Yıl 2019, Cilt 11 , Sayı 3, Sayfalar 284 - 303 2019-09-30

Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler
Psychosocial Interventions in the Treatment of Child and Adolescent Conduct Disorder

Ayşegül Tonyalı [1] , Zeynep Göker [2] , Özden Şükran Üneri [3]


Davranım bozukluğu doğru yöntemlerle müdahaleler gerektiren, çocuk ya da ergenin sadece kendisini değil, yakın çevresini hatta yaşadığı toplumu olumsuz etkileyebilen bir ruhsal bozukluktur. Çocukluk-başlangıçlı davranım bozukluğunun tedavisinde çocuk, anne-baba ve okul eksenli uygulamalar yer alırken, ergenlik-başlangıçlı olanının tedavisinde bu yöntemlere ek olarak kısmi yatış programları, kurumsal uygulamalar ve diğer toplumsal unsurlar bulunur. Çocukluk-başlangıçlı davranım bozukluğunda sosyal öğrenme kuramını esas alan “aile odaklı” uygulamalar, ergenlik-başlangıçlı olanında ergene yönelik “ihtiyaçlar, duyarlılık ve risk ilkesi” esas alınarak uygulanan “ergen odaklı” müdahaleler etkili yöntemler olarak görünmektedir. Kısa ve uzun vadeli etkinlik açısından, ergen, okul ya da toplum odaklı müdahaleleri eş-zamanlı kullanan “aile odaklı” yaklaşımlar en etkin tedaviler olarak görünmektedir. Yüksek riskli ve yaşça ileri ergenler tedaviyle daha iyi ilerlemeler sağlarken, cinsel suçları bulunan ergenler diğerlerine göre tedavilerden daha az fayda görmektedirler.

Since conduct disorder is a mental disturbance deteriorating not only children or adolescents’ functioning but both their close environment and even the whole society they live in, it is crucially important to be treated with effective interventions. There is mainly child, family and school-oriented interventions for childhood-onset conduct disorder and treatments of adolescent-onset conduct disorder include community and institutional practices in addition to adolescent, family and school-oriented interventions. Approaches to childhood-onset conduct disorder based on social learning theory, and interventions of adolescent-onset conduct disorder built on “needs, responsivity and risk principles” seem to be effective treatment modalities. Family-oriented approaches using concurrently either adolescent school-oriented interventions or society-oriented programs appear to be the most effective treatments for short-term and long-term outcomes. Adolescents with high risk and advanced age seem to have better progress with interventions whereas sexual offenders are less likely to benefit from treatment than the other conduct pathologies.

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Birincil Dil tr
Konular Psikiyatri
Bölüm Derleme
Yazarlar

Orcid: 0000-0003-0734-5602
Yazar: Ayşegül Tonyalı
Kurum: Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim Araştırma Hastanesi
Ülke: Turkey


Orcid: 0000-0002-6489-3800
Yazar: Zeynep Göker (Sorumlu Yazar)
Kurum: Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim Araştırma Hastanesi
Ülke: Turkey


Orcid: 0000-0002-7869-5338
Yazar: Özden Şükran Üneri
Kurum: YILDIRIM BEYAZIT ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Tarihler

Kabul Tarihi : 29 Temmuz 2018
Yayımlanma Tarihi : 30 Eylül 2019

Bibtex @derleme { pgy425225, journal = {Psikiyatride Güncel Yaklaşımlar}, issn = {1309-0658}, eissn = {1309-0674}, address = {}, publisher = {Lut TAMAM}, year = {2019}, volume = {11}, pages = {284 - 303}, doi = {10.18863/pgy.425225}, title = {Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler}, key = {cite}, author = {Tonyalı, Ayşegül and Göker, Zeynep and Üneri, Özden Şükran} }
APA Tonyalı, A , Göker, Z , Üneri, Ö . (2019). Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler. Psikiyatride Güncel Yaklaşımlar , 11 (3) , 284-303 . DOI: 10.18863/pgy.425225
MLA Tonyalı, A , Göker, Z , Üneri, Ö . "Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler". Psikiyatride Güncel Yaklaşımlar 11 (2019 ): 284-303 <https://dergipark.org.tr/tr/pub/pgy/issue/39302/425225>
Chicago Tonyalı, A , Göker, Z , Üneri, Ö . "Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler". Psikiyatride Güncel Yaklaşımlar 11 (2019 ): 284-303
RIS TY - JOUR T1 - Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler AU - Ayşegül Tonyalı , Zeynep Göker , Özden Şükran Üneri Y1 - 2019 PY - 2019 N1 - doi: 10.18863/pgy.425225 DO - 10.18863/pgy.425225 T2 - Psikiyatride Güncel Yaklaşımlar JF - Journal JO - JOR SP - 284 EP - 303 VL - 11 IS - 3 SN - 1309-0658-1309-0674 M3 - doi: 10.18863/pgy.425225 UR - https://doi.org/10.18863/pgy.425225 Y2 - 2018 ER -
EndNote %0 Psikiyatride Güncel Yaklaşımlar Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler %A Ayşegül Tonyalı , Zeynep Göker , Özden Şükran Üneri %T Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler %D 2019 %J Psikiyatride Güncel Yaklaşımlar %P 1309-0658-1309-0674 %V 11 %N 3 %R doi: 10.18863/pgy.425225 %U 10.18863/pgy.425225
ISNAD Tonyalı, Ayşegül , Göker, Zeynep , Üneri, Özden Şükran . "Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler". Psikiyatride Güncel Yaklaşımlar 11 / 3 (Eylül 2019): 284-303 . https://doi.org/10.18863/pgy.425225
AMA Tonyalı A , Göker Z , Üneri Ö . Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler. pgy. 2019; 11(3): 284-303.
Vancouver Tonyalı A , Göker Z , Üneri Ö . Çocuk ve Ergen Davranım Bozukluğu Tedavisinde Psikososyal Müdahaleler. Psikiyatride Güncel Yaklaşımlar. 2019; 11(3): 303-284.