings should be taken into consideration in future research on ADHD.

Anahtar Kelimeler

Attention-deficit hyperactivity disorder, birth order, number of siblings

Etik Beyan

Ethics Committee Approval: Alanya Alaaddin Keykubat University, Clinical Research Ethics Committee, 22/11/2023, Number:17-01

Destekleyen Kurum

The authors declared that this study has received no financial support.

Teşekkür

We wish to express our gratitudeto the participants; without their contribution, this study would not have been possible.

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