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Davranım Bozukluğu: Güncel Bir Bakış

Yıl 2024, , 72 - 87, 31.03.2024
https://doi.org/10.18863/pgy.1331287

Öz

Davranım bozukluğu (DB) çocuk ve ergen psikiyatri kliniklerine bakıldığında toplumsal ve uluslararası farklılıklar olmakla beraber fazla rastlanan etiyolojisi oldukça heterojen olan ciddi bir ruhsal bozukluktur. DB, başkalarının temel haklarını, bulunduğu yaşa uygun sosyal norm ve değerleri ya da var olan kuralların istikrarlı olarak agresif davranış örüntüleriyle çiğnenmesi olarak tanımlanabilir. DSM-II’den beri çeşitli başlıklar altında tanımlanmıştır ve en son DSM-5’te “Yıkıcı Bozukluklar, Dürtü Denetim ve Davranım Bozuklukları” başlığı altında tanımlanmıştır. Etiyolojisinde genetik faktörler, bireysel faktörler ve psikososyal faktörler rol alarak geniş bir etiyolojiyi oluşturmaktadır. Başlangıcı çocukluğa dayansa da yardım aranmadığı takdirde daha ciddi daha başka ruhsal bozukluklara sebep olmaktadır. DB' nin birçok ruhsal bozuklukla da komorbiditesi vardır. Bu nedenle ayırıcı tanının iyi yapılması ve etkili bir tedavi seçeneği oluşturulması gerekmektedir. Tedavide kendine özgü bir ilacı yoktur. Farklı disiplinler bir araya gelerek uzun süre çalışarak başarılı sonuçlar elde edebilir. Bu yazıda genel olarak DB' nin tanımı, DSM-5 tanı kriterleri, epidemiyolojisi, etiyolojisi, eş tanı, ayırıcı tanı, prognoz ve tedavi yaklaşımları gözden geçirilmiştir.

Kaynakça

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Conduct Disorder: An Update

Yıl 2024, , 72 - 87, 31.03.2024
https://doi.org/10.18863/pgy.1331287

Öz

Conduct disorder is a serious mental disorder with a heterogeneous etiology that is frequently encountered in child and adolescent psychiatric clinics, although there are social and international differences. Conduct disorder can be defined as violating the basic rights of others, age-appropriate social norms and values, or existing rules with consistently aggressive behavioral patterns. It has been defined under various headings since DSM-II and most recently in DSM-5 under the heading "Disruptive Disorders, Impulse Control and Conduct Disorders". Genetic, individual, and psychosocial factors play a role in the etiology and constitute a broad etiology. Although its onset dates to childhood, if assistance is not sought, it can lead to more serious mental disorders. Conduct disorders are associated with several mental disorders. Therefore, a differential diagnosis should be made and an effective treatment option should be established. No specific medications were available for treatment. Different disciplines can collaborate for a long time to achieve successful results. In this article, the definition of conduct disorder, DSM-5 diagnostic criteria, epidemiology, etiology, comorbidity, differential diagnosis, prognosis, and treatment approaches are reviewed.

Kaynakça

  • Abalı O, Onur M, Gürkan K, Çelik Ö, Tüzün ÜD (2006) İlköğretim çağı çocuklarındaki davranım bozukluğu semptomlarının sosyodemografik verilere göre değerlendirilmesi. Dusunen Adam, 19:14-19.
  • Afifi TO, McMillan KA, Asmundson GJ, Pietrzak RH, Sareen J (2011) An examination of the relation between conduct disorder, childhood and adulthood traumatic events, and posttraumatic stress disorder in a nationally representative sample. J Psychiatr Res, 45:1564-1572.
  • Anderson SL, Zheng Y, McMahon RJ (2018) Do callous-unemotional traits and conduct disorder symptoms predict the onset and development of adolescent substance use? Child Psychiatry Hum Dev, 49:688-698.
  • APA (1968) Diagnostic and Statistical Manual of Mental Disorders, 2nd ed. Washington DC, American Psychiatric Association.
  • APA (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. Washington DC, American Psychiatric Association.
  • APA (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd ed rev. Washington DC, American Psychiatric Association.
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  • Arkan B, Üstün B (2009) Davranım bozukluğu olan çocuklara psikiyatrik yaklaşımda anne-baba eğitim programları: iki örnek bağlamında değerlendirme. Psikiyatride Güncel Yaklaşımlar, 1:155-174.
  • Ateş S (2014) Davranım bozukluğu tanısı alan ergenlerin ebeveynlerinde psikopatolojik özellikler ve cinsiyetlerine göre karşılaştırılması (Uzmanlık tezi). İstanbul, İstanbul Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Has. Eğitim ve Araştırma Hastanesi.
  • Ayaz M, Ayaz AB, Başgül ŞZ, Karakaya I, Şişmanlar ŞG, Yar G ve ark. (2012) 3-5 yaş grubu kurum bakımındaki çocuklarda ruhsal hastalık sıklığı ve ilişkili etmenler. Turk Psikiyatri Derg, 23:82-88.
  • Baker K (2013) Conduct disorders in children and adolescents. Paediatr Child Health, 23:24-29.
  • Bakhshipour RA, Karimpour VA (2021) The role of ımpulsivity and sensitivity to reward in dropout of addiction treatment in heroin addicts. Addict Health, 13:45-51.
  • Baumann S, Bernhard A, Martinelli A, Ackermann K, Herpetz DB, Freitag C ve ark. (2022) Perpetrators and victims of cyberbullying among youth with conduct disorder. Eur Child Adolesc Psychiatry, 32:1643-1653.
  • Beaver KM, Wright, JP, DeLisi M, Walsh A, Vaughn MG, Boisvert D ve ark. (2007) A gene x gene interaction between DRD2 and DRD4 is associated with conduct disorder and antisocial behavior in males. Behav Brain Funct, 3:30.
  • Berluti K, Ploe ML, Marsh AA (2023) Emotion processing in youths with conduct problems: an fMRI meta-analysis. Translational Psyc, 13:105 (online first)
  • Blazei RW, Iacono WG, McGue M (2008) Father-child transmission of antisocial behavior: the moderating role of father's presence in the home. J Am Acad Child Adolesc Psychiatry, 47:406-415.
  • Burke J, Loeber R, Birmaher B (2002) Oppositional defiant disorder and conduct disorder: a review of the past 10 years, part II. J Am Acad Child Adolesc Psychiatry, 41:1275-1293.
  • Caserini C, Ferro M, Nobile M, Scaini S, Michelini G (2023) Shared genetic influences between depression and conduct disorder in children and adolescents: a systematic review. J Affect Disord, 322:31-38.
  • Caspi A, McClay J, Moffitt TE, Mill J, Martin J, Craig IW ve ark. (2002) Role of genotype in the cycle of violence in maltreated children. Science, 297:851-854.
  • Chan L, Simmons C, Tillem S, Conley M, Brazil IA, Baskin SA (2023) Classifying conduct disorder using a biopsychosocial model and machine learning method. Biol Psychiatry Cogn Neurosci Neuroimaging, 8:599-608.
  • Conner BT, Lochman JE (2010) Comorbid conduct disorder and substance use disorders. Clin Psychol (New York), 17:337-349.
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  • Çenteli K (2021) Davranım bozukluğu olan ergenlerin ailelerinde disiplin uygulamaları: Fenomenolojik bir çalışma (Yüksek lisans tezi). İzmir, Ege Üniversitesi.
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Toplam 95 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikopatoloji
Bölüm Derleme
Yazarlar

Ahmet Özbay 0000-0001-5021-5980

Osman Özçelik 0009-0001-9869-9651

Süleyman Kahraman 0000-0002-8223-4614

Erken Görünüm Tarihi 3 Ekim 2023
Yayımlanma Tarihi 31 Mart 2024
Kabul Tarihi 26 Eylül 2023
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

AMA Özbay A, Özçelik O, Kahraman S. Conduct Disorder: An Update. Psikiyatride Güncel Yaklaşımlar. Mart 2024;16(1):72-87. doi:10.18863/pgy.1331287

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