Çocukluk çağı anksiyete bozukluklarında bilişsel davranışçı grup terapisi: "Korku Avcısı Programı"nın grup versiyonunun geliştirilmesi ve etkililiği
Küçük Resim Yok
Dosyalar
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi, Sosyal Bilimler Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmanın amacı, çocukluk çağı anksiyete bozukluklarının tedavisinde
kullanılan Korku Avcısı bilişsel davranışçı terapi (BDT) programının grup
versiyonunun geliştirilmesi ve etkililiğinin incelenmesidir. Bu amaçla, Ege
Üniversitesi Tıp Fak. Hastanesi Çocuk Psikiyatrisi Polikliniği’ne başvuran ve
DSM-IV-TR’a göre yaygın anksiyete bozukluğu, sosyal fobi, özgül fobi veya
ayrılma anksiyetesi bozukluğu tanısı alan 8-13 yaş arası toplam 65 katılımcı
çalışmaya alınmıştır. Katılımcılar ayrıca sürece ve tanıya kör ve bağımsız iki
uzman hekim tarafından, yarı yapılandırılmış bir görüşme olan KD-SADS-PL
aracıyla tanılanmış ve C-GAS skalasıyla genel işlevsellik puanları belirlenmiştir.
Katılımcılar BDGT (deney) ve plasebo (kontrol) koşullarına rastgele (random)
atanmıştır. Uygulamalar, 13 çocuk ve 4 aile seansı olmak üzere toplam 17 grup
seansından oluşmuştur. Katılımcılar müdahale öncesi ve sonrası
değerlendirilmiştir. Çalışmanın veri toplama araçları olarak Çocuklarda Anksiyete
Bozukluklarını Tarama Ölçeği (ÇABTÖ), Çocuklar için Olumsuz Bilişsel Hatalar
Ölçeği (ÇOBHÖ), Çocuklar için Genel Amaçlı Sağlıkla İlgili Yaşam Kalitesi
Ölçeği (SİYKÖ) ve Okul Çağı Mizaç Envanteri (OÇME) kullanılmıştır. Müdahale
sonrası çocuklara tedaviden yararlanmaları üzerine sorulan sorular nitel veri olarak
değerlendirilmiştir. Tedavi sonunda BDGT koşulundaki çocukların %52.8’inin
artık tanı almadığı ve genel işlevsellik düzeylerinin tedavi öncesine gore ve plasebo
grubuna göre anlamlı olarakdaha yüksek olduğu bulunmuştur. Yapılan karışık
desen varyans analizi sonuçlarına göre; BDGT koşulundaki katılımcıların,
plaseboya göre, genel kaygı düzeyleri ve bilişsel hataları anlamlı olarak azalmış,
yaşam kalitesi puanlarında ise anlamlı düzeyde artış saptanmıştır. Sonuç olarak,
çocukluk çağı anksiyete bozukluklarının tedavisinde, Korku Avcısı BDGT
programının etkili bir yöntem olduğu düşünülmektedir.
The aim of this study is to elaborate a group version of Fear Hunter cognitive behavioral therapy program which was developed for treatment of childhood anxiety disorders and to evaluate the effectiveness of the program. A total of 65 participants (aged 8 to 13 years) who apply to Ege University Faculty of Medicine Child and Adolescent Psychiatry polyclinic and take a diagnosis of generalized anxiety disorder, spesific phobia, seperation anxiety disorder or social phobia according to DSM-IV-TR were included in the study. Participants were also diagnosed with the KD-SADS-PL tool, a semi-structured interview, by two independent specialist physicians who were blind to the process and diagnosis, and their global functionality scores were determined with the C-GAS scale. The participants were randomly assigned to cognitive behavioral group therapy (CBGT) or placebo condition (control group). The practices consisted of a total of 17 group sessions, 13 of which were child sessions and 4 of which were family sessions. Participants were evaluated before and after the intervention. As the data collection tools of the study, Screen for Child Anxiety Related Emotional Disorders (SCARED), Children’s Negative Cognitive Errors Questionnaire (CNCEQ), General-Purpose Health-Related Quality of Life Scale for Children (Kid KINDL), and School Age Temperament Inventory (SATI) were used. After the intervention, the questions asked to the children about their benefit from the treatment were evaluated as qualitative data. SPSS and MaxQda programs were used for the analysis of the data. At the end of the treatment, 52.8% of the children in the CBGT condition were no longer diagnosed and their global functionality levels were found to be significantly higher than before the treatment and compared to the placebo group. According to the results of two way mixed ANOVA; participants in the BDGT condition had a significantly reduced general anxiety levels and cognitive errors, and a significant increase in their quality of life scores compared to the placebo. In conclusion, the Fear Hunter CBGT program is thought to be an effective method in the treatment of childhood anxiety disorders.
The aim of this study is to elaborate a group version of Fear Hunter cognitive behavioral therapy program which was developed for treatment of childhood anxiety disorders and to evaluate the effectiveness of the program. A total of 65 participants (aged 8 to 13 years) who apply to Ege University Faculty of Medicine Child and Adolescent Psychiatry polyclinic and take a diagnosis of generalized anxiety disorder, spesific phobia, seperation anxiety disorder or social phobia according to DSM-IV-TR were included in the study. Participants were also diagnosed with the KD-SADS-PL tool, a semi-structured interview, by two independent specialist physicians who were blind to the process and diagnosis, and their global functionality scores were determined with the C-GAS scale. The participants were randomly assigned to cognitive behavioral group therapy (CBGT) or placebo condition (control group). The practices consisted of a total of 17 group sessions, 13 of which were child sessions and 4 of which were family sessions. Participants were evaluated before and after the intervention. As the data collection tools of the study, Screen for Child Anxiety Related Emotional Disorders (SCARED), Children’s Negative Cognitive Errors Questionnaire (CNCEQ), General-Purpose Health-Related Quality of Life Scale for Children (Kid KINDL), and School Age Temperament Inventory (SATI) were used. After the intervention, the questions asked to the children about their benefit from the treatment were evaluated as qualitative data. SPSS and MaxQda programs were used for the analysis of the data. At the end of the treatment, 52.8% of the children in the CBGT condition were no longer diagnosed and their global functionality levels were found to be significantly higher than before the treatment and compared to the placebo group. According to the results of two way mixed ANOVA; participants in the BDGT condition had a significantly reduced general anxiety levels and cognitive errors, and a significant increase in their quality of life scores compared to the placebo. In conclusion, the Fear Hunter CBGT program is thought to be an effective method in the treatment of childhood anxiety disorders.
Açıklama
Anahtar Kelimeler
Bilişsel Davranışçı Grup Terapisi (BDGT), Çocukluk Çağı Anksiyete Bozuklukları, Etkililik, Cognitive Behavioral Group Therapy (CBGT), Childhood Anxiety Disorders, Effectiveness
