ÇOCUK VE ERGENLERDE DİKKAT EKSİKLİĞİ HİPERAKTİVİTE BOZUKLUĞU VE SALDIRGANLIK

Öz

DEHB çocukluk çağında %5-7 sıklıkta görülen ve tedavi edilmediğinde psikiyatrik, akademik ve sosyal sorunlara yol açabilen nörobiyolojik bir bozukluktur. DEHB üzerinde oldukça fazla çalışma yapılmış bozukluklardan biri olmasına karşın DEHB ile oldukça yakın ilişkili olan saldırganlığın ihmal edilmiş olduğu görünmektedir. Oysa saldırganlık, DEHB’ye hem sık olarak eşlik etmekte hem de prognoz üzerinde son derece önemli bir faktör olarak görünmektedir. Bu çalışmanın amacı, DEHB ve saldırganlıkla ilişkili çalışmaları derlemektir. Çalışma kapsamında çeşitli veri tabanlarından “Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB)”, “saldırganlık” anahtar kelimeleri kullanılarak ulaşılabilen çalışmalar gözden geçirilmiştir. Bazı çalışmalar DEHB ile yüksek düzeyde komorbidite gösteren Davranım Bozukluğu (DB) ve Karşıt Olma Karşı Gelme Bozukluğu’nun (KOB) DEHB’de saldırganlığın nedeni olduğunu öne sürmekle birlikte literatürdeki genel eğilim DEHB’nin KOB ve DB’den bağımsız olarak saldırganlıkla ilişkili olduğunu göstermektedir. DEHB’nin doğal gidişini aydınlatmada kritik bir önemi olan uzun izlem çalışmaları da saldırganlığın varlığının DEHB’de çok önemli bir faktör olduğunu ortaya koymaktadır. Bu gözden geçirme yazısında DEHB ve saldırganlık ilişkisinin nedeni, önemi, DEHB ile eşlik eden KOB ve DB olması durumunda saldırganlık şeklindeki farklılıklar ve DEHB ile birlikte saldırganlık varlığında klinik uygulama için öneriler ele alınmıştır.

Anahtar Kelimeler

• DEHB,Saldırganlık,Davranım bozukluğu,Karşıt olma karşı gelme bozukluğu

Kaynakça

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