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Uyar E, Akturk H, Usanmaz S, Kiykim A, Tufan AE, Alibas H, Aydiner O, Somer A, Ozen A, Baris S, Karakoc-Aydiner E. Neurocognitive Impairment in Patients With Ataxia Telangiectasia and Their Unaffected Parents: Is It Similar? Pediatr Neurol 2024; 156:85-90. [PMID: 38733859 DOI: 10.1016/j.pediatrneurol.2024.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 03/13/2024] [Accepted: 04/12/2024] [Indexed: 05/13/2024]
Abstract
BACKGROUND Ataxia telangiectasia (AT) is a genetic multisystemic disorder affecting the nervous system. Data on neurocognitive functioning in AT are limited and focused on patients at various stages of disease. Because of the genetic nature of the disorder, parents of patients may also display subtle neurological problems. This study aimed to evaluate neurocognitive functioning in patients with AT and their unaffected parents. METHODS The study included 26 patients with AT and 41 parents among which 13 patients and 18 parents were evaluated with neurocognitive tests. Clinical and radiological data were reviewed retrospectively. Data were analyzed with descriptive statistics. RESULTS The median ages of patients and parents were 12.5 years (interquartile range [IQR] = 9.5) and 38.0 years (IQR = 12.0), respectively. Median intelligence quotients were 62.0 (IQR = 21.3) and 82.5 (IQR = 16.8), respectively, for patients and parents. Rates of intellectual disability for patients and parents were 100.0% and 83.3%, respectively. Areas of impairment in patients in decreasing order of frequency were motor skills, visual perception/memory, visual-manual coordination, spontaneous/focused and sustained attention (100.0% for each), social judgment, as well as vocabulary and arithmetic skills (75.0% for each). Areas of impairment in unaffected parents in decreasing order of frequency were visual-manual coordination (77.8%), working memory (76.5%), and visual perception and motor skills (66.7% for each). CONCLUSION Intellectual disabilities, visual-spatial disabilities, and reduced visual-motor coordination seem to be similar in patients with AT and their parents. These results should be replicated with larger samples from multiple centers and may form putative cognitive endophenotypes for the disorder.
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Affiliation(s)
- Emel Uyar
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye.
| | - Hacer Akturk
- Istanbul Faculty of Medicine, Division of Pediatric Infectious Diseases and Clinical Immunology, Istanbul University, Istanbul, Turkiye; Division of Pediatric Infectious Diseases, Koc University, Istanbul, Turkiye
| | - Sevil Usanmaz
- Division of Clinical Psychology, Neuron Consultancy, Istanbul, Turkiye
| | - Ayca Kiykim
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant İzzet Baysal University, Bolu, Turkiye
| | - Hande Alibas
- Department of Neurology, Erenkoy Mental and Nervous Diseases Research and Training Hospital, Istanbul, Turkiye
| | - Omer Aydiner
- Interventional Radiology Department, Kartal Lutfi Kirdar City Hospital, Istanbul, Turkiye
| | - Ayper Somer
- Istanbul Faculty of Medicine, Division of Pediatric Infectious Diseases and Clinical Immunology, Istanbul University, Istanbul, Turkiye
| | - Ahmet Ozen
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye
| | - Safa Baris
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye
| | - Elif Karakoc-Aydiner
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye
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Özyurt G, Öztürk Y, Turan S, Çıray RO, Tanıgör EK, Ermiş Ç, Tufan AE, Akay A. Are Communication Skills, Emotion Regulation and Theory of Mind Skills Impaired in Adolescents with Developmental Dyslexia? Dev Neuropsychol 2024; 49:99-110. [PMID: 38466040 DOI: 10.1080/87565641.2024.2325338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 02/26/2024] [Indexed: 03/12/2024]
Abstract
This study investigates pragmatic language impairment, Theory of Mind (ToM), and emotion regulation in adolescents with Developmental Dyslexia(DD). The Social Responsiveness Scale-2(SRS) and Children's Communication Checklist-2(CCC-2) scores were found to be statistically significantly higher in the DD group than in healthy controls. DD group had lower performance in ToM skills and they have more difficulties in emotion regulation. We also found that CCC-2 and ToM scores were significantly correlated in adolescents with DD. These results may be important in understanding the difficulties experienced in social functioning and interpersonal relationships in adolescents with DD.
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Affiliation(s)
- Gonca Özyurt
- Department of Child and Adolescent Psychiatry, Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey
| | - Yusuf Öztürk
- Department of Child and Adolescent Psychiatry, Bolu Abant İzzet Baysal University, School of Medicine, Bolu, Turkey
| | - Serkan Turan
- Department of Child and Adolescent Psychiatry, Bursa Uludağ University, School of Medicine, Bursa, Turkey
| | - Remzi Oğulcan Çıray
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University, School of Medicine, Izmir, Turkey
| | - Ezgi Karagöz Tanıgör
- Department of Child and Adolescent Psychiatry, Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey
| | - Çağatay Ermiş
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University, School of Medicine, Izmir, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant İzzet Baysal University, School of Medicine, Bolu, Turkey
| | - Aynur Akay
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University, School of Medicine, Izmir, Turkey
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Öğütlü H, Kütük ÖM, Tufan AE, Akay AP, Gündoğdu ÖY, Ercan ES. The detect consensus report on Attention Deficit/Hyperactivity Disorder and its management among Turkish children and adolescents (Detect: consensus report on ADHD among Turkish youth). Front Psychiatry 2024; 15:1372341. [PMID: 38577402 PMCID: PMC10993048 DOI: 10.3389/fpsyt.2024.1372341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 03/01/2024] [Indexed: 04/06/2024] Open
Abstract
Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most common and heritable neurodevelopmental disorders which may last through the life-span. A consensus report on diagnosis and management of ADHD among Turkish youth was prepared previously. However, the participants as well as the management options were rather limited and developments in the past decade necessitated a revision and update of the consensus. Therefore, this review aims to summarize the consensus among Child and Adolescent Psychiatrists from Türkiye on the nature and management of pediatric ADHD. For those aims, the etiology of ADHD, diagnostic and evaluation process, epidemiology, developmental presentations, differential diagnoses and comorbidities, course/outcome and pharmacological as well as non-pharmacological management options were reviewed and suggestions for clinical practice are presented. Since ADHD is a chronic disorder with wide-ranging effects on functionality that is frequently accompanied by other mental disorders, a multidimensional therapeutic approach is recommended. However, since the disorder has neurobiological basis, pharmacotherapy represents the mainstay of treatment. Additional therapies may include psychosocial therapy, behavioral therapy, school-based therapeutic approaches, and family education. This review provides recommendations for ADHD at the national and global levels. It contains information about ADHD that will contribute to and facilitate clinicians' decision-making processes. It is advisable to consider this guideline in clinical practice.
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Affiliation(s)
- Hakan Öğütlü
- Child and Adolescent Psychiatry Department, Cognitive Behavioral Psychotherapies Association, Ankara, Türkiye
| | - Özlem Meryem Kütük
- Child and Adolescent Psychiatry Department, Medical Faculty, Baskent University, Adana, Türkiye
| | - Ali Evren Tufan
- Child and Adolescent Psychiatry Department, Medical Faculty, Bolu Abant Izzet Baysal University, Bolu, Türkiye
| | - Aynur Pekcanlar Akay
- Child and Adolescent Psychiatry Department, Medical Faculty, Dokuz Eylul University, Izmir, Türkiye
| | - Özlem Yildiz Gündoğdu
- Child and Adolescent Psychiatry Department, Medical Faculty, Kocaeli University, Kocaeli, Türkiye
| | - Eyüp Sabri Ercan
- Child and Adolescent Psychiatry Department, Medical Faculty, Ege University, Izmir, Türkiye
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Özyurt G, Öztürk Y, Tufan AE, Akay A, İnal N. Differential Effects of Disruptive Mood Dysregulation Disorder Comorbidity in Attention Deficit Hyperactivity Disorder on Social Cognition and Empathy. J Atten Disord 2024; 28:458-468. [PMID: 38069496 DOI: 10.1177/10870547231215516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2024]
Abstract
OBJECTIVE This study aimed to investigate social cognition and empathy properties in children among Disruptive Mood Dysregulation Disorder (DMDD) + Attention and Hyperactivity Disorder(ADHD); ADHD and healthy controls from Türkiye. METHODS Twenty-two children with DMDD were compared to matched 30 children with ADHD and 60 healthy controls. We administered Affective Reactivity Index (ARI), KaSi Empathy Scale, Kiddie-SADS, and Reading Mind in the Eyes Test (RMET) to evaluate Theory of Mind skills to all study participants. RESULTS DMDD + ADHD group had lower performance in ToM skills and empathy than in two groups. The ARI scores were found to be statistically significantly higher in the DMDD group than in two groups. It was also found that ARI, empathy, and ToM scores were significantly related in children with DMDD + ADHD. CONCLUSION These results might be important to understand the difficulties in social functioning and interpersonal relationship in children with DMDD and ADHD. Children with DMDD may attend specific therapeutic programs which include specific techniques in social cognition, emotion regulation, and irritability.
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Affiliation(s)
- Gonca Özyurt
- School of Medicine, Katip Çelebi University, İzmir, Turkey
| | - Yusuf Öztürk
- Bolu Abant İzzet Baysal University, Bolu, Turkey
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Tufan AE. Editorial: Neuropsychological Correlates of Irritability Accompanying Symptoms of Attention-Deficit/Hyperactivity Disorder: Clues and Pitfalls. J Am Acad Child Adolesc Psychiatry 2024:S0890-8567(24)00005-4. [PMID: 38272348 DOI: 10.1016/j.jaac.2024.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 01/16/2024] [Indexed: 01/27/2024]
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders and is characterized by developmentally inappropriate, pervasive, and impairing symptoms of inattention and/or hyperactivity/impulsivity.1 Although not listed among the core symptoms, irritability, reduced tolerance to frustration, and labile mood are considered features associated with ADHD.1,2 Irritability refers to a tendency to get angry quickly and/or easily at a lower threshold of frustration and respond disproportionately to triggers.3 Almost two-thirds of youth with ADHD may display impairing irritability, while rates of ADHD may be elevated among youth with clinically significant irritability.2 Irritability and impulsivity are thought to share neurobiological mechanisms that may overlap with executive and self-regulatory functions such as inhibitory control.3-5 The nature and developmental stability of these associations are still debated. Areas of controversy include the role of emotion regulation problems in positive vs negative emotions for impairment6; relations between those problems and risk-taking behavior, hyperactive-impulsive symptoms, and disruptive behavior problems2-5; and the nature of emotion regulation problems (ie, as core symptoms, as a feature of a variant of ADHD, or as a characteristic of specific comorbidities such as depression).2.
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Affiliation(s)
- Ali Evren Tufan
- Abant Izzet Baysal University, Bolu, Türkiye; Bolu Abant Izzet Baysal Hospital for Training and Research of the Turkish Ministry of Health in affiliation with the Bolu Abant Izzet Baysal University Faculty of Medicine.
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Öztürk Y, Özyurt G, Turan S, Tufan AE, Akay AP. Emotion dysregulation and social communication problems but not ToM properties may predict obsessive-compulsive disorder symptom severity. Nord J Psychiatry 2023; 77:778-787. [PMID: 37665655 DOI: 10.1080/08039488.2023.2251953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 07/06/2023] [Accepted: 08/16/2023] [Indexed: 09/06/2023]
Abstract
OBJECTIVE Studies have shown that theory of mind, emotion regulation and pragmatic abilities are negatively affected in people with obsessive-compulsive disorder (OCD). We aimed to investigate theory of mind (ToM) abilities, social responsiveness, pragmatic language, and emotion regulation skills in children with OCD and to compare them to healthy controls. METHODS This study was designed as a single-center, cross-sectional, case-control study. ToM abilities were evaluated via "Reading the Mind in the Eyes Test" (RMET), "Faces Test", "Faux-Pas Test", "Comprehension Test" and "Unexpected Outcomes Test". Social responsiveness, pragmatic language and emotion regulation were evaluated by Social Responsiveness Scale (SRS), Children's Communication Checklist- Second Edition (CCC-2), Difficulties in Emotion Regulation Scale (DERS) and Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS). Within the study period, we enrolled 85 adolescents (42 with OCD and 43 controls). RESULTS The OCD group performed significantly lower than healthy controls in the Faux Pass and Comprehension tests (p = 0.003 for both). We found a statistically significant difference between groups in terms of the goal, strategy, non-acceptance subscales of the DERS (p < 0.001, p = 0.006, p = 0.008, respectively) as well as the total DERS score (p < 0.001). CY-BOCS total scores correlated significantly and negatively with Comprehension, Faux Pas and Unexpected Outcomes tests, and positively with CCC total, SRS total and DERS total scores. In regression analysis the DERS, SRS and CCC tests emerged as significant predictors of CY-BOCS total score. CONCLUSION Addressing ToM, pragmatic, and ER difficulties when planning the treatment of young people with OCD may contribute to positive outcomes.
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Affiliation(s)
- Yusuf Öztürk
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Gonca Özyurt
- Department of Child and Adolescent Psychiatry, Izmir Katip Çelebi University Medical Faculty, İzmir, Turkey
| | - Serkan Turan
- Department of Child and Adolescent Psychiatry, Uludağ University Medical Faculty, Bursa, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Aynur Pekcanlar Akay
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Medical Faculty, Izmir, Turkey
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Kutuk MO, Tufan AE, Kilicaslan F, Vural P, Gokcen C, Alsen Guney S, Kutuk B, Ozyurt G, Inal N, Mutluer T, Acikalin EY, Ozer FH, Pamuk EN, Yesilmese SC, Karadag M, Hangul Z, Bilginer C, Sahin N, Bilac O, Kandemir H, Ercan ES, Eseroglu Soylemez T, Acikel SB, Guler Aksu G, Dag P, Toros F, Mutlu C, Kardas O, Kardas B, Kizildag S, Demirci E, Ozmen S, Sevicin L, Karagoz YS, Isik U, Aktepe E, Altun H, Yektas Ç, Polat Tuysuz B, Buber A, Cansiz MA, Ogutlu H, Eray S, Taner HA, Altintas E, Kutuk O. functional outcome in late adolescence/early adulthood of patients with autism spectrum disorder and its relationships with parental burnout and depression: A preliminary multi-center, cross-sectional study. Heliyon 2023; 9:e20766. [PMID: 37867841 PMCID: PMC10589842 DOI: 10.1016/j.heliyon.2023.e20766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 10/05/2023] [Accepted: 10/05/2023] [Indexed: 10/24/2023] Open
Abstract
The aim of this study is to determine the functioning of adults with autism spectrum disorders (ASDs) diagnosed in childhood and depression and burnout levels among their parents. A total of 261 adults with ASDs and their parents were recruited for the study. Both parents completed the Beck Depression and Maslach Burnout Inventories and reported the functioning of their adult offspring with ASDs. Only 5.4 % of our sample reported "good" or "very good" outcomes. The most common psychiatric comorbidities were intellectual disabilities and attention-deficit/hyperactivity disorder. Maternal burnout and depression scores were significantly elevated compared to those of fathers. There is an undeniable urgent need for more research to identify the needs of adults and families suffering from ASD. Modifications for those with ASD may have to be made for support in workplaces, achieving driving licenses, using public transportation and attendance at tertiary education.
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Affiliation(s)
- Meryem Ozlem Kutuk
- Department of Child and Adolescent Psychiatry, Baskent University Faculty of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey
| | - Fethiye Kilicaslan
- Department of Child and Adolescent Psychiatry, Harran University, Faculty of Medicine, Sanliurfa, Turkey
| | - Pınar Vural
- Department of Child and Adolescent Psychiatry, Uludag University, Faculty of Medicine, Bursa, Turkey
| | - Cem Gokcen
- Department of Child and Adolescent Psychiatry, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey
| | - Sevay Alsen Guney
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
| | - Bahtim Kutuk
- Department of Psychology, Ege University, Izmir, Turkey
| | - Gonca Ozyurt
- Department of Child and Adolescent Psychiatry, İzmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey
| | - Neslihan Inal
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
| | - Tuba Mutluer
- Department of Child and Adolescent Psychiatry, Koc University Faculty of Medicine, Istanbul, Zip code: 34450, Turkey
| | - Eren Yavuz Acikalin
- Department of Child and Adolescent Psychiatry, Koc University Faculty of Medicine, Istanbul, Zip code: 34450, Turkey
| | - Fadime Hande Ozer
- Department of Psychology, Hasan Kalyoncu University, Gaziantep, Zipcode: 27410, Turkey
| | - Esma Nur Pamuk
- Department of Psychology, Cag University, Mersin, Zip code: 33800, Turkey
| | | | - Mehmet Karadag
- Department of Child and Adolescent Psychiatry, Gaziantep University, Faculty of Medicine, Gaziantep, Zip code: 27310, Turkey
| | - Zehra Hangul
- Department of Child and Adolescent Psychiatry, Gaziantep University, Faculty of Medicine, Gaziantep, Zip code: 27310, Turkey
| | - Cilem Bilginer
- Department of Child and Adolescent Psychiatry, Karadeniz Technical University, Faculty of Medicine, Trabzon, Zip code: 61080, Turkey
| | - Nilfer Sahin
- Department of Child and Adolescent Psychiatry, Mugla Sitki Kocman University, Faculty of Medicine, Mugla, Zip code: 48000, Turkey
| | - Oznur Bilac
- Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University, Faculty of Medicine, Manisa, Zip code: 45030, Turkey
| | - Hasan Kandemir
- Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University, Faculty of Medicine, Manisa, Zip code: 45030, Turkey
| | - Eyup Sabri Ercan
- Department of Child and Adolescent Psychiatry, Ege University, Faculty of Medicine, İzmir, Zip code: 35040, Turkey
| | - Tugba Eseroglu Soylemez
- Department of Child and Adolescent Psychiatry, Baskent University, Faculty of Medicine, Istanbul Medical and Research Center, Istanbul, Zip code: 34662, Turkey
| | - Sadettin Burak Acikel
- Department of Child and Adolescent Psychiatry, Konya City Training and Research Hospital, Konya, Zip code: 42090, Turkey
| | - Gulen Guler Aksu
- Department of Child and Adolescent Psychiatry, Mersin University, Faculty of Medicine, Mersin, Zip code: 33343, Turkey
| | - Pelin Dag
- Department of Child and Adolescent Psychiatry, Mersin City Training and Research Hospital, Mersin, Zip code: 33240, Turkey
| | - Fevziye Toros
- Department of Child and Adolescent Psychiatry, Mersin University, Faculty of Medicine, Mersin, Zip code: 33343, Turkey
| | - Caner Mutlu
- Department of Child and Adolescent Psychiatry, Uludag University Faculty of Medicine, Bursa, Zip code: 34494, Turkey
| | - Omer Kardas
- Department of Child and Adolescent Psychiatry, Dicle University, Faculty of Medicine, Diyarbakır, Zip code: 21280, Turkey
| | - Burcu Kardas
- Department of Child and Adolescent Psychiatry, Gazi Yasargil Education and Research Hospital, Diyarbakir, Zip code: 21010, Turkey
| | - Suleyman Kizildag
- Department of Child and Adolescent Psychiatry, Dicle University, Faculty of Medicine, Diyarbakır, Zip code: 21280, Turkey
| | - Esra Demirci
- Department of Child and Adolescent Psychiatry, Erciyes University, Faculty of Medicine, Kayseri, Zip code: 38039, Turkey
| | - Sevgi Ozmen
- Department of Child and Adolescent Psychiatry, Erciyes University, Faculty of Medicine, Kayseri, Zip code: 38039, Turkey
| | - Leyla Sevicin
- Department of Child and Adolescent Psychiatry, Erciyes University, Faculty of Medicine, Kayseri, Zip code: 38039, Turkey
| | - Yuksel Sumeyra Karagoz
- Department of Child and Adolescent Psychiatry, Training and Research Hospital, Erzurum, Zip code: 25240, Turkey
| | - Umit Isik
- Department of Child and Adolescent Psychiatry, Suleyman Demirel University, Faculty of Medicine, Isparta, Zip code: 71100, Turkey
| | - Evrim Aktepe
- Department of Child and Adolescent Psychiatry, Suleyman Demirel University, Faculty of Medicine, Isparta, Zip code: 71100, Turkey
| | - Hatice Altun
- Department of Child and Adolescent Psychiatry, Kahramanmaras Sutcu Imam University, Faculty of Medicine, Kahramanmaras, Zip code: 46000, Turkey
| | - Çigdem Yektas
- Department of Child and Adolescent Psychiatry, Uskudar University, Istanbul, Zip code: 34662, Turkey
| | - Berna Polat Tuysuz
- Department of Child and Adolescent Psychiatry, Sanliurfa Education and Research Hospital, Sanliurfa, Zip code: 63250, Turkey
| | - Ahmet Buber
- Department of Child and Adolescent Psychiatry, Pamukkale University, Faculty of Medicine, Denizli, Zip code: 20070, Turkey
| | - Mehmet Akif Cansiz
- Department of Child and Adolescent Psychiatry, Yozgat Bozok University, Faculty of Medicine, Yozgat, Zip code: 66100, Turkey
| | - Hakan Ogutlu
- Department of Child and Adolescent Psychiatry, Ankara City Hospital, Ankara, Zip code: 06800, Turkey
| | - Safak Eray
- Department of Child and Adolescent Psychiatry, Uludag University Faculty of Medicine, Bursa, Zip code: 16059, Turkey
| | - Hande Ayraler Taner
- Department of Child and Adolescent Psychiatry, Baskent University, Medical Faculty, Ankara, Zip code: 06490, Turkey
| | - Ebru Altintas
- Department of Psychiatry, Baskent University Faculty of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Zip code: 01110, Turkey
| | - Ozgur Kutuk
- Department of Immunology, Baskent University Faculty of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Zip code: 01110, Turkey
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Wong BHC, Cross S, Zavaleta-Ramírez P, Bauda I, Hoffman P, Ibeziako P, Nussbaum L, Berger GE, Hassanian-Moghaddam H, Kapornai K, Mehdi T, Tolmac J, Barrett E, Romaniuk L, Davico C, Moghraby OS, Ostrauskaite G, Chakrabarti S, Carucci S, Sofi G, Hussain H, Lloyd ASK, McNicholas F, Meadowcroft B, Rao M, Csábi G, Gatica-Bahamonde G, Öğütlü H, Skouta E, Elvins R, Boege I, Dahanayake DMA, Anderluh M, Chandradasa M, Girela-Serrano BM, Uccella S, Stevanovic D, Lamberti M, Piercey A, Nagy P, Mehta VS, Rohanachandra Y, Li J, Tufan AE, Mirza H, Rozali F, Baig BJ, Noor IM, Fujita S, Gholami N, Hangül Z, Vasileva A, Salucci K, Bilaç Ö, Yektaş Ç, Cansız MA, Aksu GG, Babatunde S, Youssef F, Al-Huseini S, Kılıçaslan F, Kutuk MO, Pilecka I, Bakolis I, Ougrin D. Self-Harm in Children and Adolescents Who Presented at Emergency Units During the COVID-19 Pandemic: An International Retrospective Cohort Study. J Am Acad Child Adolesc Psychiatry 2023; 62:998-1009. [PMID: 36806728 PMCID: PMC9933093 DOI: 10.1016/j.jaac.2022.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 10/09/2022] [Accepted: 02/09/2023] [Indexed: 02/17/2023]
Abstract
OBJECTIVE To compare psychiatric emergencies and self-harm at emergency departments (EDs) 1 year into the pandemic, to early pandemic and pre-pandemic, and to examine the changes in the characteristics of self-harm presentations. METHOD This retrospective cohort study expanded on the Pandemic-Related Emergency Psychiatric Presentations (PREP-kids) study. Routine record data in March to April of 2019, 2020, and 2021 from 62 EDs in 25 countries were included. ED presentations made by children and adolescents for any mental health reasons were analyzed. RESULTS Altogether, 8,174 psychiatric presentations were recorded (63.5% female; mean [SD] age, 14.3 [2.6] years), 3,742 of which were self-harm presentations. Rate of psychiatric ED presentations in March to April 2021 was twice as high as in March to April 2020 (incidence rate ratio [IRR], 1.93; 95% CI, 1.60-2.33), and 50% higher than in March to April 2019 (IRR, 1.51; 95% CI, 1.25-1.81). Rate of self-harm presentations doubled between March to April 2020 and March to April 2021 (IRR, 1.98; 95% CI, 1.68-2.34), and was overall 1.7 times higher than in March to April 2019 (IRR, 1.70; 95% CI, 1.44-2.00). Comparing self-harm characteristics in March to April 2021 with March to April 2019, self-harm contributed to a higher proportion of all psychiatric presentations (odds ratio [OR], 1.30; 95% CI, 1.05-1.62), whereas female representation in self-harm presentations doubled (OR, 1.98; 95% CI, 1.45-2.72) and follow-up appointments were offered 4 times as often (OR, 4.46; 95% CI, 2.32-8.58). CONCLUSION Increased pediatric ED visits for both self-harm and psychiatric reasons were observed, suggesting potential deterioration in child mental health. Self-harm in girls possibly increased and needs to be prioritized. Clinical services should continue using follow-up appointments to support discharge from EDs. DIVERSITY & INCLUSION STATEMENT One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.
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Affiliation(s)
- Ben Hoi-Ching Wong
- East London NHS Foundation Trust, London, United Kingdom; King's College London, United Kingdom.
| | | | - Patricia Zavaleta-Ramírez
- Children's Psychiatric Hospital Dr. Juan N. Navarro., Servicios de Atención Psiquiatrica, Mexico City, Mexico
| | - Ines Bauda
- Medical University of Vienna, Vienna Austria
| | - Pamela Hoffman
- Yale Child Study Center, Child Psychiatry, Yale School of Medicine, New Haven, Connecticut
| | - Patricia Ibeziako
- Boston Children's Hospital, Boston, Massachusetts, and Harvard Medical School, Boston, Massachusetts
| | - Laura Nussbaum
- Victor Babeş University of Medicine and Pharmacy, Timisoara, Romania
| | | | - Hossein Hassanian-Moghaddam
- Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran, and Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Tauseef Mehdi
- Berkshire Healthcare NHS Foundation Trust, Berkshire, United Kingdom
| | - Jovanka Tolmac
- Harrow Child and Adolescent Mental Health Service, Central and North West London NHS Foundation Trust, London, United Kingdom
| | | | | | | | - Omer S Moghraby
- King's College London, United Kingdom; South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | | | | | - Sara Carucci
- "A. Cao" Pediatric Hospital, "ARNAS G. Brotzu" Hospital Trust, Cagliari, Italy, and the University of Cagliari, Italy
| | - Gyula Sofi
- Heim Pál National Institute of Pediatrics, Budapest, Hungary
| | - Haseena Hussain
- Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, United Kingdom
| | - Alexandra S K Lloyd
- Lister Hospital, East and North Hertfordshire NHS Trust, Hertfordshire, United Kingdom
| | | | - Ben Meadowcroft
- NHS Lothian, Child and Adolescent Mental Health Services, Edinburgh, United Kingdom
| | - Manish Rao
- South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | | | | | - Hakan Öğütlü
- Cognitive Behavioral Psychotherapies Association, Ankara, Turkey
| | - Eirini Skouta
- South London and Maudsley NHS Foundation Trust, London, United Kingdom; Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom
| | - Rachel Elvins
- Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom
| | - Isabel Boege
- ZfP Suedwuerttemberg, Child and Adolescent Psychiatry, Ravensburg, Germany, and University of Graz, Graz, Austria
| | | | - Marija Anderluh
- Child Psychiatry Unit, University Children's Hospital Ljubljana, Ljubljana, Slovenia
| | | | | | - Sara Uccella
- DINOGMI, University of Genoa, Genoa, Italy, and IRCCS Istituto Giannina Gaslini, Genova, Italy
| | - Dejan Stevanovic
- Clinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia; Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
| | - Marco Lamberti
- Child and Adolescent Psychiatry Unit, "Franz Tappeiner" Hospital, Merano, Italy
| | - Amy Piercey
- Berkshire Healthcare NHS Foundation Trust, Berkshire, United Kingdom
| | - Peter Nagy
- Bethesda Children's Hospital, Budapest, Hungary
| | - Varun S Mehta
- Central Institute of Psychiatry, Ranchi, Jharkhand, India
| | | | - Jie Li
- Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University
| | | | | | - Farah Rozali
- NHS Lothian, Child and Adolescent Mental Health Services, Edinburgh, United Kingdom
| | - Benjamin J Baig
- South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | - Isa M Noor
- Dr. Soeharto Heerdjan Teaching Mental Hospital, Jakarta, Indonesia
| | - Saori Fujita
- Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
| | - Narges Gholami
- Loghman-Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Anna Vasileva
- V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology, Saint Petersburg, Russia
| | - Katie Salucci
- Berkshire Healthcare NHS Foundation Trust, Berkshire, United Kingdom
| | - Öznur Bilaç
- Manisa Celal Bayar University, Manisa, Turkey
| | | | | | | | | | - Fatima Youssef
- Dubai Department of Medical Education, Dubai, United Arab Emirates
| | - Salim Al-Huseini
- Psychiatry Residency Program, Oman Medical Specialty Board, Muscat, Oman
| | | | | | | | | | - Dennis Ougrin
- King's College London, United Kingdom; Queen Mary University of London
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Güler Aksu G, Kayar O, Tufan AE, Kütük MÖ, Özdağ Acarli AN, Sucu DH, Taşdelen B, Toros F, Özge A. Early maladaptive schemas in episodic and chronic migraine in adolescents. Front Neurol 2023; 14:1128953. [PMID: 37153683 PMCID: PMC10162494 DOI: 10.3389/fneur.2023.1128953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 03/24/2023] [Indexed: 05/10/2023] Open
Abstract
Introduction Psychotherapies, such as schema therapy, are receiving increasing attention in the management of pediatric headaches. The purpose of this study was to investigate early maladaptive schemas (EMSs) in adolescents with episodic migraine (EM) and chronic migraine (CM). Methods This clinic-based, cross-sectional study consisted of 167 adolescents, aged 12-18, who were diagnosed with EM (n = 140) and CM (n = 27). The clinical characteristics of migraine, its accompanying symptoms, EMSs, the interrelationship of EMSs, depression, and anxiety were evaluated. We specifically analyzed psychopathology and abuse history as covariates in this study. Results Defectiveness/shame, mistrust/abuse, abandonment/instability, enmeshment/undeveloped self, self-sacrifice, and subjugation schemas were more prevalent in the CM group. In terms of schema domains, the CM group scored significantly higher in disconnection/rejection and other orientations. Psychopathology did not affect the EMS scores, but a history of sexual abuse did. In patients with EM, a relationship was found between the variables of anxiety, depression, and five of the EMS domains. On the other hand, the CM group showed a significant relationship with anxiety, hypervigilance/inhibition, disconnection/rejection, and other orientation domains. Discussion This study highlights the value of EMSs, anxiety, and depression in young people with EM and CM. Schema therapy and schema-based therapeutic interventions should be researched, especially in pediatric migraine, as they may potentially prevent the progression to treatment-resistant migraine.
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Affiliation(s)
- Gülen Güler Aksu
- Department of Child and Adolescent Psychiatry, Mersin University School of Medicine, Mersin, Türkiye
- *Correspondence: Gülen Güler Aksu
| | - Ozan Kayar
- Department of Psychology, Çankiri Karatekin University, Çankiri, Türkiye
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University, Bolu, Türkiye
| | - Meryem Özlem Kütük
- Department of Child and Adolescent Psychiatry, Başkent University School of Medicine, Adana, Türkiye
| | | | - Damla Hazal Sucu
- Department of Biostatistics and Medical Informatics, Mersin University School of Medicine, Mersin, Türkiye
| | - Bahar Taşdelen
- Department of Biostatistics and Medical Informatics, Mersin University School of Medicine, Mersin, Türkiye
| | - Fevziye Toros
- Department of Child and Adolescent Psychiatry, Mersin University School of Medicine, Mersin, Türkiye
| | - Aynur Özge
- Department of Neurology, Mersin University School of Medicine, Mersin, Türkiye
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Ozturk Y, Ozyurt G, Gormez V, Aslankaya ZD, Baykara B, Ekinci O, Kaya I, Adak I, Esin IS, Turan S, Sari M, Ozcan GG, Ermis C, Ekinci N, Dogan OI, Tiryaki I, Kitapcioglu S, Tufan AE, Inal N, Akay AP. Parent rated bedtime resistance and comorbidity may predict levels of attention among Turkish children diagnosed with ADHD in on-line education classes during the COVID-19 outbreak. North Clin Istanb 2023; 10:197-204. [PMID: 37181063 PMCID: PMC10170383 DOI: 10.14744/nci.2022.77674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 08/15/2022] [Accepted: 09/17/2022] [Indexed: 05/16/2023] Open
Abstract
OBJECTIVE This study aimed to compare the attention levels, of Turkish children and adolescents with Attention Deficit/ Hyperactivity Disorder (ADHD) in on-line education classes with healthy controls. METHODS This study is a cross-sectional, internet-based, case-control study that recruited 6-18 years old patients diagnosed with ADHD and receving treatment and healthy controls from eight centers. The measurements used in the study were prepared in the google survey and delivered to the participants via Whatsapp application. RESULTS Within the study period, 510 children with ADHD and 893 controls were enrolled. Parent- rated attention decreased significantly in both groups during on-line education classes due to COVID-19 outbreak (p<0.001; for each). Children and adolescents with ADHD had significantly elevated bedtime resistance, problems in family functioning difficulties than control children according to parental reports (p=0.003; p<0.001; p<0.001, respectively). Furthermore, bedtime resistance and comorbidity significantly predicted attention levels in on-line education. CONCLUSION Our findings may underline the need to augment student engagement in on-line education both for children without attention problems and those with ADHD. Interventions shown to be effective in the management of sleep difficulties in children as well as parent management interventions should continue during on-line education.
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Affiliation(s)
- Yusuf Ozturk
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkiye
- Correspondence: Yusuf OZTURK, MD. Abant Izzet Baysal Universitesi Tip Fakultesi, Cocuk ve Ergen Psikiyatrisi Anabilim Dali, Bolu, Turkiye. Tel: +90 374 275 25 25 e-mail:
| | - Gonca Ozyurt
- Department of Child and Adolescent Psychiatry, Katip Celebi University Faculty of Medicine, Izmir, Turkiye
| | - Vahdet Gormez
- Department of Child and Adolescent Psychiatry, Medeniyet University, Istanbul, Turkiye
| | | | - Burak Baykara
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkiye
| | - Ozalp Ekinci
- Department of Child and Adolescent Psychiatry, University of Health Sciences Faculty of Medicine, Erenkoy Health Practice and Research Center, Istanbul, Turkiye
| | - Ilyas Kaya
- Department of Child and Adolescent Psychiatry, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkiye
| | - Ibrahim Adak
- Department of Child and Adolescent Psychiatry, University of Health Sciences Faculty of Medicine, Erenkoy Health Practice and Research Center, Istanbul, Turkiye
| | - Ibrahim Selcuk Esin
- Department of Child and Adolescent Psychiatry, Ataturk University Faculty of Medicine, Erzurum, Turkiye
| | - Serkan Turan
- Department of Child and Adolescent Psychiatry, Tekirdag State Hospital, Izmir, Turkiye
| | - Mesut Sari
- Department of Child and Adolescent Psychiatry, Istanbul Cam and Sakura City Hospital, Istanbul, Turkiye
| | - Guler Gol Ozcan
- Department of Child and Adolescent Psychiatry, Bilecik State Hospital, Bilecik, Turkiye
| | - Cagatay Ermis
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkiye
| | - Nazan Ekinci
- Department of Child and Adolescent Psychiatry, University of Health Sciences Faculty of Medicine, Erenkoy Health Practice and Research Center, Istanbul, Turkiye
| | - Ozge Ipek Dogan
- Department of Child and Adolescent Psychiatry, University of Health Sciences Faculty of Medicine, Erenkoy Health Practice and Research Center, Istanbul, Turkiye
| | - Ibrahim Tiryaki
- Department of Child and Adolescent Psychiatry, Ataturk University Faculty of Medicine, Erzurum, Turkiye
| | | | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkiye
| | - Neslihan Inal
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkiye
| | - Aynur Pekcanlar Akay
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkiye
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Kutuk MO, Kilicaslan F, Tufan AE, Celik F, Gokcen C, Gozukara Bag H, Servi G, Karali M, Bahsi G, Servi C, Alatli R, Kandemir B, Aytekin N, Kutuk O. An exploratory, single-center study of factors associated with child marriage among Syrian female adolescents residing in Turkey. Children's Health Care 2022. [DOI: 10.1080/02739615.2022.2156344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Meryem Ozlem Kutuk
- Department of Child and Adolescent Psychiatry, Baskent University, Faculty of Medicine, Adana Medical and Research Center, Adana, Turkey
| | - Fethiye Kilicaslan
- Department of Child and Adolescent Psychiatry, Harran University, Faculty of Medicine, Sanliurfa, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey
| | - Fatma Celik
- Department of Child and Adolescent Psychiatry, Malatya Training and Research Hospital, Malatya, Turkey
| | - Cem Gokcen
- Department of Child and Adolescent Psychiatry, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey
| | - Harika Gozukara Bag
- Department of Biostatistics and Medical Informatics, Inonu University, Faculty of Medicine, Malatya, Turkey
| | - Gulay Servi
- Department of Psychiatry, Malatya Training and Research Hospital, Malatya, Turkey
| | - Mehtap Karali
- Deparment of Child Development, Malatya Training and Research Hospital, Malatya, Turkey
| | - Gamze Bahsi
- Deparment of Child Development, Malatya Training and Research Hospital, Malatya, Turkey
| | - Ceyhun Servi
- Department of Special Education, Inonu University, Faculty of Educational Sciences, Malatya, Turkey
| | - Resat Alatli
- Department of Special Education, Inonu University, Faculty of Educational Sciences, Malatya, Turkey
| | | | | | - Ozgur Kutuk
- Department of Immunology, Baskent University Faculty of Medicine, Adana Medical and Research Center, Adana, Turkey
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Topal Hangül Z, Tuman TC, Altunay-Tuman B, Saygılı GY, Tufan AE. Body-focused repetitive behaviors in children and adolescents, clinical characteristics, and the effects of treatment choices on symptoms: a single-center retrospective cohort study. Acta Dermatovenerol Alp Pannonica Adriat 2022; 31:141-146. [PMID: 36541396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
INTRODUCTION This study determines clinical features of body-focused repetitive behaviors (BFRBs) among a sample of Turkish children and adolescents, evaluates the naturalistic treatments selected in this sample, and determines the effects of those treatments during a 3-month follow-up. METHODS The study included a cohort of 67 patients 9 to 17 years old attending a tertiary center between March and June 2013 with complaints of nail biting, skin picking, and/or hair pulling. The patients completed psychometric scales and were evaluated for symptom severity, improvement, and adverse effects after an initial interview and at control visits during the 4th and 8th weeks. RESULTS The most common BFRB was nail biting. In nail-biting behavior, subjective awareness was higher, and urges prior to the behavior and release after the behavior were found to be higher. Although there was no significant difference between the choice of treatment and the course of psychiatric measures, significant improvement was found in functionality after treatment. CONCLUSIONS Despite its limitations, the small number of studies on BFRBs increases the importance of studies in this area.
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Affiliation(s)
- Zehra Topal Hangül
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Taha Can Tuman
- Department of Psychiatry, Istanbul Medipol University Health Practice and Research Center, Istanbul, Turkey
| | - Bengü Altunay-Tuman
- Department of Dermatology, Istanbul Medipol University Health Practice and Research Center, Istanbul, Turkey
| | - Gizem Yılmaz Saygılı
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant İzzet Baysal University, Bolu, Turkey
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13
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Köksal M, Koçak G, Öztürk Y, Tufan AE. A Case of Emetophobia Responding to Mirtazapine and Propranolol Treatment. J Neurogastroenterol Motil 2022; 28:709-710. [PMID: 36250377 PMCID: PMC9577583 DOI: 10.5056/jnm22133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Merve Köksal
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Gökçe Koçak
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Yusuf Öztürk
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
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Güler Aksu G, Kayar O, Tufan AE, Kütük MÖ, Sucu DH, Taşdelen B, Toros F, Özge A. Early maladaptive schemas differing according to sex may contribute to migraine among the youth. Brain Dev 2022; 44:427-437. [PMID: 35459526 DOI: 10.1016/j.braindev.2022.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 03/19/2022] [Accepted: 04/05/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Despite many diverse findings from studies about the comorbidity of psychiatric disorders and migraine, there are still unknown points. Schemas, which are the basic structures of cognition, are understudied. This study examined the effects of sex on early maladaptive schemas (EMSs) and the clinical characteristics of migraine in adolescents with migraine. METHODS The sample comprised 171 adolescents (67.3% females, n = 115) aged 12-18 years. The clinical characteristics of migraine (duration, severity, frequency of headaches, etc.), accompanying symptoms (nausea, vomiting, photophobia, etc.) and EMSs were evaluated depending on sex. Psychopathology and abuse history were analyzed as covariates in this study. RESULTS The mean age was 15.4 ± 1.9 among the females and 15.2 ± 2.0 among the males (p = 0.65). There was no difference in terms of migraine characteristics, and except for dizziness and pain relief by massage, all other symptoms were similar between the sexes. Female adolescent migraineurs significantly elevated scores for EMS of emotional deprivation, abandonment/instability, defectiveness/shame (disconnection/rejection domain), dependence/incompetence, vulnerability to harm/illness, failure (in impaired autonomy/performance domain) and negativity/pessimism (in hypervigilance/inhibition domain). On the other hand, male migraineurs had significantly elevated scores only in insufficient self-control/self-discipline (in impaired limits domain). Type of migraine and current psychopathology had no significant effect on the EMS domains, while sexual abuse history significantly affected some EMS. CONCLUSION Our study highlights the importance of screening for EMSs among adolescent patients with migraine. Schema therapy and similar therapeutic interventions may be used in the management of migraine in adolescents. Gender may also be important factor the schema therapy in adolescent migraine patients.
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Affiliation(s)
- Gülen Güler Aksu
- Department of Child and Adolescent Psychiatry, Mersin University School of Medicine, Mersin, Turkey.
| | - Ozan Kayar
- Department of Psychology, Çankırı Karatekin University, Çankırı, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Abant İzzet Baysal University, Bolu, Turkey
| | - Meryem Özlem Kütük
- Department of Child and Adolescent Psychiatry, Başkent University School of Medicine, Adana, Turkey
| | - Damla Hazal Sucu
- Department of Biostatistics and Medical Informatics, Mersin University School of Medicine, Mersin, Turkey
| | - Bahar Taşdelen
- Department of Biostatistics and Medical Informatics, Mersin University School of Medicine, Mersin, Turkey
| | - Fevziye Toros
- Department of Child and Adolescent Psychiatry, Mersin University School of Medicine, Mersin, Turkey
| | - Aynur Özge
- Department of Neurology, Mersin University School of Medicine, Mersin, Turkey
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Öztürk Y, Özyurt G, Turan S, Mutlu C, Tufan AE, Pekcanlar Akay A. Association of theory of mind and empathy abilities in adolescents with social anxiety disorder. Curr Psychol 2022. [DOI: 10.1007/s12144-020-00707-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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16
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Ercan ES, Unsel-Bolat G, Tufan AE, Karakoc Demirkaya S, Bilac O, Celik G, Kılıç BG, Akyol Ardic U, Yalin Sapmaz S, Aksu H, Yolga Tahiroglu A, Karacetin G, Tural U, Aktepe E, Rodopman Arman A, Başgül S, Coşkun M, Dursun OB, Durukan İ, Perdahli Fiş N, Gençoğlan S, Gökçen C, Sarı Gokten E, Görker I, Görmez V, Yıldız Gündoğdu Ö, Hesapçioğlu ST, Kandemir H, Mutluer T, Nasiroğlu S, Özcan Ö, Şahin N, Toros F, Perçinel Yazici İ, Yazici KU, Yulaf Y, Yüksel T, Bilgic A, Altun H, Akdemir D, Mazlum B, Çakın Memik N, Foto Özdemir D, Üneri Ö, Ünal F. Effect of Impairment on the Prevalence and Comorbidities of Attention Deficit Hyperactivity Disorder in a National Survey: Nation-Wide Prevalence and Comorbidities of ADHD. J Atten Disord 2022; 26:674-684. [PMID: 34032170 DOI: 10.1177/10870547211017985] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE This study aimed to determine the prevalence and comorbidities of attention-deficit hyperactivity disorder (ADHD) by evaluating a large-scale nation-wide sample of children. METHOD The inclusion criterion was being enrolled as a 2nd, 3rd, or 4th-grade student. A semi-structured diagnostic interview (K-SADS-PL), DSM-IV-Based Screening Scale for Disruptive Behavior Disorders, and assessment of impairment (by both parents and teachers) were applied to 5,842 participants. RESULTS The prevalence of ADHD was 19.5% without impairment and 12.4% with impairment. Both ADHD with and without impairment groups had similar psychiatric comorbidity rates except for oppositional defiant disorder (ODD) and conduct disorder (CD) diagnoses. Impairment in the ADHD group resulted in significantly higher ODD and CD diagnoses. CONCLUSION Even when impairment is not described, other psychiatric disorders accompany the diagnosis of ADHD and may cause impairment in the future. Impairment in the diagnosis of ADHD significantly increases the likelihood of ODD and CD.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | - Gul Karacetin
- Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Mental Health and Nervous Disorders, Istanbul, Turkey
| | - Umit Tural
- Nathan S. Kline Institute, New York, USA
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Kutuk MO, Tufan AE, Topal Z, Acikbas U, Guler G, Karakas B, Basaga H, Kilicaslan F, Altintas E, Aka Y, Kutuk O. CYP450 2D6 and 2C19 genotypes in ADHD: not related with treatment resistance but with over-representation of 2C19 ultra-metabolizers. Drug Metab Pers Ther 2022; 37:261-269. [PMID: 35218180 DOI: 10.1515/dmpt-2021-0163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 01/03/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Cytochrome P450 (CYP450) is a major enzyme system involved in drug metabolism as well as regulation of brain function. Although individual variability in CYP enzymes have been studied in terms of personality traits and treatment effects, no study up to now evaluated CYP polymorphisms in children with attention deficit/hyperactivity disorder (ADHD). We aimed to define the genetic profiles of CYP2D6 and CYP2C19 relevant alleles in children with ADHD according to treatment status and compare the frequencies according to past results. METHODS Three hundred and seventeen patients with ADHD-Combined Presentation were enrolled; symptom severity was evaluated by parents and clinicians while adverse effects of previous treatments were evaluated with parent and child reports. Reverse blotting on strip assays was used for genotyping and descriptive and bivariate analyses were conducted. A p-value was set at 0.05 (two-tailed). RESULTS Children were divided into treatment-naïve (n=194, 61.2%) and treatment-resistant (n=123, 38.8%) groups. Within the whole sample PM, EM and UM status according to 2D6 were 3.8% (n=12), 94.3% (n=299) and 21.9% (n=6); respectively. PM, IM, EM and UM status according to 2C19 were 2.5% (n=8), 19.8% (n=63), 48.6% (n=154) and 29.0% (n=92), respectively. No relationship with treatment resistance, comorbidity or gender could be found. Importantly, CYP2C19 UMs were significantly more frequent in ADHD patients compared to previous studies in the general population. CONCLUSIONS CYPs may be a rewarding avenue of research to elucidate the etiology and treatment of patients with ADHD.
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Affiliation(s)
- Meryem Ozlem Kutuk
- Department of Child and Adolescent Psychiatry, Baskent University School of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey
| | - Zehra Topal
- Department of Child and Adolescent Psychiatry, Gaziantep University, Gaziantep, Turkey
| | | | - Gulen Guler
- Department of Child and Adolescent Psychiatry, Mersin University School of Medicine, Mersin, Turkey
| | - Bahriye Karakas
- Molecular Biology, Genetics and Bioengineering Program, Sabanci University, Istanbul, Turkey
| | - Huveyda Basaga
- Molecular Biology, Genetics and Bioengineering Program, Sabanci University, Istanbul, Turkey
| | - Fethiye Kilicaslan
- Department of Child and Adolescent Psychiatry, Harran University, Sanliurfa, Turkey
| | - Ebru Altintas
- Department of Psychiatry, Baskent University, Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Yeliz Aka
- Department of Immunology, Baskent University School of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Ozgur Kutuk
- Department of Immunology, Baskent University School of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
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Topal Z, Tufan AE, Karadag M, Gokcen C, Akkaya C, Sarp AS, Bahsi I, Kilinc M. Evaluation of peripheral inflammatory markers, serum B12, folate, ferritin levels and clinical correlations in children with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD). Nord J Psychiatry 2022; 76:150-157. [PMID: 34232109 DOI: 10.1080/08039488.2021.1946712] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
AIM The aim of the current study is to compare serum B12, folate, and ferritin levels and peripheral inflammatory indicators between children with Autism Spectrum Disorders (ASD), Attention Deficit Hyperactivity Disorder (ADHD), and healthy controls (HC) and to evaluate the correlation of those with symptoms. MATERIALS AND METHODS A total of 203 children were evaluated (ASD = 72; ADHD = 61; HC = 70). Diagnoses of ASD and ADHD were ascertained according to Schedule for Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime Version (K-SADS-PL). Control group was chosen among the healthy children who applied to general pediatrics outpatient clinic. Gilliam Autism Rating Scale-2 is used to assess autistic symptoms and Atilla Turgay DSM-IV Based Child and Adolescent Behavior Disorders Screening and Rating Scale is used for ADHD symptoms. RESULTS Neutrophil levels (p = 0.014) and neutrophil/lymphocyte ratio (NLR) (p = 0.016) were higher in the ADHD and ASD groups compared to HC. Neutrophil values explained 70.1% of the variance across groups while NLR explained a further 29.9% of the variance. NLR significantly correlated with social interaction problems in ASD (r = 0.26, p = 0.04). There were no significant differences between groups in terms of vitamin B12, folate and ferritin levels. CONCLUSION Our results may support involvement of inflammation in the underlying pathophysiology of neurodevelopmental disorders. However, these parameters should be analyzed in a wider population to clarify the effect on the etiology and symptomatology of neurodevelopmental disorders.
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Affiliation(s)
- Zehra Topal
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University, Bolu, Turkey
| | - Mehmet Karadag
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Cem Gokcen
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Canan Akkaya
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Ayse Sevde Sarp
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Ilhan Bahsi
- Department of Anatomy, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Metin Kilinc
- Department of Pediatrics, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
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Topal Hangül Z, Tuman TC, Altunay-Tuman B, Saygılı GY, Tufan AE. Body-focused repetitive behaviors in children and adolescents, clinical characteristics, and the effects of treatment choices on symptoms: a single-center retrospective cohort study. Acta Dermatovenerologica Alpina Pannonica et Adriatica 2022. [DOI: 10.15570/actaapa.2022.24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Özyurt G, Cingöz G, Öztürk Y, Küme T, Dündar BN, Tufan AE, Çatlı G. Elevated neurotensin levels among obese adolescents may be related to emotion dysregulation and impulsivity: a cross-sectional, case-control study. Turk J Pediatr 2022; 64:255-264. [PMID: 35611414 DOI: 10.24953/turkjped.2021.1437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND In this study, we aimed to evaluate the serum neurotensin (NT) levels and their relationships with self-reported anxiety, emotion regulation skills and impulsivity in healthy and obese adolescents. METHODS Adolescents who gained weight between 12- 17 years of age and who were above the 95th percentile (p) for body mass index (BMI) > 95p were compared with age- and gender-matched healthy adolescents with a BMI of 3-85 p. Anthropometric measurements were performed, and serum NT levels were analyzed with ELISA method in all participants. Barrat Impulsivity Scale-11 (BIS-11), Screen for Child Anxiety Related Disorders (SCARED) and Difficulties in Emotion Regulation Scale (DERS) were used for evaluating self-reported impulsivity, anxiety and emotion regulation. MANOVA with follow-up univariate ANOVAs (Bonferroni corrected) were used for group comparisons. P was set at 0.05 (two-tailed). RESULTS Sixty-five obese and 65 healthy adolescents were included in the study. In the obese group, NT levels were significantly elevated compared to the control group. Self-reported emotion-regulation difficulties, anxiety and impulsivity were significantly elevated among obese adolescents. Serum NT levels among the obese group were positively correlated with emotion dysregulation and impulsivity scores. CONCLUSIONS In this study, we found emotional dysregulation, anxiety, impulsivity, and serum NT levels were significantly elevated among obese adolescents compared to controls. NT levels in the obese group correlated with impulsivity and emotion dysregulation. Further studies should evaluate the potential role of NT in the etiology of psychopathology among adolescents who are obese.
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Affiliation(s)
- Gonca Özyurt
- Departments of Child and Adolescent Psychiatry, İzmir Katip Çelebi University Faculty of Medicine, İzmir
| | - Gülten Cingöz
- Department of Pediatrics, Sağlık Bilimleri University, Tepecik Training and Research Hospital, İzmir
| | - Yusuf Öztürk
- Department of Child and Adolescent Psychiatry, Bolu Abant İzzet Baysal University Faculty of Medicine, Bolu
| | - Tuncay Küme
- Department of Biochemistry, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Bumin Nuri Dündar
- Departments of Pediatric Endocrinology, İzmir Katip Çelebi University Faculty of Medicine, İzmir
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant İzzet Baysal University Faculty of Medicine, Bolu
| | - Gönül Çatlı
- Departments of Pediatric Endocrinology, İzmir Katip Çelebi University Faculty of Medicine, İzmir
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21
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Güler Aksu G, Kütük MÖ, Tufan AE, Sanberk S, Güzel E, Dağ P, Tan ME, Akyol B, Toros F. Correlates and predictors of re-incarceration among Turkish adolescent male offenders: A single-center, cross-sectional study. Int J Law Psychiatry 2022; 80:101726. [PMID: 34924111 DOI: 10.1016/j.ijlp.2021.101726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 07/12/2021] [Accepted: 07/18/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Adolescents involved in the legal system are known to be under elevated risk for repeat offending. There may be many reasons for recidivism. Specifically, we aim to investigate the clinical, socio-demographic, and familial factors and psychopathology among adolescents in a penal institution and to determine risk factors for re-incarceration. METHODS This single-center cross-sectional survey was conducted at Tarsus Closed Penal Institution for Children and Youth. This institution is for males only, and all male adolescents detained at the center within the study period were evaluated with semi-structured interviews (K-SADS-PL). The adolescents completed Meaning and Purpose of Life Scale, The EPOCH measure of Adolescent Well-being, Family Sense of Belonging Scale, Children's Alexithymia Scale, Beck Depression Inventory, and State-Trait Anxiety Inventory for themselves. Descriptive and inferential analyses were used. P was set at 0.05. RESULTS Ninety adolescent offenders with a mean age of 16.6 years (S·D = 0.7) were enrolled. Mean age at first offense was 14.6 years (S·D = 2.1). The most common reason for offenses was reported as as being with peers who were offenders, too (57.8%). Most common diagnoses were substance use (36.7%), attention deficit/hyperactivity disorder (33.3%), and conduct disorder (26.7%). Rates of offending and conviction in first-degree relatives were 62.2% and 60.0%, respectively, and most of the adolescents had at least one peer with a criminal record (n = 71, 78.9%). Re-incarcerated adolescents had lower education, committed more violent crimes, and reported elevated use of substances, suicide attempts, and psychopathology. However, in regression analysis, age of onset was the sole predictor of re-incarceration. CONCLUSION Turkish male adolescents in forensic settings may be screened for externalizing disorders and referred for treatment. Re-incarcerated Turkish youth may be more susceptible to peer influence, substance use and externalizing disorders. It may be prudent to systematically screen offending youth for psychiatric disorders regardless of the individual's request for treatment and refer identified cases to treatment. Integration of child and adolescent psychiatrists with penal institutions serving youth may help in this regard.
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Affiliation(s)
- Gülen Güler Aksu
- Department of Child and Adolescent Psychiatry, Mersin University School of Medicine, Mersin, Turkey.
| | - Meryem Özlem Kütük
- Department of Child and Adolescent Psychiatry, Başkent University School of Medicine, Adana, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Abant İzzet Baysal University, Bolu, Turkey
| | - Satı Sanberk
- Child and Adolescent Psychiatrist, Private Practice, Adana, Turkey
| | - Esra Güzel
- Child and Adolescent Psychiatrist, Private Practice, Adana, Turkey
| | - Pelin Dağ
- Department of Child and Adolescent Psychiatry, Mersin City Training and Research Hospital, Mersin, Turkey
| | - Muhammed Emin Tan
- Department of Child and Adolescent Psychiatry, Kırşehir Training and Research Hospital, kırşehir, Turkey
| | - Betül Akyol
- Department of Child and Adolescent Psychiatry, Başkent University School of Medicine, Adana, Turkey
| | - Fevziye Toros
- Department of Child and Adolescent Psychiatry, Mersin University School of Medicine, Mersin, Turkey
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22
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Topal Z, Ozturk Y, Demir N, Adiguzel O, Karadag M, Tufan AE. Remission Rates, Time to Remission, and Related Factors in Adolescents with Major Depressive Disorder. Eur J Ther 2021. [DOI: 10.5152/eurjther.2021.20081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Yektaş Ç, Erman H, Tufan AE. Traumatic experiences of conditional refugee children and adolescents and predictors of post-traumatic stress disorder: data from Turkey. Nord J Psychiatry 2021; 75:420-426. [PMID: 33591886 DOI: 10.1080/08039488.2021.1880634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
AIM We aimed to determine traumatic events, mental health problems and predictors of PTSD in a sample of conditional refugee children. METHODS The sociodemographic features, chief complaints, traumatic experiences and psychiatric diagnoses according to DSM-5 were evaluated retrospectively. RESULTS 20.7% (n = 70) of children experienced the armed conflict or exposed to firefights at their country of origin. Most common diagnoses were anxiety disorders (n = 82, 24.3%), major depressive disorder (n = 52, 15.4%) and PTSD (n = 43, 12.7%). Age, number of traumatic experiences, explosion and sexual violence are the most important predictors for PTSD. CONCLUSIONS Our results suggest that the number of traumas exposed as well as their nature predicted PTSD diagnosis. Refugee children have increased risk for psychiatric problems after migration and resettlement underlining the importance of an adequate follow-up for mental health and ensuring social support networks.
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Affiliation(s)
- Çiğdem Yektaş
- Department of Child and Adolescent Psychiatry, Associate Professor in Üsküdar University NP Hospital, Üsküdar University, İstanbul, Turkey
| | - Hakan Erman
- Child and Adolescent Psychiatrist, Güven Hospital, Ankara, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Child and Adolescent Psychiatrist, Abant İzzet Baysal Universtiy, Bolu, Turkey
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Göl Özcan G, Öztürk Y, Sari M, İmrek Y, Özyurt G, Tufan AE, Akay AP. Drug holidays may not affect processing speed while they may reduce beneficial effects on resistance to interference among children with treated with methylphenidate: a single-center, prospective study. Nord J Psychiatry 2021; 75:323-329. [PMID: 33356759 DOI: 10.1080/08039488.2020.1855242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE This study aimed to investigate the effects of drug holidays during summer vacations among children with attention deficit/hyperactivity disorder (ADHD) who were treated with methylphenidate in terms of ADHD symptoms and executive functions. METHODS The study was a prospective cohort study that includes pre-treatment, post-treatment and post-drug holiday evaluations. ADHD symptom severity was evaluated with the Clinical Global Impression Scale (CGI), the Conners' Parental Rating Scale-Short Form (CPRS) and the Conners' Teacher Rating Scale- Short Form (CTRS). The Stroop Color Word Test- TBAG Form (SCWT) was used to evaluate executive functions. Fifty-one patients participated in the study according to the inclusion and exclusion criteria. Methylphenidate (MPH) was started at 0.5 mg/kg/day and titrated weekly to a maximum of 1.2 mg/kg/day. During the follow-up period, 22 (43.0%) of the patients stopped treatment. RESULTS Completion times for all SCWT subtests were significantly reduced after treatment (p < 0.001, p = 0.002, p < 0.001, p = 0.002, p < 0.001; respectively). Mean number of corrections in SCWT-3 and mean number of errors as well as corrections in SCWT-5 significantly reduced after treatment (p = 0.047, p = 0.005, p = 0.007; respectively). Mean number of corrections in SCWT-3 and mean number of errors in SCWT-5 increased significantly after drug holiday compared to post-treatment (p = 0.032 and p = 0.037; respectively). CONCLUSION Our results suggest that psychomotor speed and resistance to interference improved in children with ADHD receiving methylphenidate treatment. Drug holidays did not affect psychomotor speed while beneficial effects on resistance to interference were reduced with drug holidays.
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Affiliation(s)
- Güler Göl Özcan
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Yusuf Öztürk
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Mesut Sari
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Yasemin İmrek
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Gonca Özyurt
- Department of Child and Adolescent Psychiatry, Izmir Katip Çelebi University Medical Faculty, Izmir, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
| | - Aynur Pekcanlar Akay
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Medical Faculty, Izmir, Turkey
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25
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Wong BHC, Chkonia E, Panteleeva L, Pinchuk I, Stevanovic D, Tufan AE, Skokauskas N, Ougrin D. Transitioning to community-based mental healthcare: reform experiences of five countries. BJPsych Int 2021. [DOI: 10.1192/bji.2021.23] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Following the growing global focus on deinstitutionalisation in the past 50 years, accessible community mental health services was a highlighted commitment in the European Mental Health Action Plan 2013–2020 to improve well-being of patients and families. The progress of transition has been uneven in some Eastern European countries. This paper aims to update and reflect on the examples of five countries across the region.
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Karakaya SEK, Yektaş Ç, Tufan AE. Activation Syndrome in a Patient With Attention-Deficit/Hyperactivity Disorder Treated With Atomoxetine: A Case Report. Clin Neuropharmacol 2021; 44:101-103. [PMID: 33661138 DOI: 10.1097/wnf.0000000000000447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT "Activation syndrome" represents a cluster of symptoms of excessive emotional arousal or behavioral activation, which emerges after the first few weeks of antidepressant treatment or a dose increase and resolves with dose reduction or cessation of treatment. It was reported after treatment with selective serotonin reuptake inhibitor and serotonin-norepinephrine reuptake inhibitor group of agents, but no case of activation syndrome has been reported with the norepinephrine reuptake inhibitor group. Atomoxetine is a norepinephrine reuptake inhibitor and nonstimulant and is used to manage symptoms of attention-deficit/hyperactivity disorder (ADHD). Atomoxetine-related symptoms of mania and hypomania were reported in literature previously. Here, we report a case of activation syndrome arising after atomoxetine (ATX) dose titration in a prepubertal male child with ADHD. Differentiation of activation symptoms from mania/hypomania symptoms after treatment with ATX may be important for the clinicians to manage the adverse effects and understand the risk factors behind activation syndrome with use of ATX in children and adolescents diagnosed with ADHD.
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Affiliation(s)
| | - Çiğdem Yektaş
- Department of Child and Adolescent Psychiatry, Uskudar University Faculty of Medicine, Istanbul
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey
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Kütük MÖ, Tufan AE, Kılıçaslan F, Güler G, Çelik F, Altıntaş E, Gökçen C, Karadağ M, Yektaş Ç, Mutluer T, Kandemir H, Büber A, Topal Z, Acikbas U, Giray A, Kütük Ö. High Depression Symptoms and Burnout Levels Among Parents of Children with Autism Spectrum Disorders: A Multi-Center, Cross-Sectional, Case-Control Study. J Autism Dev Disord 2021; 51:4086-4099. [PMID: 33459915 DOI: 10.1007/s10803-021-04874-4] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2021] [Indexed: 11/25/2022]
Abstract
The diagnosis of autism spectrum disorder (ASD) in a child affects family processes, increases parenting stress and marital conflicts, and may lead to parental psychopathology. It may also affect the prognosis for their children. The aim of this study is to determine depression and burnout levels as well as their predictors among parents of children with ASD compared with those of healthy children. We also sought to evaluate rate of complementary and alternative medicine (CAM) interventions among parents and explore the associations of this phenomenon in an exploratory fashion. 145 children with ASD and 127 control children were enrolled along with their mothers and fathers. Beck Depression Inventory and Maslach Burnout Inventory were used to evaluate parents' depression symptoms and burnout levels. Symptoms of children with ASDs were evaluated according to the Childhood Autism Rating Scale by the clinicians. Family, child and CAM variables were screened by means of a sociodemographic data form. Descriptive, bivariate and correlation analyses were used in statistical evaluations. Predictors of burnout were evaluated with multiple regression analysis. Burnout and depression levels among parents of children with ASD were significantly elevated compared to controls. Burnout levels of mothers were significantly elevated compared to fathers while depression scores of fathers were significantly elevated compared to mothers. Maternal burnout was significantly predicted by presence of functional speech in child while paternal burnout was significantly predicted by paternal vocation. Maternal depression was associated with paternal depression, lack of speech in child and attendance of child to special education services. Paternal depression was associated with autistic symptom severity and maternal depression. More than half the parents sought CAM interventions. Education level did not affect search for CAM interventions while both maternal and paternal psychopathology and presence of epilepsy among children increased use of CAM methods. Psychological support should be provided to both mothers and fathers of a child receiving a diagnosis of ASD. Addressing parents' burnout and stress levels and facilitating their negotiation of knowledge on etiology and treatments for ASD may be beneficial for the family unit as a whole.
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Affiliation(s)
- Meryem Özlem Kütük
- Department of Child and Adolescent Psychiatry, Baskent University, Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant İzzet Baysal University Medical Faculty, Bolu, Turkey.
| | - Fethiye Kılıçaslan
- Department of Child and Adolescent Psychiatry, Mehmet Akif İnan Education and Research Hospital, Şanlıurfa, Turkey
| | - Gülen Güler
- Department of Child and Adolescent Psychiatry, Mersin University, Mersin, Turkey
| | - Fatma Çelik
- Department of Child and Adolescent Psychiatry, Malatya State Hospital, Malatya, Turkey
| | - Ebru Altıntaş
- Department of Psychiatry, Başkent University, Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Cem Gökçen
- Department of Child and Adolescent Psychiatry, Gaziantep University, Gaziantep, Turkey
| | - Mehmet Karadağ
- Department of Child and Adolescent Psychiatry, Gaziantep University, Gaziantep, Turkey
| | - Çiğdem Yektaş
- Uskudar University Medical Faculty, Department of Child and Adolescent Psychiatry, Istanbul, Turkey
| | - Tuba Mutluer
- Department of Child and Adolescent Psychiatry, Koç University, İstanbul, Turkey
| | - Hasan Kandemir
- Department of Child and Adolescent Psychiatry, Celal Bayar University, Manisa, Turkey
| | - Ahmet Büber
- Department of Child and Adolescent Psychiatry, Pamukkale University, Denizli, Turkey
| | - Zehra Topal
- Department of Child and Adolescent Psychiatry, Gaziantep University, Gaziantep, Turkey
| | - Ufuk Acikbas
- Department of Health and Life Sciences, Oxford Brookes University, Oxford, United Kingdom
| | - Aslı Giray
- Department of Genetics and Bioengineering, Alaaddin Keykubat University, Antalya, Turkey
| | - Özgür Kütük
- Department of Medical Genetics, Başkent University, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
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Ercan ES, Tufan AE, Kütük ÖM, Perçinel Yazıcı İ. E-mentoring program organized by the Turkish Association for Child and Adolescent Psychiatry during the COVID-19 pandemic. Eur Child Adolesc Psychiatry 2021; 30:173-175. [PMID: 33226504 PMCID: PMC7681764 DOI: 10.1007/s00787-020-01671-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Eyüp Sabri Ercan
- Child and Adolescent Psychiatry Department, Medical Faculty, Ege University, Izmir, Turkey.
| | - Ali Evren Tufan
- Child and Adolescent Psychiatry Department, Izzet Baysal State Hospital, Bolu, Turkey
| | - Özlem Meryem Kütük
- grid.411548.d0000 0001 1457 1144Child and Adolescent Psychiatry Department, Medical Faculty, Baskent University, Adana, Turkey
| | - İpek Perçinel Yazıcı
- grid.411320.50000 0004 0574 1529Child and Adolescent Psychiatry Department, Medical Faculty, Fırat University, Elazıg, Turkey
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Yektaş Ç, Tufan AE, Sarıgedik E. Sleep habits of children diagnosed with attention/ deficit/ hyperactivity disorder and effects of treatment on sleep related parameters. Asian J Psychiatr 2020; 52:102045. [PMID: 32361211 DOI: 10.1016/j.ajp.2020.102045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Revised: 03/20/2020] [Accepted: 03/25/2020] [Indexed: 11/27/2022]
Abstract
This study aimed to evaluate the baseline sleep habits of children with ADHD and the effects of treatment with methylphenidate (MPH) and atomoxetine (ATX) on sleep parameters. Treatment naive children with clinically normal intelligence diagnosed with ADHD were enrolled in the study. Children were treated naturalistically with MPH and ATX. Treatments were started at 0.5 mg/ kg/ day and titrated weekly to a maximum of 1.2 mg/ kg/ day. The daily equivalent dose was calculated according to clinician toolkits of Utah Academy of Child and Adolescent Psychiatry. DSM-IV Based Screening and Assessment Scale for Disruptive Behavior Disorders- Parent form (DBSASDBD) and Clinical Global Impression Scale were used to assess ADHD symptoms and Children's Sleep Habits Questionnaire (CSHQ)- Short Form was used to assess the sleep habits and problems before and after the treatment. Both MPH and ATX reduced symptom severity of ADHD in all domains and also reduced total CSHQ scores with similar effect sizes. (0.7 for MPH vs. 0.8 for ATX). The rate of clinically significant sleep problems at baseline was 93.5 %. At the end-point, 83.9 % of the sample still displayed clinically significant sleep problems while none of the children were judged to have moderate-severe sleep problems. Our results suggest that both ATX and MPH may selectively improve different sleep domains in children with ADHD. Studies using standardized dosing schemes for longer durations and evaluating sleep with objective measurements may clarify the differential effects of treatments on sleep among children with ADHD.
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Affiliation(s)
- Çiğdem Yektaş
- Duzce University Faculty of Medicine, Child and Adolescent Psychiatry Department, Turkey.
| | - Ali Evren Tufan
- Acıbadem University Faculty of Medicine, Child and Adolescent Psychiatry Department, Turkey
| | - Enes Sarıgedik
- Duzce University Faculty of Medicine, Child and Adolescent Psychiatry Department, Turkey
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Öztürk Y, Topal Z, Demir N, Tufan AE. Relationships between Vitamin B12, Folate Levels and Clinical Features in Attention Deficit Hyperactivity Disorder and Attention Deficit Hyperactivity Disorder-Not Otherwise Specified. jpr 2020. [DOI: 10.4274/jpr.galenos.2019.45822] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Kutuk MO, Tufan AE, Kilicaslan F, Mutluer T, Gokcen C, Karadag M, Yektas C, Kandemir H, Buber A, Guler Aksu G, Topal Z, Giray A, Celik F, Acikbas U, Kutuk O. Novel inflammatory targets for immunotherapies in pediatric patients with trichotillomania. Immunobiology 2020; 225:151913. [PMID: 32113788 DOI: 10.1016/j.imbio.2020.151913] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 02/02/2020] [Accepted: 02/11/2020] [Indexed: 01/10/2023]
Abstract
Immune dysregulation may be important in the etiology of obsessive-compulsive and related disordersandbody-focusedrepetitivebehaviors, such as Trichotillomania (TTM). The role of inflammation and inflammatory markers in TTM has received relatively little attention. This study was aimed to determine the expression levels of inflammatory markers (i.e. IL-1β, IL-1α, IL-4, IL-6, IL-17, TNF-α and TGF-β) in peripheral blood mononuclear cells of children with TTM and healthy controls and to evaluate their association with clinical variables. Seventy-seven patients with TTM and 107 healthy controls were enrolled in the study. Peripheral blood was collected in standardized conditions. The mean age of patients and controls did not differ significantly (10.8 ± 4.4 and 12.0 ± 3.2 years; respectively). The majority of patients with TTM and controls were females (n = 55, 71.4 % and n = 55, 51.4 %; respectively); with a greater preponderance of females among TTM. Patients with TTM had significantly elevated expression levels of TNF-α, IL-6 and IL-17 compared to controls. However, the expression level of IL-4 was significantly reduced in TTM patients compared to controls. Accordingly, we found a pro-inflammatory state in TTM and those findings may suggest novel treatment options for TTM and further, cross-disciplinary studies focusing on neuro- inflammation in TTM conducted on larger samples are needed.
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Affiliation(s)
- Meryem Ozlem Kutuk
- Department of Child and Adolescent Psychiatry, Baskent University, Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - Fethiye Kilicaslan
- Department of Child and Adolescent Psychiatry, Mehmet Akif İnan Education and Research Hospital, Sanliurfa, Turkey
| | - Tuba Mutluer
- Department of Child and Adolescent Psychiatry, Koc University, İstanbul, Turkey
| | - Cem Gokcen
- Department of Child and Adolescent Psychiatry, Gaziantep University, Gaziantep, Turkey
| | - Mehmet Karadag
- Department of Child and Adolescent Psychiatry, Mardin State Hospital, Mardin, Turkey
| | - Cigdem Yektas
- Department of Child and Adolescent Psychiatry, Düzce University, Düzce, Turkey
| | - Hasan Kandemir
- Department of Child and Adolescent Psychiatry, Celal Bayar University, Manisa, Turkey
| | - Ahmet Buber
- Department of Child and Adolescent Psychiatry, Pamukkale University, Denizli, Turkey
| | - Gulen Guler Aksu
- Department of Child and Adolescent Psychiatry, Mersin University, Mersin, Turkey
| | - Zehra Topal
- Department of Child and Adolescent Psychiatry, Gaziantep University, Gaziantep, Turkey
| | - Asli Giray
- Department of Genetic and Bioengineering, Alanya Alaaddin Keykubat University, Alanya, Turkey
| | - Fatma Celik
- Department of Child and Adolescent Psychiatry, Malatya Training and Research Hospital, Malatya, Turkey
| | - Ufuk Acikbas
- Department of Medical Genetics, Baskent University, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Ozgur Kutuk
- Department of Medical Genetics, Baskent University, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey.
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Öztürk Y, Özyurt G, Turan S, Mutlu C, Tufan AE, Akay AP. Relationships Between Theory of Mind (ToM) and Attachment Properties in Adolescent with Social Axiety Disorder. ACTA ACUST UNITED AC 2020; 57:65-70. [PMID: 32110154 DOI: 10.29399/npa.24757] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 12/18/2019] [Indexed: 11/07/2022]
Abstract
Introduction Studies have suggested that attachment styles are associated with social anxiety disorder (SAD). Recent studies found that individuals with a diagnosis of SAD were significantly impaired relative to healthy controls on tasks of theory of mind (ToM). We aimed to investigate the association of ToM and attachment styles in adolescents diagnosed with SAD in this study. Methods Drug-naïve 42 adolescents diagnosed with SAD and aged between 12 to 18, without psychiatric comorbidity were enrolled in the patient group. Forty-two adolescents in the same age range without any psychiatric disorders were matched as the healthy control group. The diagnosis was made by experienced clinicians using the Kiddie and Young Adult Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version and diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders Fifth Edition. The severity of SAD symptoms was evaluated with the Social Anxiety Scale for Adolescents. ToM was evaluated with Reading the Mind in the Eyes task and faces test. Parent and Peer Attachment Inventory was used for assessing attachment properties. Results Adolescents with SAD compared to healthy control groups have more difficulties both in Reading the Mind in the Eyes task and faces test. We found a statistically significant decrease in peer and parent attachment scores when compared with SAD and healthy controls (p<0.05). A negative correlation between the severity of SAD and both ToM tasks and attachment has been found. Conclusions The results of this study indicate that ToM deficits and insecure attachment style may play an important role in the etiology and treatment of SAD in adolescents.
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Affiliation(s)
- Yusuf Öztürk
- Department of Child and Adolescent Psychiatry, Abant İzzet Baysal University Medical Faculty, Bolu, Turkey
| | - Gonca Özyurt
- Department of Child and Adolescent Psychiatry, İzmir Katip Çelebi University Medical Faculty, Izmir, Turkey
| | - Serkan Turan
- Department of Child and Adolescent Psychiatry, Dokuz Eylül University Medical Faculty, İzmir, Turkey
| | - Caner Mutlu
- Department of Child and Adolescent Psychiatry, Bakırköy Mental Health and Disorders Research and Training Hospital, İstanbul, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Acıbadem University Mehmet Ali Aydınlar Medical Faculty, İstanbul, Turkey
| | - Aynur Pekcanlar Akay
- Department of Child and Adolescent Psychiatry, Dokuz Eylül University Medical Faculty, İzmir, Turkey
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Affiliation(s)
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Acibadem Mehmet Aydinlar University Medical Faculty, Istanbul, Turkey
| | - Veysi Çeri
- Department of Child and Adolescent Psychiatry, Division of Refugee and Asylum Seeking Children, Marmara University Medical Faculty, Istanbul, Turkey
| | - Bengi Semerci
- Department of Psychology, Bengi Semerci Institute, Hasan Kalyoncu University Institute of Social Sciences, Istanbul, Turkey
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Öztürk Y, Göl G, Savcı U, Cansız MA, Tufan AE. Abdominal epilepsy mimicking conversion disorder: a case report. PSYCHIAT CLIN PSYCH 2019. [DOI: 10.1080/24750573.2018.1430714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Yusuf Öztürk
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University, Bolu, Turkey
| | - Güler Göl
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University, Bolu, Turkey
| | - Uğur Savcı
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University, Bolu, Turkey
| | - Mehmet Akif Cansız
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University, Bolu, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Acıbadem University, Istanbul, Turkey
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Savcı U, Tufan AE, Öztürk Y, Cansız MA. Dikkat Eksikliği ve Hiperaktivite Bozukluğu Tanılı Çocuk ve Ergenlerde Yürütücü İşlev Sorunları ve Tedavisi. Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2019. [DOI: 10.18863/pgy.424793] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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Kütük MÖ, Gökçen C, Güler Aksu G, Akın F, Kardaş A, Sarp AS, Tufan AE. Türkiye’deki bir eğitim araştırma hastanesinin yatan hasta birimindeki çocukların psikomotor gelişim tarama sonuçları. Cukurova Medical Journal 2019. [DOI: 10.17826/cumj.462821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Yurteri N, Şahin İE, Tufan AE. Altered serum levels of vascular endothelial growth factor and glial-derived neurotrophic factor but not fibroblast growth factor-2 in treatment-naive children with attention deficit/hyperactivity disorder. Nord J Psychiatry 2019; 73:302-307. [PMID: 31170860 DOI: 10.1080/08039488.2019.1625437] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Background and aim: Recent evidence suggests that growth factors might be involved in the pathophysiology of attention deficit hyperactivity disorder (ADHD). The aim of this study was to determine whether serum levels of brain-derived neurotrophic factor (BDNF), glial-derived neurotrophic factor (GDNF), neurotrophin-3 (NT-3), nerve growth factor (NGF), fibroblast growth factor-2 (FGF-2) and vascular endothelial growth factor (VEGF) were altered in children with ADHD. Methods: Serum levels of BDNF, GDNF, NT-3, NGF, VEGF and FGF-2 were analyzed in 49 treatment- naive children with ADHD and age, gender matched 36 healthy controls using enzyme-linked immunosorbent assay. ADHD symptoms were scored by Du Paul ADHD Rating Scale and Strengths and Difficulties Questionnaire. Results: We found that serum VEGF levels were significantly lower (p < 0.001) and GDNF levels were significantly higher in ADHD group compared to control group (p = 0.003). However, we found no correlations between ADHD symptoms and serum VEGF or GDNF levels. Furthermore, we observed no significant alterations in serum BDNF, NT-3, NGF, FGF-2 levels in children with ADHD. Conclusion: To our knowledge, the present study is the first to examine serum VEGF and FGF-2 levels in children with ADHD. Our results indicate that VEGF and GDNF might be involved in the etiology of ADHD. Further studies are required to determine the role of growth factors in the etiology and consequently in the treatment of ADHD.
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Affiliation(s)
- Nihal Yurteri
- a Department of Child and Adolescent Psychiatry , Düzce University Medical Faculty , Düzce , Turkey
| | - İbrahim Ethem Şahin
- b Department of Clinical Biochemistry , Düzce University Medical Faculty , Düzce , Turkey
| | - Ali Evren Tufan
- c Department of Child and Adolescent Psychiatry , Acıbadem Mehmet Ali Aydinlar University Medical Faculty , İstanbul , Turkey
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Abstract
In children, similar to adults, the agents that cause movement disorders are most commonly dopaminergic and antidopaminergic drugs. However, it is also known that selective serotonin reuptake inhibitors (SSRIs), which are frequently prescribed in child psychiatry practice, may rarely lead to tremor, akathisia, dystonia, dyskinesia, and parkinsonism. In this study, we report a rare side effect of SSRIs, namely oromandibular dystonia related to sertraline, in a pediatric patient who was diagnosed with posttraumatic stress disorder.
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Affiliation(s)
- Meryem Ozlem Kutuk
- 1 Department of Child and Adolescent Psychiatry, Baskent University School of Medicine, Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Gülen Güler Aksu
- 2 Department of Child and Adolescent Psychiatry, Mersin University, Mersin, Turkey
| | - Ali Evren Tufan
- 3 Department of Child and Adolescent Psychiatry, Acibadem University, Istanbul, Turkey
| | - Tamer Celik
- 4 Department of Pediatric Neurology, Adana Numune Training and Research Hospital, Adana, Turkey
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Ercan ES, Polanczyk G, Akyol Ardıc U, Yuce D, Karacetın G, Tufan AE, Tural U, Aksu H, Aktepe E, Rodopman Arman A, Başgül S, Bılac O, Coşkun M, Celık GG, Karakoc Demırkaya S, Dursun BO, Durukan İ, Fidan T, Perdahlı Fiş N, Gençoğlan S, Gökçen C, Görker I, Görmez V, Gündoğdu ÖY, Gürkan CK, Hergüner S, Tural Hesapçıoğlu S, Kandemir H, Kılıç BG, Kılınçaslan A, Mutluer T, Nasiroğlu S, Özel Özcan Ö, Öztürk M, Öztop D, Yalın Sapmaz S, Süren S, Şahin N, Yolga Tahıroglu A, Toros F, Ünal F, Vural P, Perçinel Yazıcı İ, Yazıcı KU, Yıldırım V, Yulaf Y, Yüce M, Yüksel T, Akdemir D, Altun H, Ayık B, Bilgic A, Hekim Bozkurt Ö, Demirbaş Çakır E, Çeri V, Üçok Demir N, Dinç G, Irmak MY, Karaman D, Kınık MF, Mazlum B, Memik NÇ, Foto Özdemir D, Sınır H, Ince Taşdelen B, Taşkın B, Uğur Ç, Uran P, Uysal T, Üneri Ö, Yilmaz S, Seval Yılmaz S, Açıkel B, Aktaş H, Alaca R, Alıç BG, Almaidan M, Arı FP, Aslan C, Atabay E, Ay MG, Aydemir H, Ayrancı G, Babadagı Z, Bayar H, Çon Bayhan P, Bayram Ö, Dikmeer Bektaş N, Berberoğlu KK, Bostan R, Arıcı Canlı M, Cansız MA, Ceylan C, Coşkun N, Coşkun S, Çakan Y, Demir İ, Demir N, Yıldırım Demirdöğen E, Doğan B, Dönmez YE, Dönder F, Efe A, Eray Ş, Erbilgin S, Erden S, Ersoy EG, Eseroğlu T, Kına Fırat S, Eynallı Gök E, Güler G, Güles Z, Güneş S, Güneş A, Günay G, Gürbüz Özgür B, Güven G, Çelik Göksoy Ş, Horozcu H, Irmak A, Işık Ü, Kahraman Ö, Kalaycı BM, Karaaslan U, Karadağ M, Kılıc HT, Kılıçaslan F, Kınay D, Kocael Ö, Bulanık Koç E, Kadir Mutlu R, Lushi-Şan Z, Nalbant K, Okumus N, Özbek F, Akkuş Özdemir F, Özdemir H, Özkan S, Yıldırım Özyurt E, Polat B, Polat H, Sekmen E, Sertçelik M, Sevgen FH, Sevince O, Süleyman F, Shamkhalova Ü, Eren Şimşek N, Tanır Y, Tekden M, Temtek S, Topal M, Topal Z, Türk T, Uçar HN, Uçar F, Uygun D, Uzun N, Vatansever Z, Yazgılı NG, Miniksar Yıldız D, Yıldız N. The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T). Nord J Psychiatry 2019; 73:132-140. [PMID: 30964388 DOI: 10.1080/08039488.2019.1574892] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
AIM The aim of this study was to determine the prevalence of childhood psychopathologies in Turkey. METHOD A nation-wide, randomly selected, representative population of 5830 children (6-13 years-old) enrolled as a 2nd,3rd or 4th grade student in 30 cities were evaluated for presence of a psychiatric or mental disorder by a Sociodemographic Form, Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K-SADS-PL), and DSM-IV-Based Screening Scale for Disruptive Behavior Disorders in Children and Adolescents scales. Impairment criterion was assessed via a 3 point-Likert scale by the parent and the teacher independently. RESULTS Overall prevalence of any psychopathology was 37.6% without impairment criterion, and 17.1% with impairment criterion. Attention-deficit hyperactivity disorder was the most frequent diagnosis, followed by anxiety (19.5% and 16.7% without impairment, 12.4% and 5.3% with impairment, respectively). Lower education level and presence of a physical or psychiatric problem of the parents were independent predictors of any psychopathology of the offspring. CONCLUSION This is the largest and most comprehensive epidemiological study to determine the prevalence of psychopathologies in children and adolescents in Turkey. Our results partly higher than, and partly comparable to previous national and international studies. It also contributes to the literature by determining the independent predictors of psychopathologies in this age group.
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Affiliation(s)
- Eyup Sabri Ercan
- a Child and Adolescent Psychiatry Department, Medical Faculty , Ege University , Izmir , Turkey
| | - Guilherme Polanczyk
- b Department of Psychiatry , University of Sao Paulo Medical School , São Paulo , BR
| | - Ulku Akyol Ardıc
- c Child and Adolescent Psychiatry Department , Denizli State Hospital , Denizli , Turkey
| | - Deniz Yuce
- d Department of Preventive Oncology and Epidemiology , Cancer Institute, Hacettepe University , Ankara , Turkey
| | - Gul Karacetın
- e Child and Adolescent Psychiatry Department, Medical Faculty , Bakirkoy Prof. Dr. Mazhar OSMAN Training and Research Hospital for Mental Health and Nervous Disorders , Istanbul , Turkey
| | - Ali Evren Tufan
- f Child and Adolescent Psychiatry Department, Medical Faculty , Acıbadem University , Istanbul , Turkey
| | - Umit Tural
- g Psychiatry Department, Medical Faculty , Kocaeli University , Izmit , Turkey
| | - Hatice Aksu
- h Child and Adolescent Psychiatry Department, Medical Faculty , Adnan Menderes University , Aydın , Turkey
| | - Evrim Aktepe
- i Child and Adolescent Psychiatry Department, Medical Faculty , Suleyman Demirel University , Isparta , Turkey
| | - Ayşe Rodopman Arman
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Senem Başgül
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Oznur Bılac
- l Child and Adolescent Psychiatry Department, Medical Faculty , Manisa Hospital for Mental Health and Nervous Disorders , Manisa , Turkey
| | - Murat Coşkun
- m Child and Adolescent Psychiatry Department, Medical Faculty , Istanbul University , Istanbul , Turkey
| | - Gonca Gul Celık
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Sevcan Karakoc Demırkaya
- h Child and Adolescent Psychiatry Department, Medical Faculty , Adnan Menderes University , Aydın , Turkey
| | - Burak Onur Dursun
- o Child and Adolescent Psychiatry Department, Medical Faculty , Ataturk University , Erzurum , Turkey
| | - İbrahim Durukan
- p Child and Adolescent Psychiatry Department, Medical Faculty , Gülhane Training and Research Hospital , Ankara , Turkey
| | - Tülin Fidan
- q Child and Adolescent Psychiatry Department, Medical Faculty , Osmangazi University , Eskişehir , Turkey
| | - Neşe Perdahlı Fiş
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Salih Gençoğlan
- r Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Van , Turkey
| | - Cem Gökçen
- s Child and Adolescent Psychiatry Department, Medical Faculty , Gaziantep University , Gaziantep , Turkey
| | - Işık Görker
- t Child and Adolescent Psychiatry Department, Medical Faculty , Trakya University , Edirne , Turkey
| | - Vahdet Görmez
- u Child and Adolescent Psychiatry Department, Medical Faculty , Bezmi-alem University , Istanbul , Turkey
| | - Özlem Yıldız Gündoğdu
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Cihat Kaan Gürkan
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Sabri Hergüner
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Selma Tural Hesapçıoğlu
- y Child and Adolescent Psychiatry Department, Medical Faculty , Karadeniz Technical University , Trabzon , Turkey
| | - Hasan Kandemir
- z Child and Adolescent Psychiatry Department, Medical Faculty , Harran University , Sanlıurfa , Turkey
| | - Birim Günay Kılıç
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Ayse Kılınçaslan
- m Child and Adolescent Psychiatry Department, Medical Faculty , Istanbul University , Istanbul , Turkey
| | - Tuba Mutluer
- r Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Van , Turkey
| | - Serhat Nasiroğlu
- aa Child and Adolescent Psychiatry Department, Medical Faculty , Sakarya University , Sakarya , Turkey
| | - Özlem Özel Özcan
- ab Child and Adolescent Psychiatry Department, Medical Faculty , Inonu University , Malatya , Turkey
| | - Mücahit Öztürk
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Didem Öztop
- ac Child and Adolescent Psychiatry Department, Medical Faculty , Erciyes University , Kayseri , Turkey
| | - Sermin Yalın Sapmaz
- ad Child and Adolescent Psychiatry Department, Medical Faculty , Celal Bayar University , Manisa , Turkey
| | - Serkan Süren
- ae Child and Adolescent Psychiatry Department, Medical Faculty , 19 May University, Samsun , Turkey
| | - Nilfer Şahin
- af Child and Adolescent Psychiatry Department, Medical Faculty , Muğla Sıtkı Koçman University , Muğla , Turkey
| | - Aysegul Yolga Tahıroglu
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Fevziye Toros
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Fatih Ünal
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Pınar Vural
- ai Child and Adolescent Psychiatry Department, Medical Faculty , Uludağ University , Bursa , Turkey
| | - İpek Perçinel Yazıcı
- aj Child and Adolescent Psychiatry Department, Medical Faculty , Fırat University , Elazığ , Turkey
| | - Kemal Utku Yazıcı
- aj Child and Adolescent Psychiatry Department, Medical Faculty , Fırat University , Elazığ , Turkey
| | - Veli Yıldırım
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Yasemin Yulaf
- ak Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Tekirdağ , Turkey
| | - Murat Yüce
- ae Child and Adolescent Psychiatry Department, Medical Faculty , 19 May University, Samsun , Turkey
| | - Tuğba Yüksel
- al Child and Adolescent Psychiatry Department, Medical Faculty , Dıcle University , Diyarbakır , Turkey
| | - Devrim Akdemir
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Hatice Altun
- am Child and Adolescent Psychiatry Department, Medical Faculty , Kahramanmaras Sutcu Imam University , Kahramanmaraş , Turkey
| | - Başak Ayık
- an Child and Adolescent Psychiatry Department, Medical Faculty , Usküdar University , İstanbul , Turkey
| | - Ayhan Bilgic
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Özlem Hekim Bozkurt
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Emine Demirbaş Çakır
- ap Child and Adolescent Psychiatry Department, Medical Faculty , Abant Izzet Baysal University , Bolu , Turkey
| | - Veysi Çeri
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Nagehan Üçok Demir
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Gülser Dinç
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Mustafa Yasin Irmak
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Dursun Karaman
- p Child and Adolescent Psychiatry Department, Medical Faculty , Gülhane Training and Research Hospital , Ankara , Turkey
| | - Mehmet Fatih Kınık
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Betül Mazlum
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Nursu Çakın Memik
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Dilşad Foto Özdemir
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Hayati Sınır
- am Child and Adolescent Psychiatry Department, Medical Faculty , Kahramanmaras Sutcu Imam University , Kahramanmaraş , Turkey
| | - Bedia Ince Taşdelen
- aq Child and Adolescent Psychiatry Department, Medical Faculty , Kayseri Education and Research Hospital , Kayseri , Turkey
| | - Beril Taşkın
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Çağatay Uğur
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Pınar Uran
- ar Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hospital , Ankara , Turkey
| | - Taciser Uysal
- as Child and Adolescent Psychiatry Department, Medical Faculty , Maternity and Child Health Hospital , Isparta , Turkey
| | - Özden Üneri
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Savas Yilmaz
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Sultan Seval Yılmaz
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Burak Açıkel
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Hüseyin Aktaş
- al Child and Adolescent Psychiatry Department, Medical Faculty , Dıcle University , Diyarbakır , Turkey
| | - Rümeysa Alaca
- al Child and Adolescent Psychiatry Department, Medical Faculty , Dıcle University , Diyarbakır , Turkey
| | - Betül Gül Alıç
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Mahmut Almaidan
- p Child and Adolescent Psychiatry Department, Medical Faculty , Gülhane Training and Research Hospital , Ankara , Turkey
| | - Fatma Pınar Arı
- q Child and Adolescent Psychiatry Department, Medical Faculty , Osmangazi University , Eskişehir , Turkey
| | - Cihan Aslan
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Ender Atabay
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Merve Günay Ay
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Hilal Aydemir
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Gülseda Ayrancı
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Zehra Babadagı
- ae Child and Adolescent Psychiatry Department, Medical Faculty , 19 May University, Samsun , Turkey
| | - Hasan Bayar
- s Child and Adolescent Psychiatry Department, Medical Faculty , Gaziantep University , Gaziantep , Turkey
| | - Pelin Çon Bayhan
- ab Child and Adolescent Psychiatry Department, Medical Faculty , Inonu University , Malatya , Turkey
| | - Özlem Bayram
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Neşe Dikmeer Bektaş
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Kıvanç Kudret Berberoğlu
- t Child and Adolescent Psychiatry Department, Medical Faculty , Trakya University , Edirne , Turkey
| | - Recep Bostan
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Merve Arıcı Canlı
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Mehmet Akif Cansız
- ap Child and Adolescent Psychiatry Department, Medical Faculty , Abant Izzet Baysal University , Bolu , Turkey
| | - Cansın Ceylan
- t Child and Adolescent Psychiatry Department, Medical Faculty , Trakya University , Edirne , Turkey
| | - Neşe Coşkun
- k Child and Adolescent Psychiatry Department, Medical Faculty , Private Clinic , Istanbul , Turkey
| | - Seyma Coşkun
- s Child and Adolescent Psychiatry Department, Medical Faculty , Gaziantep University , Gaziantep , Turkey
| | - Yasemin Çakan
- m Child and Adolescent Psychiatry Department, Medical Faculty , Istanbul University , Istanbul , Turkey
| | - İbrahim Demir
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Nuran Demir
- ap Child and Adolescent Psychiatry Department, Medical Faculty , Abant Izzet Baysal University , Bolu , Turkey
| | - Esen Yıldırım Demirdöğen
- o Child and Adolescent Psychiatry Department, Medical Faculty , Ataturk University , Erzurum , Turkey
| | - Büşra Doğan
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Yunus Emre Dönmez
- ab Child and Adolescent Psychiatry Department, Medical Faculty , Inonu University , Malatya , Turkey
| | - Funda Dönder
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Ayşegül Efe
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Şafak Eray
- ai Child and Adolescent Psychiatry Department, Medical Faculty , Uludağ University , Bursa , Turkey
| | - Seda Erbilgin
- m Child and Adolescent Psychiatry Department, Medical Faculty , Istanbul University , Istanbul , Turkey
| | - Semih Erden
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Elif Gökçe Ersoy
- q Child and Adolescent Psychiatry Department, Medical Faculty , Osmangazi University , Eskişehir , Turkey
| | - Tuğba Eseroğlu
- e Child and Adolescent Psychiatry Department, Medical Faculty , Bakirkoy Prof. Dr. Mazhar OSMAN Training and Research Hospital for Mental Health and Nervous Disorders , Istanbul , Turkey
| | - Sümeyra Kına Fırat
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Ezgi Eynallı Gök
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Gülen Güler
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Zafer Güles
- h Child and Adolescent Psychiatry Department, Medical Faculty , Adnan Menderes University , Aydın , Turkey
| | - Serkan Güneş
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Adem Güneş
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Gülay Günay
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Börte Gürbüz Özgür
- h Child and Adolescent Psychiatry Department, Medical Faculty , Adnan Menderes University , Aydın , Turkey
| | - Gökçen Güven
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Şeyda Çelik Göksoy
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Havvana Horozcu
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Ayşe Irmak
- ac Child and Adolescent Psychiatry Department, Medical Faculty , Erciyes University , Kayseri , Turkey
| | - Ümit Işık
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Özlem Kahraman
- ac Child and Adolescent Psychiatry Department, Medical Faculty , Erciyes University , Kayseri , Turkey
| | - Bilge Merve Kalaycı
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Umut Karaaslan
- am Child and Adolescent Psychiatry Department, Medical Faculty , Kahramanmaras Sutcu Imam University , Kahramanmaraş , Turkey
| | - Mehmet Karadağ
- s Child and Adolescent Psychiatry Department, Medical Faculty , Gaziantep University , Gaziantep , Turkey
| | - Hilal Tuğba Kılıc
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Fethiye Kılıçaslan
- z Child and Adolescent Psychiatry Department, Medical Faculty , Harran University , Sanlıurfa , Turkey
| | - Duygu Kınay
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Ömer Kocael
- ai Child and Adolescent Psychiatry Department, Medical Faculty , Uludağ University , Bursa , Turkey
| | - Esra Bulanık Koç
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Rahime Kadir Mutlu
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Zejnep Lushi-Şan
- ac Child and Adolescent Psychiatry Department, Medical Faculty , Erciyes University , Kayseri , Turkey
| | - Kevser Nalbant
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Nilüfer Okumus
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Fatih Özbek
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Fatma Akkuş Özdemir
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Hanife Özdemir
- j Child and Adolescent Psychiatry Department, Medical Faculty , Marmara University , Istanbul , Turkey
| | - Selçuk Özkan
- p Child and Adolescent Psychiatry Department, Medical Faculty , Gülhane Training and Research Hospital , Ankara , Turkey
| | - Esra Yıldırım Özyurt
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Berna Polat
- ag Child and Adolescent Psychiatry Department, Medical Faculty , Mersin University , Mersin , Turkey
| | - Hatice Polat
- aq Child and Adolescent Psychiatry Department, Medical Faculty , Kayseri Education and Research Hospital , Kayseri , Turkey
| | - Ebru Sekmen
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Mehmet Sertçelik
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Feyza Hatice Sevgen
- am Child and Adolescent Psychiatry Department, Medical Faculty , Kahramanmaras Sutcu Imam University , Kahramanmaraş , Turkey
| | - Oğuz Sevince
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Funda Süleyman
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Ülker Shamkhalova
- n Child and Adolescent Psychiatry Department, Medical Faculty , Çukurova University , Adana , Turkey
| | - Nurcan Eren Şimşek
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Yaşar Tanır
- w Child and Adolescent Psychiatry Department, Medical Faculty , Ankara University , Ankara , Turkey
| | - Mehmet Tekden
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Seyhan Temtek
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Melike Topal
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Zehra Topal
- ap Child and Adolescent Psychiatry Department, Medical Faculty , Abant Izzet Baysal University , Bolu , Turkey
| | - Tuğba Türk
- at Child and Adolescent Psychiatry Department , Private clinic , Istanbul , Turkey
| | - Halit Necmi Uçar
- ai Child and Adolescent Psychiatry Department, Medical Faculty , Uludağ University , Bursa , Turkey
| | - Filiz Uçar
- ae Child and Adolescent Psychiatry Department, Medical Faculty , 19 May University, Samsun , Turkey
| | - Duygu Uygun
- ao Child and Adolescent Psychiatry Department, Medical Faculty , Ankara Hematology and Oncology Child Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Necati Uzun
- x Child and Adolescent Psychiatry Department, Medical Faculty , Necmettin Erbakan University , Konya , Turkey
| | - Zeynep Vatansever
- v Child and Adolescent Psychiatry Department, Medical Faculty , Kocaeli University , Kocaeli , Turkey
| | - Neslihan Gökçe Yazgılı
- ah Child and Adolescent Psychiatry Department, Medical Faculty , Hacettepe University , Ankara , Turkey
| | - Dilşat Miniksar Yıldız
- ab Child and Adolescent Psychiatry Department, Medical Faculty , Inonu University , Malatya , Turkey
| | - Nazike Yıldız
- t Child and Adolescent Psychiatry Department, Medical Faculty , Trakya University , Edirne , Turkey
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Yektaş Ç, Alpay M, Tufan AE. Comparison of serum B12, folate and homocysteine concentrations in children with autism spectrum disorder or attention deficit hyperactivity disorder and healthy controls. Neuropsychiatr Dis Treat 2019; 15:2213-2219. [PMID: 31496704 PMCID: PMC6689552 DOI: 10.2147/ndt.s212361] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Accepted: 06/10/2019] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE We aimed to investigate the serum concentrations of vitamin B12, folate and homocysteine in children diagnosed with attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) and healthy controls. MATERIALS AND METHODS Serum vitamin B12, folate and homocysteine concentrations were measured in 118 children (48 children diagnosed with ADHD, 35 children diagnosed with ASD and 35 healthy controls). Symptom severity in the ADHD and ASD groups was evaluated by the Childhood Autism Rating Scale and Turgay-DSM-IV-Based Screening and Assessment Scale for Disruptive Behavior Disorders. Multivariate analysis of covariance was used to evaluate the effects of diagnosis and gender on biochemical parameters. RESULTS The ADHD and ASD groups and the healthy controls differed significantly regarding vitamin B12 and homocysteine concentrations, but not folate levels. Patients with ASD had the lowest vitamin B12 and the highest homocysteine levels. Vitamin B12 levels correlated negatively with hyperactivity and/orimpulsivity and oppositionality symptoms in children with ADHD. There were no relationships between psychometric evaluations and laboratory measurements in children with ASD. Gender did not affect vitamin concentrations. CONCLUSION Previous studies found that vitamin B12 was reduced while homocysteine was elevated among patients with ADHD and ASDs. Our results also support those reported previously. Oppositionality and hyperactivity and/orimpulsivity may be related to vitamin B12 and homocysteine levels in children with ADHD. Further studies are required to define the role of these parameters and effects on the etiology and clinical manifestations of ASD and ADHD.
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Affiliation(s)
- Çiğdem Yektaş
- Department of Child and Adolescent Psychiatry, Düzce Üniversitesi, Düzce, Turkey
| | - Merve Alpay
- Department of Medical Biochemistry, Faculty of Medicine, Düzce Üniversitesi, Düzce, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Acıbadem Üniversitesi Tıp Fakültesi, Istanbul, Turkey
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Öztürk Y, Topal Z, Demir N, Tufan AE. Adjustment disorder after botulinum toxin injection in an adolescent palatal myoclonus case: The importance of informed consent in the treatment of neuropsychiatric disorders in children and adolescents. Alexandria Journal of Medicine 2018. [DOI: 10.1016/j.ajme.2017.08.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Yusuf Öztürk
- Abant Izzet Baysal University, Department of Child and Adolescent Psychiatry, Turkey
| | - Zehra Topal
- Hakkari State Hospital, Department of Child and Adolescent Psychiatry, Turkey
| | - Nuran Demir
- Izzet Baysal Hospital for Maternity and Pediatrics, Department of Child and Adolescent Psychiatry, Turkey
| | - Ali Evren Tufan
- Abant Izzet Baysal University, Department of Child and Adolescent Psychiatry, Turkey
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Özyurt G, Öztürk Y, Appak YÇ, Arslan FD, Baran M, Karakoyun İ, Tufan AE, Pekcanlar AA. Increased zonulin is associated with hyperactivity and social dysfunctions in children with attention deficit hyperactivity disorder. Compr Psychiatry 2018; 87:138-142. [PMID: 30414552 DOI: 10.1016/j.comppsych.2018.10.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2018] [Revised: 09/25/2018] [Accepted: 10/21/2018] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND In attention deficit hyperactivity disorder (ADHD), deteriorations of brain gut axis has been shown in previous studies. One area where the most important challenges are seen in ADHD is social functioning. Zonulin is a protein found in the intestinal intraepithelial component; it has been shown that the level of zonulin increases when intestinal permeability is impaired. Changes in intestinal function were shown in ADHD. Zonulin has been shown to be associated with social impairment in children with autism spectrum disorder. In this study, it was aimed to evaluate the relationship between the ADHD symptoms and zonulin in children with ADHD. Secondarily relation of zonulin and difficulties in social functioning was examined in these children. METHODS Forty children diagnosed with ADHD and forty-one healthy children similar age and gender to ADHD group and their mothers were included in the study. Children without any chronic systemic immunological or infectious diseases were included in the case and control group. The ADHD symptoms were scored by the DuPaul ADHD scale and the social functioning of the children was assessed by the Social Responsiveness Scale (SRS). Serum zonulin levels were analyzed by enzyme-linked immunosorbent assay. RESULTS Children with ADHD had higher serum zonulin levels and were more impaired in social functioning compared to controls. The level of zonulin was independently predicted with hyperactivity symptoms and SRS scores in regression analysis. CONCLUSION In this sample of children with ADHD, elevated zonulin levels were associated with increased symptoms of hyperactivity and impairment of social functioning.
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Affiliation(s)
- Gonca Özyurt
- Child and Adolescent Psychiatry Department, Medical Faculty, İzmir Katip Çelebi University, İzmir, Turkey.
| | - Yusuf Öztürk
- Child and Adolescent Psychiatry Department, Medical Faculty, Bolu Abant İzzet Baysal University, Bolu, Turkey
| | - Yeliz Çağan Appak
- Department of Pediatric Gastroenterology, Izmir Tepecik Research and Training Hospital, İzmir, Turkey
| | - Fatma Demet Arslan
- Department of Biochemistry, Izmir Tepecik Research and Training Hospital, İzmir, Turkey
| | - Maşallah Baran
- Department of Pediatric Gastroenterology, Izmir Katip Celebi University, Medical School, İzmir, Turkey
| | - İnanç Karakoyun
- Department of Biochemistry, Izmir Tepecik Research and Training Hospital, İzmir, Turkey
| | - Ali Evren Tufan
- Child and Adolescent Psychiatry Department, Medical Faculty, Acıbadem University, İstanbul, Turkey
| | - Aynur Akay Pekcanlar
- Child and Adolescent Psychiatry Department, Medical Faculty, Dokuz Eylul University, İzmir, Turkey
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Bilgiç A, Yılmaz S, Özcan Ö, Tufan AE, Özmen S, Öztop D, Akça ÖF, Türkoğlu S, Yar A. The Relationship Between Parental Affective Temperament Traits and Disruptive Behavior Disorders Symptoms in Children With ADHD. J Atten Disord 2018; 22:1235-1245. [PMID: 27125992 DOI: 10.1177/1087054716646449] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE This study investigated the relationship between parental affective temperaments and the oppositional defiant disorder (ODD) and conduct disorder (CD) symptoms of children with ADHD. METHOD The sample consisted of 542 treatment-naive children with ADHD and their biological parents. Children were assessed via both parent- and teacher-rated behavioral disorder scales. Parental affective temperament and ADHD symptoms were measured by self-report inventories. The relationships between psychiatric variables were evaluated using structural equation modeling. RESULTS According to parent-rated behavioral disorder scales, paternal cyclothymic and maternal irritable temperaments were associated with ODD scores, and maternal depressive temperament was associated with CD scores. In terms of teacher-rated behavioral disorder scales, maternal anxious temperament was associated with ODD scores, and paternal cyclothymic and maternal depressive temperaments were associated with CD scores. CONCLUSION These results suggest that certain parental affective temperaments are related to an increase in symptoms of disruptive behavioral disorders in children with ADHD.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Ahmet Yar
- 6 Konya Education and Research Hospital, Konya, Turkey
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44
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Yektaş Ç, Tufan AE, Yazıcı M. Koruma altına alınan çocuklarda kurum çalışanlarınca bildirilen dikkat eksikliği yakınmaları çeşitli psikopatolojiler için uyarıcı bir belirti olabilir: Düzce çocuk evleri örneklemi. Konuralp Tıp Dergisi 2018. [DOI: 10.18521/ktd.454244] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Özyurt G, Dinsever Eliküçük Ç, Tufan AE, Baykara B. Are language features and emotion regulation related to maternal depression in autism and language delay? Pediatr Int 2018; 60:931-937. [PMID: 30103292 DOI: 10.1111/ped.13674] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Revised: 07/09/2018] [Accepted: 08/07/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Language and communication are very important in child social, emotional and cognitive development. Delay in language is usually the first complaint for children diagnosed with autism spectrum disorder (ASD) or developmental language delay (DLD). This study evaluated language features and emotion regulation skills in children diagnosed with ASD and DLD and their association with maternal depression. METHOD The sample consisted of children aged 24-54 months diagnosed with ASD (n = 31), or with DLD (n = 45), and 52 healthy controls. The Test of Early Language Development (TELD-3) was used to evaluate language profiles, and the beck depression inventory (BDI) was used to examine maternal depression. Children's emotion regulation skills were evaluated using the emotion regulation checklist. RESULTS Children with DLD had a significantly higher developmental age, were linguistically more developed and had better emotion regulation than the ASD group. All domains of language on TELD-3 except expressive syntax were more developed in DLD. Maternal BDI score did not differ significantly between DLD and ASD. Both of these disorders were not associated with maternal depression. CONCLUSION Children with DLD were less impaired than children with ASD, both in terms of language and in emotion regulation.
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Affiliation(s)
- Gonca Özyurt
- Child and Adolescent Psychiatry Department, Izmir Katip Çelebi University Medical School, Izmir, Turkey
| | - Çağla Dinsever Eliküçük
- Department of Audiology and Speech pathology, Hacettepe University Health Science Department, Ankara, Turkey
| | - Ali Evren Tufan
- Child and Adolescent Psychiatry Department, Acıbadem University Medical School, Istanbul, Turkey
| | - Burak Baykara
- Child and Adolescent Psychiatry Department, Dokuz Eylul University Medical School, Izmir, Turkey
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Karacetin G, Arman AR, Fis NP, Demirci E, Ozmen S, Hesapcioglu ST, Oztop D, Tufan AE, Tural U, Aktepe E, Aksu H, Ardic UA, Basgul S, Bilac O, Coskun M, Celik GG, Demirkaya SK, Dursun OB, Durukan I, Fidan T, Gencoglan S, Gokcen C, Gokten ES, Gorker I, Gormez V, Gundogdu OY, Gurkan CK, Herguner S, Kandemir H, Kilic BG, Kilincaslan A, Mutluer T, Nasiroglu S, Ozcan OO, Ozturk M, Sapmaz SY, Suren S, Sahin N, Tahiroglu AY, Toros F, Unal F, Vural P, Yazici IP, Yazici KU, Yildirim V, Yulaf Y, Yuce M, Yuksel T, Akdemir D, Altun H, Ayik B, Bilgic A, Bozkurt OH, Cakir ED, Ceri V, Demir NU, Dinc G, Irmak MY, Karaman D, Kinik MF, Mazlum B, Memik NC, Ozdemir DF, Sinir H, Tasdelen BI, Taskin B, Ugur C, Uran P, Uysal T, Uneri OS, Yilmaz S, Yilmaz SS, Acikel B, Aktas H, Alaca R, Alic BG, Almbaidheen M, Ari FP, Aslan C, Atabay E, Ay MG, Aydemir H, Ayranci G, Babadagi Z, Bayar H, Bayhan PC, Bayram O, Bektas ND, Berberoglu KK, Bostan R, Cakan Y, Canli MA, Cansiz MA, Ceylan C, Coskun N, Coskun S, Demir I, Demir N, Demirdogen EY, Dogan B, Donmez YE, Donder F, Efe A, Eray S, Erbilgin S, Erden S, Ersoy EG, Eseroglu T, Firat SK, Gok EE, Goksoy SC, Guler G, Gules Z, Gunay G, Gunes S, Gunes A, Guven G, Horozcu H, Irmak A, Isik U, Kahraman O, Kalayci BM, Karaaslan U, Karadag M, Kilic HT, Kilicaslan F, Kinay D, Koc EB, Kocael O, Mutlu RK, San Z, Nalbant K, Okumus N, Ozbek F, Ozdemir FA, Ozdemir H, Ozgur BG, Ozkan S, Ozyurt EY, Polat B, Polat H, Sekmen E, Sertcelik M, Sevgen FH, Sevince O, Shamkhalova U, Suleyman F, Simsek NE, Tanir Y, Tekden M, Temtek S, Topal M, Topal Z, Turk T, Ucar HN, Ucar F, Uygun D, Uzun N, Vatansever Z, Yazgili NG, Yildiz DM, Yildiz N, Ercan ES. Prevalence of Childhood Affective disorders in Turkey: An epidemiological study. J Affect Disord 2018; 238:513-521. [PMID: 29936389 DOI: 10.1016/j.jad.2018.05.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 04/24/2018] [Accepted: 05/13/2018] [Indexed: 12/17/2022]
Abstract
AIM To determine the prevalence of affective disorders in Turkey among a representative sample of Turkish population. METHODS This study was conducted as a part of the "The Epidemiology of Childhood Psychopathology in Turkey" (EPICPAT-T) Study, which was designed by the Turkish Association of Child and Adolescent Mental Health. The inclusion criterion was being a student between the second and fourth grades in the schools assigned as study centers. The assessment tools used were the K-SADS-PL, and a sociodemographic form that was designed by the authors. Impairment was assessed via a 3 point-Likert type scale independently rated by a parent and a teacher. RESULTS A total of 5842 participants were included in the analyses. The prevalence of affective disorders was 2.5 % without considering impairment and 1.6 % when impairment was taken into account. In our sample, the diagnosis of bipolar disorder was lacking, thus depressive disorders constituted all the cases. Among depressive disorders with impairment, major depressive disorder (MDD) (prevalence of 1.06%) was the most common, followed by dysthymia (prevalence of 0.2%), adjustment disorder with depressive features (prevalence of 0.17%), and depressive disorder-NOS (prevalence of 0.14%). There were no statistically significant gender differences for depression. Maternal psychopathology and paternal physical illness were predictors of affective disorders with pervasive impairment. CONCLUSION MDD was the most common depressive disorder among Turkish children in this nationwide epidemiological study. This highlights the severe nature of depression and the importance of early interventions. Populations with maternal psychopathology and paternal physical illness may be the most appropriate targets for interventions to prevent and treat depression in children and adolescents.
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Affiliation(s)
- Gul Karacetin
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Ayse Rodopman Arman
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Nese Perdahli Fis
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Esra Demirci
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Sevgi Ozmen
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Selma Tural Hesapcioglu
- Karadeniz Technical University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Trabzon, Turkey.
| | - Didem Oztop
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Ali Evren Tufan
- Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
| | - Umit Tural
- Kocaeli University, Department of Psychiatry, Kocaeli, Turkey.
| | - Evrim Aktepe
- Suleyman Demirel University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Isparta, Turkey.
| | - Hatice Aksu
- Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey.
| | - Ulku Akyol Ardic
- Denizli State Hospital, Child and Adolescent Psychiatry, Denizli, Turkey.
| | - Senem Basgul
- Hasan Kalyoncu University, Department of Psychology, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Oznur Bilac
- Manisa Mental Health and Diseases Hospital Child and Adolescent Psychiatry, Manisa, Turkey.
| | - Murat Coskun
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Gonca Gul Celik
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Sevcan Karakoc Demirkaya
- Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey.
| | - Onur Burak Dursun
- Ataturk University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Erzurum, Turkey.
| | - Ibrahim Durukan
- University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Tulin Fidan
- Osmangazi University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Eskisehir, Turkey.
| | - Salih Gencoglan
- Yuzuncu Yil University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Van, Turkey.
| | - Cem Gokcen
- Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey.
| | - Emel Sari Gokten
- University of Health Sciences, Bursa Yuksek Ihtisas Hospital, Child and Adolescent Psychiatry, Bursa, Turkey.
| | - Isık Gorker
- Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey.
| | - Vahdet Gormez
- Istanbul Medeniyet University, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Ozlem Yildiz Gundogdu
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Cihat Kagan Gurkan
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Sabri Herguner
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Hasan Kandemir
- Harran University Faculty of Medicine, Child and Adolescent Psychiatry Department, Sanliurfa, Turkey.
| | - Birim Gunay Kilic
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Ayse Kilincaslan
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Tuba Mutluer
- Van Training and Research Hospital, Department of Child and Adolescent Psychiatry, Van, Turkey.
| | - Serhat Nasiroglu
- Sakarya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Sakarya, Turkey.
| | - Ozlem Ozel Ozcan
- Inonu University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey.
| | - Mucahit Ozturk
- Hasan Kalyoncu University, Department of Psychology, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Sermin Yalin Sapmaz
- Celal Bayar University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Manisa, Turkey.
| | - Serkan Suren
- Samsun Medical Park Hospital, Child and Adolescent Psychiatry, Samsun, Turkey.
| | - Nilfer Sahin
- Mugla Sitki Kocman University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mugla, Turkey.
| | - Aysegul Yolga Tahiroglu
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Fevziye Toros
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Fatih Unal
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Pinar Vural
- Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey.
| | | | - Kemal Utku Yazici
- Firat University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Elazig, Turkey.
| | - Veli Yildirim
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Yasemin Yulaf
- Private Practice, Child and Adolescent Psychiatry, Tekirdag, Turkey.
| | - Murat Yuce
- Ondokuz Mayis University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Samsun, Turkey.
| | - Tugba Yuksel
- Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey.
| | - Devrim Akdemir
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Hatice Altun
- Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kahramanmaras, Turkey..
| | - Basak Ayik
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Ayhan Bilgic
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Ozlem Hekim Bozkurt
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Emine Demirbas Cakir
- Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
| | - Veysi Ceri
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Nagehan Ucok Demir
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Gulser Dinc
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mustafa Yasin Irmak
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Dursun Karaman
- University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mehmet Fatih Kinik
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Betul Mazlum
- Acibadem Mehmet Ali Aydinlar University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Nursu Cakin Memik
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Dilsad Foto Ozdemir
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Hayati Sinir
- Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kahramanmaras, Turkey..
| | - Bedia Ince Tasdelen
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Beril Taskin
- Private Doctor, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Cagatay Ugur
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Pınar Uran
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Taciser Uysal
- Ege University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey.
| | - Ozden Sukran Uneri
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Savas Yilmaz
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Sultan Seval Yilmaz
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Burak Acikel
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Huseyin Aktas
- Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey.
| | - Rumeysa Alaca
- Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey.
| | - Betul Gul Alic
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mahmoud Almbaidheen
- University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Fatma Pinar Ari
- Osmangazi University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Eskisehir, Turkey.
| | - Cihan Aslan
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Ender Atabay
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Merve Gunay Ay
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Hilal Aydemir
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Gülseda Ayranci
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Zehra Babadagi
- Ondokuz Mayis University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Samsun, Turkey.
| | - Hasan Bayar
- Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey.
| | - Pelin Con Bayhan
- Inonu University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey.
| | - Ozlem Bayram
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Nese Dikmeer Bektas
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Kivanc Kudret Berberoglu
- Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey.
| | - Recep Bostan
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Yasemin Cakan
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Merve Arici Canli
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mehmet Akif Cansiz
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Cansin Ceylan
- Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey.
| | - Nese Coskun
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Seyma Coskun
- Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey.
| | - Ibrahim Demir
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Nuran Demir
- Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
| | - Esen Yildirim Demirdogen
- Ataturk University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Erzurum, Turkey.
| | - Busra Dogan
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Yunus Emre Donmez
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Funda Donder
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Aysegul Efe
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Safak Eray
- Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey.
| | - Seda Erbilgin
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Semih Erden
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Elif Gokce Ersoy
- Osmangazi University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Eskisehir, Turkey.
| | - Tugba Eseroglu
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Sumeyra Kina Firat
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Ezgi Eynalli Gok
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Seyda Celik Goksoy
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Gulen Guler
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Zafer Gules
- Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey.
| | - Gulay Gunay
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Serkan Gunes
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Adem Gunes
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Gokcen Guven
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Havvana Horozcu
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Ayse Irmak
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Umit Isik
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Ozlem Kahraman
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Bilge Merve Kalayci
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Umut Karaaslan
- Dicle University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Diyarbakir, Turkey.
| | - Mehmet Karadag
- Gaziantep University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Gaziantep, Turkey.
| | - Hilal Tugba Kilic
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Fethiye Kilicaslan
- Harran University Faculty of Medicine, Child and Adolescent Psychiatry Department, Sanliurfa, Turkey.
| | - Duygu Kinay
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Esra Bulanik Koc
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Omer Kocael
- Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey.
| | - Rahime Kadir Mutlu
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Zejnep San
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Kevser Nalbant
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Nilufer Okumus
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Fatih Ozbek
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Fatma Akkus Ozdemir
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Hanife Ozdemir
- Marmara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Borte Gurbuz Ozgur
- Adnan Menderes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Aydin, Turkey.
| | - Selcuk Ozkan
- University of Health Sciences Gulhane Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Esra Yildirim Ozyurt
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Berna Polat
- Mersin University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Mersin, Turkey.
| | - Hatice Polat
- Erciyes University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
| | - Ebru Sekmen
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mehmet Sertcelik
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Feyza Hatice Sevgen
- Kahramanmaras Sutcu Imam University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kahramanmaras, Turkey..
| | - Oguz Sevince
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Ulker Shamkhalova
- Cukurova University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey.
| | - Funda Suleyman
- Istanbul University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Nurcan Eren Simsek
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Yasar Tanir
- Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Mehmet Tekden
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Seyhan Temtek
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Melike Topal
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Zehra Topal
- Abant Izzet Baysal University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
| | - Tugba Turk
- University of Health Sciences, Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Child and Adolescent Psychiatry, Istanbul, Turkey.
| | - Halit Necmi Ucar
- Uludag University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Bursa, Turkey.
| | - Filiz Ucar
- Ondokuz Mayis University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Samsun, Turkey.
| | - Duygu Uygun
- University of Health Sciences, Ankara Child Health and Diseases Hematology and Oncology Training and Research Hospital, Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Necati Uzun
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
| | - Zeynep Vatansever
- Kocaeli University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Kocaeli, Turkey.
| | - Neslihan Gokce Yazgili
- Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
| | - Dilsad Miniksar Yildiz
- Inonu University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey.
| | - Nazike Yildiz
- Trakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Turkey.
| | - Eyup Sabri Ercan
- Ege University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey.
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Gürbüz HGA, Turhan L, Şendil N, Kaşıkçı HÖ, Salepçi B, Ipekcioglu D, Karcı CK, Ray PÇ, Tahiroğlu AY, Avcı A, Çelik GG, Cekin N, Evliyaoğlu N, Alkanat M, Özdemir H, Akgün E, Demirkol ME, Tamam L, Esnafoglu E, Sevinçok D, Memiş ÇÖ, Doğan B, Çakaloz B, Kutlu A, Sevinçok L, Demirkol ME, Dikmen SNT, Şafak Y, Gökçer Tulacı R, Özdemir İ, Baykara S, Alban K, Aydın N, Aytaç HM, Yılmaz D, Aydın PÇ, Yalçın GY, Canbay C, Terzioğlu M, Özer A, Altintas E, Kütük MÖ, Tufan AE, Bağ HG, Şenormancı G, Güçlü O, Çelik C, Bolu A, Öznur T, Aydın MS, Tokgöz Y, Uzun Ö, Gıca S, Poyraz BÇ, Fidan YS, Güleç H, Akça E, Yıldız M, Akça ZND, Öztürk Y, Özyurt G, Özdel K, Özyurt G, Öztürk Y, Özdel K, Elboga G, Ozyurek MB, Bolu A, Aydın MS, Akgün A, Coşkun A, Çelik C, Uzun Ö, Öznur T, Bilgiç A, Sivri RÇ, Kılınç İ, İnal A, Eray U, Memiş ÇÖ, Doğan B, Acat M, Sevinçok L, Önder A, Adanır AS, Kavurma C, Bilaç Ö, Doğan Y, Ay R, Uğur Ç, Alıç BG, Gündüz M, Ünal Ö, Uçur Ö, Özcan Ö, Gül HK, Aykut DS, Tiryaki A, Arslan FC, Adanır AS, Önder A, Bülbül GA, Yolcu Ö, Uysal A, Özatalay E, Esnafoglu E, Cırrık S, Erdogan E, Delibas DH, Bozkurt HT, Tekdemir R, Erbasan V, İmre O, Aydın M, Altınbaş K, Karabucak B, Esen HTÇ, Kültür SEÇ, Karaokur R, Uysal SA, Erbil N, Kirazlı MÇ, Kara T, Mıhçıoğlu AM, Yılmaz S, Akaltun İ, Atli A, Can Z, Çim EFA, İbiloğlu AO, Şahin N, Ertekin H, Kocagöz ZB, Özçetin A, Ataoğlu A, Cangür Ş, Ölmez SB, Yazar N, Uçar HN, Murat D, Eray Ş, Tanır Y, Altun H, Tanyeri MH, Büyükokuroğlu ME, Tanyeri P, Mutlu O, Akar FY, Ulak G, Erden BF, Sevgen FH, Altun H, Arıcı A, Kılıçaslan F, Erbay MF, Darılmaz C, Çökmüş FP, Yüzeren S, Dikici DS, Aydın O, Aydın PÜ, Akdeniz F, Öztekin S, Çöldür EÖ, Balıkçı K, Köroğlu E, Aydemir Ö, Kara H, Özçelik Ö, Balcı MM, Kuloğlu MM, Tomar T, Öztekin S, Akdeniz F, Taneli F, Oran A, Ovalı GY, Aydemir Ö, Kaypaklı GY, Metin Ö, Ray PÇ, Çelik GG, Karcı CK, Tahiroğlu AY, Karaş H, Çetingök H, İlişer R, Çarpar E, Kaşer M, Can GŞ, Ulaş G, Ildız A, Emiroğlu N, Ada E, Özerdem A, Tekdemir R, Bozkurt HT, Imre O, Erbasan V, Aydın M, Altınbaş K, Tanyeri MH, Büyükokuroğlu ME, Tanyeri P, Mutlu O, Akar FY, Ulak G, Erden BF, Tekin U, Satar A, Aydın AN, Erermiş HS, Kocaman O, Çetin NY, Akay A, Karagöz YS, Doğan Ö, Ülkar S, Kılıç BG, Ceyhun HA, Aydın EF, Ülkevan T, Gürbüzer N, Aykutlu HC, Görker I, Özen E, Aktepe E, Aydın MA, Yavuz DD, Karaaslan U, Altun H, Karataş A, Sancak Z, Çetin NY, Dikici DS, Çökmüş FP, Eser E, Demet MM, Karadere ME, Asafov EY, Ölçüm Hİ, Algül A, Gündoğmuş İ, Cetin FH, Guler HA, Turkoglu S, Çolpan BK, Tanır Y, Bayram E, Ateş FSÖ, Teber ST, Kılıç BG, Duman NS, Gökten ES, Sungur EN, Şengül MCB, Kardeşler AÇ, Enli Y, Kurtul N, Altun H, Aslan C, Konuşkan B, Şener B, Anlar B, Ünal F, Akçay BD, Koç G, Yetkin S, Bayad S, Elbir M, Topbaş ÖA, Kocabaş T, Aydemir Ö, Çim EFA, Aydın A, Atli A, Atli A, Avcu Çelik P, İbiloğlu AO, Çıldır DA, Özbek A, Mustan AT, Karadağ AS, Kalenderoğlu A, Örüm MH, Özen ME, Eğilmez OB, Kalenderoğlu A, Karadağ AS, Hamdi Örüm M, Özen ME, Aydın DB, Elmas B, Nasıroğlu S, Aydın E, Özdemir Ö, Erel Ö, Altun H, Fedai Ü, Asoğlu M, Elbay RY, Karatepe HT, Ulaşoğlu C, Ayaydın H, Kılıçaslan F, Asoğlu M, Şahin B, Karabekiroğlu K, Bozkurt A, Usta MB, Aydın M, Çobanoğlu C, Kara H, Kahya Y, Özçelik Ö, İnan D, Kuloğlu MM, Altınöz AE, Köşger F, Eşsizoğlu A, Arslan M, Çalışkan AM, Göktaş D, İnanlı İ, Çalışır S, Eren İ, Tatar ZB, Kurt E, Unal G, Aricioglu F, Cetin FH, Guler HA, Tezcan ME, Turkoglu S, Kalyoncu T, Çıldır DA, Ergüvendi F, Yektaş Ç, Eroz R, Yurdakul G, Cakır M, Tasmektepligil MY, Baykal S, Usta MB, Karakurt MN, Karabekiroglu K, Yulaf Y, Gümştaş F, Gökçe S, Yazgan Y, Memiş ÇÖ, Sevincok D, Doğan B, Kutlu A, Çakaloz B, Sevinçok L, Çıldır DA, Kalyoncu T, Ergüvendi FA, Uğur Ç, Yağcı İ, Avcı S, Kıvrak Y, Yaşar AB, Sayman C, Taycan SE, Çetinkaya Y, Gündüz A, Tireli H, Yazici KU, Yazici IP, Kıvrak Y, Kılıçle PA, Gül S, Yağcı İ, Yazici IP, Yazici KU, Çıldır DA, Özbek A, Sümer AD, Çöp E, Bilgili D, Şahin M, Dinç GŞ, Hekim Ö, Mısırlıoğlu ED, Kurt F, Göker Z, Üneri Ö, Kıvrak Y, Kıvrak Y, Yağcı İ, Kıvrak Y, Atalay E, Yıldırım İ, Yağcı İ, İnaltekin A, Yücens B, Kotan VO, Özkayar N, Dede F, Yüksel RN, Bayram Ş, Kotan Z, Göka E, Bozkurt A, Say GN, Şahin B, Usta MB, Kalyoncu M, Aydın M, Çobanoğlu C, Beğinoğlu Ö, Asoğlu M, Basgoz BB, Ince S, Safer U, Tasci İ. Oral Research Presentations. PSYCHIAT CLIN PSYCH 2018. [DOI: 10.1080/24750573.2018.1464273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Affiliation(s)
| | - Levent Turhan
- Kartal Dr. Lutfi Kirdar Research and Training Hospital, Istanbul, Turkey
| | - Nilgun Şendil
- Kartal Suleyman Demirel Anatolian High School, Istanbul, Turkey
| | | | | | - Derya Ipekcioglu
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Canan Kuygun Karcı
- Dr. Ekrem Tok Psychiatry Hospital, Department of Child and Adolescent Psychiatry, Adana, Turkey
| | - Perihan Çam Ray
- Cukurova University School of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey
| | - Ayşegül Yolga Tahiroğlu
- Cukurova University School of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey
| | - Ayşe Avcı
- Cukurova University School of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey
| | - Gonca Gül Çelik
- Cukurova University School of Medicine, Department of Child and Adolescent Psychiatry, Adana, Turkey
| | - Necmi Cekin
- Cukurova University School of Medicine, Department of forensic Medicine, Adana, Turkey
| | - Nurdan Evliyaoğlu
- Cukurova University School of Medicine, Department of Pediatrics, Adana, Turkey
| | - Mehmet Alkanat
- Departmant of Physiology, Giresun University School of Medicine, Giresun, Turkey
| | - Hafize Özdemir
- Departmant of Internal Medicine Nursing, School of Health Sciences, Giresun University, Giresun, Turkey
| | - Egemen Akgün
- Departmant of Medical Biology, Giresun University School of Medicine, Giresun, Turkey
| | | | - Lut Tamam
- Cukurova University School of Medicine, Department of Psychiatry, Adana
| | | | - Doğa Sevinçok
- Dr. Behcet Uz Child Diseases and Pediatric Surgery Training and Research Hospital, Department of Child and Adolescent Psychiatry, Izmir, Turkey
| | | | - Bilge Doğan
- Adnan Menderes University, Department of Psychiatry, Aydin, Turkey
| | - Burcu Çakaloz
- Pamukkale University, Department of Child and Adolescent Psychiatry, Denizli, Turkey
| | - Ayşe Kutlu
- Dr. Behcet Uz Child Diseases and Pediatric Surgery Training and Research Hospital, Department of Child and Adolescent Psychiatry, Izmir, Turkey
| | - Levent Sevinçok
- Adnan Menderes University, Department of Psychiatry, Aydin, Turkey
| | | | | | - Yasir Şafak
- Dışkapı Yıldırım Beyazıt Education and Training Hospital, Ankara, Turkey
| | | | - İlker Özdemir
- Kütahya Dr. Mustafa Kalemli Tavşanlı Government Hospital, Kütahya, Turkey
| | - Sema Baykara
- Firat University, School of Medicine, Department of Psychiatry, Elazig, Turkey
| | - Kübra Alban
- Elazig Mental Health Hospital, Elazig, Turkey
| | - Nazan Aydın
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Hasan Mervan Aytaç
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Doğan Yılmaz
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Pınar Çetinay Aydın
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Gökşen Yüksel Yalçın
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Cana Canbay
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Merve Terzioğlu
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Aysel Özer
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Ebru Altintas
- Baskent University School of Medicine, Department of Psychiatry, Adana, Turkey
| | - Meryem Özlem Kütük
- Baskent University School of Medicine, Department of Child and adolescent Psychiatry, Adana, Turkey
| | - Ali Evren Tufan
- Abant İzzet Baysal University, School of Medicine, Department of Child and adolescent Psychiatry, Bolu, Turkey
| | - Harika Gözükara Bağ
- Inonu University, Department of Biostatistics and Medical Informatics, Malatya, Turkey
| | - Güliz Şenormancı
- Health Sciences University Bursa Yüksek İhtisas Training and Research Hospital, Department of Psychiatry, Bursa, Turkey
| | - Oya Güçlü
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Cemil Çelik
- Gulhane Medical Faculty, Department of Psychiatry, Ankara, Turkey
| | - Abdullah Bolu
- Gulhane Medical Faculty, Department of Psychiatry, Ankara, Turkey
| | - Taner Öznur
- Gulhane Medical Faculty, Department of Psychiatry, Ankara, Turkey
| | | | - Yusuf Tokgöz
- Gulhane Medical Faculty, Department of Psychiatry, Ankara, Turkey
| | - Özcan Uzun
- Gulhane Medical Faculty, Department of Psychiatry, Ankara, Turkey
| | - Sakır Gıca
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Burç Çağrı Poyraz
- Istanbul University Cerrahpasa School of Medicine, Department of Psychiatry, Istanbul, Turkey
| | - Yağmur Sever Fidan
- Erenkoy Research and Training Hospital for Psychiatric and Neurological Disorders, Department of Psychiatry, Istanbul, Turkey
| | - Hüseyin Güleç
- Erenkoy Research and Training Hospital for Psychiatric and Neurological Disorders, Department of Psychiatry, Istanbul, Turkey
| | - Erdoğdu Akça
- Psychiatry, Marmara University School of Medicine, İstanbul, Turkey
| | - Mesut Yıldız
- Psychiatry, Marmara University School of Medicine, İstanbul, Turkey
| | | | - Yusuf Öztürk
- Abant Izzet Baysal University, Department of Child and Adolescent Psychiatry, Bolu, Turkey
| | - Gonca Özyurt
- İzmir Katip Celebi University, Department of Child and Adolescent Psychiatry, Izmir, Turkey
| | - Kadir Özdel
- Dıskapi Training and Research Hospital, Department of Psychiatry, Ankara, Turkey
| | - Gonca Özyurt
- İzmir Katip Celebi University, Department of Child and Adolescent Psychiatry, Izmir, Turkey
| | - Yusuf Öztürk
- Abant Izzet Baysal University, Department of Child and Adolescent Psychiatry, Bolu, Turkey
| | - Kadir Özdel
- Dıskapi Training and Research Hospital, Department of Psychiatry, Ankara, Turkey
| | - Gulcin Elboga
- Gaziantep University School of Medicine Department of Psychiatry
| | | | - Abdullah Bolu
- Gülhane Medical School; Dept. of Psychiatry. Ankara/Turkey
| | | | - Abdullah Akgün
- Gülhane Medical School; Dept. of Psychiatry. Ankara/Turkey
| | - Ali Coşkun
- Gülhane Medical School; Dept. of Pathology. Ankara/Turkey
| | - Cemil Çelik
- Gülhane Medical School; Dept. of Psychiatry. Ankara/Turkey
| | - Özcan Uzun
- Gülhane Medical School; Dept. of Psychiatry. Ankara/Turkey
| | - Taner Öznur
- Gülhane Medical School; Dept. of Psychiatry. Ankara/Turkey
| | - Ayhan Bilgiç
- Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
| | - Rukiye Çolak Sivri
- Department of Child and Adolescent Psychiatry, Ankara Education and Research Hospital, Ankara, Turkey
| | - İbrahim Kılınç
- Department of Biochemistry, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
| | - Ahmet İnal
- Erciyes University School of Medicine, Department of Pharmacology, Hakan Çetinsaya Good Clinical Practice and Research Center, Kayseri, Turkey
| | - Uğur Eray
- Adnan Menderes University School of Medicine, Department of Psychiatry, Aydın, Turkey
| | - Çağdaş Öykü Memiş
- Adnan Menderes University School of Medicine, Department of Psychiatry, Aydın, Turkey
| | - Bilge Doğan
- Adnan Menderes University School of Medicine, Department of Psychiatry, Aydın, Turkey
| | - Murat Acat
- Karabük University School of Medicine, Department of Pulmonary Diseases, Karabük, Turkey
| | - Levent Sevinçok
- Adnan Menderes University School of Medicine, Department of Psychiatry, Aydın, Turkey
| | - Arif Önder
- Manisa Mental Health Hospital, Department of Child and Adolescent Psychiatry, Manisa, Turkey
| | - Aslı Sürer Adanır
- Akdeniz University School of Medicine, Department of Child and Adolescent Psychiatry, Antalya, Turkey
| | - Canem Kavurma
- Manisa Mental Health Hospital, Department of Child and Adolescent Psychiatry, Manisa, Turkey
| | - Öznur Bilaç
- Manisa Mental Health Hospital, Department of Child and Adolescent Psychiatry, Manisa, Turkey
| | - Yakup Doğan
- Manisa Mental Health Hospital, Department of Child and Adolescent Psychiatry, Manisa, Turkey
| | - Rukiye Ay
- Malatya Training and Research Hospital
| | - Çağatay Uğur
- Health Sciences University, Ankara Child Health and Diseases Hematology Oncology Research and Training Hospital, Child and Adolescent Psychiatry Department, Ankara, Turkey
| | - Betül Gül Alıç
- Health Sciences University, Ankara Child Health and Diseases Hematology Oncology Research and Training Hospital, Child and Adolescent Psychiatry Department, Ankara, Turkey
| | - Mehmet Gündüz
- Health Sciences University, Ankara Child Health and Diseases Hematology Oncology Research and Training Hospital, Department of Child Metabolism and Nutrition, Ankara, Turkey
| | - Özlem Ünal
- Health Sciences University, Ankara Child Health and Diseases Hematology Oncology Research and Training Hospital, Department of Child Metabolism and Nutrition, Ankara, Turkey
| | - Ömer Uçur
- Inonu University School of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey
| | - Özlem Özcan
- Inonu University School of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey
| | - Hasret Karabulut Gül
- Karadeniz Technical University School of Medicine, Department of Psychiatry, Trabzon, Turkey
| | - Demet Sağlam Aykut
- Karadeniz Technical University School of Medicine, Department of Psychiatry, Trabzon, Turkey
| | - Ahmet Tiryaki
- Istanbul Aydın University School of Medicine, Department of Psychiatry, Istanbul, Turkey
| | - Filiz Civil Arslan
- Karadeniz Technical University School of Medicine, Department of Psychiatry, Trabzon, Turkey
| | - Aslı Sürer Adanır
- Akdeniz University School of Medicine, Department of Child and Adolescent Psychiatry, Antalya, Turkey
| | - Arif Önder
- Manisa Psychiatry Hospital, Department of Child and Adolescent Psychiatry, Manisa, Turkey
| | - Gül Alkan Bülbül
- Antalya Training and Research Hospital, Department of Gynecology and Obstetrics, Antalya, Turkey
| | - Ömer Yolcu
- Akdeniz University School of Medicine, Department of Child and Adolescent Psychiatry, Antalya, Turkey
| | - Aysel Uysal
- Antalya Training and Research Hospital, Department of Gynecology and Obstetrics, Antalya, Turkey
| | - Esin Özatalay
- Akdeniz University School of Medicine, Department of Child and Adolescent Psychiatry, Antalya, Turkey
| | - Erman Esnafoglu
- Department of Child and Adolescent Psychiatry, School of Medicine, Ordu University, Ordu, Turkey
| | - Selma Cırrık
- Department of Physiology, School of Medicine, Ordu University, Ordu, Turkey
| | - Esin Erdogan
- University of Health Sciences, Izmir Bozyaka Research and Training Hospital, Department of Psychiatry, Izmir
| | - Dursun Hakan Delibas
- University of Health Sciences, Izmir Bozyaka Research and Training Hospital, Department of Psychiatry, Izmir
| | - Hazan Tomar Bozkurt
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Rukiye Tekdemir
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Vefa Erbasan
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Okan İmre
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Memduha Aydın
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Kürşat Altınbaş
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Başak Karabucak
- Department of Child and Adolescent Psychiatry, Karaman State Hospital, Karaman, Turkey
| | - Halime Tuna Çak Esen
- Department of Child and Adolescent Psychiatry, Hacettepe University, Ankara, Turkey
| | | | - Remzi Karaokur
- Department of Child and Adolescent Psychiatry, Sincan State Hospital, Ankara, Turkey
| | - Songül Atasavun Uysal
- Department of Physical Therapy and Rehabilitation, Institute of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Nurhan Erbil
- Department of Biophysics, Hacettepe University, Ankara, Turkey
| | | | - Tayfun Kara
- University of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Child and Adolescent Psychiatry, Istanbul, Turkey
| | - Ajda Mutlu Mıhçıoğlu
- Health Sciences University, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Pediatric Cardiology, Istanbul, Turkey
| | - Semra Yılmaz
- University of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Child and Adolescent Psychiatry, Istanbul, Turkey
| | - İsmail Akaltun
- Gaziantep Dr. Ersin Arslan Training and Research Hospital, Department of Child and Adolescent Psychiatry Gaziantep, Turkey
| | - Abdullah Atli
- Dicle University School of Medicine, Department of Psychiatry, Diyarbakir, Turkey
| | - Zübeyir Can
- Batman Regional State Hospital, Batman, Turkey
| | | | | | - Nilfer Şahin
- Muğla Sıtkı Koçman University School of Medicine, Department of Child and Adolescent Psychiatry, Muğla, Turkey
| | - Hülya Ertekin
- Çanakkale 18 Mart University, School of Medicine, Çanakkale, Turkey
| | | | - Adnan Özçetin
- Duzce University School of Medicine, Department of Psychiatry, Duzce Turkey
| | - Ahmet Ataoğlu
- Duzce University School of Medicine, Department of Psychiatry, Duzce Turkey
| | - Şengül Cangür
- Duzce University School of Medicine, Department of Psychiatry, Duzce Turkey
| | - Safiye Bahar Ölmez
- Duzce University School of Medicine, Department of Psychiatry, Duzce Turkey
| | - Neslihan Yazar
- Duzce University School of Medicine, Department of Psychiatry, Duzce Turkey
| | - Halit Necmi Uçar
- Department of Child and Adolescent Psychiatry, Van Training and Research Hospital, Van, Turkey
| | - Duygu Murat
- Department of Child and Adolescent Psychiatry, Avcılar Hospital, İstanbul, Turkey
| | - Şafak Eray
- Department of Child and Adolescent Psychiatry, Van Training and Research Hospital, Van, Turkey
| | - Yaşar Tanır
- Department of Child and Adolescent Psychiatry, Kutahya Dumlupınar University Evliya Celebi Training and Research Hospital, Kütahya, Turkey
| | - Hatice Altun
- Department of Child and Adolescent Psychiatry, Kahramanmaras Sutcu Imam University School of Medicine, Kahramanmaras, Turkey
| | | | | | - Pelin Tanyeri
- Sakarya University School of Medicine, Department of Pharmacology, Sakarya, Turkey
| | - Oguz Mutlu
- Kocaeli University School of Medicine, Department of Pharmacology, Kocaeli, Turkey
| | - Füruzan Yıldız Akar
- Kocaeli University School of Medicine, Department of Pharmacology, Kocaeli, Turkey
| | - Güner Ulak
- Kocaeli University School of Medicine, Department of Pharmacology, Kocaeli, Turkey
| | - Bekir Faruk Erden
- Kocaeli University School of Medicine, Department of Pharmacology, Kocaeli, Turkey
| | - Feyza Hatice Sevgen
- Department of Child and Adolescent Psychiatry, Sutcu Imam University School of Medicine, Kahramanmaras, Turkey
| | - Hatice Altun
- Department of Child and Adolescent Psychiatry, Sutcu Imam University School of Medicine, Kahramanmaras, Turkey
| | - Asiye Arıcı
- Department of Child and Adolescent Psychiatry, Sutcu Imam University School of Medicine, Kahramanmaras, Turkey
| | - Fethiye Kılıçaslan
- Department of Child and Adolescent Psychiatry, Harran University School of Medicine, Sanlıurfa, Turkey
| | - Mehmet Fatih Erbay
- Inonu University School of Medicine, Department of Radiology, Malatya, Turkey
| | - Cengiz Darılmaz
- Inonu University School of Medicine, Department of Psychiatry, Malatya, Turkey
| | | | - Serra Yüzeren
- Departmant of Psychiatry, Manisa Celal Bayar University, Manisa, Turkey
| | | | - Orkun Aydın
- Department of Psychology, International University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Pınar Ünal Aydın
- Department of Psychology, International University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Fatma Akdeniz
- Psychiatry Clinic, Bolvadin Halil İbrahim Özsoy State Hospital, Afyon, Turkey
| | - Siğnem Öztekin
- Psychiatry Clinic, Viranşehir State Hospital, Şanlıurfa, Turkey
| | - Emine Özge Çöldür
- Departmant of Psychiatry, Manisa Celal Bayar University, Manisa, Turkey
| | - Kuzeymen Balıkçı
- Department of Psychiatry, Near East University, Lefkoşa, North Cyprus
| | | | - Ömer Aydemir
- Departmant of Psychiatry, Manisa Celal Bayar University, Manisa, Turkey
| | - Hüseyin Kara
- Department of Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
| | - Özgen Özçelik
- Department of Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
| | - Mehmet Murat Balcı
- Department of Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
| | - Mehmet Murat Kuloğlu
- Department of Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
| | - Talya Tomar
- Medical School, Akdeniz University School of Medicine, Antalya, Turkey
| | - Siğnem Öztekin
- Viransehir State Hospital, Department of Psychiatry, Viransehir, Sanliurfa, Turkey
| | - Fatma Akdeniz
- Bolvadin Halil Ibrahim Ozsoy State Hospital, Department of Psychiatry, Bolvadin, Afyonkarahisar, Turkey
| | - Fatma Taneli
- Celal Bayar University School of Medicine, Department of Biochemistry, Manisa, Turkey
| | - Arzu Oran
- Manisa State Hospital, Department of Biochemistry, Manisa, Turkey
| | - Gülgün Yılmaz Ovalı
- Celal Bayar University School of Medicine, Department of Radiology, Manisa, Turkey
| | - Ömer Aydemir
- Celal Bayar University School of Medicine, Department of Psychiatry, Manisa, Turkey
| | - Gamze Yapça Kaypaklı
- Cukurova University School of Medicine, Child and Adolescent Psychiatry Department, Adana, Turkey
| | - Özge Metin
- Cukurova University School of Medicine, Child and Adolescent Psychiatry Department, Adana, Turkey
| | - Perihan Çam Ray
- Cukurova University School of Medicine, Child and Adolescent Psychiatry Department, Adana, Turkey
| | - Gonca Gül Çelik
- Cukurova University School of Medicine, Child and Adolescent Psychiatry Department, Adana, Turkey
| | - Canan Kuygun Karcı
- Cukurova University School of Medicine, Child and Adolescent Psychiatry Department, Adana, Turkey
| | - Ayşegül Yolga Tahiroğlu
- Cukurova University School of Medicine, Child and Adolescent Psychiatry Department, Adana, Turkey
| | - Hakan Karaş
- Beykent University, Department of Psychology, Istanbul, Turkey
| | - Halil Çetingök
- Bağcılar Education and Research Hospital, Department of Anesthesiology and Reanimation, Istanbul, Turkey
| | - Reşat İlişer
- Genesis Hospital, Department of Physical Therapy and Rehabilitation, Diyarbakır, Turkey
| | - Elif Çarpar
- Hınıs State Hospital, Department of Psychiatry, Erzurum, Turkey
| | - Muzaffer Kaşer
- University of Cambridge, Department of Psychiatry, Cambridge, UK; Bahçeşehir University, Department of Psychiatry, Istanbul, Turkey
| | - Güneş Şayan Can
- Mardin State Hospital, Department of Psychiatry, Mardin, Turkey
| | - Gözde Ulaş
- Dokuz Eylul University School of Medicine, Child and Adult Psychiatry, Izmır, Turkey
| | - Ayşegül Ildız
- Dokuz Eylul University Health Sciences Institute, Neuroscience, Izmır, Turkey
| | - Neslihan Emiroğlu
- Dokuz Eylul University School of Medicine, Child and Adult Psychiatry, Izmır, Turkey
| | - Emel Ada
- Dokuz Eylül University School of Medicine, Department of Radiology, Izmır, Turkey
| | - Ayşegül Özerdem
- Dokuz Eylul University School of Medicine, Department of Psychiatry, Izmir, Turkey
| | - Rukiye Tekdemir
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Hazan Tomar Bozkurt
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Okan Imre
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Vefa Erbasan
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Memduha Aydın
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | - Kürşat Altınbaş
- Selcuk University School of Medicine, Department of Psychiatry, Konya, Turkey
| | | | | | - Pelin Tanyeri
- Sakarya University, School of Medicine, Department of Pharmacology, 54100-Sakarya/Turkey
| | - Oğuz Mutlu
- Kocaeli University, School of Medicine, Department of Pharmacology, 41380-Kocaeli/Turkey
| | - Furuzan Yıldız Akar
- Kocaeli University, School of Medicine, Department of Pharmacology, 41380-Kocaeli/Turkey
| | - Güner Ulak
- Kocaeli University, School of Medicine, Department of Pharmacology, 41380-Kocaeli/Turkey
| | - Bekir Faruk Erden
- Kocaeli University, School of Medicine, Department of Pharmacology, 41380-Kocaeli/Turkey
| | - Uğur Tekin
- Health Sciences University Van Research and Training Hospital, Van, Turkey
| | - Ayşegül Satar
- Ege University School of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey
| | - Ayşe Nur Aydın
- Ege University School of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey
| | - Hatice Serpil Erermiş
- Ege University School of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey
| | - Orhan Kocaman
- TR Ministry of Health, DPU Kütahya Evliya Çelebi Research and Training Hospital, Kütahya, Turkey
| | - Nihal Yurteri Çetin
- Düzce University School of Medicine, Child and Adolescent Psychiatry, Düzce, Turkey
| | - Aynur Akay
- Dokuz Eylül University School of Medicine, Child and Adolescent Psychiatry, İzmir, Turkey
| | - Yüksel Sümeyra Karagöz
- Child and Adolescent Psychiatry Department, Trabzon Kanuni Training and Research Hospital, Trabzon, Turkey
| | - Özlem Doğan
- Department of Biochemistry, Ankara University School of Medicine, Ankara, Turkey
| | - Serenay Ülkar
- Department of Biochemistry, Ankara University School of Medicine, Ankara, Turkey
| | - Birim Günay Kılıç
- Child and Adolescent Psychiatry Department, Ankara University School of Medicine, Ankara, Turkey
| | - Hacer Akgül Ceyhun
- Department of Psychiatry, Ataturk University School of Medicine, Erzurum, Turkey
| | - Esat Fahri Aydın
- Department of Psychiatry, Ataturk University School of Medicine, Erzurum, Turkey
| | - Tuba Ülkevan
- Department of Psychiatry, Health Scıence Unıversity Van Training and Research Hospital, Van, Turkey
| | - Nilifer Gürbüzer
- Department of Psychiatry, Ataturk University School of Medicine, Erzurum, Turkey
| | - Hasan Cem Aykutlu
- Trakya University School of Medicine, Child and Adolescent Psychiatry Department, Edirne, Turkey
| | - Işık Görker
- Trakya University School of Medicine, Child and Adolescent Psychiatry Department, Edirne, Turkey
| | - Emel Özen
- Department of Child and Adolescent Psychiatry, Suleyman Demirel University School of Medicine, Isparta, Turkey
| | - Evrim Aktepe
- Department of Child and Adolescent Psychiatry, Suleyman Demirel University School of Medicine, Isparta, Turkey
| | - Mustafa Asım Aydın
- Department of Plastic and Reconstructive Surgery, Suleyman Demirel University School of Medicine, Isparta, Turkey
| | - Dudu Dilek Yavuz
- Department of Plastic and Reconstructive Surgery, Suleyman Demirel University School of Medicine, Isparta, Turkey
| | - Umut Karaaslan
- Department of Child and Adolescent Psychiatry, Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey
| | - Hatice Altun
- Department of Child and Adolescent Psychiatry, Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey
| | - Abdullah Karataş
- Department of Child and Adolescent Psychiatry, Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey
| | - Zehra Sancak
- İstanbul Gelişim University, Clinical Psychology, Istanbul, Turkey
| | - Nihal Yurteri Çetin
- Düzce University School of Medicine, Child and Adolescent Psychiatry, Düzce, Turkey
| | | | | | - Erhan Eser
- Department of Public Health, Manisa Celal Bayar University School of Medicine, Manisa, Turkey
| | - Mehmet Murat Demet
- Department of Psychiatry, Manisa Celal Bayar University School of Medicine, Manisa, Turkey
| | | | - Ece Yazla Asafov
- Hitit University, School of Medicine Department of Psychiatry, Çorum, Turkey
| | | | - Ayhan Algül
- Sultan Abdulhamid Han Research and Training Hospital, Department of Psychiatry, Istanbul
| | - İbrahim Gündoğmuş
- Sultan Abdulhamid Han Research and Training Hospital, Department of Psychiatry, Istanbul
| | - Fatih Hilmi Cetin
- Department of Child and Adolescent Psychiatry, Selçuk University School of Medicine, Konya, Turkey
| | - Hasan Ali Guler
- Department of Child and Adolescent Psychiatry, Selçuk University School of Medicine, Konya, Turkey
| | - Serhat Turkoglu
- Department of Child and Adolescent Psychiatry, Selçuk University School of Medicine, Konya, Turkey
| | - Bahar Keleş Çolpan
- Department of Otolaryngology, Selçuk University School of Medicine, Konya, Turkey
| | - Yaşar Tanır
- Department of Child and Adolescent Psychiatry, Kutahya Dumlupınar University Evliya Celebi Training and Research Hospital, Kütahya, Turkey
| | - Elif Bayram
- Department of Child and Adolescent Psychiatry, Ankara University School of Medicine, Ankara Turkey
| | | | - Serap Tıraş Teber
- Department of Pediatric Neurology, Ankara University School of Medicine, Ankara, Turkey
| | - Birim Günay Kılıç
- Department of Child and Adolescent Psychiatry, Ankara University School of Medicine, Ankara Turkey
| | - Nagihan Saday Duman
- Department of Child and Adolescent Psychiatry, Afyonkarahisar State Hospital, Afyonkarahisar, Turkey
| | - Emel Sarı Gökten
- Department of Child and Adolescent Psychiatry, NPIstanbul Brain Hospital of Uskudar University, İstanbul, Turkey
| | | | | | - Ayşen Çetin Kardeşler
- Department of Biochemistry, Pamukkale University School of Medicine, Denizli, Turkey
| | - Yaşar Enli
- Department of Biochemistry, Pamukkale University School of Medicine, Denizli, Turkey
| | - Neslihan Kurtul
- Department of Radiation Oncology, Kahramanmaras Sutcu Imam University School of Medicine, Kahramanmaras, Turkey
| | - Hatice Altun
- Department of Child and Adolescent Psychiatry, Kahramanmaras Sutcu Imam University School of Medicine, Kahramanmaras, Turkey
| | - Cihan Aslan
- Kırıkkale Yüksek İhtisas State Hospital, Department of Child and Adolescent Psychiatry, Kırıkkale, Turkey
| | - Bahadır Konuşkan
- Hacettepe University School of Medicine, Department of Pediatric Neurology, Ankara, Turkey
| | - Burçin Şener
- Hacettepe University School of Medicine, Department of Medical Microbiology, Ankara, Turkey
| | - Banu Anlar
- Hacettepe University School of Medicine, Department of Pediatric Neurology, Ankara, Turkey
| | - Fatih Ünal
- Hacettepe University School of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey
| | - Bülent Devrim Akçay
- Gülhane Research and Training Hospital, Psychiatry Clinic, Sleep Research Center, Ankara, Turkey
| | - Güray Koç
- Gülhane Research and Training Hospital, Psychiatry Clinic, Sleep Research Center, Ankara, Turkey
| | - Sinan Yetkin
- Gülhane Research and Training Hospital, Psychiatry Clinic, Sleep Research Center, Ankara, Turkey
| | - Serkan Bayad
- Department of Psychiatry, Manisa Celal Bayar University School of Medicine, Manisa, Turkey
| | - Müge Elbir
- Department of Psychiatry, Manisa Celal Bayar University School of Medicine, Manisa, Turkey
| | - Özge Alp Topbaş
- Department of Psychiatry, Manisa Celal Bayar University School of Medicine, Manisa, Turkey
| | - Tuğba Kocabaş
- Department of Psychiatry, Manisa Celal Bayar University School of Medicine, Manisa, Turkey
| | - Ömer Aydemir
- Department of Psychiatry, Manisa Celal Bayar University School of Medicine, Manisa, Turkey
| | | | - Adem Aydın
- Department of Psychiatry, Necmettin Erbakan University School of Medicine, Konya, Turkey
| | - Abdullah Atli
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Abdullah Atli
- Department of Psychiatry, Dicle University School of Medicine, Diyarbakır, Turkey
| | - Pelin Avcu Çelik
- Department of Psychiatry, İskenderun State Hospital, Hatay, Turkey
| | | | - Deniz Argüz Çıldır
- Department of Child And Adolescent Psychiatry, Tepecik Training and Research Hospital, Izmir, Turkey
| | - Aylin Özbek
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Aybuke Tuğçe Mustan
- Department of Child And Adolescent Psychiatry, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
| | - Ayşe Sevgi Karadağ
- Department of Ophthalmology, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Aysun Kalenderoğlu
- Department of Psychiatry, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Mehmet Hamdi Örüm
- Department of Psychiatry, Adiyaman University School of Medicine, Adiyaman, Turkey
| | | | | | - Aysun Kalenderoğlu
- Department of Psychiatry, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Ayşe Sevgi Karadağ
- Department of Ophthalmology, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Mehmet Hamdi Örüm
- Department of Psychiatry, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | | | - Dilek Bingöl Aydın
- Department of Pediatrics, Sakarya University School of Medicine, Sakarya, Turkey
| | - Bahri Elmas
- Department of Pediatrics, Sakarya University School of Medicine, Sakarya, Turkey
| | - Serhat Nasıroğlu
- Department of Child and Adolescent Psychiatry, Sakarya University School of Medicine, Sakarya, Turkey
| | - Engin Aydın
- Department of Pediatrics, Sakarya University School of Medicine, Sakarya, Turkey
| | - Öner Özdemir
- Department of Pediatric Allergy and Immunology, Sakarya University School of Medicine, Sakarya, Turkey
| | - Özcan Erel
- Department of Biochemistry, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey
| | - Hatice Altun
- Department of Child and Adolescent Psychiatry, Kahramanmaras Sutcu Imam University School of Medicine, Kahramanmaras, Turkey
| | - Ülker Fedai
- Department of Psychiatry, Balikligol State Hospital, Sanliurfa, Turkey
| | - Mehmet Asoğlu
- Department of Psychiatry, Harran University School of Medicine, Sanliurfa, Turkey
| | - Rümeysa Yeni Elbay
- Department of Psychiatry, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Hasan Turan Karatepe
- Department of Psychiatry, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Celal Ulaşoğlu
- Department of Gastroenterology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Hamza Ayaydın
- Department of Child and Adolescent Psychiatry, Harran University School of Medicine, Sanliurfa, Turkey
| | - Fethiye Kılıçaslan
- Department of Child and Adolescent Psychiatry, Harran University School of Medicine, Sanliurfa, Turkey
| | - Mehmet Asoğlu
- Department of Psychiatry, Harran University School of Medicine, Sanliurfa, Turkey
| | - Berkan Şahin
- Iğdır State Hospital, Child and Adolescent Psychiatry, Iğdır, Turkey
| | - Koray Karabekiroğlu
- Ondokuz Mayıs University School of Medicine, Child and Adolescent Psychiatry, Samsun, Turkey
| | - Abdullah Bozkurt
- Konya Training And Research Hospital, Child and Adolescent Psychiatry, Konya, Turkey
| | - Miraç Barış Usta
- Samsun Training And Research Hospital, Child and Adolescent Psychiatry, Samsun, Turkey
| | - Muazzez Aydın
- Ondokuz Mayıs University School of Medicine, Child and Adolescent Psychiatry, Samsun, Turkey
| | - Cansu Çobanoğlu
- Ondokuz Mayıs University School of Medicine, Child and Adolescent Psychiatry, Samsun, Turkey
| | - Hüseyin Kara
- Akdeniz University School of Medicine, Department of Psychiatry, Antalya, Turkey
| | - Yalçın Kahya
- Akdeniz University School of Medicine, Department of Psychiatry, Antalya, Turkey
| | - Özgen Özçelik
- Akdeniz University School of Medicine, Department of Psychiatry, Antalya, Turkey
| | - Dilara İnan
- Akdeniz University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Antalya, Turkey
| | - Mehmet Murat Kuloğlu
- Akdeniz University School of Medicine, Department of Psychiatry, Antalya, Turkey
| | - Ali Ercan Altınöz
- Department of Psychiatry, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey
| | - Ferdi Köşger
- Department of Psychiatry, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey
| | - Altan Eşsizoğlu
- Department of Psychiatry, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey
| | - Mehmet Arslan
- Department of Psychiatry, Babaeski State Hospital, Kırklareli, Turkey
| | | | - Duygu Göktaş
- Department of Psychiatry, Yozgat City Hospital, Yozgat, Turkey
| | - İkbal İnanlı
- Department of Psychiatry, Konya Training and Research Hospital, Konya, Turkey
| | - Saliha Çalışır
- Department of Psychiatry, Konya Training and Research Hospital, Konya, Turkey
| | - İbrahim Eren
- Department of Psychiatry, Konya Training and Research Hospital, Konya, Turkey
| | - Zeynep Baran Tatar
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Erhan Kurt
- Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology, and Neurosurgery, Istanbul, Turkey
| | - Gokhan Unal
- Erciyes University School of Pharmacy, Department pf Pharmacology, Kayseri, Turkey
| | - Feyza Aricioglu
- Marmara University School of Pharmacy, Department of Pharmacology and Psychopharmacology Research Unit, Istanbul, Turkey
| | - Fatih Hilmi Cetin
- Department of Child and Adolescent Psychiatry, Selçuk University School of Medicine, Konya, Turkey
| | - Hasan Ali Guler
- Department of Child and Adolescent Psychiatry, Selçuk University School of Medicine, Konya, Turkey
| | - Mustafa Esad Tezcan
- Department of Child and Adolescent Psychiatry, Selçuk University School of Medicine, Konya, Turkey
| | - Serhat Turkoglu
- Department of Child and Adolescent Psychiatry, Selçuk University School of Medicine, Konya, Turkey
| | | | | | | | - Çigdem Yektaş
- Duzce University School of Medicine, Department of Child and Adolescent Psychiatry, Duzce, Turkey
| | - Recep Eroz
- Duzce University School of Medicine, Department of Child and Adolescent Psychiatry, Duzce, Turkey
| | - Gokhan Yurdakul
- Ondokuz Mayıs University Health Sciences Institute, Samsun, Turkey
| | - Mahmut Cakır
- Child Psychiatry Clinic, SS Amasya Education and Research Hospital, Amasya, Turkey
| | | | - Saliha Baykal
- Namık Kemal University School of Medicine, Child and Adolescent Psychiatry Department, Tekirdag, Turkey
| | - Mirac Barıs Usta
- Child Psychiatry Clinic, Samsun Education and Research Hospital, Samsun, Turkey
| | | | - Koray Karabekiroglu
- Ondokuz Mayıs University School of Medicine, Department of Child Psychiatry, Samsun, Turkey
| | - Yasemin Yulaf
- Department of Psychology, Istanbul Gelisim University, Istanbul, Turkey
| | - Funda Gümştaş
- Child and Adolescent Psychiatry Clinic, Marmara University Education Research Hospital, Istanbul, Turkey
| | - Sebla Gökçe
- Child and Adolescent Psychiatry Clinic, Maltepe University School of Medicine, Istanbul, Turkey
| | - Yankı Yazgan
- Child and Adolescent Psychiatry Clinic, Marmara University School of Medicine, Istanbul, Turkey
| | - Çağdaş Öykü Memiş
- Departent of Psychiatry, School of Medicine, Adnan Menderes, Aydın, Turkey
| | - Doğa Sevincok
- Departmet of Child and Adolescent Psychiatry, Adnan Menderes University School of Medicine, Aydın, Turkey
| | - Bilge Doğan
- Departent of Psychiatry, School of Medicine, Adnan Menderes, Aydın, Turkey
| | - Ayşe Kutlu
- Departmet of Child and Adolescent Psychiatry, Behcet Uz Child Diseases and Neurosurgery Research and Training Hospital, İzmir, Turkey
| | - Burcu Çakaloz
- Departmet of Child and Adolescent Psychiatry, Pamukkale University School of Medicine, Denizli, Turkey
| | - Levent Sevinçok
- Departent of Psychiatry, School of Medicine, Adnan Menderes, Aydın, Turkey
| | - Deniz Argüz Çıldır
- Department of Child and Adolescent Psychiatry, Tepecik Research and Training Hospital, Izmir, Turkey
| | - Tugba Kalyoncu
- Department of Child and Adolescent Psychiatry, Tepecik Research and Training Hospital, Izmir, Turkey
| | - Fazilet Arkat Ergüvendi
- Department of Child and Adolescent Psychiatry, Tepecik Research and Training Hospital, Izmir, Turkey
| | - Çağatay Uğur
- Health Sciences University, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Child and Adolescent Psychiatry Department
| | - İbrahim Yağcı
- Kars Harakani State Hospital, Department of Psychiatry, Kars, Turkey
| | - Sema Avcı
- Kars Harakani State Hospital, Department of Emergency, Kars, Turkey
| | - Yüksel Kıvrak
- Kafkas University School of Medicine, Department of Psychiatry, Kars, Turkey
| | - Alişan Burak Yaşar
- Department of Psychiatry, Health Sciences University Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey
| | - Ceyhun Sayman
- Department of Neurology, Health Sciences University Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey
| | - Serap Erdoğan Taycan
- Department of Psychiatry, Health Sciences University Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey
| | - Yılmaz Çetinkaya
- Department of Neurology, Health Sciences University Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey
| | - Anıl Gündüz
- Department of Psychiatry, Health Sciences University Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey
| | - Hülya Tireli
- Department of Neurology, Health Sciences University Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey
| | - Kemal Utku Yazici
- Firat University School of Medicine, Department of Child and Adolescent Psychiatry, Elazig, Turkey
| | - Ipek Percinel Yazici
- Firat University School of Medicine, Department of Child and Adolescent Psychiatry, Elazig, Turkey
| | - Yüksel Kıvrak
- Kafkas University School of Medicine, Department Psychiatry, Kars, Turkey
| | | | - Süleyman Gül
- Kafkas University School of Science, Department of Molecular Biology, Kars, Turkey
| | - İbrahim Yağcı
- Kars Harakani State Hospital, Department of Psychiatry, Kars, Turkey
| | - Ipek Percınel Yazici
- Firat University School of Medicine, Department of Child and Adolescent Psychiatry, Elazig, Turkey
| | - Kemal Utku Yazici
- Firat University School of Medicine, Department of Child and Adolescent Psychiatry, Elazig, Turkey
| | - Deniz Argüz Çıldır
- Department of Child And Adolescent Psychiatry, Tepecik Research and Training Hospital, Izmir, Turkey
| | - Aylin Özbek
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Ayçin Darıcı Sümer
- Department of Child and Adolescent Psychiatry, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Esra Çöp
- Department of Child and Adolescent Psychiatry, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Duygu Bilgili
- Department of Child and Adolescent Psychiatry, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Müge Şahin
- Department of Child and Adolescent Psychiatry, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Gülser Şenses Dinç
- Department of Child and Adolescent Psychiatry, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Özlem Hekim
- Department of Child and Adolescent Psychiatry, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Emine Dibek Mısırlıoğlu
- Department of Pediatrics, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Funda Kurt
- Department of Pediatrics, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Zeynep Göker
- Department of Child and Adolescent Psychiatry, Ankara Pediatric Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Özden Üneri
- Department of Child and Adolescent Psychiatry, Ankara Yıldırım Beyazıt University, Ankara, Turkey
| | - Yüksel Kıvrak
- Kafkas University School of Medicine, Department Psychiatry, Kars, Turkey
| | - Yüksel Kıvrak
- Kafkas University School of Medicine, Department Psychiatry, Kars, Turkey
| | - İbrahim Yağcı
- Kars Harakani State Hospital, Department of Psychiatry, Kars, Turkey
| | - Yüksel Kıvrak
- Kafkas University School of Medicine, Department Psychiatry, Kars, Turkey
| | - Eray Atalay
- Kafkas University School of Medicine, Department Internal Medicine, Kars, Turkey
| | - İrem Yıldırım
- Kafkas University School of Medicine, Department of Neurology, Kars, Turkey
| | - İbrahim Yağcı
- Kars Harakani State Hospital, Department of Psychiatry, Kars, Turkey
| | - Ali İnaltekin
- Kafkas University School of Medicine, Department Psychiatry, Kars, Turkey
| | - Bengü Yücens
- Afyon Kocatepe University Medical Faculty, Department of Psychiatry, Afyonkarahisar, Turkey
| | - Vahap Ozan Kotan
- Başkent University School of Medicine, Department of Psychiatry, Ankara, Turkey
| | - Nihal Özkayar
- Hitit University School of Medicine, Department of Nephrology, Çorum, Turkey
| | - Fatih Dede
- Ankara Numune Research and Training Hospital, Department of Nephrology, Ankara, Turkey
| | - Rabia Nazik Yüksel
- Ankara Numune Research and Training Hospital, Department of Psychiatry, Ankara, Turkey
| | - Şenol Bayram
- Ankara Numune Research and Training Hospital, Department of Psychiatry, Ankara, Turkey
| | - Zeynep Kotan
- Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Department of Psychiatry, Ankara, Turkey
| | - Erol Göka
- Ankara Numune Research and Training Hospital, Department of Psychiatry, Ankara, Turkey
| | | | - Gökçe Nur Say
- Ondokuz Mayis University School of Medicine, Department Psychiatry, Samsun, Turkey
| | | | | | - Merve Kalyoncu
- Ondokuz Mayis University School of Medicine, Department Psychiatry, Samsun, Turkey
| | - Muazzez Aydın
- Ondokuz Mayis University School of Medicine, Department Psychiatry, Samsun, Turkey
| | - Cansu Çobanoğlu
- Ondokuz Mayis University School of Medicine, Department Psychiatry, Samsun, Turkey
| | - Özlem Beğinoğlu
- Harran University School of Medicine, Department of Psychiatry
| | - Mehmet Asoğlu
- Harran University School of Medicine, Department of Psychiatry
| | - Bahadir Bilgin Basgoz
- Health Sciences University Gulhane School of Medicine, Department of Internal Medicine, Ankara, Turkey
| | - Semra Ince
- Health Sciences University Gulhane School of Medicine, Department of Nuclear Medicine, Ankara, Turkey
| | - Umut Safer
- Health Sciences University Gulhane School of Medicine, Department of Internal Medicine, Ankara, Turkey
| | - İlker Tasci
- Health Sciences University Gulhane School of Medicine, Department of Internal Medicine, Ankara, Turkey
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Cevher Binici N, Topal Z, Demir Samurcu N, Cansız MA, Savcı U, Öztürk Y, Özyurt G, Tufan AE. Response of Catatonia to Amisulpride and Lorazepam in an Adolescent with Schizophenia. J Child Adolesc Psychopharmacol 2018; 28:151-152. [PMID: 29406775 DOI: 10.1089/cap.2017.0153] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Nagihan Cevher Binici
- 1 Department of Child and Adolescent Psychiatry, Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital , İzmir, Turkey
| | - Zehra Topal
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Nuran Demir Samurcu
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Mehmet Akif Cansız
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Uğur Savcı
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Yusuf Öztürk
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Gonca Özyurt
- 3 Department of Child and Adolescent Psychiatry, Izmir Katip Celebi University School of Medicine , İzmir, Turkey
| | - Ali Evren Tufan
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
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Kutuk MO, Altintas E, Tufan AE, Guler G, Aslan B, Aytan N, Kutuk O. Developmental delays and psychiatric diagnoses are elevated in offspring staying in prisons with their mothers. Sci Rep 2018; 8:1856. [PMID: 29382903 PMCID: PMC5789882 DOI: 10.1038/s41598-018-20263-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Accepted: 01/16/2018] [Indexed: 12/02/2022] Open
Abstract
The aim of the study was to describe the sociodemographic and clinical features of the mothers and their offspring staying with them in prison. The study was planned as a cross-sectional, single-center study of mothers residing in Tarsus Closed Women's Prison of Turkish Ministry of Justice along with their 0 to 6 years old offspring. Mothers were evaluated via Structured Clinical Interview for DSM-IV Axis I Disorders. A psychologist blind to maternal evaluations applied the Denver Developmental Screening Test II (DII-DST). Children/mothers were also evaluated by a child and adolescent psychiatrist via K-SADS-PL. Twenty-four mothers with a mean age of 29.3 years were included. Most common diagnoses in mothers were nicotine abuse (n = 17, 70.8%), specific phobia (n = 8, 33.3%), alcohol abuse (n = 7, 29.2%) and substance abuse (n = 5, 20.8%). Twenty-six children (53.9% female) were living with their mothers in prison, and the mean age of those was 26.3 months. Results of the D-II-DST were abnormal in 33.3% of the children. Most common diagnoses in children were adjustment disorder (n = 7, 26.9%) separation anxiety disorder (n = 3, 11.5%) and conduct disorder (n = 2, 7.7%). A multi-center study is necessary to reach that neglected/under-served population and address the inter-generational transmission of abuse, neglect, and psychopathology.
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Affiliation(s)
- Meryem Ozlem Kutuk
- Department of Child and Adolescent Psychiatry, Baskent University School of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey.
| | - Ebru Altintas
- Department of Psychiatry, Baskent University School of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey
| | - Gulen Guler
- Elazig Mental Health Hospital, Department of Child and Adolescent Psychiatry, Elazig, Turkey
| | - Betul Aslan
- Department of Child Neurology, Baskent University, School of Medicine, Adana, Turkey
| | - Nurgul Aytan
- Department of Neurology, Boston University School of Medicine, Boston, USA
| | - Ozgur Kutuk
- Department of Medical Genetics, Baskent University School of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey.
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Akay AP, Resmi H, Güney SA, Erkuran HÖ, Özyurt G, Sargin E, Topuzoglu A, Tufan AE. Serum brain-derived neurotrophic factor levels in treatment-naïve boys with attention-deficit/hyperactivity disorder treated with methylphenidate: an 8-week, observational pretest-posttest study. Eur Child Adolesc Psychiatry 2018; 27:127-135. [PMID: 28710695 DOI: 10.1007/s00787-017-1022-y] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Accepted: 06/29/2017] [Indexed: 02/08/2023]
Abstract
Brain-derived neurotrophic factor (BDNF) is an important neurotrophin in the brain that modulates dopaminergic neurons. In this study, we aimed to investigate the changes in serum BDNF levels of children with attention-deficit/hyperactivity disorder (ADHD) in response to OROS methylphenidate treatment. We also aimed to determine whether there were any pre-post-differences between ADHD subtypes and comorbid psychiatric disorders in serum BDNF levels. Fifty male children with ADHD and 50 male healthy controls within the age range of 6-12 years were recruited to the study. The psychiatric diagnoses were determined by applying a structured interview with Kiddie schedule for affective disorders and schizophrenia for school-age children-present and lifetime version. The symptom severity of ADHD was measured using the Clinical Global Impression ADHD Severity Scale (CGI-S). Physicians completed Du Paul ADHD questionnaires. The levels of serum BDNF were assessed before and after 8 weeks of treatment with effective dosages of OROS methylphenidate. In the present study, the mean serum BDNF levels of boys with ADHD and of the healthy controls were 2626.33 ± 1528.05 and 2989.11 ± 1420.08 pg/mL, respectively. Although there were no statistically significant difference between the ADHD group and healthy controls at baseline (p = 0.22), the increase of serum BDNF was statistically significant from baseline to endpoint in the ADHD group (p = 0.04). The mean serum BDNF levels at baseline and endpoint of the ADHD group were 2626.33 ± 1528.05 and 3255.80 ± 1908.79 pg/mL, respectively. The serum BDNF levels of ADHD-inattentive subtype were significantly lower at baseline (p = 0.02), whereas BDNF levels post-treatment showed no significant difference. The increase of serum BDNF levels with methylphenidate treatment after 8 weeks was significantly higher in the inattentive group (p = 0.005). The increase of serum BDNF levels with methylphenidate treatment after 8 weeks in boys with ADHD may support the potential role of BDNF in the pathophysiology of ADHD. The role of BDNF in ADHD subtypes in particular should be evaluated with further, larger studies.
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Affiliation(s)
- Aynur Pekcanlar Akay
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Medical Faculty, Izmir, Turkey
| | - Halil Resmi
- Department of Biochemistry, Dokuz Eylul University Medical Faculty, Izmir, Turkey
| | - Sevay Alsen Güney
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Medical Faculty, Izmir, Turkey
| | - Handan Özek Erkuran
- İzmir Dr. BehcetUz Training and Research Hospital for Pediatric Disorders and Surgery, Izmir, Turkey
| | - Gonca Özyurt
- Department of Child and Adolescent Psychiatry, Katip Çelebi University Medical Faculty, Izmir, Turkey.
| | - Enis Sargin
- İzmir Tepecik Training and Research Hospital, Izmir, Turkey
| | - Ahmet Topuzoglu
- Department of Public Health, Kurtalan State Hospital, Siirt, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
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