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Öğe Are the illness severity and treatment efficacy of the patients followed in the child psychiatry inpatient service during the pandemic period different from the normal period?(Klinik Psikiyatri Dergisi, 2022) Kose, Sezen; Ozbaran, Burcu; Dogan, Nurhak; Barankoglu, Ilayda; Bildik, TezanObjective: COVID-19 pandemic poses a serious threat to health systems and inpatient treatment units. With the increase in the size of the pandemic, it has become a difficult process to carry out routine treatment services. In this study we aimed to compare the clinical profile, illness severity and length of hospitalization of the patients who were hospitalized in the child psychiatry inpatient service during the normal and the pandemic period. Method: The patients who were treated in the child psychiatry inpatient service during the the pandemic period (n=19), and previously normal period (n=149) were compared in terms of clinical profile, illness severity and length of hospitalization. Psychiatric diagnoses were assessed using the K-SADS-PL (Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version). The Clinical Global Impressions-Severity scale (CGI-S) was applied to all patients in both groups at hospitalization and discharge point. Results: We found that median level of CGI-S hospitalization scores in pandemic period was significantly higher than normal period. A significant negative correlation was found between CGI-S discharge scores and length of hospitalization during pandemic period. In addition, a significant difference was found between the groups in terms of the rate of anxiolytic drugs used. Discussion: Anxiety levels of people may increase in disasters such as pandemics, wars, earthquakes. During the pandemic period, patients with higher clinical severity of illness are treated in inpatient treatment units. In these cases, it is important to continue inpatient management without interruption, along with infection-preventive measures.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 Association between caregivers' coping and children's psychiatric symptoms in the heart transplantation process: A pilot study(Wiley, 2021) Kafali, Helin Yilmaz; Kalyoncu, Tugba; Ozbaran, Burcu; Kalyoncu, Emir; Tuncer, Osman Nuri; Ozturk, Pelin; Ozbaran, MustafaOur aim was to investigate whether there is an association between caregivers' coping and children's psychiatric symptoms and quality of life in adolescent heart transplant (HTx) recipients and HTx candidates with left ventricular assist device (LVAD). Fourteen patients were recruited for this pilot study (HTx (n = 8), LVAD (n = 6)). Schedule for Affective Disorders and Schizophrenia for School Aged Children, Present and Lifetime Version (K-SADS) was administered to detect the psychiatric diagnosis of patients. Children's Depression Inventory (CDI), State-Trait Anxiety Inventory, and Pediatric Quality of Life Inventory (PedsQL) were completed by adolescents; Brief Coping Styles Inventory by their caregivers. Six of the participants had an internalizing disorder. Optimistic coping strategy score was significantly higher in the caregivers of adolescents without an internalizing disorder than caregivers of those with an internalizing disorder (U = 2.500, P = .005). Utilizing Spearman's correlation, caregivers' optimistic approach (rho = -0.736, P = .004), and self-confident approach (rho = -0.634, P = .020) had significant negative correlations with children's CDI scores. Moreover, caregivers' optimistic approach score had a significant positive correlation with children's PedsQL score (rho = 0.563, P = .045). According to our preliminary results, it seems that caregivers' optimistic and self-confident coping strategies may be associated with fewer internalizing symptoms and a better quality of life in adolescents in the HTx process. A future multicentered longitudinal study will be planned to assess the effect of caregivers' coping strategies on the psychological adjustment of these children.Öğe Brief report of efficacy and side effect profile of crossing over to modified-release capsules of methylphenidate in ADHD patients receiving other treatments: case series(Taylor & Francis Ltd, 2017) Ozbaran, Burcu; Kose, Sezen; Ocakoglu, Fevzi Tuna; Kayis, Hakan; Satar, Aysegul; Tekin, UgurOBJECTIVES: Stimulants are recommended as the first-line pharmacotherapy in attention deficit/hyperactivity disorder (ADHD). Methylphenidate (MPH) is the most used stimulant. Medikinet Retard has modified-release capsules of MPH (MRC-MPH). In this study, we aimed to report observations on a sample of outpatients, who had been previously treated with other agents, but switched to MRC-MPH treatment. These observations focus on the treatment course, efficacy, side effects, and switching reasons. METHODS: We included 20 out of the 163 patients with ADHD, who were previously treated with other medications, and switched to MRC-MPH. Turgay DSM-IV Based Child and Adolescent Behavior Disorders Screening as diagnosing tool and Rating Scale, Barkley's Stimulants Side Effects Rating Scale for screening side effects and Clinical Global Impression Scale-Severity and -Improvement were administered. RESULTS: Patients' ages ranged between 9 and 17 years. Mean Clinical Global Impression ScaleSeverity (CGI-S) score before the MRC-MPH treatment was 3.2, whereas after treatment it was 3.15. CGI-S scores were not significantly different (p =.593). Loss of appetite (n = 4, 20%) and drowsiness (n = 4, 20%) were the most common adverse events during the MRC-MPH treatment. CONCLUSIONS: We did not observe significant difference between other treatment options and MRC-MPH with respect to efficacy. In terms of side effect profile, Osmotic Release Oral System-MPH was observed to be more problematic than immediate-release MPH and MRCMPH formulations, while these two regimens did not differ significantly.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 Child and Adolescent Forensic Psychiatry Experiences During the COVID-19 Pandemic(Galenos Publ House, 2022) Pilan, Birsen Senturk; Kaleli, Ipek Inal; Erermis, Serpil; Kaya, Ahsen; Kose, Sezen; Ozbaran, Burcu; Bildik, TezanObjective: Coronavirus disease-2019 (COVID-19) changed the status-quo in psychiatric interview with the advent of telemental health practices, save for a select group of patients; forensic psychiatric interviews among them. The present study aimed to identify the predictors of completing forensic psychiatric evaluations mandated by the judicial authorities in the hospital setting during the COVID-19 outbreak. Method: Twenty-six patients who had completed an initial forensic psychiatric assessment and were required to complete a child and adolescent forensic psychiatry board interview during the height of the COVID-19 pandemic were recruited. Their records were retrospectively examined, sociodemographic data, Beck Depression Inventory (BDI), the Screen For Child Anxiety Related Disorders (SCARED), and Wecshler Intelligence Scale for Children-revised scores were recorded and analyzed. Results: Statistical analysis revealed an association between conduct disorder and concomitant substance use with missed appointments, and maternal employment and completed interviews. BDI and SCARED total scores showed no difference between the patients who missed or completed their mandatory forensic psychiatry board assessment. BDI individual items of loss of pleasure (item 4), suicidality (item 9), and loss of interest (item 12) were associated with missed appointments. Conclusion: The results of this study support the established relationship between conduct problems and depressive symptoms, and this demographic group may be among the most affected by the limitation of access to mental health services during the COVID-19 pandemic, as they are already less likely to seek help overall.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 Clinical and Parental Characteristics of Hospitalization in Children and Adolescents with Autism Spectrum Disorder(Galenos Publ House, 2023) Kose, Sezen; Ozbaran, Burcu; Dogan, Nurhak; Barankoglu, Ilayda; Ucuncu, Buket; Tortop, ElifAim: The aim of this study was to compare inpatient and outpatient cases diagnosed with autism spectrum disorder (ASD) and to show which factors were more associated with hospitalization in children and adolescents. Materials and Methods: We included 85 outpatient and 34 inpatient children and adolescents with ASD. Psychiatric diagnoses were assessed with the K-SADS-PL. Factors relevant to the hospitalization of ASD cases were evaluated with a logistic regression model. Results: The Childhood Autism Rating Scale scores (p=0.002), comorbid psychopathology (p=0.04), multiple psychotropic medication (p=0.001), and psychopathology of the parents (p<0.001) and siblings (p=0.029) were higher, and the education levels of the mothers (p=0.017) were lower in the inpatient-ASD group. The logistic regression model showed that the psychopathology of the mother (odds ratio=10.293, p<0.001) was associated with psychiatric hospitalization. Conclusion: It is very important to provide psychiatric and psychosocial support especially to mothers during the inpatient treatment process in addition to outpatient family support.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 COVID-19-Related Stigma and Mental Health of Children and Adolescents During Pandemic(Sage Publications Inc, 2022) Ozbaran, Burcu; Turer, Furkan; Yilancioglu, Hazal Y.; Kose, Sezen; Pilan, Birsen Senturk; Guzel, Ozge; Baskol, DilsahThis cross-sectional study aimed to evaluate depression and anxiety symptoms of the children/grandchildren of COVID-19 patients, children/grandchildren of healthcare workers who have not infected COVID-19, and children/grandchildren of the control group. Parent and children's perception about COVID-19-related stigma is also investigated and compared between groups. The perception about COVID-19-related stigma between different age and gender groups among children also investigated and compared. The mental health of the 71 participants aged 6-18 years was evaluated via a telemedicine-based semi-structured interview between March and April 2020. Children's Depression Inventory (CDI), the Screen for Child Anxiety-Related Emotional Disorders (SCARED), and COVID-19-Related Stigma Form were administered to the participants. A significant negative correlation was found between age and separation anxiety disorder (p = .005) and a significant positive correlation was found between age and generalized anxiety disorder (p = .035) in the SCARED-Child report. Generalized anxiety disorder was found to be higher in females compared to males. A significant difference was found between the groups of parents in the COVID-19-Related Stigma Form. Patients infected with COVID-19, healthcare workers, and the control group have different perceptions about COVID-19-related stigma. The age of the children have an impact on stigma perceptions. Anxiety symptoms of children affected by age and gender. Future studies are recommended to determine the other factors associated with perceptions about COVID-19-related stigma among children and parents.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 Depression and anxiety levels of the mothers of children and adolescents with left ventricular assist devices(Wiley-Blackwell, 2012) Ozbaran, Burcu; Kose, Sezen; Yagdi, Tahir; Engin, Cagatay; Erermis, Serpil; Yazici, Kemal Utku; Noyan, Aysin; Ozbaran, MustafaOzbaran B, Kose S, Yagdi T, Engin C, Erermis S, Yazici KU, Noyan A, Ozbaran M. Depression and anxiety levels of the mothers of children and adolescents with left ventricular assist devices. Abstract: VADs have been used to provide treatment for end-stage heart failure. Parents may feel overwhelmed with the VAD regimes responsibility and be affected from this process beside children. In this study, we aimed to evaluate the depressive and anxiety symptoms of mothers of the first eight children equipped with a VAD in Turkey. The mothers of eight pediatric patients living with VADs were filled BDI and STAI at first month of VAD implantation (E.I) and secondly six months after their first evaluation (E.II). In E.I, the BDI mean score of mothers was 20.87, in E.II 14.37. STAI-S mean score was 53.37 in E.I and 43.62 in E.II. The Wilcoxon nonparametric-paired t-test revealed significant difference between baseline and end-point STAI-S scores (Z: -2.035; p: 0.042), and for BDI scores (Z, -1.965; p, 0.049). Prolonged usage of VAD may increase distress in parents. Psychiatric evaluation and support of the primary caregiver is important for the well-being of the pediatric patients.Öğe 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 Differential Diagnosis of Recurrent Hypersomnia: A Case Report of Primary Narcolepsy and Acute Transient Psychotic Attack(Galenos Yayincilik, 2021) Kiyak, Joanna Maria; Kose, Sezen; Demir, Melek Hande Bulut; Ozbaran, BurcuNarcolepsy is a childhood and adolescence disorder, that until recently remained unidentified until adulthood, with a reported time from onset to diagnosis of around a decade. This disorder affects approximately 0.05% of the population and starts in childhood and adolescence about half of the time. The main symptom of hypersomnia is excessive daytime sleepiness or prolonged night-time sleep that has occurred for at least 3 months prior to diagnosis. Patients with narcolepsy also exhibit hallucinations and delusions, however the differential diagnosis between the disorders is often unclear. Case presented in our study is an example of atypical narcolepsy with coexistence of psychotic symptoms. in our case upon the set-off of the second attack of excessive daytime sleepiness, the differential diagnosis of recurrent hypersomnia was not considered. This is due to the fact that the first attack of narcolepsy with hallucinatory component of the patient could have been misdiagnosed as acute transient psychotic attack. Hallucinations and delusions sometimes appear in patients with narcolepsy. The differential diagnosis between the disorders is not always simple. in our study we present the case which illustrate this overlap. Child and adolescent patients, which demonstrate psychotic symptoms and excessive daytime sleepiness component, should be concidered in case of evaluation for a diagnosis of primary hypersomnia following a multidisciplinary cooperation of neurologists, paediatricians and psychiatrists.Öğe The effect of depression on academic achievement in children with epilepsy(Academic Press Inc Elsevier Science, 2008) Tosun, Ayse; Gokcen, Sezen; Ozbaran, Burcu; Serdaroglu, Gul; Polat, Muzaffer; Tekgul, Hasan; Gokben, SarenurIn this cross-sectional study our aim was to evaluate the effect of depression on academic achievement in children with epilepsy and low school performance. Fifty-one children with epilepsy and low school performance were evaluated with the Children's Depression Inventory (CDI) to measure depressive symptoms. School performance was evaluated with Achenbach's Child Behavior Checklist (CBCL) and the Teacher Report Form (TRF). Children diagnosed with depressive spectrum disorders received medical therapy. All tests were administered in the first interview and repeated at the end of 6 months of therapy. Forty-three children completed the study. The patients were evaluated with DSM-IV diagnostic criteria. Accordingly, 9 (20.9%) children had Major Depressive Disorder (MDD) and 4 (9.3%) had Depressive Disorder, Not Otherwise Specified (DD-NOS). All children with MDD and DD-NOS received antidepressant medication, but only seven of them completed treatment. Posttreatment CDI scores were significantly lower, and TRF scores also improved. Pediatric neurologists should be aware of the possibility of depressive disorders in children with epilepsy, especially in those with low school performance. (C) 2008 Elsevier Inc. All rights reserved.Öğe Effect of metabolic control on cognitive functions in children and adolescents with type 1 diabetes mellitus(Walter De Gruyter Gmbh, 2023) Kar, Seyma; Er, Eren; Ata, Aysun; Inal-Kaleli, Ipek; Ozcan, Tugce; Kose, Sezen; Ozbaran, BurcuObjectives: Neurocognitive functions of children with type 1 diabetes mellitus (T1D) are reported to be poorer than those of healthy peers. The aim was to investigate the effects of age of onset of diabetes, metabolic control, and type of insulin regimen on neurocognitive functions in children and adolescents with T1D.Methods: Forty-seven children aged 6-18 years, with T1D for at least five years, were included. Children with a known psychiatric disorder or chronic diseases other than T1D were excluded. Intelligence via the Wechsler children's intelligence scale (WISC-R), short-term memory via the audio-auditory digits form B (GISD-B) test, visual motor perception via the Bender Gestalt test, and attention via the Moxo continuous attention and performance test, timing, hyperactivity, and impulsivity (Moxo-dCPT) were assessed.Results: Compared with the T1D group, healthy controls had higher scores in terms of verbal intelligence quotient (IQ), performance IQ, and total IQ mean scores on WISC-R (p=0.01, p=0.05 and p=0.01, respectively). On the MOXO-dCPT test, the T1D group had higher impulsivity compared to the control group (p=0.04). Verbal IQ was better in the moderate control group than in the poorer metabolic control (p=0.01). Patients with no history of diabetic ketoacidosis (DKA) had higher performance, verbal and total intelligence scores than the group with history of DKA.Conclusions: Poor metabolic control and a history of DKA in children with T1D adversely affected neurocognitive functions. It would be beneficial to consider the assessment of neurocognitive functions in T1D and to take the necessary precautions in follow-up.Öğe The Effect of Screen Addiction and Attention-Deficit Hyperactivity Disorder on Insulin Resistance in Children(Galenos Publ House, 2022) Koprulu, Ozge; Darcan, Sukran; Ozbaran, Burcu; San, Emsal; Altinok, Yasemin Atik; Ozen, Samim; Goksen, DamlaObjective: Among screen-addicted children, there is a risk of insulin resistance (IR), obesity, hypertriglyceridemia and diabetes mellitus type 2 due to decreased physical activity and irregular eating habits. Most recently, relations of screen addiction (SA) and attention-deficit hyperactivity disorder (ADHD) with obesity have been reported. Herein, we aimed to investigate the presence of IR and dependent factors in screen-addicted children with and without obesity. Method: A total of 108 children in the age range of 11-17 years were included in the study. Cases were divided into three groups according to ADHD and SA scale scores. In these three groups, there were equal numbers of obese and non-obese patients. Homeostasis model assessment for insulin resistance (HOMA-IR) of the patients was assessed at baseline. Body fat analysis was performed with TANITA BC-420 MA body composition analyzers. All cases wore pedometers for 3 days to determine their basal metabolic rates (BMR) during active and sedentary periods. Carbohydrate, fat and calorie consumption was calculated using a professional nutrition program. Results: There were no statistically significant differences between the SA and non-SA groups on the energy consumption, BMR and fat mass and dietary contents. There was no effect of ADHD and SA on HOMA-IR values. Conclusion: We did not find any association between SA and IR. Also dependent factors were similar between groups. New studies are needed to determine how SA affects obesity.Öğe The Effect of The Covid-19 Pandemic On The Adaptation Process and Psychiatric Symptoms of Children Aged 7-12: A Telemedicine Study(Dr Behcet Uz Cocuk Hastaliklari Ve Cerrahisi, 2021) Pilan, Birsen Senturk; Erermis, Serpil; Calisan, Reyhan; Yulug, Begum; Tokmak, Sibel Helin; Kose, Sezen; Ozbaran, BurcuObjective: The aim of the presented study is to evaluate the adaptive process and psychiatric symptoms in the 7-12 age group followed-up with telemedicine interviews during the height of the pandemic. Method: Patients between the ages of 7-12 who were followed up in our outpatient clinic were called by telemedicine service at the appointment date. The questionnaire prepared by the researchers in order to investigate the adaptation process to the pandemic was administered, the answers provided by the patients and their families were recorded in the case data form together with Clinical Global Impression (CGI) Scale score appraised by the interviewing psychiatrist. Medical records pertaining to each patient were also reviewed, their psychiatric diagnoses, according to DSM 5 criteria and CGI scores recorded in their last face-to-face interviews during the pandemic period, were included in the case data form. Results: Fifty patients were included in the study. The mean age of the participants was 9.14 +/- 1.61 years. Attention deficit hyperactivity disorder (60%) was the most common psychiatric diagnosis detected in the participants before the pandemic, followed closely by anxiety and related disorders (20%) and specific learning difficulty (16%). The CGI scores of the cases before, and during the pandemic were 2.72 +/- 0.75, and 2.92 +/- 0.94, respectively. The difference between the mean scores was statistically significant (p=0.024). Conclusion: Our study emphasizes the importance of follow-up by telemental health practices in cases where face-to-face psychiatric interviews are not applicable, i.e., due to the risk of transmission of COVID-19 disease during the current pandemic.Öğe Effects of a pandemic on child and adolescent psychiatry emergency admissions: Early experiences during the COVID-19 outbreak(Elsevier, 2021) Kose, Sezen; Inal-Kaleli, Ipek; Senturk-Pilan, Birsen; Cakcak, Ecem; Ucuncu, Buket; Ozbaran, Burcu; Erermis, Serpil[No Abstract Available]Öğe Evaluation of parental attitudes in a clinical sample of adolescents with major depressive disorder(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2009) Ozbaran, Burcu; Tamar, Muege; Yuncu, Zeki; Bildik, Tezan; Demiral, Nagehan; Erermis, SerpilObjective: Depression in adolescence is associated with a number of ethological factors such as genetic, biologic, environmental, and psychological. Recently, parent-child interaction models are considered as important contributors to depression in adolescents. The aim of this study was to investigate the characteristics of parental attitudes in depressed adolescents compared to healthy controls. Methods: One hundred and twenty adolescents participated: 60 major depression participants, and 60 healthy control participants without a history of any psychiatric disorder. Sixty adolescent outpatients (30 females, 30 males; mean age: 16.52 +/- 1.13 years; range: 1418 years) fulfilling the DSM-IV criteria for MDD and 60 matched psychiatrically healthy adolescents (30 females, 30 males; mean age: 16.50 +/- 1.13 years; range: 14-18 years) were included in the study. Evaluations of adolescents were made using the Schedule for Affective Disorders and Schizophrenia for Kiddie and Young Adult, Beck Depression Inventory, and the parents have filled the Parental Attitude Research Instrument. Results: Our findings revealed that over parenting, marital discordancy and authoritarian attitudes scores were higher in depressed adolescents' parents than the control group. As another important result of this study, hostile, rejecting, and authoritarian attitudes were found to be related with suicidal behavior of depressed adolescents. Conclusion: These results suggest that certain aspects of parenting such as over parenting, marital discordancy and authoritarian attitudes contribute to the pathogenesis of major depression in Turkish adolescents. High levels of marital discordancy, over-parenting, and authoritarian attitudes in the study group may be associated with conflicts in family relations. (Anatolian Journal of Psychiatry 2009; 10: 109-115)