Ebeveyn Anksiyetesi ve Çocuklarda Baş Ağrısı ile İlişkisi

Yıl 2022, , 540 - 546, 19.07.2022

Çağla Özdemir , Cüneyt Karagöl , İbrahim Öncel , Zeynep Selen Karalök , Ali Güngör , Gülser Şenses Dinç , Cenk Aypak

https://doi.org/10.20515/otd.1054736

Öz

Çalışmada baş ağrısı nedeni ile çocuk nöroloji polikliniklerine başvuran hastaların ebeveynlerinin anksiyete düzeyleri ve bunu etkileyen faktörlerin değerlendirilmesi amaçlanmıştır. Analitik kesitsel bir çalışma gerçekleştirildi. Çalışmaya 154 hasta dahil edildi: Baş ağrısı grubu (n=80), kontrol grubu (n=74). Dahil edilme ve dışlanma kriterlerini karşılayan 7-17 yaş arasındaki hastaların ebeveynlerine, ebeveyn anksiyetesinin değerlendirildiği Durumluk-Sürekli Kaygı Envanteri’nin (State Trait Anxiety Inventory-STAI) ve Aile Değerlendirme Ölçeği yapıldı. Hastaların sosyodemografik verileri ve baş ağrısı özellikleri kaydedildi. Baş ağrısı grubunun yaş ortalaması 13,4 ± 2,7 yıl, kontrol grubunun yaş ortalaması 12,2 ± 3,3 yıldı. Baş ağrısı grubunda kız cinsiyet daha sıktı (%75 & %56,8, p=0,017). Sosyo-demografik özellikler gruplar arasında anlamlı farklılık gösteriyordu. Baş ağrısı olanlarda aile değerlendirme ölçeği total skoru (p=0,046), aile değerlendirme ölçeği alt-skorları arasından, davranış kontrolü (p=0,020) ve genel işlevler (p=0,034) alt skorları kontrol grubuna göre anlamlı derecede daha yüksek saptandı. Bununla birlikte STAI I-II (p=0,509/ p=0,542) ve Aile Değerlendirme Ölçeği alt skorlarından problem çözme (p=0,168), iletişim (p=0,520), roller (0,082), duygusal tepki verebilme (p=0,654) ve gereken ilgiyi gösterme (p=0,943) skorları, gruplar arasında anlamlı farklılık göstermedi. Çocukluk çağı baş ağrıları aile içi patolojinin de bir göstergesi olabileceği için; psikolojik etmenler de göz önünde bulundurularak baş ağrısı olan çocuklar fizik muayene, laboratuvar ve görüntüleme incelemelerinin yanında ailesel etmenler ile beraber değerlendirilmelidir. 

Anahtar Kelimeler

Çocuk, Baş Ağrısı, Ebeveyn Anksiyetesi, Aile Fonksiyonelliği

Parental Anxiety and Its Relationship with Headache in Children

Öz

We aimed to evaluate the anxiety levels of parents of patients visit to pediatric neurology outpatient clinics due to headaches.

Methods: An analytical cross-sectional study was performed involving 154 participants. Participants were divided into a headache group (n = 80) and a control group (n = 74). The State Trait Anxiety Inventory (STAI) and Family Assessment Scale were used to assess parents' anxiety levels. The mean age of the headache group was 13.4±2.7 years, and the mean age of the control group was 12.2±3.3 years. Females were more common in the headache group compared to the control group (p = 0.017). There were significant differences in the socio-demographic characteristics between the groups. For the headache group, the family assessment scale total score (p = 0.046) from the family assessment scale sub-scores, the behavior control (p = 0.020), and the general functions (p = 0.034) sub-scores were significantly higher than the control group. However, no significant differences were noted with respect to problem solving (p = 0.168), communication (p = 0.520), roles (0.082), emotional reactions (p = 0.654) and showing the required attention level (p=0.943) scores using the STAI I-II (p = 0.509 / p = 0.542). Moreover, the Family Evaluation Scale subscales did not differ significantly between the groups. Childhood headaches can be an indicator of domestic pathology. Accordingly, when considering psychological factors, children with headaches should be evaluated together with familial factors, including physical examinations, laboratory, and imaging studies

Anahtar Kelimeler

Child, Headache, Parent anxiety, Family functionality

Kaynakça

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