Buradasınız

Adolesanda ruhsal sorunlar

Psychological problems in adolescent period

Journal Name:

Publication Year:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Unlike childhood and adulthood, puberty is a different and special period during which lots of developmental constituents are gained. During this period, the incidence of psychological problems is high. While it is frequent for the adolescent girls to experience inner directed behavioural problems such as anxiety and depression and problems with social relations (with parents, friends and school), it is frequent for adolescent boys to experience problems with school and work and outer directed behavioural problems in the form of anti-social and violent behaviours (lack of attention-hyperactivity disorder, objection disorder, conduct disorder). Family physicians are likely to come across adolescents with mental health problems frequently. But it is not actually explicit how these problems could be recognized and handled by the family physicians and when, how and to whom they will be directed. Therefore, family physicians need first of all to be aware of the mental problems and then to get standardized trainings to increase their diagnostic skills. Our aim in this study is to deal with frequently encountered mental symptoms and disorders, to stress upon the points to which attention should be paid while interviewing the adolescents, and to inform them about what could be done.
Abstract (Original Language): 
Ergenlik dönemi gelişimsel birçok yapı taşının kazanıldığı, çocukluk ve erişkinlik dönemlerinden ayrı, farklı ve özel bir dönemdir. Bu dönemde ruhsal sorunların görülme sıklığı da yüksektir. Kız ergenlerde anksiyete ve depresyon gibi içe yönelimli davranış sorunları ve sosyal ilişkilerde (ebeveynler, arkadaşlar ve okul) sorunlar, erkek ergenlerde ise okulda ve işte sorunlar, antisosyal ve şiddet içerikli davranışlar şeklinde dışa yönelimli davranış sorunları (dikkat eksik-liği-hiperaktivite bozukluğu, karşıt olma bozukluğu, davranım bo¬zukluğu) daha sıktır. Aile hekimleri ruhsal sorunları olan ergenler¬le sık karşılaşabilirler. Ancak bu sorunların aile hekimleri tarafından nasıl tanınacağı, ele alınacağı, kime, ne zaman ve nasıl yönlendiri¬leceği net değildir. Bu nedenle aile hekimlerinin öncelikle ruhsal bozukluklardan haberdar olmaları ve tanısal becerilerini artırmala¬rı için standardize eğitimlere ihtiyaçları vardır. Bu yazındaki amacı¬mız ergenlik döneminde sık karşılaşılabilecek ruhsal belirtilerden ve bozukluklardan söz etmek, ergenlerle görüşme yapılırken dik¬kat edilecek noktaları vurgulamak, neler yapılabileceği hakkında bilgi vermektir.
14-18

REFERENCES

References: 

1. Young JG, Kaplan D, Pascualvaca D, Brasic JR. Psychiatric examination of the infant, child, and adolescent. In: Sadock BJ, Sadock VA, editors. Comprehensive Textbook of Psychiatry. 6th ed. Baltimore: Williams & Wilkins; 1995. p. 2169-206.
2. Paus T, Keshavan M, Giedd JN. Why do many psychiatric disorders emerge during adolescence? Nat Rev Neurosc 2008;9:947-57.
3. Hickie Ib, Fogarty AS, Davenport TA, Luscombe GM, Burns J. Responding to experiences of young people with common mental health problems attending Australian general practice. Med J Aust 2007;187(7
suppl):S47-52.
4. Miller JW. Screening children for developmental behavioral problems: prin¬ciples for the practitioner. Primar Care Clin Office Pract 2007;34:177-201.
5. Romano E, Tremblay RE, Vitaro F, Zoccolillo M, Pagani L. Prevalence of psychiatric diagnoses and the role of perceived impairment: findings from an adolescent community sample. J Child Psychol Psychiatr2001;42:451-61.
Türkiye Aile Hekimliği Dergisi |
Turkish Journal of Family Practice | Cilt 16 | Ek / Suppl | 2012
S17
10.
11.
12.
13.
14.
15.
16.
17.
18.
Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ, Poulton R.
Prior juvenile diagnoses in adults with mental disorders: developmental fol¬low-back of a prospective longitudinal cohort. Arch Gen Psychiat 2003;60:
709-801.
Kramer T, Garralda ME. Psychiatric disorders in adolescents in primary
care. Br J Psychiatr1998;173:508-13.
McKelvey RS, Pfaff JJ, Acres JG. The relationship between chief com¬plaints, psychological distress, and suicidal ideation in 15-24-year-old patients presenting to general practitioners. Med J Aust 2001;175:550-2. Jacobson L, Churchill R, Donovan C, Garralda E, Fay J. Members of the Adolescent Working Party, RCGP. Tackling teenage turmoil: primary care recognition and management of mental ill health during adolescence. Fam
Pract 2002;19:401-9.
Laukkanen E, Hintikka JJ, Kylma J, Kekkonen V, Marttunen M. A brief intervention is sufficient for many adolescents seeking help from low thresh¬old adolescent psychiatric services. BMC Health Serv Res 2010;261:1-10. Rushton J, Bruckman D, Kelleher K. Primary care referral of children with psychosocial problems. Arch Pediatr Adolesc Med 2002;156:592-98. Hafting M, Garlov I. "You may wade through them without seeing them": general practioners and their young patients with mental health problems.
Nord J Psychiatry 2009;63:256-9.
Rutter m, Caspi A, Moffitt T. Using sex differences in psychopathology to study causal mechanisms:unifying issues and research strategies. J Child
Psychol Psychiatry 2003;44:1092-115.
Costello EJ, Foley DL, Angold A. 10-year research update review:the epi¬demiology of child and adolescent psychiatry disorders:II. Developmental epidemiology. J Am Acad Child Adolesc Psychiatry 2006;45:8-25. Akdemir D, Çuadaroğlu-Çetin F. Çocuk ve ergen psikiyatrisi bölümüne başvuran ergenlerin klinik özellikleri. Çocuk ve Gençlik Ruh Sağlığı Dergisi
2008;15:5-13.
Gilbert A, Maheux B, Frappier JY, Haley N. Adolescent care part 1: are family physicians caring for adolescents' mental health ? Can Fam Physician
2006;52:1440-1.
Hoffmann JP, Baldwin SA, Cerbone FG. Onset of major depressive disorder among adolescents. J Am Acad Child Adolesc Psychiatry 2003;42:217-24. Ağaoğlu B. Depressif Bozukluklar. Çocuk ve Ergen Psikiyatrisi Temel Kitabı'nda. E. Çuhadaroğlu-Çetin F ve ark. Ankara: Çocuk ve Gençlik Ruh Sağlığı Derneği Yayınları; 2008. s. 373-82.
19. Gould MS, Greenberg T, Velting DM, shaffer D. Youth suicide risk and preventive interventions: a review of the past 10 years. J Am Acad Child
Adolesc Psychiatr 2003;42:386-405.
20. Work Group on eating disorders. Practice guidelines for the treatment of patients with eating disorders. Washington DC: APA; 2006.
21. Gürdal-Küey A. Ergenlerde Yeme Bozuklukları. Çocuk ve Ergen Psikiyatrisi Temel Kitabı'nda. E. Çuhadaroğlu-Çetin F ve ark. Ankara: Çocuk ve Gençlik Ruh Sağlığı Derneği Yayınları; 2008 s. 373-82.
22. Moser SE, Bober JF. Behavioral problems in children and adolescents. In: Rakel RE, Rakel DP, editros. Textbook of Family Medicine. 8th ed. China: Elsevier-Saunders; 2011. p. 442-54.
23. Haller DM, Sanci LA, Sawyer SM, Patton GC. The identification of young people's emotional distress: a study in primary care. Br J Gen Prac2009;59:
e61-70.
24. Martinez R, Reynolds S, Howe A. Factors that influence the dedection of psychological problems in adolescents attending general practices. Br J Gen
Prac 2006;56:594-599.
25. Lewis M. Psychiatric assessment of infants, children and adolescents. In: Lewis M, editor. Child and Adolescent Psychiatry: A Comprehensive
Textbook. 3rd ed. Baltimore: Williams & Wilkins; 2002:525-44.
26. Barker P. Clinical Interviews with Children and Adolescents. E. Barker P. Library of Congress Cataloging in Publication Data, USA, 1990.
27. Aalto-Setâlâ T, Marttunen M, Tuulio-Henriksson A, Poikolainen K, Lönnqvist J. Psychiatric treatment seeking and psychosocial impairment among young adults with depression. J Affect Disord2002;70:35-47.
28. King R, Schwab-Stone M, Peterson BS, Thies AP. Bebek, çocuk, ergenin psikiyatrik incelemesi. Kaplan & Sadock's Comprehensive Textbook of Psychiatry'de. Çev: Bozkurt E. Sadock BJ ve Sadock VA, çeviri ed. Aydın HA, Bozkurt A. 8. baskı. Ankara: Güneş Kitabevi Ltd. fiti.; 2007. s. 3044-75.
29. Kaplan HI & Sadock BJ. Çocuk psikiyatrisi: değerlendirme, inceleme ve psikoloijk inceleme. Klinik Psikiyatri'de. E. Kaplan HI & Sadock BJ, çeviri ed. Abay E. İstanbul: Nobel Tıp Kitabevleri; 2004. s. 475-80.
30. Baykara A, Miral S. Çocuğun ve ergenin ruhsal incelemesi. Psikiyatri Temel Kitabı'nda. Ed. Güleç C ve E Köroğlu. Ankara: Hekimler Yayın
Birliği;
1998
. s. 1035-41.
31. Baykara A, Baykara B. Oyun çağı ve latans dönemi. Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları'nda, Ed. Aysev A ve Taner Y. İstanbul: Asimetrik
Paralel; 2007. s. 173-89.

Thank you for copying data from http://www.arastirmax.com