Epileptik nöbet geçiren-sağlıklı çocuğu olan annelerin tükenmişlik düzeylerinin farklı değişkenler açısından incelenmesi
Studying of burnt out levels of mothers of with children having epileptic seizures and healthy children with respect to different variables
- Tez No: 191538
- Danışmanlar: DOÇ. DR. NİLHAN SEZGİN
- Tez Türü: Yüksek Lisans
- Konular: Psikoloji, Psychology
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 2006
- Dil: Türkçe
- Üniversite: Ankara Üniversitesi
- Enstitü: Sosyal Bilimler Enstitüsü
- Ana Bilim Dalı: Psikoloji Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 207
Özet
ÖZETBu ara t rman n temel amac epileptik nöbet geçiren ve sa l kl çocukanneleriden olu an bir örneklemde Maslach Tükenmi lik Ölçe i (MBI) nin üçfaktörünün geçerli ini ara t rmakt r. Ara t rmada ayr ca, epileptik nöbet geçiren vesa l kl çocu a sahip iki anne grubu tükenmi lik düzeyleri, stres belirtileri, sosyaldestek, yaln zl k, anne-baba tutumlar ve çocuklar n sosyal uyum becerileriaç s ndan kar la t r lm t r. Son olarak ise stres belirtileri, sosyal destek, yaln zl k,anne-baba tutumlar ve çocuklar n sosyal uyum becerilerinin epileptik nöbet geçirenve sa l kl çocuk annelerinin tükenmi lik düzeyleri üzerindeki yorday c etkileriara t r lm t r. Ara t rman n örneklemini 75 epileptik nöbet geçiren çocuk annesi ve75 sa l kl çocuk annesi olu turmaktad r.Yukar da özetlenen ara t rmada ilk olarak çocuklar n sosyal uyumbecerileri ini de erlendirmek amac yla annelerden al nan bilgilere dayanan SUBO -Çocuklar için Sosyal Uyum Ölçe i geli tirilmi tir. Ölçek olu tururlurken ilka amada 5 ölçek - Social Skills Trainingin with Children and Adolescents, SocialSkills Trainingin with Children and Adolescents-Staff Questionnare: SocialBehaviour at School (children ages 5-10 years), Ö renci Davran larDerecelendirme Ölçe i, AAMD Uyumsal Davran Skalas , Children's BehaviorQuestionnare - incelenmi ve bu ölçeklerden seçilen 45 madde uyarlanarakSUBO'nin ilk formuna dahil edilmi ayr ca ara t mac ile dan man taraf ndan 71yeni madde üretilerek 116 maddelik SUBO olu turulmu tur. Bu formun 350sa l kl , 150 çocuk ruh sa l polikliniklerinden tan alm çocuk annesine149uygulanmas ndan sonra yap lan madde-toplam test korelasyonu ve faktör analizi ileSUBO'nin ara t rmada kullan lan 59 madde ve 7 faktörlü son hali geli tirilmi tir.Ara t rman n ikinci a amas nda temel amaca yönelik olarak epileptik nöbetgeçiren ve sa l kl çocu a sahip anne gruplar ile yap lan geçerlik çal mas , buörneklemde Maslach Tükenmi lik Ölçe inin duygusal tükenmi lik ve ki isel ba arolmak üzere iki faktörlü bir yap ya sahip oldu unu göstermi tir. Daha sonrakia amada ise her iki grubun tükenmi lik düzeyleri, stres belirtileri, sosyal destek,yaln zl k, anne-baba tutumlar ve çocuklar n sosyal uyum becerileri aras nda farkolup olmad n saptamak amac yla uygulanan tek yönlü varyans analizi (ANOVA)bulgular , epileptik nöbet geçiren çocu a sahip annelerin Maslach Tükenmi likÖlçe inin ki isel ba ar faktörü puanlar n n sa l kl çocuk annelerinden anlamlolarak daha yüksek oldu u; PARI'nin bask c tutum faktörü puanlar n n sa l klçocuk annelerinin puanlar ndan anlaml olarak daha dü ük oldu u; ayr ca, epileptiknöbet geçiren çocuklar n SUBO'nin dürtüsellik, sosyal ili ki, onay ihtiyac ve içedönüklük boyutlar nda sa l kl çocuklardan anlaml olarak daha yüksek puanald klar saptanm t r.Ara t rman n son ad m nda uygulanan a amal regresyon analizisonuçlar na göre, epileptik nöbet geçiren çocuk annelerinde duygusal tükenmi li ien iyi yordayan faktörlerin s ras yla; SUBO'nin dürtüsellik ve Stres BelirtileriÖlçe inin bili sel-duyu sal faktörleri oldu u saptanm t r; bu iki faktör epileptiknöbet geçiren çocuk anneleri grubundaki toplam varyans n %61'ini aç klamaktad r.A amal regresyon analizi sonuçlar , sa l kl çocu a sahip anne grubunda iseduygusal tükenmi li i en iyi yordayan faktörlerin s ras yla; MTÖ'nin ki isel ba ar ,150SUBO'nin sosyal ili ki ve Stres Belirtileri Ölçe inin bili sel-duyu sal faktörlerioldu una i aret etmi tir; bu be faktör sa l kl çocuk anneleri grubundaki toplamvaryans n %38'ini aç klamaktad r. Son olarak yukar da özetlenen bulgular ilgiliyay nlar çerçevesinde tart lm t r.151ABSTRACTThe main aim of the present study was to explore three dimensions of theMaslach Burnout Inventory (MBI) in a sample of mothers of children havingepileptic seizures and mothers of healthy children. Secondly both the burnoutlevels, stress symptoms, social provisions, loneliness, parental attitudes of twogroups of mothers with children having epileptic seizures and healthy children; andthe social adaptation skills of the two groups of children were compared. As a laststep, the predictive level of the stress symptoms, social provisions, loneliness,parental attitudes and the social adaptation skills of children on the burnout levels ofthe two group of mothers were investigated. The sample consisted of 75 mothers ofchildren having epileptic seizures and 75 mothers of healthy children.Inorder to accomplish the aims of the research, a new assessment tool forChildren's social skills -SUBO was constructed. While constructing the newassessment tool the researcher and her supervisor firstly examined 5 scales - SocialSkills Trainingin with Children and Adolescents, Social Skills Trainingin withChildren and Adolescents-Staff Questionnare: Social Behaviour at School (childrenages 5-10 years), Student's Behavior Rating Scale, Adaptive Behavior Scale,Children's Behavior Questionnare -. 45 adapted items of these scales and 71 newitems developed by the researcher and her supervisor consisted the 116 items of thefirst form of SUBO. This 116 item form was given to 350 mothers of healty and150 of children who had been diagnosed as having various psychological problemsin child mental health polyclinics then the item-total correlations and factor152analyisis were computed thus, forming the 59 item 7 factor form of the SUBO wasconstructed.The validation of MBI in a sample of the mothers of sample of mothers ofchildren having epileptic seizures and healthy children yieled two factors asemotional burnout and personal accomplishment. The results of one way ANOVAsindicated that the MBI personal accomplishment scores of mothers with childrenhaving epileptic seizures were significantly higher than the MBI personalaccomplishment scores of mothers of healthy children. PARI dominance scores ofmothers with children having epileptic seizures were significantly lower than thePARI dominance scores of mothers of healthy children. On the other hand theresults of oneway ANOVAs indicated that the SUBO mean scores of impulsiveness,social relationship problems, need for approval and introversion factors for childrenhaving epileptic seizures were significantly higher than the healty children.Hierarchical regression analysis revealed that the impulsiveness factor ofSUBO and the cognitive-affective factor of the Stress Self-Assessment Checklist,were the best predictors of burnout in the mothers of the mentally handicappedchildren; these two factors were explaning %61 of the total variance. Hierarchicalregression analysis also revealed that the, personal accomplishment factor of MBI,social relations factor of SUBO and the cognitive-affective factor of the Stress Self-Assessment Checklist were the best predictors of burnout in the mothers of thehealthy children; these three factors were explaning %38 of the total variance.Lastly the results were discussed in the context of the related literature.153KAYNAKÇAAhola, K., Honkonen, T., Iseometsä, E., Kalimo, R. Nykyri, E., Koeskinen, S.,Aroma, A. Lönnqvist, J. (2006). Burnout in the general population resultsfrom the finnish health 2000 Study. Soc. Psychiatry Psychiatr Epidemiol,41:11-17.Allen, R.J. (1984). Human stress: Its nature and control. New York: MacMillanPublishing Company.An l, L. (1999). Askerlikte Ruhsal Bozukluk Belirtisi Gösteren ve GöstermeyenErlerin Sosyal Destekler ve Ba aç kma Yöntemleri Aç s ndanKar la t r lmas . Ege Üniversitesi, yay nlanmam yüksek lisans tezi.Arkar H., Sar , Ö., Fidaner, H. (2004). Relationships between quality of life,perceived social support, social network, and loneliness in a Turkish sample.Yeni Symposium, 42(1);20-27.Austin, J.K., McBride, A.B., Davis, H.W. (1984) Parental Attitude and Adjustmentto Childhood Epilepsy. Nursing Research, 33( 2): 92-96.Bagley, C., Gables, C. (1971). The Social Psychology of the Epileptic Child.America: University of Miami Pres.Becker, D.A., Fennell, E.B., Carney, P.R. (2003). Sleep disturbance in children withepilepsy. Epilepsy and Behavior, 4: 651-58.154Bekker, M.H.J., Croon, M.A., Bressers, B. (2005) Childcare involvement, jobcharateristics, gender and work attitudes as predictors of emotionalexhaustion and sickness absence. Work and Stres, 19(3): 221-237.Beresford, B.A. (1994). Resources and Strategies: How Parents Cope with the Careof a Disabled Child. J. Child Psychol. Psychiat., 35(1):171-209.Bilal, E., Da , +. (2005). E itilebilir zihinsel engelli olan ve olmayan çocuklar nannelerinde stres, stresle ba a ç kma ve kontrol oda n n kar la t r lmas .Çocuk ve Gençlik Ruh Sa l Dergisi, 12(2): 56-68.Carlton-Ford, S., Miller, R., Nealeigh, N., Sanchez, N. (1997). The effect ofperceived stigma and psychological over-control on the behavioural problemsof children with epilepsy. Seizure, 6:383-391.Chumbler, N.R., Grimm, J.W., Cody, M., Beck C. (2003). Gender, kinship andcaregiver burden: the case of community-dwelling memory impaired seniors.International journal of geriatric psychiatry, 18: 722-732.Cronin-Stubbs, D., Rooks, C.A. (1985). The stress, social support and burnout ofcritical care nurses: The results of research. Heart and Lung, 14(1):31-39.Crow, L.D., Crow, A. (1962): Child Development and Adjustment America: TheMacmillan Company.Cutrona, C.E., Russell, D.W. (1987). The provisions of relationship and adaptationto stress. Advances in Personel Relationship, 1: 37-67.155Çak r, Y., Palab y klo lu, R. (1997). Gençlerde Sosyal Destek-Çok BoyutluAlg lanan Sosyal Destek Ölçe inin Güvenirlik ve Geçerlik Çal mas . KrizDergisi, 5(1): 15-25.Çam, O. (1993). Tükenmi lik Envanterinin Geçerlik ve Güvenirli inin Ara t r lmas .Rüveyda Bayrakç , +hsan Da (Ed) 7. Ulusal Psikoloji Kongresi BilimselÇal malar . (s. 155-160) Ankara: Türk Psikologlar Derne i Yay nlar .Çokluk, Ö. (1999). Zihinsel ve“ itme Engelliler Okullar nda Görev Yapan YöneticiÖ retmenlerde Tükenmi li in Kestirilmesi. Ankara Üniversitesi,yay nlanmam Yüksek Lisans Tezi.Demir, A. (1989). U.C.L.A. Yaln zl k Ölçe inin Geçerlik ve Güvenirli i. PsikolojiDergisi, 7(23): 14-18.Devrimci, H.Ö., Haran, S., (2000). Tükenme. Kriz ve Krize Müdahale Say l, I.,Berksun, O.E., Palab y ko lu, R., Özgüven, H.,D:, Soykan, Ç., Haran, S. (Ed)(s. 199-215) Ankara: Damla Matbaac l k.Do an, M. (2001). ”itme engelli çocu a sahip ebeveynlerin çe itli psikolojikde i kenler aç s ndan de erlendirilmesi. Ankara Üniversitesi, yay nlanmamyüksek lisans tezi.Dunn, D.W., Harezlak, J., Ambrosius, W.T. (2003). ADHD and epilepsy inchildhood. Developmental Medicine and Child Neurology, 45: 50-54.156Duygun, T. Sezgin, N. (2003). Zihinsel engelli ve sa l kl çocuk annelerinde stresbelirtileri, stresle ba aç kma tarzlar ve alg lanan sosyal deste in tükenmi likdüzeyine olan etkisi. Türk Psikoloji Dergisi, 18(52): 37-52.Eckenrode, J. (1983). The Mobilization of Social Supports: Some IndividualConstraints. American Journal of Community Psychology, 11(5):509-528.Editorial (2003). Clinical challenges for learning, behavior, and mood in childrenwith epilepsy. Epilepsy and Behavior, 4: 98-100.Ek i, A. (1990). Çocuk, Genç, Ana babalar. Ankara: Bilgi Yay nevi.Ellis, N., Upton, D., Thompson, P. (2000). Epilepsy and the family: a review ofcurrent literature. Seizure, (9): 22-30.Epir, S. (1976).“lkokul çocuklar için AAMD Uyumsal Davran Skalas (1974Revizyonu) Türkçe adaptasyonu El Kitab . Ankara: Milli E itim BakanlTalim Terbiye Dairesi.Ergin, C. (1993). Doktor ve Hem irelerde Tükenmi lik ve Maslach Tükenmi likÖlçe inin Uyarlanmas . Rüveyda Bayrakç , +hsan Da (Ed). 7. UlusalPsikoloji Kongresi Bilimsel Çal malar . (s. 143-154). Ankara: TürkPsikologlar Derne i Yay nlar .Erku , A. (2003) Psikometri Üzerine Yaz lar. Ankara: Türk Psikologlar Derne iYay nlar .F lo lu, H. (1996). Minuchin: Aile Yap s -Altsistemler-S n rlar. Aile Tedavileri (s.29-35). Hürol F lo lu, (Ed). Ankara: Ankara Üniversitesi Bas mevi.157Florian, V., Krulik, T. (1991). Loneliness and Social Support of Mothers ofChronically ill. Children. Social Science Medical, 32(11): 1291-1296.Gander, M.J., Gardiner, H.W. (1998). Çocuk ve Ergen Geli imi. (Çev. Dönmez, A.,Çelen, N., Onur, B.) Ankara: +mge Kitapevi.Gastaut, H., Broughton, R. (1972). Epileptic Seizure: Clinical and electrographicfeatures, diagnosis and treatment. Illinois: Charles C Thomas Publisher.Gold, Y., Roth, R.A., Wright, B., Michael, W.B. (1991). The Relationship of Scoreson the Educators Survey, A Modified Version of the Maslach BurnoutInventory, To Three Teaching-Related Variables For a Sample of 132Beginning Teachers. Educational and Psychological Measurement, (51);429-438.Gren, D.E., Walkey, F.H. (1984). A confirmation of the three-factor structure of themaslach burnout inventory. Educational and Psychological Measurement,48:579-585.Hernandez, M.T., Sauerwein, H.C., Jambaque I, Guise E., Lussier, F., Lortie, A.,Dulac, O., Lassonde M. (2003). Attention, memory and behavioraladjustment in children with frontal lobe epilepsy. Epilepsy and Behavior, 4:52-536.Holden, R. (1998). Stress Busters. London: Harper Collins Publishing.Hopkins, A., Appleton, R. (1996). Epilepsy: The fact. New York: Oxford UniversityPres.158Hovardao lu, S. (1997). Stres Belirtileri ile durumsal ve Sürekli Kayg n nYordanmas . Kriz Dergisi, 5(2): 127-134.I kl , S (1998). A prospective study of life stres, social support and assertivenessamong Turkish university student. ODTÜ, yay nlanmam yüksek lisans tezi.Jenkins, R., Elliott, P. (2004). Sterssor, burnout and social support: nurses in acutemental health settings. Journal of Advanced Nursing, 48(6): 622-631.Kaçmaz, N. (2005). Tükenmi lik (burnout) sendromu. ”stanbul Üniversitesi, T pFakültesi Dergisi, 68(1):29-32.Karaca, D.T. (2001). Epilepsi Tan l Çocuklarda, Davran sal-Bili sel Özellikler veAile Tutumlar . Dokuz Eylül Üniversitesi, yay nlanmam uzmanl k tezi.Kasl, S.V. ve Cooper, C.L. (1995) Research Methods in Stress and HealthPsychology. England: John Wiley&Sons, Ltd.Kasuya, R.T., Polgar-Bailey, P., Takeuchi, R. (2000). Caregiver burden and burnout:A guide for primary care physicians. Postgrad Med. 108(7):119-23.Kazak, A.E., Wilcox, B.L. (1984). The structure and function of social supportnetwork in families with handicapped children. American Journal ofCommunity Psychology, 12(6): 645-661.Kennedy, B.R. (2005). Stress and burnout of nursing staff working with geriatricclients in long-term care. Journal of Nursing Scholarship, 37(4): 381-382.159Kobya, H. (1997). 6-12 ya epilepsili çocu a sahip ailelerin hastal a ili kin bilgi,uygulama ve ya ad klar güçlüklerin belirlenmesi. Hacettepe Üniversitesi,yay nlanmam yüksek lisans tezi.Küçük, W. (1987). The validity of the Turkish form of the PARI subscales II, III, IV.Bo aziçi üniversitesi, yay nlanmam doktora tezi.Lai C.W., Trimble, M.R. (1997). Stress and Epilepsy. J. Epilepsy, 10:177-186.LeCompte, G., LeCompte, A, Özer, S.A. (1978). Üç Sosyo-Ekonomik Düzeyde,Ankaral Annelerin Çocuk Yeti tirme Tutumlar : Bir çek Uyarlamas . TürkPsikoloji Dergisi, 1(1): 5-8.Lendt, M., Helmstaedter, C., Kuczaty, S., Schramm, C., Elger, E. (2000).Behavioural Disorders in children with epilepsy: early improvement aftersurgery. J. Neurol Neurosurg Psychiatry, 69:739-744.Marin, J.A., Garcia-Ramirez M. (2005). Social support and emotional exhaustionamong hospital nursing staff. European Journal of Psychiatry, 19(2): 96-106.Maslach, C., Leiter, M.P. (1997). The Truth About Burnout-How OrganizationsCause Personal Stress and What to Do About It San Francisco: Jossey-BassPublisher.Maslach, C., Jackson, S.E. (1981) The Measurement of experienced burnout. Journalof Occupational Behaviour, (2); 99-113.Maslanka, H. (1996). Burnout, Social Support and Aids Volunteers. AIDS Care,8(2): 6-12.160McManus, I.C., Qinder, B.C., Gordon, D. (2002). The Causal Links Between Stressand Burnout in a Longitudinal Study of UK Doctors. The Lancet, 359: 2089-90.düzeyleri, cinsiyetleri ve sosyo ekonomikMerteo lu, M. (1987). Ba arözellikleri farkl ilkokul ö rencilerinin baz davran lar yönündenkar la t r lmas . Hacettep Üniversitesi, yay nlanmam yüksek Lisans tezi.Moustakas, C.E. (1961). Loneliness. England: A spectrum Book, Prentice-Hall, Inc.Murphy, P.M., Kupshik, G.A. (1992). Loneliness, Stress and Well-Being: A helper'seguide. New York: Routledge, Chapman and Hall, Inc.Neyzi, O., Ertu rul, T. (2002). Konvülsiyonlar. Pediatri. 2:1343-353.O'Donoghue, M.F., Duncan, J.S., Sander, J.W.A.S. (1998). The subjective handicapof epilepsy: a new approach to measuring treatment outcome. Brain, 121:317-43.O uz, A. (2000). Epilepsili Çocuklarda Kayg ve Depresyon Skorlar ile EpileptikDe i kenler Aras ndaki“li ki. Dokuz Eylül Üniversitesi, yay nlanmamuzmanl k tezi.O uz, A., Kurul, S., Dirik, E., J. (2002). Relationsip of Epilepsy-Related Factors toAnxiety and Depression Scores in Epileptic Children. Child Neurol, 17: 37-40.Okutan, M. (2002). Stres ve Stresle Ba aç kma Yöntemleri-Bir alan uygulamas -Gazi Üniversitesi, yay nlanmam yüksek lisans tezi.161O'leary, J.L., Goldring, S. (1976). Science and Epilepsy: Neuroscience Gains inEpilepsy Research. New York: Raven Pres.Özoda k, M. (2001). Modern ”nsan n Yaln zl . Ankara: Çizgi Kitabevi Yay nlar .Pal, D.K. (2003). Epilepsy control in the twenty-first century: hidden impact onchildren and families. Child: Care, Health and Development, 29( 4): 233-236.Pellock, J.M. (2004). Defining the problem: psychiatric and behavioral comorbidityin children and adolescents with epilepsy. Epilepsy and Behavior, 5: 3-9.Pelsma, D.M., Roland, B., Tollefson, N. ve Wigington, H. (1989) Parent burnout:Validation of Maslach Burnout Inventory with samples of mothers.Measurement and Evaluation in Counseling and Development, 22: 81-87.Pines, A.M., Ben-Ari, A., Utasi, A., Larson, D. (2002). A Cross-CulturalInvestigation of Social Support and Burnout. European Psychologist, 7(4):256-264.Prag, P.W. (2003). Stress, Burnout and Social Support: A review and call forresearch. Air Medacial Journal, 22(4): 18-22.Raina P., O'Donnell, M., Rosenbaum, P., Brehaut, J., Walter, S.D., Russell, D.,Swinton, M., Zhu B., Wood (2005). The health and well-being of caregiversof children with cerebral pasly. E. Pediatrics, 15(6): 626-636.Renda, Y. (1994). Jeneralize Epilepsiler. Katk Pediatri Dergisi, 6:464-475.162Rice, P.L. (1999). Stress and Health (3rd edition). New York: Brooks/ColePublishing Company.Riva, D., Saletti, V., Nichelli, F., Bulgheroni, S.J. (2002). Neuropsychologic effectsof frontal lobe epilepsy in children. Child Neurol, 17: 661-667.Robert, H.A., Halsam, M.D. (1997). Nonfebril Seizures. Pediatrics in Review, 18:39-40.Ryan, B.L., Speechley, K.N., Levin, S.D., Stewart, M. (2003). Parents' andphysicians' perceptions of childhood epilepsy. Seizure, 12: 359-368.Sander, J.W. ve Hart, Y.M. (1999). Epilepsy Questions and Answers. MeritPublishing INternational Hampshire/England.Sava r, I. ve Wahin, N. (1995). Wechsler Çocuklar için Zeka Ölçe i (WISC-R) ElKitapç . Ankara: Türk Psikologlar Derne i Yay nlar .Say l, I., Haran, S., Ölmez, W., Devrimci-Özgüven, H. (1997). Ankara ÜniversitesiHastanelerinde Çal an Doktor ve Hem irelerin Tükenmi lik Düzeyleri. KrizDergisi, 2(2): 71-79.Spence, S. (1979a). Social Skills Training with Children and Adolescents. Oxford:NFER-NELSON Publishing Company Ltd.Spence, S. (1979b). Social skills training with children and adolescents. StaffQuestionnare: Social behaviour at school (children age 5-10 years). Oxford:NFER-NELSON Publishing Company Ltd.163Streisand, R., Tercyah, K.P. (2004). Parenting Chronically Ill Children. Hoghughi,M., Lon, N.(Ed). Handbook of Parenting Theory and Research for PracticeLondon: Sage Publication.Sümer, N., Güngör, D. (1999). Çocuk Yeti tirme Stillerinin Ba lanma Stilleri,Benlik De erlendirmeleri ve Yak n +li kiler Üzerindeki Etkisi. Türk PsikolojiDergisi, 14 (44): 35-63.Wahin, D. (1999). Sosyal Destek ve Sa l k. Ülgen Okyayuz (Ed). Sa l k PsikolojisiGiri (s. 79-107) Ankara: Psikologlar Derne i Yay nlar .Wahin, N.H. (1998a). Stres Nedir? Ne De ildir? Nesrin Hisli Wahin (Ed.) Stresle Ba aÇ kma: Olumlu bir yakla m'dan (3. bas m) (s.1-17). Ankara: TürkPsikologlar Derne i Yay nlar .Wahin, N.H. (1998b). Kendi ?Olumlu Stres? Düzeyinizi Bulmak. Nesrin Hisli Wahin(Ed.) Stresle Ba a Ç kma: Olumlu bir yakla m'dan (3. bas m) (s.19-21).Ankara: Türk Psikologlar Derne i Yay nlar .Wahin, N.H. (2003). 2003 ?Stres ve Yönetimi? Uygulamal Psikoloji Yüksek Lisansders notlar .Wahin, S. (2000). Engelli Çocuklar olan Annelerin Çocuklar na Kar Tutumlar n n,Çocuklar n n Yeterlik Alanlar ve Sorun Davran lar Üzerine Etkisinin"ncelenmesi. Hacettepe Üniversitesi, yay nlanmam doktora tezi.164Taris, T.W., Peeters M.C.W., Le Blane, P.M., Schaufeli, W.A., Schreurs, P.J.G.(2001). From Inequity to Burnout: The Role of Job Stres. Journal ofOccupational Health Psychology, 6(4): 39-74.Taris, T.W., Blanc, P.M., Schaufeli, W.B., Schreurs, P.J.G. (2005). Are there causalrelationships between the dimensions of the Maslach Burout Inventory? Areview and two longitudinal tests. Work and Stres, 19(3): 238-255.Taylor, S.E. (1986). Health Psychology (6th edition). New York: McGraw-Hill, Inc.Thompson, R.J., Gustafson, K.E. (1996). Psychological adjustment of parents andsiblings. http://www.apa.org/books.Thompson, B.M., Kirk, A., Brown, D.F. (2005). Work based support, emotionalexhaustion, and spillover of work stres to the family environment: A study ofpolicewomen. Stres and health, 21(3): 199-207.Torun, A. (1998). Tükenmi lik, Aile Yap s ve Sosyal Destek +li kileri Üzerine BirÇal ma. 9. Ulusal Psikoloji Kongresi Bilimsel Çal malar El Kitab .GülerOkman Fi ek (Edt). (sy.307-315). Ankara: Türk Psikologlar Derne iYay nlar .Toyry, S., Kalimo, R., Aaimaa, M., Juntunen, J., Seuril, M., Rasanen, K. (2004).Children and work-related stress among physicians. Stress and Health, 20(4):213-221.Tömek, S.+. (1996). ?Stress Audit Ölçe inin? Ergenlerde Geçerlik ve GüvenirlikÇal mas . Ege Üniversitesi, yay nlanmam yüksek lisans tezi.165Turanl , G. (1994). Parsiyel Epilepsiler. Katk Pediatri Dergisi, 5:476-486.U uz, W., Toros, F., +nanç, B.Y., Çolakkad o lu, O. (2004). Zihinsel ve/veyabedensel engelli çocuklar n annelerinin anksiyete, depresyon ve stresdüzeylerinin belirlenmesi. Klinik Psikiyatri, 7:42-47.Uslu, R., Kerimo lu, E. (1999) Ölümcül Hastal k ve Tedavi Ekibi: Tükenmi likSendromu. Aysel Ek i (Ed). ?Ben Hasta De ilim? Çocuk Sa l veHastal klar n n Psikososyal Yönü. Ankara: Nobel T p Kitapevi.Ünal., A.S. (2004). Epilepsili Çocu u On Ailelerin Problem Çözme Becerileri.GATA, yay nlanmam doktora tezi.Ünal, P. (1998). Bir + Ortam nda Alg lanan Sosyal Deste in + levlerine,Kaynaklar na, Cinsiyet ve Mesle e Göre +nceleni i. 9. Ulusal PsikolojiKongresi Bilimsel Çal malar El Kitab . Güler Okman Fi ek (Edt). (sy.315-325). Ankara: Türk Psikologlar Derne i Yay nlar .Vandel, D. (1995). Children's Behavior Questionnaire. The NICHD Study of EarlyChild Care. http://secc.rti.org.Yalaz, K. (1994). Çocukluk ça nöbetlerine genel bak . Katk Pediatri Dergisi,6:447-453.Yavuzer, H. (1979). 6-12 ya Çocuklar n n Psiko-Sosyal Geli mesi. Türk PsikolojiDergisi, 5: 24-27.Y lmaz, B. (2003). Çocukta Normal Geli im. Türk Psikoloji Bülteni, 9(30-31); 46-56.166Y lmaz, B. (1999). Çocuk Yeti tirme Tutumlar : Kuramsal Yakla mlar ve GörgülÇal malar. Türk Psikoloji Yaz lar ,1(3): 99-118.Wade D.C., Cooley E. Savicki V. (1986). A Longitudinal Study of Burnout. Childrenand Youth Services Review, ( 8), 161-175.Williams, J., Steel, C., Sharp, G.B., DelosReyes, E., Phillips, T., Bates, S., Lange, B.,Griebel, M.L. (2003). Parental anxiety and quality of life in children withepilepsy. Epilepsy and Behavior, 4; 483-486.Williams, J. (2003). Learning and behavior in children with epilepsy. Epilepsy andBehavior, 4: 107-111.Zimet, G.D., Dahlem, N.W., Zimet, S.G., Farley, G.K. (1988). The MultidimensionalScale of Perceived Social Support. Journal of Personality Assessment, 52(1)30-41.167
Özet (Çeviri)
ABSTRACTThe main aim of the present study was to explore three dimensions of theMaslach Burnout Inventory (MBI) in a sample of mothers of children havingepileptic seizures and mothers of healthy children. Secondly both the burnoutlevels, stress symptoms, social provisions, loneliness, parental attitudes of twogroups of mothers with children having epileptic seizures and healthy children; andthe social adaptation skills of the two groups of children were compared. As a laststep, the predictive level of the stress symptoms, social provisions, loneliness,parental attitudes and the social adaptation skills of children on the burnout levels ofthe two group of mothers were investigated. The sample consisted of 75 mothers ofchildren having epileptic seizures and 75 mothers of healthy children.Inorder to accomplish the aims of the research, a new assessment tool forChildren?s social skills -SUBO was constructed. While constructing the newassessment tool the researcher and her supervisor firstly examined 5 scales - SocialSkills Trainingin with Children and Adolescents, Social Skills Trainingin withChildren and Adolescents-Staff Questionnare: Social Behaviour at School (childrenages 5-10 years), Student?s Behavior Rating Scale, Adaptive Behavior Scale,Children?s Behavior Questionnare -. 45 adapted items of these scales and 71 newitems developed by the researcher and her supervisor consisted the 116 items of thefirst form of SUBO. This 116 item form was given to 350 mothers of healty and150 of children who had been diagnosed as having various psychological problemsin child mental health polyclinics then the item-total correlations and factor152analyisis were computed thus, forming the 59 item 7 factor form of the SUBO wasconstructed.The validation of MBI in a sample of the mothers of sample of mothers ofchildren having epileptic seizures and healthy children yieled two factors asemotional burnout and personal accomplishment. The results of one way ANOVAsindicated that the MBI personal accomplishment scores of mothers with childrenhaving epileptic seizures were significantly higher than the MBI personalaccomplishment scores of mothers of healthy children. PARI dominance scores ofmothers with children having epileptic seizures were significantly lower than thePARI dominance scores of mothers of healthy children. On the other hand theresults of oneway ANOVAs indicated that the SUBO mean scores of impulsiveness,social relationship problems, need for approval and introversion factors for childrenhaving epileptic seizures were significantly higher than the healty children.Hierarchical regression analysis revealed that the impulsiveness factor ofSUBO and the cognitive-affective factor of the Stress Self-Assessment Checklist,were the best predictors of burnout in the mothers of the mentally handicappedchildren; these two factors were explaning %61 of the total variance. Hierarchicalregression analysis also revealed that the, personal accomplishment factor of MBI,social relations factor of SUBO and the cognitive-affective factor of the Stress Self-Assessment Checklist were the best predictors of burnout in the mothers of thehealthy children; these three factors were explaning %38 of the total variance.Lastly the results were discussed in the context of the related literature.153
Benzer Tezler
- Epilepsi hastalığı olan çocukların annelerinde depresyon ve anksiyete
Depression and anxiety in mothers of children with epilepsy
AYŞE AKINCI
Tıpta Uzmanlık
Türkçe
2014
Çocuk Sağlığı ve HastalıklarıFırat ÜniversitesiDahili Tıp Bilimleri Bölümü
PROF. DR. ERDAL YILMAZ
- Antiepileptik ilaç kullanan epilepsisi olan annelerden doğan çocukların elektrofizyolojik değerlendirilmesi
Electrophysiological evaluation of children from mothers with epilepsy using antiepileptic drugs
BETÜL GÜVELİ
Yüksek Lisans
Türkçe
2010
Nörolojiİstanbul ÜniversitesiSinir Bilimi Ana Bilim Dalı
DOÇ. DR. CANDAN GÜRSES
- Febril konvülziyonlu çocuk hastaların 1 yıllık izlemi boyunca denver II gelişimsel tarama testinin değerlendirilmesi
Evaluation of denver developmental screening test II during 1 year follow up on pediatric febrile convulsion patients
HATİCE GÜNEŞ
Tıpta Uzmanlık
Türkçe
2015
Çocuk Sağlığı ve HastalıklarıCumhuriyet ÜniversitesiÇocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
PROF. DR. DİLARA FÜSUN İÇAĞASIOĞLU
- Konvülsiyon sonrası serum prolaktin düzeyinin tanıda önemi ve antileptik tedavinin serum prolaktin düzeyine etkisinin araştırılması
İmportance of serum prolactin level at diagnosis after convulsion and investigate the effect of antiepileptik treatment on serum prolactin level
RUKİYE DUMAN
Tıpta Uzmanlık
Türkçe
2004
Çocuk Sağlığı ve HastalıklarıCumhuriyet ÜniversitesiÇocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
PROF.DR. DİLARA İÇAĞASIOĞLU
- Epileptik ve psikojen nonepileptik hastaların nöbet semiyolojilerinin tanımlanması ve preiktal-erken postiktal dönemde nöropsikolojik değerlendirilmeleri
Seizure semiologies of epileptic and psychogenic nonepileptic patients and neuropsychological evaluations in the preictal- early postictal period
AYŞEGÜL ÖZER ÇELİK
Tıpta Uzmanlık
Türkçe
2011
NörolojiDokuz Eylül ÜniversitesiNöroloji Ana Bilim Dalı
PROF. DR. BARIŞ BAKLAN