BİRİNCİL BAŞ AĞRISI TANISI ALAN ÇOCUKLARIN RUHSAL DEĞERLENDİRMESİ, ANNELERİNDE RUHSAL BELİRTİ SIKLIĞININ TARANMASI VE AİLE İŞLEVLERİNİN İNCELENMESİ

Yıl 2018, Cilt: 1 Sayı: 3, 61 - 71, 31.12.2018

Ekrem Şentürk Mahmut Cem Tarakçıoğlu Bülent Kara İşık Karakaya

Öz

Anahtar Kelimeler

Birincil baş ağrıları, ruhsal hastalıklar, çocuk, ergen

THE PSYCHOLOGICAL EVALUATION AND FAMILY FUNCTIONS OF CHILDREN DIAGNOSED WITH PRIMARY HEADACHE

Öz

Introduction: The aims of this research were
as follows: (1) to study the ratio of comorbid psychiatric disorders in
children with a diagnosis of primary headache, (2) to investigate their family
functioning and (3) to determine their mothers' psychiatric symptom frequency
in order to compare the data with the data obtained from migraine, tension type
headache (TTH) and control groups.

Methods:
In our study,
61 children between the ages of 8 and 17 were included with the following
diagnosis: migraine (n=30) and TTH (n=31) The control group consisted of
pediatric patients coming to the out-patient clinic with non-neurological
complaints (n=30). The following instruments were used for evaluation: Schedule
for Affective Disorders and Schizophrenia for School Age Children-Present and
Lifetime Version-Turkish Version (K-SADS-PL-T), Children’s Depression
Inventory, State-Trait Anxiety Inventory for Children, Coopersmith Self- Esteem
Inventory for Children, The Pediatric Quality of Life Inventory, Symptom
Checklist- 90-Revised and The McMaster Family Assesment Device.

Results: The frequency of psychiatric
disorders was %43.3 for the migraine group,

%51.6 for the TTH group and
%16.7 for the control group. Depression and anxiety scores were high,
self-esteem scores were low and the quality of life was impaired in all domains
in children with migraine and TTH. SCL-90 revealed higher general symptom
levels for the mothers in the TTH group in comparison to those in the migraine
and control group. The evaluation of the sub-domains revealed that somatization
scores were higher in the TTH and migraine groups in comparison to the control
group. Furthermore, the impairment in family functioning was more prominent in
the TTH group.

Discussion: The results of our study have
suggested that the children and adolescents with a diagnosis of primary
headache have been affected psychologically and that psychosocial risk factors
may play an important role in the etiology of TTH.

Anahtar Kelimeler

primary headache, psychriatric disorder, child, adolescent

Kaynakça

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