Mutluer Tuba, Fatih Parmis, Tayakısı Emre, Shabshog Moh'd Kamal Yahya, Çapacı Merve, Yürük Deniz, Necef Işıl
Department of Psychiatry, Koç University School of Medicine, Rumelifeneri, Rumeli Feneri Yolu, 34450 Sariyer, Istanbul, Turkey.
Department of Psychiatry, Koc University Hospital, Topkapi, Davutpasa Cd. No:4, 34010 Zeytinburnu, Istanbul, Turkey.
J Child Adolesc Trauma. 2021 Apr 16;14(2):201-207. doi: 10.1007/s40653-021-00351-3. eCollection 2021 Jun.
A subset of boarding schools for adolescents was established in 1993 in the rural sections of Eastern Turkey to provide equity in terms of availability of education. Even though these schools were beneficial in many respects, implementation of this institutional model gave rise to many challenges such as weaker relationships with parents and defiance of authority figures. Failure to develop a mature response to these challenges could lead to the development of psychopathologies such as depression, psychosis, and dissociation. The main objective of this study is to assess the incidence of psychopathology and dissociative experiences of the residential female students in the regional boarding schools compared to a control group. 187 female participants, 128 attending boarding school, and 59 attending day school, as the control group, were included in the study. Brief Symptom Inventory (BSI) and Adolescent Dissociative Experiences Scale (ADES) were used as measurement scales. T-test, Mann Whitney-U, Spearman correlation chi-square tests were used to evaluate the association between the variables. There was a significant difference in Interpersonal sensitivity and Psychoticism subscales of BSI. ADES score was found to be significantly higher in the Boarding school group. Boarding school students are at a higher risk of developing psychopathology as a common trauma on a group of people can result in shared dissociation, a collective defense mechanism to cope with the injury, which resembles shared delusional disorder within DSM-V (The Diagnostic and Statistical Manual of Mental Disorders). Screening measures should be implemented in boarding schools to evaluate adolescents for psychopathology and preventive measures should be taken to intervene in the early stages.
1993年，在土耳其东部农村地区设立了一批青少年寄宿学校，以确保教育机会均等。尽管这些学校在很多方面都有益处，但这种制度模式的实施带来了诸多挑战，比如与家长关系变弱以及对权威人物的违抗。未能对这些挑战形成成熟的应对方式可能会导致诸如抑郁、精神病和分离性障碍等精神病理学问题的出现。本研究的主要目的是评估与对照组相比，该地区寄宿学校住校女生的精神病理学发病率和分离体验情况。研究纳入了187名女性参与者，其中128名就读于寄宿学校，59名就读于日校作为对照组。使用简明症状量表（BSI）和青少年分离体验量表（ADES）作为测量工具。采用t检验、曼-惠特尼U检验、斯皮尔曼相关性卡方检验来评估变量之间的关联。BSI的人际敏感和精神病性分量表存在显著差异。发现寄宿学校组的ADES得分显著更高。寄宿学校学生出现精神病理学问题的风险更高，因为一群人的共同创伤可能导致共同的分离，这是一种应对伤害的集体防御机制，类似于《精神疾病诊断与统计手册》第五版（DSM-V）中的共享性妄想障碍。寄宿学校应实施筛查措施以评估青少年的精神病理学情况，并应采取预防措施在早期进行干预。
