IS THERE A RELATIONSHIP BETWEEN ATTENTION DEFICIT HYPERACTIVITY DISORDER AND MANIC SYMPTOMS AMONG CHILDREN WITH EPILEPSY?

Yıl 2015, Cilt: 37 Sayı: 1, 22 - 30, 27.11.2015

Tülin Fidan , İlknur Ucuz , Hüseyin Tan

Öz

EPİLEPSİ TANILI ÇOCUKLARDA DİKKAT EKSİKLİĞİ HİPERAKTİVİTE BOZUKLUĞU VE MANİK BELİRTİLER ARASINDA BİR İLİŞKİ VAR MIDIR?

Özet: Epilepsi, çocukluk çağı kronik hastalıklarından biridir. Epilepsisi olan çocuklarda bilişsel, davranışsal ve duygusal  bozukluklar bildirilmiştir.  Bu çalışmada epilepsi tanılı çocuklarda dikkat eksikliği hiperaktivite bozukluğu (DEHB), Yıkıcı Davranım Bozuklukları ve aynı zamamda mani belirtileri araştırılmıştır. Yöntem: 55 epilepsi tanılı çocuğa ve 55 sağlıklı kontrole Turgay DSM-IV’e dayalı yıkıcı davranım bozukluğu ölçeği ve Young Mani Derecelendirme uygulanmıştır. Bulgular: Tüm çocukların %54.5’ü kız olup yaş ortalaması 12.38± 2.64 idi. Bu çalışmada DEHB, Karşıt Olma Karşıt Gelme Bozukluğu (KOKGB), Davranım Bozukluğu(DB) sıklığı ve belirti şiddeti daha önce yapılan çalışmalara benzerdi ve mani oranı %3.6 idi. KOKGB ve DB varlığı Young mani Değerlendirme Ölçeği-Ebeveyn Formu (YMDÖ-EF) değerlerinin etkilemektedir. Tartışma: Tüm  epileptik hastaların psikiyatrik açıdan özellikle DEHB, KOKGB, DB,ve maik belirtiler açısından değerlendirilmelidir.

Anahtar Kelime:Epilepsi, Nörodavranışsal Belirtiler, çocuk-ergen

 

IS THERE A RELATIONSHIP BETWEEN ATTENTION DEFICIT HYPERACTIVITY DISORDER AND MANIC SYMPTOMS AMONG CHILDREN WITH EPILEPY?

Abract: Epilepsy is a chronic neurological disorder. Cognitive, behavioral and emotional impairment have been reported. In this study, we aimed to investigate the relationship between attention-deficit hyperactivity disorder [ADHD] and  disruptive  behavioral disorders [DBDs] as well as manic symptoms among children with epilepsy. Methods: Turgay DSM-IV Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating Scale [T-DSM-IV-S] and Young Mania Rating Scale – parent version [P-YMRS] were administered to 55 children with epilepsy and 55 healthy controls. Results: Of these, 54.5 % were female and the mean age was 12.38± 2.64 years. In this study the rate and the symptom severity of ADHD, Oppositional Defiant Disorder [ODD] and Conduct Disorder [CD] were similar to previous reports and we found the rate of mania 3.6%. Conduct Disorder [CD] and hyperactivity affected P-YMRS. Conclusion: All epileptic patients must be evaluated for psychiatric disorders especially for ADHD, DBSs and manic symptoms.

Key words: Epilepsy, Neurobehavioral symptoms, child-adolescent

 

Anahtar Kelimeler

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Kaynakça

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