Ergenlerdeki bağlanma stilleri ve duygu düzenleme güçlükleri ile psikiyatrik bozuklukları arasındaki ilişki

Abstract

Amaç:Bu çalışmada psikiyatrik bozukluğa sahip ergenler ile sağlıklı ergenlerin bağlanma stilleri ve duygu düzenleme güçlüklerini karşılaştırmayı, bağlanma stilleri ve duygu düzenleme güçlüklerini etkileyen faktörleri incelemeyi amaçladık. Materyal-Metot:Bu vaka-kontrol çalışmasında ergenlerin psikiyatrik tanıları içinDSM-5 tanı sistemi , ergenlerinduygu düzenleme güçlüğü düzeylerinin ölçülmesi amacıyla Duygu Düzenleme Güçlüğü Ölçeği-Kısa Form (DDG-K) ve bağlanma stillerini değerlendirmek için İlişki Ölçekleri Anketi (İÖA) uygulandı. Bulgular: Psikiyatrik tanılardan en fazla majör depresif bozukluk (MDB) (%42,9) tanısı vardı. DDG-K total skoru en düşük, güvenli bağlanma ise en yüksek kontrol grubunda saptandı (sırasıyla p<0,001; p=0,005).DDG-K total skoru ve kayıtsız bağlanma en yüksek MDB; korkulu bağlanma anksiyete bozukluklarında ve saplantılı bağlanma OKB grubunda idi.Hasta grubunda DDG-K toplam skoru ile bağlanma stillerinden korkulu (r=0,303), kayıtsız (r=0,301) ve saplantılı (r=0,349) skorları arasında pozitif yönde, güvenli skoru (r= -0,239) ile negatif yönde zayıf bir ilişki bulunurken (p<0,05), kontrol grubunda bu değişkenler arasında önemli bir ilişki bulunmamıştır (p>0,05). Sonuç:Bu çalışma güvenli bağlanma ve etkili duygu düzenleme stratejileri geliştirmenin koruyucu ruh sağlığı alanındaki olumlu etkisini göstermesi açısından önemlidir. Bu doğrultuda ebeveynlere güvenli bağlanma kurabilme adına sağlıklı ebeveyn çocuk ilişkisiyle ilgili farkındalık oluşumu sağlanabilir.

Keywords

• Psikiyatrik bozukluk
• duygu düzenleme güçlüğü
• bağlanma
• ergen

The relationship between attachment styles and emotion regulation difficulties in adolescents with psychiatric disorders

Abstract

Introduction: In this study, we aimed to compare the attachment styles and emotion regulation difficulties of adolescents with psychiatric disorders and healthy adolescents, and to examine the factors affecting attachment styles and emotion regulation difficulties. Material-methods: In this case-control study, DSM-5 diagnostic system was used for psychiatric diagnoses of adolescents, Difficulties in Emotion Regulation Scale-Short Form (DERS-SF) was used to measure adolescents' levels of emotional dysregulation, and Relationships Scales Questionnaire(RSQ) was used to assess attachment styles. Results: Major depressive disorder (MDD) (42.9%) was the most common psychiatric diagnosis. The lowest DERS-SF total score and the highest secure attachment were found in the control group (p<0.001; p=0.005, respectively). DERS-SF total score and dismissive attachment had the highest MDD; fearful attachment was in the anxiety disorders and preoccupied attachment was in the obsessive-compulsive disorder (OCD) group. In the patient group, a positive correlation was found between the DERS-SF total score and attachment style fearful (r=0.303), dismissive (r=0.301), and preoccupied (r=0.349) scores, and a negative correlation was found with the secure score (r= -0.239) p<0.05).There was no significant relationship between DERS-SF total and attachment styles in the control group (p>0.05). Conclusion: This study is important in terms of showing the positive effects of developing secure attachment and effective emotion regulation strategies in the field of preventive mental health. In this direction, awareness about the healthy parent-child relationship can be created in order to establish a secure attachment to the parents.

Keywords

• Psychiatric disorder
• emotional dysregulation
• attachment
• adolescent

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