COVİD-19 pandemisinde uygulanan ilk karantina sürecinin otizm spektrum bozukluğu tanılı çocuklardaki otizm belirti şiddetine etkisi ve ilişkili faktörler
[ X ]
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Çağ Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu araştırmada Covid-19 pandemisi karantina sürecinin, otizm spektrum bozukluğu (OSB) tanısı almış çocuklardaki otizm semptom şiddetine etkisinin incelenmesi ve bu süreçte OSB şiddetini etkileyen faktörlerin araştırılması amaçlanmıştır. Çalışmamıza Adana Şehir Eğitim ve Araştırma Hastanesinde düzenli takibi yapılan OSB tanılı, yaşları 3 ile 6 (Ort = 4.69±1.09) arasında değişen, 34?ü (%81) erkek ve 8'i (%19) kadın olmak üzere 42 çocuk dahil edilmiştir. Çalışmamızda boylamsal araştırma yöntemi kullanılmıştır. Veri toplama aracı olarak 33 maddelik kişisel bilgi formu ebeveynle yüz yüze görüşme sırasında dolduruluştur. OSB şiddetini belirlemek için yüz yüze klinik ortamda Çocukluk Otizm Derecelendirme Ölçeği (ÇODÖ) uygulanmıştır. Elde edilen veriler SPSS Version 25.0.Windows paket programı ile değerlendirilmiştir. Çalışmamız, karantina sonrası otizm şiddetinin karantina öncesi otizm şiddetinden anlamlı olarak daha yüksek olduğunu göstermektedir (p <.001). Ayrıca ekran süresi ve OSB semptom şiddeti arasında pozitif yönde ve anlamlı düzeyde ilişki olduğunu (p<.001) göstermektedir. Karantina sürecinde OSB şiddetini etkileyen faktörleri incelediğimizde; özel eğitim almayan, rutinleri değişen, ekran süresi, uyku, beslenme ve davranış problemi artan çocukların karantina sonrası otizm şiddetinin karantina öncesi otizm şiddetinden anlamlı olarak daha yüksek olduğunu göstermektedir. Ayrıca karantina sürecindeki OSB şiddetinin, çocukların yaşadığı ev, ailenin aylık geliri, annenin eğitim durumu, çocukla ilgilenen kişiye göre gruplar arasında anlamlı bir farklılaşma olduğunu göstermektedir (p <.05). Ancak kardeş sayısı, birlikte yaşadığı kişi sayısı, ebeveynin yaşı, babanın eğitim durumu ve ilaç tedavileri aksayan gruplar arasında anlamlı bir farklılaşma olmadığını göstermektedir (p> .05). Sonuç olarak, Covid-19 pandemisi karantina sürecinde, OSB'li çocukların karantina öncesine kıyasla karantina sonrasında OSB şiddetinin arttığı, bu nedenle OSB şiddetini etkileyen faktörleri iyileştirecek eylem planı hazırlanması adına önemli olduğu sonucuna varılmıştır. Anahtar Kelimeler: Otizm spektrum bozukluğu, covid-19 salgını, karantina, OSB şiddeti.
In this study, it was aimed to examine the effect of the Covid-19 quarantine process on the severity of autism symptoms in children diagnosed with autism spectrum disorder (ASD) and to investigate the factors affecting the severity of ASD in this process. Our study included 42 children aged between 3 and 6 (Mean = 4.69 ± 1.09), 34 males (81%) and 8 females (19%), diagnosed with ASD, who were followed up regularly in Adana City Training and Research Hospital. Longitudinal research method was used in our study. As a data collection tool, a 33-item personal information form was filled in during the face-to-face interview with the parents. The Childhood Autism Rating Scale (CARS) was applied in a face-to-face clinical setting to determine the severity of ASD. The data obtained were evaluated using the SPSS Version 25.0. Windows package program. Our study shows that post-quarantine autism severity is significantly higher than prequarantine autism severity (p <.001). It also shows that there is a positive and significant relationship between screen time and ASD symptom severity (p<.001). When we examine the factors affecting the severity of ASD during the quarantine period, it is observed that the post-quarantine autism severity of children who do not receive special education, whose routines change, and whose problems of behaviour, screen time, sleep, nutrition increase, is significantly higher than the pre-quarantine autism severity. In addition, the severity of ASD during the quarantine process shows that there is a significant differentiation among the monthly income and the home of the children's family, the education level of the mother, and the people who take care of the child (p <.05). However, there is no significant difference among the number of siblings, the number of people with whom they live, the age of the parents, the education level of the father and the groups whose drug treatments delayed (p > .05). Result, during the Covid-19 pandemic quarantine process, it was concluded that the ASD severity of children with ASD increased in post-quarantine compared to prequarantine, therefore it is important to prepare an action plan to improve the factors affecting ASD severity. Keywords: Autism spectrum disorder, covid-19 pandemic, quarantine, ASD severity
In this study, it was aimed to examine the effect of the Covid-19 quarantine process on the severity of autism symptoms in children diagnosed with autism spectrum disorder (ASD) and to investigate the factors affecting the severity of ASD in this process. Our study included 42 children aged between 3 and 6 (Mean = 4.69 ± 1.09), 34 males (81%) and 8 females (19%), diagnosed with ASD, who were followed up regularly in Adana City Training and Research Hospital. Longitudinal research method was used in our study. As a data collection tool, a 33-item personal information form was filled in during the face-to-face interview with the parents. The Childhood Autism Rating Scale (CARS) was applied in a face-to-face clinical setting to determine the severity of ASD. The data obtained were evaluated using the SPSS Version 25.0. Windows package program. Our study shows that post-quarantine autism severity is significantly higher than prequarantine autism severity (p <.001). It also shows that there is a positive and significant relationship between screen time and ASD symptom severity (p<.001). When we examine the factors affecting the severity of ASD during the quarantine period, it is observed that the post-quarantine autism severity of children who do not receive special education, whose routines change, and whose problems of behaviour, screen time, sleep, nutrition increase, is significantly higher than the pre-quarantine autism severity. In addition, the severity of ASD during the quarantine process shows that there is a significant differentiation among the monthly income and the home of the children's family, the education level of the mother, and the people who take care of the child (p <.05). However, there is no significant difference among the number of siblings, the number of people with whom they live, the age of the parents, the education level of the father and the groups whose drug treatments delayed (p > .05). Result, during the Covid-19 pandemic quarantine process, it was concluded that the ASD severity of children with ASD increased in post-quarantine compared to prequarantine, therefore it is important to prepare an action plan to improve the factors affecting ASD severity. Keywords: Autism spectrum disorder, covid-19 pandemic, quarantine, ASD severity
Açıklama
Sosyal Bilimler Enstitüsü, Psikoloji Ana Bilim Dalı
Anahtar Kelimeler
Psikoloji, Psychology
