학술논문
PSYCHIATRIC EVALUATION AND SOCIODEMOGRAPHIC CHARACTERISTICS OF ADOLESCENT CASES REFERRED TO CHILD AND ADOLESCENT PSYCHIATRY FOR MARRIAGE LICENSE/ COCUK VE ERGEN PSIKIYATRISINE EVLILIK IZNI ICIN YONLENDIRILEN ERGEN OLGULARIN RUHSAL DEGERLENDIRMESI VE SOSYODEMOGRAFIK OZELLIKLERI
ARASTIRMA MAKALESI
ARASTIRMA MAKALESI
Document Type
Academic Journal
Source
Turkish Journal of Child and Adolescent Mental Health. March 2019, Vol. 26 Issue 1, p23, 9 p.
Subject
Language
English
Abstract
GIRIS Ergenlik doneminde yapilan evlilikler, gelismis ulkelerden daha cok gelismekte veya az gelismis olan ulkelerde rastlanan sosyal bir sorundur. Ulkemizde 03.07.2005 tarihinden itibaren gecerli olan 5395 sayili Cocuk Koruma Kanunu'na [...]
Objective: The aim of this study was to investigate the sociodemographic characteristics, results of mental state examinations and possible underlying causes of early marriages of children who referred by judicial authorities to undergo a full psychiatric examination by a child and adolescent mental health specialist. Methods: Sixty patients under 18 years of age who were referred to Adnan Menderes University Department of Child and Adolescent Psychiatry between 15.07.2012-15.07.2017 by the judicial authorities for psychiatric evaluation were enrolled for the study. Sociodemographic characteristics and psychiatric diagnoses of the patients, according to DSM-5 criteria were examined. Results: Fifty-eight (96.7%) of the cases were female and 2 (3.3%) were male. Mean age of the patients was 16.36 [+ or -] 0.38 years. Mean age difference between the patients and the individuals to whom the children were arranged to be married to was 6.04 [+ or -] 3.40 years. It was found that 35% of all cases had been pregnant at the time of assessment. Except of intellectual disability, only 6,7% of the cases had an active psychopathology. It was determined that 35% of the cases had no mental disorder that prevented him/her from marrying. The percentage of those attending formal education was 18.3%. There was a statistically significant difference between the groups with and without marriage permit between pregnancy (p = 0.007), sexual intercourse (p = 0.03) and history of escape from home (p = 0.05). Discussion: Marriage in adolescence is still an important problem for our country because of its association with many risks and undesirable conditions. Prevention or minimization of early age marriages can be ensured by correct and determined policies and legal regulations to be implemented. Increasing awareness in society about the negative consequences of adolescent marriages and ensuring that children remain in the education system may have an important role in preventing this situation. Key Words: Mental health, child, adolescent, marriage age Amac: Bu calismada adli makamlar tarafindan evlilik izni icin cocuk ve ergen ruh sagligi ve hastaliklari uzmani tarafindan ruhsal acidan degerlendirilmesi icin gonderilen cocuk olgularin sosyodemografik ozelliklerinin, ruhsal degerlendirmelerinin ve erken yas evliliginin olasi nedenlerinin incelenmesi amaclandi. Yontem: Calismaya 15.07.2012-15.07.2017 tarihleri arasinda Adnan Menderes Universitesi Cocuk ve Ergen Ruh Sagligi ve Hastaliklari Anabilim Dali'na adli makamlar tarafindan evlilik izni icin ruhsal acidan degerlendirilmek uzere yonlendirilen 18 yas altindaki 60 olgu dahil edildi. Olgularin sosyodemografik ozellikleri ve DSM-5'e gore psikiyatrik tanilari incelendi. Bulgular: Calismaya alinan olgularin 58'i (%96,7) kiz, 2'si (%3,3) erkekti. Olgularin yas ortalamasi 16,36[+ or -]0,38 yildi. Olgularin evlendirilmek istenen bireyler ile arasindaki yas farki ortalamasi 6,04[+ or -]3,40 yildi. Olgularin %35'inde evlilik icin basvuru aninda gebelik saptandi. Anliksal yeti yitimi haric olgularin ruhsal degerlendirmeleri sonucunda yalnizca %6,7'sinde aktif bir psikopatoloji belirlendi. Olgularin %35'ine evlenmesine engel bir ruhsal bozukluk olmadigi kanaati verildigi saptandi. Orgun egitime devam edenlerin orani %18,3'tu. Gebelik (p=0,007), cinsel birliktelik yasama (p=0,03) ve evden kacma oykusu (p=0,05) arasinda evlilik izni verilen ve verilmeyen gruplar arasinda istatistiksel olarak anlamli fark oldugu saptandi. Tartisma: Ergenlik caginda yapilan evlilikler bircok risk ve istenmeyen durumu beraberinde getirmesinden dolayi ulkemiz icin halen onemli bir sorundur. Erken yas evliliklerinin onlenmesi veya en aza indirilmesi uygulanacak dogru ve kararli politikalar ve yasal duzenlemeler ile saglanabilir. Ergen evliliklerinin ortaya cikardigi olumsuz sonuclar ile ilgili olarak toplumda farkindaligin arttirilmasinin ve cocuklarin egitim sisteminde kalmasinin saglanmasinin bu durumun onlenmesine onemli katkisi olabilir. Anahtar Kelimeler: Akil sagligi, cocuk, ergen, evlilik yasi
Objective: The aim of this study was to investigate the sociodemographic characteristics, results of mental state examinations and possible underlying causes of early marriages of children who referred by judicial authorities to undergo a full psychiatric examination by a child and adolescent mental health specialist. Methods: Sixty patients under 18 years of age who were referred to Adnan Menderes University Department of Child and Adolescent Psychiatry between 15.07.2012-15.07.2017 by the judicial authorities for psychiatric evaluation were enrolled for the study. Sociodemographic characteristics and psychiatric diagnoses of the patients, according to DSM-5 criteria were examined. Results: Fifty-eight (96.7%) of the cases were female and 2 (3.3%) were male. Mean age of the patients was 16.36 [+ or -] 0.38 years. Mean age difference between the patients and the individuals to whom the children were arranged to be married to was 6.04 [+ or -] 3.40 years. It was found that 35% of all cases had been pregnant at the time of assessment. Except of intellectual disability, only 6,7% of the cases had an active psychopathology. It was determined that 35% of the cases had no mental disorder that prevented him/her from marrying. The percentage of those attending formal education was 18.3%. There was a statistically significant difference between the groups with and without marriage permit between pregnancy (p = 0.007), sexual intercourse (p = 0.03) and history of escape from home (p = 0.05). Discussion: Marriage in adolescence is still an important problem for our country because of its association with many risks and undesirable conditions. Prevention or minimization of early age marriages can be ensured by correct and determined policies and legal regulations to be implemented. Increasing awareness in society about the negative consequences of adolescent marriages and ensuring that children remain in the education system may have an important role in preventing this situation. Key Words: Mental health, child, adolescent, marriage age Amac: Bu calismada adli makamlar tarafindan evlilik izni icin cocuk ve ergen ruh sagligi ve hastaliklari uzmani tarafindan ruhsal acidan degerlendirilmesi icin gonderilen cocuk olgularin sosyodemografik ozelliklerinin, ruhsal degerlendirmelerinin ve erken yas evliliginin olasi nedenlerinin incelenmesi amaclandi. Yontem: Calismaya 15.07.2012-15.07.2017 tarihleri arasinda Adnan Menderes Universitesi Cocuk ve Ergen Ruh Sagligi ve Hastaliklari Anabilim Dali'na adli makamlar tarafindan evlilik izni icin ruhsal acidan degerlendirilmek uzere yonlendirilen 18 yas altindaki 60 olgu dahil edildi. Olgularin sosyodemografik ozellikleri ve DSM-5'e gore psikiyatrik tanilari incelendi. Bulgular: Calismaya alinan olgularin 58'i (%96,7) kiz, 2'si (%3,3) erkekti. Olgularin yas ortalamasi 16,36[+ or -]0,38 yildi. Olgularin evlendirilmek istenen bireyler ile arasindaki yas farki ortalamasi 6,04[+ or -]3,40 yildi. Olgularin %35'inde evlilik icin basvuru aninda gebelik saptandi. Anliksal yeti yitimi haric olgularin ruhsal degerlendirmeleri sonucunda yalnizca %6,7'sinde aktif bir psikopatoloji belirlendi. Olgularin %35'ine evlenmesine engel bir ruhsal bozukluk olmadigi kanaati verildigi saptandi. Orgun egitime devam edenlerin orani %18,3'tu. Gebelik (p=0,007), cinsel birliktelik yasama (p=0,03) ve evden kacma oykusu (p=0,05) arasinda evlilik izni verilen ve verilmeyen gruplar arasinda istatistiksel olarak anlamli fark oldugu saptandi. Tartisma: Ergenlik caginda yapilan evlilikler bircok risk ve istenmeyen durumu beraberinde getirmesinden dolayi ulkemiz icin halen onemli bir sorundur. Erken yas evliliklerinin onlenmesi veya en aza indirilmesi uygulanacak dogru ve kararli politikalar ve yasal duzenlemeler ile saglanabilir. Ergen evliliklerinin ortaya cikardigi olumsuz sonuclar ile ilgili olarak toplumda farkindaligin arttirilmasinin ve cocuklarin egitim sisteminde kalmasinin saglanmasinin bu durumun onlenmesine onemli katkisi olabilir. Anahtar Kelimeler: Akil sagligi, cocuk, ergen, evlilik yasi