Cinsel Mitler
12 Aralık 2022
Beden Dismorfik Bozukluğu
19 Aralık 2022
Tırnak Yeme Davranışı
Tırnak yeme davranışı, tırnak ve tırnak çevresindeki etleri yeme olarak tanımlanmaktadır
Kişi kendisini kaygılı ve stresli hissettiğinde, canı sıkıldığında tırnak yeme davranışında bulunabilir. Genellikle 3-4 yaş civarında başlar, ergenlik döneminde ise davranışın sıklığı artar. 18 yaşından sonra azaldığı görülse de, özellikle stresli yaşam olaylarının varlığı yetişkin bireylerde de tırnak yeme davranışının oluşmasına veya sürdürülmesine neden olmaktadır. Tırnak yeme davranışının dudak ısırma, saç çekme, diş gıcırdatma gibi tekrarlayan davranış bozukluklarıyla birlikte görülme olasılığı yüksektir.
Tırnak yeme gibi kendine zarar verme davranışları sadece görünüm açısından utanç verici ve sosyal yaşamda istenmeyen bir durum olarak görülse de enfeksiyonların yayılmasına, siğil oluşumuna, diş eti hastalıklarına ve çene ekleminde fonksiyonel bozukluklara da neden olur.
Neden Tırnak Yeme Davranışında Bulunulur?
Çocuklarda tırnak yeme davranışının görülmesinde bazı önemli risk faktörleri vardır.
- Özgüven eksikliği
- Stres, kaygı, korku, öfke gibi psikolojik faktörler
- Çocuğun kendini güvende hissetmemesi
- Baskıcı aile yapısı
- Aile içi iletişim problemleri
- Çocuğa yetersiz ilgi ve sevgi verilmesi
- Çocuğun sürekli azarlanıyor olması
- Aile içinde benzer davranışta bulunan bir örneğin bulunması
Tırnak yeme gibi davranış sorunları bazı psikolojik sorunların varlığına dair önemli belirtiler olabilir
- Anksiyete Bozuklukları
- Dikkat Eksikliği ve Hiperaktivite Bozukluğu
- Obsesif Kompulsif Bozukluk
- Karşıt Olma Karşı Gelme Bozukluğu
- Ayrılık Anksiyetesi
- Tourette Sendromu
Çocuğa ceza vermek ve çocuğu tehdit etmek davranışın tekrarının durdurulmasında etkili değildir. Bunun yerine dikkatini dağıtacak, meşgul edecek uğraşlara yönelmesi sağlanmalıdır. Çocuğun içinde bulunduğu yaş dönemi fark etmeksizin tırnak yeme, uyum ve davranış bozukluğu olarak ele alınmalı ve öncelikle buna neden olan sorunlar üzerinde durulup onların ortadan kaldırılmasına çalışılmalıdır.
Tedavi Yöntemleri
Yukarıda da belirtildiği gibi tırnak yeme davranışı psikolojik sorunların belirtisi olarak ele alınmalı ve buna yönelik terapi ve ilaç tedavisi uygulanmalıdır. Tırnak yeme davranışının tek başına tedavisi için ise mevcut bilgiler kısıtlıdır. Bilişsel davranışçı terapi ve tersine alışkanlık kazandırma terapisi uygulanan terapiler arasındadır. Tırnak yeme davranışı, öğrenilmiş bir alışkanlık olduğu için davranışın değiştirilmesinin zaman alacağı göz ardı edilmemelidir.
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