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Öğe Altered structural connectivity is related to attention deficit/hyperactivity subtypes: A DTI study(Elsevier Ireland Ltd, 2016) Ercan, Eyup Sabri; Suren, Serkan; Bacanli, Ali; Yazici, Kemal Utku; Calli, Cem; Ardic, Ulku Akyol; Aygunes, Duygu; Kosova, Buket; Ozyurt, Onur; Aydin, Cahide; Rohde, Luis AugustoThis study aimed to provide novel insights into the white matter (WM) microstructural properties of Attention Deficit/Hyperactivity Disorder (ADHD) subtypes by recruiting a relatively large sample of stimulant-naive children and adolescents who had no comorbidity other than Oppositional Defiant Disorder and were homogenous according to the DAT1 gene polymorphism. A sample of 72 ADHD subjects and 24 controls aged 8-15 years were enrolled in the study. We applied tract-based spatial statistics to the DTI measures for obtaining fractional anisotropy (FA) and axial, radial diffusivity (AD, RD) measures to explore ADHD type-related differences in WM for the whole brain. Comparing ADHD-Combined group (ADHD-C) with the ADHD predominantly inattentive group (ADHD-I) we detected increased RD in several bilateral brain area and increased AD mostly in left side of the brain, including the body and splenium of the corpus callosum; the anterior and posteriors limbs of the internal capsule; the superior, anterior and posterior corona radiata; the posterior thalamic radiation; and the superior longitudinal fasciculus. Likewise, mostly in the overlapping brain areas, the ADHD-C group presented increased AD values than ADHD-RI. Significant differences among ADHD types could be a preliminary evidence that they have distinct microstructural properties. There were no significant differences in diffusivity between controls and both the ADHD group as whole or any ADHD subgroups. (C) 2016 Elsevier Ireland Ltd. All rights reserved.Öğe Asperger Disorder Follow-up Period: Discussion of Five Cases in the Context of Problems During Adolescence(Galenos Yayincilik, 2016) Erermis, Serpil; Kose, Sezen; Bildik, Tezan; Ozbaran, Burcu; Aydin, CahideAim: We aimed to reassess the psychosocial difficulties, psychiatric diagnosis and follow-up period from childhood through adolescence of Asperger disorder cases. Materials and Methods: We reevaluated the files of five cases (four boys, one girl) between 13-17 years of age who had been up for theree to seven years. The psychiatric diagnosis and psychosocial adjustment levels during the last six months were re-evaluated by psychiatric interview. The severity of illness was evaluated with Clinical Global Impression Scale/Violence, and the improvement level with Clinical Global Impression Scale/Recovery. Results: We found that in adolescence, social adjustment problems, affective symptoms and impulse control problems were dominant in the cases. The psychiatric diagnosis were major depressive disorder (n=2), attention deficit hyperactivity disorder (n=1), obsessive compulsive disorder (n=1), bipolar disorder (n=1); psychotropic medications were antidepressants (n=3), antipsychotics (n=3), methyphenidate (n=1), and mood stabilizator (n=1). The cases benefited from psychopharmacological medication and psychological arrangements. Conclusion: Psychiatric comorbidity is among the factors that affect psychological adjustment in Asperger disorder. Social adjustment problems were found to have increased and additional psychiatric disorders occurred or the existing disorders became more severe in all 5 cases. Affective disorders, disruptive behavior disorders and anxiety disorder have often been seen in our cases as compatible with the literature.Öğe Broader autistic phenotype in parents of children with autism: Autism Spectrum Quotient-Turkish version(Wiley-Blackwell, 2013) Kose, Sezen; Bora, Emre; Erermis, Serpil; Ozbaran, Burcu; Bildik, Tezan; Aydin, CahideAims The Autism Spectrum Quotient (AQ) is a self-assessment screening instrument for measuring the degree to which an individual of normal intelligence shows autistic traits. Genetic factors could be responsible for the relatives of individuals with autism exhibiting higher than normal rates of autism-related impairments, referred to as the broader autism phenotype (BAP). The aim of this study was to test whether there is a difference between the parents of autistic and those of typically developing children (TDC) on AQ scores in a Turkish sample. Method The AQ total and subscale scores of the 100 parents (47 fathers, 53 mothers) of children with autistic disorder (AD) were compared with the 100 parents (48 fathers, 52 mothers) of TDC. Results The parents of AD children scored significantly higher than the TDC parents on total AQ score, and two of five subscale scores; social skills, and communication. The other three subscales (attention to detail, attention switching, imagination) did not differentiate groups. There was no significant difference between mothers and fathers on any AQ scores, neither in the AD nor TDC group. The group X gender interaction was not significant on the total or the five subscale scores of AQ. Conclusion Social skill and communication subscales differentiate AD parents more successfully, and are more sensitive, as reported in other studies. The present findings confirm that social skill and communication impairments in parents of children with autism spectrum disorders are indicators of BAP.Öğe Childhood sexual abuse and supportive factors(Wiley-Blackwell, 2017) Baytunca, Muharrem Burak; Ata, Emsal; Ozbaran, Burcu; Kaya, Ahsen; Kose, Sezen; Aktas, Ekin Ozgur; Aydin, Rezzan; Guney, Selcen; Yuncu, Zeki; Erermis, Serpil; Bildik, Tezan; Aydin, CahideBackground: Childhood sexual abuse (CSA) can be a devastating life experience and is associated with a higher incidence of mental disorders and suicide attempts. The aim of this study was therefore to identify predictors of mental disorder and suicide attempt in children and adolescents with a history of CSA. Methods: A total of 181 Turkish children and adolescents with a history of CSA were evaluated for age, gender, suicide attempts, family relationships and educational background. Abuse involving the insertion of an organ or foreign object into the individual's body was designated as "qualified sexual abuse" (QSA); other forms of sexual abuse were designated "basic sexual abuse" (BSA). Results: Suicide attempts were significantly higher in adolescent girls in the QSA subgroup; age, gender, family integrity, and school attendance were not associated with risk of mental disorders in this group. Among BSA patients, family integrity was significantly associated with suicide attempts. Suicide attempts were approximately 10-fold higher (OR, 10.154; 95% CI: 2.020-51.051; P = 0.005) in children from broken families. Family integrity and school attendance were also noted as weak protective factors against mental disorders in BSA patients. The incidence of mental disorders was 3.5-fold higher in children who had not been attending school (OR, 3.564; 95% CI: 1.379-9.211; P = 0.009). Conclusion: Family integrity and school attendance were weakly related with psychopathology (e.g. mental disorders or suicide attempts) in BSA survivors but not in QSA survivors. Female gender and puberty also increased the likelihood of suicide attempt in QSA survivors.Öğe Combined methylphenidate and atomoxetine pharmacotherapy in attention deficit hyperactivity disorder(Taylor & Francis Ltd, 2015) Ozbaran, Burcu; Kose, Sezen; Yuzuguldu, Onur; Atar, Burcu; Aydin, CahideObjectves. Pharmacological treatment of attention deficit hyperactivity disorder (ADHD) includes stimulant and non-stimulant medications. Our purpose in this study is to investigate efficacy, safety and tolerability of combined methylphenidate and atomoxetine pharmacotherapy. Methods. We included 12 patients of the 824 patients with ADHD using methylphenidate and atomoxetine combined therapy between the years 2010 and 2014. Kiddie-SADS, Turgay DSM-IV Based Child and Adolescent Behavior Disorders Screening and Rating Scale, Child Behavior Checklist, Clinic Global Impression Scale Severity and Impression (CGIS-S-I) scales were used. Results. Patients were between the ages of 7 and 17 years. Before combined pharmacotherapy the CGIS-S score mean was 5.08. Mean CGIS-S score after the combined pharmacotherapy was 3.08 (P = 0.03; -2,980). The most common side effects were irritability (n = 5, 41.6%), appetite reduction (n = 3, 25%), palpitations (n = 2, 16.7%), headache (n = 1, 8.3%). Conclusons. Nine of these 12 patients showed significant improvement in their symptoms, combined therapy enhanced the effectiveness of monotherapy.Öğe Demonstration of Uniparental-Isodisomy on Chromosome 22q11.2 in a Patient With Childhood Schizophrenia and Facial Dysmorphology by Whole-Genome Analysis(Amer Psychiatric Publishing, Inc, 2012) Cogulu, Ozgur; Pariltay, Erhan; Durmaz, Asude Alpman; Aykut, Ayca; Gunduz, Cumhur; Ozbaran, Burcu; Aydin, Hikmet Hakan; Erermis, Serpil; Aydin, Cahide; Özkınay, FerdaÖğe Determination of Clinical and Socio-demographical Differences of Adolescents Applying to a Treatment Center with Family Encouragement or the Decision of the Probation Office and Determination of Predictive Factors in Maintaining Soberness among Probation Cases(Aves, 2016) Yuncu, Zeki; Aydin, Rezzan; Aydin, Cahide; Ozbaran, Burcu; Kose, SezenIntroduction: This study has two objectives. The first objective of this study was the determination of some basic clinical and socio-demographical differences among the adolescents with substance abuse who apply to a treatment center with support from their family or by order of the probation office. The other objective of this study was the determination of the predictive factors in maintaining soberness among adolescents who successfully complete the probation treatment process. Methods: The target population of this study is young adults under 19 years of age who apply to a substance addiction center for adolescents as a result of encouragement from their family or ordered by the Probation Office between 2005 and 2013. These two groups were analyzed in terms of socio-demographical characteristics such as age, the age at which they tried the substance, the age at which they applied to the treatment center, sex, substances they used, education period, employment history, and street life experience. The Statistical Package for the Social Sciences (SPSS) 18.0 software was used for the statistical analysis. Results: It was detected that among the cases who applied to the treatment center with family support, their education period was longer than probation (PR) cases (p<0.0001), and the rates of previous treatment, their mother being alive, and having street life experiences were more frequent (p values: <0.0001; =0.010; =0.027; <0.0001, respectively) and employment history was higher among PR cases (p<0.0001). In terms of the substances used, ecstasy, alcohol, inhalants, and volatile substances are more common among those applying with family support (p=0.018; 0.001; <0.0001, respectively). However, use of cannabis was found to be more common among PR cases (p<0.0001). It was found that PR cases who successfully completed their treatment process had married parents (p=0.008) and had more years of education (p=0.004). It can be predicted that if the subject is well educated and does not use multiple substances or have an alcohol history, the treatment process for PR cases can be successfully completed. (R-2=0.176; p<0.0001). Conclusion: The rates of completing the treatment among cases analyzed in this study were higher than those among cases from adults. In the studies conducted, the results of the treatment efficiency among PR cases were inconsistent. This inconsistency may result from, except for legal obligations, having different circumstances such as socio-economic factors during the treatment period.Öğe Does the quality of life in autism spectrum disorder differ from other chronic disorders and healthy children?(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2016) Ozturk, Onder; Erermis, Serpil; Ercan, Eyup Sabri; Gulen, Figen; Kabukcu Basay, Burge; Basay, Omer; Kose, Sezen; Ozgun Ozturk, Fatma; Alacam, Huseyin; Aydin, CahideObjective: Autism spectrum disorder (ASD) is characterized by deficits in social interaction, communication, restricted interests, and repetitive patterns of behavior. This study examined quality of life (QoL) and related clinical factors in children with ASD, compared to children with Attention Deficit Hyperactivity Disorder (ADHD), children with asthma, and healthy controls (HC). Methods: QoL was assessed by the Pediatric Quality of Life Inventory 4.0 (PedsQLTM 4.0). Additionally, parents of the children provided sociodemographic information and filled out an evaluation questionnaire, child behavior check list (CBCL), and Turgay DSM-IV Disruptive Behavior Disorders Rating Scale (T-DSM-IV-S). Results: The physical health, psychosocial health, social functioning, and scale total score of the ASD group were significantly lower than those of the three comparison groups. The school functioning score domain was lower in the ASD group than in the asthma and HC groups. In contrast, the emotional functioning domain assessments did not reveal statistically significant differences between the ASD group and the comparison groups. In the ASD group, the total problem score, inattention, and hyperactivity scores were significantly higher than both the asthma and HC groups, and the internalizing scores were higher than the healthy group. Conclusion: The poor QoL is most likely due to functional losses and problem behaviors related to ASD and may negatively affect not only children with ASD but also the whole life of the family.Öğe Establishment of interdisciplinary child protection teams in Turkey 2002-2006: Identifying the strongest link can make a difference!(Pergamon-Elsevier Science Ltd, 2009) Agirtan, Canan A.; Akar, Taner; Akbas, Seher; Akdur, Recep; Aydin, Cahide; Aytar, Gulsen; Ayyildiz, Suat; Baskan, Sevgi; Belgemen, Tugba; Bezirci, Ozdecan; Beyazova, Ufuk; Beyaztas, Fatma Yucel; Buken, Bora; Buken, Erhan; Camurdan, Aysu D.; Can, Demet; Canbaz, Sevgi; Canturk, Gurol; Ceyhan, Meltem; Coskun, Abdulhakim; Celik, Ahmet; Cetin, Fusun C.; Coskun, Ayse Gul; Dagcinar, Adnan; Dallar, Yildiz; Demirel, Birol; Demirogullari, Billur; Derman, Orhan; Dilli, Dilek; Ersahin, Yusuf; Esiyok, Burcu; Evinc, Gulin; Gencer, Ozlem; Gokler, Bahar; Hanci, Hamit; Iseri, Elvan; Isir, Aysun Baransel; Isiten, Nukhet; Kale, Gulsev; Karadag, Ferda; Kanbur, Nuray; Kilic, Birim; Kultur, Ebru; Kurtay, Derya; Kuruoglu, Asli; Miral, Suha; Odabasi, Aysun B.; Oral, Resmiye; Orhon, Filiz Simsek; Ozbesler, Cengiz; Ozdemir, Dilsad Foto; Ozkok, M. Selim; Ozmert, Elif; Oztop, Didem B.; Ozyurek, Hamit; Pasli, Figen; Peksen, Yildiz; Polat, Onur; Sabin, Figen; Sabin, Ahmet Rifat; Salacin, Serpil; Suskan, Emine; Tander, Burak; Tekin, Deniz; Teksam, Ozlern; Tiras, Ulku; Tomak, Yilmaz; Tumer, Ali Riza; Turla, Ahmet; Ulukol, Betul; Uslu, Runa; Tas, Fatma V.; Vatandas, Nilgun; Velipasaoglu, Sevtap; Yagmur, Fatih; Yagmurlu, Aydin; Yalcin, Songul; Yavuz, Sukruye; Yurdakok, KadriyeObjectives: The University of Iowa Child Protection Program collaborated with Turkish professionals to develop a training program on child abuse and neglect during 2002-2006 with the goals of increasing professional awareness and number of multidisciplinary teams (MDT), regional collaborations, and assessed cases. This paper summarizes the 5-year outcome. Methods: A team of instructors evaluated needs and held training activities in Turkey annually, and provided consultation when needed. Descriptive analysis was done via Excel and SPSS software. Results: Eighteen training activities were held with 3,570 attendees. Over the study period, the number of MDTs increased from 4 to 14. The MDTs got involved in organizing training activities in their institutions and communities. The number of medical curriculum lectures taught by MDTs to medical students/residents, conferences organized by the MDTs, and lectures to non-medical professional audiences increased significantly (R-2 = 91.4%, 83.8%, and 69.2%, respectively). The number of abuse cases assessed by the MDTs increased by five times compared to pre-training period. Conclusions: A culturally competent training program had a positive impact on professional attitudes and behaviors toward recognition and management of child abuse and neglect in Turkey. The need to partner with policy makers to revise current law in favor of a greater human services orientation became clear. Practice implications: Pioneers in developing countries may benefit from collaborating with culturally competent instructors from countries with more developed child protection systems to develop training programs so that professional development can improve recognition and management of child abuse and neglect. Published by Elsevier Ltd.Öğe Evaluation of the contribution of inpatient services and experiences on improvement in child and adolescent psychiatry practice(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2016) Ozbaran, Burcu; Kose, Sezen; Yilmaz, Ebru; Aydin, Ayse Nur; Aydin, CahideObjective: In this study it's aimed to evaluate the sociodemographic characteristics, psychiatric diagnoses, treatment options and improvement levels of the patients who were treated in Child and Adolescent Psychiatry inpatient service. Methods: One hundred and forty-nine patients between who were treated in Ege University Child and Adolescent Psychiatry inpatient service between March 2013 and September 2014 were evaluated. The patients' files were used for data collection and Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime version (K-SADS) was used for appropriate patients. Clinic Global Impression Scale-Severity (CGIS-S) was used for all cases for determining the psychiatric disorder severity and Clinic Global Impression Scale-Improvement (CGIS-I) was used for evaluating the treatment effect. Results: The age mean was 14.2. % 63.1 of the patients were girls and % 36.9 boys. The common diagnoses were mood disorders % 57.7, attention deficit and hyperactivity disorder % 10.7, schizophrenia and other psychotic disorders % 8.1. The mean treatment duration was 24.4 days. It is founded that the longer duration of hospitalization has positive effect on CGI improvement scores. All patients get psychopharmacological medication during inpatient follow up. The most used medication were antipsychotics. First CGIS-S median level of the patients was 5 (markedly ill) (range: 3-7) and 3 when discharging. When we compare the hospitalization and discharge CGI-S score medians of patients', a statistically significant difference was founded. Results: Although there is a limited number of inpatient services for children, the positive contribution of inpatient services on children and adolescents' mental health is incontrovertible unquestionable. This study is a preliminary report for forthcoming studies with special inpatient services for children and adolescent.Öğe Health Related Quality of Life in children with Autism Spectrum Disorders: The clinical and demographic related factors in Turkey(Elsevier Sci Ltd, 2013) Kose, Sezen; Erermis, Serpil; Ozturk, Onder; Ozbaran, Burcu; Demiral, Nagehan; Bildik, Tezan; Aydin, CahideWe aimed to investigate the Health Related Quality of Life and related clinical variables (HRQoL) of children with Autism Spectrum Disorders (ASD). We included 102 children with ASD (46 with autism, 38 with pervasive developmental disorder not otherwise specified (PDD-NOS) and 18 with Asperger's syndrome (AS)) and 39 typically developing children as a control (TDC), between 3 and 18 years of age. The mothers scored the Pediatric Quality of Life Inventory 4.0 (PedsQLTM 4.0). The physical health, psychosocial health and total summary score of ASD group were significantly lower than TDC. Within ASD group, psychosocial (p < 0.001), social, school functioning and total summary score (p < 0.001) of the autism group were lower than AS, and PDD-NOS. The scores of AS and PDD-NOS were similar. PedsQL scores differed between the groups who take psychotropic medication and continue to special and formal education in ASD. PedsQL scores were negatively correlated with the Childhood Autism Rating Scale (CARS) score and positively correlated with the age that first signs appeared (p < 0.01). Within ASD group the children with autism had the poorer HRQoL than AS and PDD-NOS. The correlation between HRQoL and CARS scores was moderate. The severity of ASD has negative effects on HRQoL. (C) 2012 Elsevier Ltd. All rights reserved.Öğe Health Related Quality of Life in children with Autism Spectrum Disorders: The clinical and demographic related factors in Turkey(Elsevier Sci Ltd, 2013) Kose, Sezen; Erermis, Serpil; Ozturk, Onder; Ozbaran, Burcu; Demiral, Nagehan; Bildik, Tezan; Aydin, CahideWe aimed to investigate the Health Related Quality of Life and related clinical variables (HRQoL) of children with Autism Spectrum Disorders (ASD). We included 102 children with ASD (46 with autism, 38 with pervasive developmental disorder not otherwise specified (PDD-NOS) and 18 with Asperger's syndrome (AS)) and 39 typically developing children as a control (TDC), between 3 and 18 years of age. The mothers scored the Pediatric Quality of Life Inventory 4.0 (PedsQLTM 4.0). The physical health, psychosocial health and total summary score of ASD group were significantly lower than TDC. Within ASD group, psychosocial (p < 0.001), social, school functioning and total summary score (p < 0.001) of the autism group were lower than AS, and PDD-NOS. The scores of AS and PDD-NOS were similar. PedsQL scores differed between the groups who take psychotropic medication and continue to special and formal education in ASD. PedsQL scores were negatively correlated with the Childhood Autism Rating Scale (CARS) score and positively correlated with the age that first signs appeared (p < 0.01). Within ASD group the children with autism had the poorer HRQoL than AS and PDD-NOS. The correlation between HRQoL and CARS scores was moderate. The severity of ASD has negative effects on HRQoL. (C) 2012 Elsevier Ltd. All rights reserved.Öğe Hepatitis B virus among adolescents with substance use disorder: Prevalence, risks, vaccinization(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2008) Yuncu, Zeki; Basay, Buerge Kabukcu; Ozbaran, Burcu; Aydin, Cahide; Tamar, MuegeObjective: Drug abuse and sexual intercourse have been reported to have equal level of effects on hepatitis B virus (HBV) contamination. Drug abuse prevalence increases in adolescence period in Turkey. The aim of present study was to determine the prevalence of HBV infection and risk factors among adolescent drug users, an important health problem in our country. Methods: In the study, the medical records of the patients who were hospitalized between October 2004 and November 2007 at the inpatient service of Ege University Child and Adolescent Addiction Investigation and Practice Center (EGEBAM) were evaluated. From a total of 206 patients hospitalized within this period, 188 patients whose serological results were available, were reviewed in terms of socio-demographic features (n=188), clinical properties (n=188) and risk factors (n=41). For the comparison of categorical variables chi-square test and for the risk assessment logistic regression analysis was used. Results: All of the 188 subjects recruited in the study were male and the mean age of the sample was 16.4+/-1.4 years. 69.1% (n=130) of the subjects were using cannabis, 56.4% (n=106) were using inhalants, 46.8% (n=88) were using ecstasy, and 42.6% (n=80) were using alcohol. Forty-five patients (23.9%) had been exposed with the virus. Among these subjects, 14.9% (n=28) of them have been exposed to the virus via immunization while 9% of the cases have been exposed to the virus via viral infection. Anti-HBc positivity was negatively correlated with education status of the mother (p=0.005) and the father (p=0.010) and economic levels of parents (p<0.001). The number of cases with Anti-HBc positivity was found to be smaller among the patients with three or less siblings compared to the ones with 4 or more siblings. Immunization via vaccination was higher among patients with higher income (p=0.033). Discussion: The prevalence of HBV infection among adolescents with substance use disorders in our country is quite lower than other countries which might be a result of lower intravenous drug users in this age group in this country. As the prevalence of HBV infection increases with age, utmost care should be provided to avoid the spread of infection in this age group. (Anatolian Journal of Psychiatry 2008; 9:208-216)Öğe Is ADHD restrictive sub-type which is specified by DSM-V a valid diagnosis? Holistic assessment with executive functions, genetic and multimodal brain imaging methods(Springer, 2013) Suren, Serkan; Bacanli, Ali; Yazici, Utku; Aygunes, Duygu; Kosova, Buket; Calli, Cem; Aydin, Cahide; Ercan, EyupÖğe Personality characteristics of adolescents with substance use disorders(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2016) Basay, Omer; Yuncu, Zeki; Kabukcu Basay, Burge; Ozturk, Onder; Aydin, CahideObjective: Personality characteristics are found to be related with substance use initiation, substance abuse, substance dependence and substance use continuance. The aim of this study is to investigate the personality characteristics of adolescents with alcohol/substance use disorder (ASUD). Methods: Sixty-nine adolescents with ASUD, aged between 16 and 18 were compared with 69 adolescents with similar sociodemographic properties and without ASUD. Minnesota Multiphasic Personality Inventory (MMPI) was used to assess personality traits. Results: Adolescents with SUD had higher scores for psychopathology (F), hypochondriasis, hysteria, depression, psychopathic deviation, paranoia, psychasthenia, schizophrenia, and hypomania scales and lower score for defensiveness (K) scale when compared with the control group. Discussion: Adolescents with ASUD have insufficient defense mechanisms and negative personality characteristics. Personality characteristics of these adolescents should be considered in the treatment and follow up periods.Öğe Prevalence and diagnostic stability of ADHD and ODD in Turkish children: a 4-year longitudinal study(Bmc, 2013) Ercan, Eyup Sabri; Kandulu, Rasiha; Uslu, Erman; Ardic, Ulku Akyol; Yazici, Kemal Utku; Basay, Burge Kabukcu; Aydin, Cahide; Rohde, Luis AugustoBackground: This study was designed to assess the prevalence of Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD) in a representative sample of second grade students from a country in a region where no previous rates are available (Turkey). The second aim is to evaluate the differences in ADHD and ODD prevalence rates among four different waves with one-year gap in reassessments. Method: Sixteen schools were randomly selected and stratified according to socioeconomic classes. The DSM-IV Disruptive Behavior Disorders Rating Scale (T-DSM-IV-S) was delivered to parents and teachers for screening in around 1500 children. Screen positive cases and matched controls were extensively assessed using the K-SADS-PL and a scale to assess impairment criterion. The sample was reassessed in the second, third and fourth waves with the same methodology. Results: The prevalence rates of ADHD in the four waves were respectively 13.38%, 12.53%, 12.22% and 12.91%. The ODD prevalence was found to be 3.77% in the first wave, 0.96% in the second, 5.41% in the third and 5.35% in the fourth wave. Mean ODD prevalence was found to be 3.87%. Conclusions: The prevalence rates of ADHD in the four waves were remarkably higher than the worldwide pooled childhood prevalence. ADHD diagnosis was quite stable in reassessments after one, two and three years. A mean ODD prevalence consistent with the worldwide-pooled prevalence was found; but diagnostic stability was much lower compared to ADHD.Öğe Prevalence of Anxiety and Mood Disorders and Demographic Characteristics of Elementary School Students(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2014) Bilac, Oznur; Ercan, Eyup Sabri; Uysal, Taciser; Aydin, CahideObjective: Childhood psychiatric disorders can prevent individuals from reaching their full potential, and disrupt normal development. Empirical data on the prevalence and incidence of childhood psychiatric disorders are fundamental to understanding the etiology and natural history of such disorders. There have been fewer epidemiologic investigations aimed at estimating the prevalence, incidence, and associated risk factors of psychiatric disorders in children and adolescents, as compared to adults. This study aimed to assess the prevalence of mood disorders (MDs) and anxiety disorders (ADs) in a representative sample of elementary school children from Turkey, providing prevalence rates that were previously unavailable. Materials and Methods: In all, 12 schools were randomly selected and stratified according to socioeconomic status by the Izmir Directorate of National Education. The sample consisted of 419 randomly selected elementary school students, with a 5% margin of error and alpha (t) of 1%. The study included children aged 6-14 years. In total, 417 students were interviewed (total response rate of 99.5 %). The 417 students were assessed using the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K-SADS-PL), Child Behavior Check List (CBCL), Teacher Report Form (TRF), and Impairment Criterion Scale (ICS). Results: The prevalence of MDs and ADs without considering impairment was 2.9% and 13.9%, respectively, versus 1.4% and 2.6% with considering impairment, respectively. Conclusion: The prevalence of MDs and ADs in the present study's sample are similar to those reported from the Western studies. With the inclusion of diagnosis-specific impairment criteria the rates reduced slightly, as previously reported.Öğe The prevalence of mood and anxiety disorders in primary school children population in Turkey(Springer, 2013) Bilac, Oznur; Ercan, Eyup Sabri; Uysal, Taciser; Aydin, CahideÖğe Psychiatric Evaluation and Follow-Up of Children and Adolescents Residing in a Children Village, Following Allegations of Sexual Abuse(Ortadogu Ad Pres & Publ Co, 2009) Ozbaran, Burcu; Gencer, Oezlem; Ergin, Hande Kesikci; Miral, Sueha; Aydin, Cahide; Varan, AzmiObjective: The aim of the present study was to report the psychiatric evaluation of children and adolescents living in a children's village and to present their psychiatric treatment process. Material and Methods: After allegations of abuse on January 2005, a multi disciplinary health team was established. The children and adolescents (n=78) were subjected to a series of assessments including group discussions, psychiatric interviews and administration of Child Depression Inventory or Beck Depression Inventory (depending on their age) and Achenbach's Youth Self Report. Healthy children who were consulted at the university hospital pediatric outpatient clinic with acute medical complaints, without any trauma history and without any psychiatric diagnosis were included in the study as the control group. Results: The results of the investigations carried on by a multi-disciplinary team revealed that 22% of children and adolescents required psychiatric treatment. Village adolescents reported considerably higher levels of both "internalizing" and "externalizing" problems than the controls. The comparison of pre- and post-treatment results revealed that the treatment process was successful in alleviating the symptoms of the adolescents. By the end of eight months the adolescents' psychiatric symptoms had disappeared. Conclusion: The children and adolescents living in the village were negatively affected by these processes after sexual abuse allegations. Studies after the crisis period can give more detailed information about the mental health of the village children and adolescents, and this study may be a preliminary study for future research on this area.Öğe Psychiatric Evaluation of Children Born with Assisted Reproductive Technologies and Their Mothers: A Clinical Study(Galenos Yayincilik, 2013) Ozbaran, Burcu; Kose, Sezen; Ardic, Ulku Akyol; Erermis, Serpil; Ergin, Hande Kesikci; Bildik, Tezan; Yuncu, Zeki; Ercan, Eyup Sabri; Aydin, CahideBackground: The number of parents who have children through assisted reproductive technologies (ART) is increasing. In this cross-sectional study, we aimed to evaluate the psychiatric diagnostic profiles and behavioral characteristics of children born after ART as well as to evaluate the anxiety and depressive symptoms in their mothers. Methods: Thirty-five children (13 girls and 22 boys) born after ART (ART group) were compared with 35 naturally conceived children, matched for gender and age (control group). The Kiddie Schedule for Affective Disorders and Schizophrenia, the Diagnostic and Statistical Manual of Mental Disorders, 4th. Edition (DSM-IV) criteria and the Child Behavior Checklist (CBCL) were used for evaluation of the children. The Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI) were used for evaluating their mothers.. Results: The most common psychiatric diagnoses were attention deficit hyperactivity disorder, pervasive developmental disorders and anxiety disorders in both groups. Feeding disorders were significantly more frequent in children born following ART than in controls. Mothers of ART group had higher scores in BDI and STAI. Between both groups, there was a statistically significant difference in some CBCL subscales (e.g. withdrawn, social problems, internalizing and externalizing problems). Conclusion: It is important to know that children born after ART may have some behavioral and psychiatric problems and working with their mothers' psychologicalstatus is also important. (Archives of Neuropsychiatry 2013; 50: 59-64)
