Psychological Assessment in Children With Epilepsy and Their Mothers

Yıl 2021, Cilt: 15 Sayı: 6, 494 - 500, 26.11.2021

Berna Bal , Murat Elevli , Nilgün Selçuk Duru

https://doi.org/10.12956/tchd.888017

Öz

Objective: Epilepsy is a chronic disease with high morbidity. Our study aims to investigate the scores of anxiety and depression in children with epilepsy and their mothers and the role of parental attitudes in these children.

Material and Methods: The study included 35 children with epilepsy and their mothers. Control group consisted of 35 healthy children of similar age and sex to the study group and their mothers. Parenting Style Inventory (PSI), Parental Attitude Research Instrument (PARI), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI), Revised Children’s Anxiety and Depression Scale - Parent version (RCADS-P) scales were used in the patient and control groups.

Results: There was no statistically significant difference between mother anxiety and depression scores in terms of BDI and BAI scales. There were no significant differences between the total and subscale scores of the anxiety and depression in the children of study and control groups in terms of RCADS-P. Strictness/supervision subscale of PSI average was statistically significantly higher in the patient group but the Psychological Autonomy subscale average was found lower. The mean scores of Excessive Maternity and Obsession and Discipline subscale of PARI were significantly higher in the patient group.

Conclusion: Mothers of children with epilepsy may be overprotective or authoritarian. Overprotective or authoritative parental attitudes in children can lead to loss of self-esteem. Therefore, besides the treatment of children with epilepsy, attention should be paid to improving the wrong attitudes of their parents.

Anahtar Kelimeler

anxiety, child, depression, epilepsy, parental attitudes

Epilepsili Çocuklarda ve Annelerinde Psikolojik Değerlendirme

Öz

Amaç: Epilepsi morbiditesi yüksek, kronik bir hastalıktır. Çalışmamız; epilepsili çocuklarda ve annelerinde anksiyete ve depresyon skorlarını ve bu çocuklarda ebeveyn tutumlarının rolünü araştırmayı amaçlamaktadır.

Gereç ve Yöntemler: Çalışmaya 35 epilepsili çocuk ve anneleri dahil edildi. Kontrol grubu, çalışma grubuna benzer yaş ve cinsiyetteki 35 sağlıklı çocuk ve annelerinden oluşturuldu. Hasta ve kontrol gruplarında çocuk yetistirme stilleri envanteri, aile hayatı ve çocuk yetiştirme tutum ölçeği (PARI), Beck depresyon envanteri (BDE), Beck anksiyete envanteri (BAE), Revize edilmiş çocuk anksiyete ve depresyon ölçeği-Ebeveyn versiyonu (RCADS-P) ölçekleri kullanılmıştır.

Bulgular: Anne anksiyete ve depresyon skorları arasında istatistiksel olarak anlamlı bir fark yoktu. Çalışma ve kontrol grubu çocuklarının anksiyete ve depresyon toplam ve alt ölçek puanları arasında RCADS-P açısından anlamlı bir fark bulunmamıştır. Hasta grubunda çocuk yetiştirme stilleri envanterinin kontrol/denetleme alt ölçeği istatistiksel olarak anlamlı derecede yüksek iken, psikolojik özerklik alt ölçeği ortalamasının daha düşük olduğu görülmüştür. PARI’nin aşırı koruyucu annelik ve baskı/disiplin alt ölçeği puan ortalamaları hasta grubunda anlamlı olarak daha yüksekti.

Sonuç: Epilepsili çocukların anneleri aşırı korumacı veya otoriter olabilir. Çocuklarda aşırı korumacı veya otoriter ebeveyn tutumları, öz güven kaybına neden olabilir. Bu nedenle epilepsili çocukların tedavisinin yanısıra ebeveynlerinin yanlış tutumlarının düzeltilmesine de önem verilmelidir.

Anahtar Kelimeler

anksiyete, çocuk, depresyon, epilepsi, ebeveyn tutumlari

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