... Mutluluk 8.29±3.53 8.53±3.33 .48 ... engellerin özgüven geli-fliminde önemli oldu¤u vurgulanm... more ... Mutluluk 8.29±3.53 8.53±3.33 .48 ... engellerin özgüven geli-fliminde önemli oldu¤u vurgulanmfltr (Leonard 1991, Hahn-Smith ve Smith 2001, Toros ve ark. ... Glass ve arkadafllar (1981) yüzdeki farkllklarn sosyal ka-bûllenirli¤i olumsuz olarak etkileyebilece¤ini bildir-mifllerdir ...
Sickle cell anemia (SCA) is a chronic disease and it would be expected that the children with SCA... more Sickle cell anemia (SCA) is a chronic disease and it would be expected that the children with SCA are at high risk of developing psychosocial problems. In this study the authors intended to evaluate both the psychiatric problems among SCA patients and their families and put forward the relation between the clinical findings and psychiatric problems. Forty children were included in the study. The patients were classified according to their histories of painful crises in the past 1 year. The children who have had a history of painful crisis 1-4, 5-10, and over 10 times were classified as group 1, group 2, and group 3, respectively. The depression levels of the children in group 3 were higher than group 1 (P = .018). The state of the anxiety level of the children and Beck Anxiety Inventory of the mothers were higher in group 3 than in group 1 (P = .004). In addition, anxiety levels of the mothers who had children with social limitations and painful episodes were higher than the anxiety...
Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology, 2009
Although the vast majority of chronic headache is idiopathic in origin, child abuse can be a very... more Although the vast majority of chronic headache is idiopathic in origin, child abuse can be a very rare cause of paroxysmal headaches in children. The aim of this report was to present a case of migraine headache aggravated after sexual abuse, which did not respond to treatment. An 11-year-old girl admitted to the outpatient department of the Neurology Clinic with headache complaint for the past two years. Neurological examination, neuroimaging and laboratory tests were normal. According to the International Classification of Headache Disorders (ICHD)-II criteria, the headache was diagnosed as migraine without aura and treatment as prophylaxis was planned. Her headache did not respond to treatment, so she was consulted with the Department of Child and Adolescent Psychiatry and diagnosed as major depressive disorder. During one of the psychological interviews, she confessed that she had been sexually abused by her mother's boyfriend for two years. After this confession and punishm...
We investigated the brainstem integrity in children with primary nocturnal enuresis (PNE) using a... more We investigated the brainstem integrity in children with primary nocturnal enuresis (PNE) using auditory brainstem responses (ABR), blink reflex and exteroceptive suppression of the masseter muscle. We examined 23 children with PNE (16 male, 7 female; mean age: 10.4 years) and 19 control subjects (11 male, 8 female; mean age: 11.8 years). ABR parameters such as wave latencies, amplitudes and interpeak latencies and blink reflex parameters such as R1 and R2 amplitude and latencies were not significantly different between the 2 groups. Although S2 parameters of the exteroceptive suppression of the masseter muscle were easily and completely obtained from the control subjects, in the PNE group S2 onset latency and duration were not recorded in 26% of the study children (n = 6) (P = 0.01). S2 duration time was significantly lowered in the enuretic group (left side: P = 0.001 and right side: P = 0.003). S2 duration time changes in the enuretic group supports a possible brainstem dysfuncti...
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2002
The aim of this study was to evaluate the sociodemographic and clinical features of children and ... more The aim of this study was to evaluate the sociodemographic and clinical features of children and adolescents with Tourette Disorder (TD) according to DSM-IV who are applied to our outpatient clinic and to determine clinical significance of relationship between the sociodemographic features and the severity of vocal, motor tics, and also to determine frequency of comorbid conditions and diagnosis according to DSM-IV. Twenty eight children and adolescents (23 boys, 5 girls) were included in this study. Sociodemographic features of cases were recorded and Beck Children Depression Inventory (CDI), Maudsley Obsessive Compulsive Questionnaire (MOCQ), Goetz Tics Evaluation Scale were administered to all children. Clinical features of TD and the comorbid diagnosis were assessed in detail through psychiatric interview according to DSM-IV. The mean age of the cases at the time of referral was 124 +/- 32 months. Twenty one of the cases (75%) had obsessive compulsive disorder, 4 of them (14.2%)...
The supportive clinical and pathophysiological data about the correlation between migraine and at... more The supportive clinical and pathophysiological data about the correlation between migraine and atopic disorders are far from a coincidence. In order to determine and investigate the correlates of atopic disorders in a specific dataset, we performed this retrospective cross-sectional clinical-based study. The dataset was composed from three tertiary center web-based databases (http://www.childhoodheadache.org). Headache diagnosis and differential diagnosis were made according to the International Classification of Headache Disorders, 2nd version and the Diagnostic Statistical Manual of Mental Disorders, 5th edition. Migraine with aura, migraine without aura, chronic migraine and episodic and chronic tension type headache (TTH) patients were included. All other causes of headache disorders, including comorbid headache disorders like migraine plus TTH or "possible" causes of headache, were excluded. The study included 438 patients with migraine and 357 patients with TTH, whose age and sex distribution were identical. After descriptive statistics accordingly, 80 migraine (18.2%) and 23 TTH (6.4%) patients were found to have specific atopic disorders (P < 0.001). Atopic disorders are more commonly reported in patients with migraine with aura (21.6%) than those with migraine without aura and TTH (P < 0.001). The most common atopic disorders were seasonal rhinitis, conjunctivitis and asthma. There was also a close correlation between TTH with atopic disorders and psychiatric comorbid disorders of the patients. Although the International Classification of Headache Disorders, 2nd version, does not specify, atopic disorders should be suspected in all migraine patients and their relatives, not only for accurate diagnosis but also for planning prophylactic medications, such as β-blockers.
We used a regression tree method (RTM) to determine risks of depression in children/adolescents. ... more We used a regression tree method (RTM) to determine risks of depression in children/adolescents. The survey records of 4,143 children/adolescents in a study based in Mersin, Turkey served as data in this study, and multi-step, stratified, and cluster sampling were used. Effects of 24 variables (sex, smoking, parental problems, etc.) were evaluated on depression scores. The Child Beck Depression Inventory (CBDI) was used to determine the level of depression. Subjects were into 12 different groups based on magnitudes of mean depression scores. The interactions among 7 variables determined to be risk factors are shown on a schema. The STATISTICA (ver.6.0) package program was used for all computations. Although traditional statistical methods have often been used for analysis in this field, such approaches are associated with certain disadvantages such as missing values, ignorance of interaction effects, or restriction of the shape of the distribution. To avoid such disadvantages, we th...
ALCOHOL USE PREVELANCE AND POTENTIAL RISK FACTORS IN ADOLESCENT: A SCHOOL- BASED AND SECTIONAL ST... more ALCOHOL USE PREVELANCE AND POTENTIAL RISK FACTORS IN ADOLESCENT: A SCHOOL- BASED AND SECTIONAL STUDY This study, which was designed as a cross-sectional study and implemented in 2002 in Mersin, aims at investigating the prevalence of the alcohol use by the secondary school and high school students and the factors of this prevalence. A total of 4143 students whose mean
Scandinavian Journal of Urology and Nephrology, 2003
The aim of this study was to determine the frequency of an increased hyperventilation (HV) respon... more The aim of this study was to determine the frequency of an increased hyperventilation (HV) response in the electroencephalogram and to compare the results of psychometric assessments and electroencephalography (EEG) patterns in children with and without primary monosymptomatic nocturnal enuresis and in dry siblings of enuretics. We also compared the results of psychometric assessments and EEG patterns between enuretic and non-enuretic children. The study included 89 children divided into three groups: 41 with primary monosymptomatic nocturnal enuresis, their 29 dry siblings and 19 with no history of voiding dysfunction (controls). Resting EEG changes were evaluated in all children. In addition to a psychiatric evaluation, the Maudsley Obsessive Compulsive Questionnaire, the Beck Child Depression Inventory and the State and Trait Anxiety Inventory for Children were used to assess obsessive-compulsive disorder, depression and anxiety, respectively. The time at which real words were first spoken occurred significantly later in enuretic children (p<0.01). The frequency of EEG abnormalities was significantly higher in the enuresis group and in their dry siblings than in the control group (p<0.01). Additionally, as an indicator of cortical dysmaturity, an increased HV response was observed more often in enuretic children and their dry siblings than in the control group (p<0.001). Anxiety scores for the enuretic children were higher than those for the controls (p<0.01). There was no significant difference in psychiatric problems between the enuresis and control groups (p>0.05). The increased frequency of a high-level HV response in resting-state EEG recordings and the anxiety scores suggested that delayed cortical maturity and high anxiety may be important factors in the pathogenesis of primary monosymptomatic nocturnal enuresis. The HV responses in the dry siblings of the enuretic children may emphasize the relationship between insufficient cerebral maturation and the genetic origin of nocturnal enuresis.
... Ödüllendirme yoksunluk sendromuna göre DEHB'liler; D2 reseptör yetersizliğinden dolayı... more ... Ödüllendirme yoksunluk sendromuna göre DEHB'liler; D2 reseptör yetersizliğinden dolayı dürtüsel ve kompulsif davranışlar, alkol ve madde bağımlılığı ... 8. Lo SK, Wang CC, Fang W. Physical Interpersonal Relationships and Social Anxiety among Online Game Players. ...
... Mutluluk 8.29±3.53 8.53±3.33 .48 ... engellerin özgüven geli-fliminde önemli oldu¤u vurgulanm... more ... Mutluluk 8.29±3.53 8.53±3.33 .48 ... engellerin özgüven geli-fliminde önemli oldu¤u vurgulanmfltr (Leonard 1991, Hahn-Smith ve Smith 2001, Toros ve ark. ... Glass ve arkadafllar (1981) yüzdeki farkllklarn sosyal ka-bûllenirli¤i olumsuz olarak etkileyebilece¤ini bildir-mifllerdir ...
Sickle cell anemia (SCA) is a chronic disease and it would be expected that the children with SCA... more Sickle cell anemia (SCA) is a chronic disease and it would be expected that the children with SCA are at high risk of developing psychosocial problems. In this study the authors intended to evaluate both the psychiatric problems among SCA patients and their families and put forward the relation between the clinical findings and psychiatric problems. Forty children were included in the study. The patients were classified according to their histories of painful crises in the past 1 year. The children who have had a history of painful crisis 1-4, 5-10, and over 10 times were classified as group 1, group 2, and group 3, respectively. The depression levels of the children in group 3 were higher than group 1 (P = .018). The state of the anxiety level of the children and Beck Anxiety Inventory of the mothers were higher in group 3 than in group 1 (P = .004). In addition, anxiety levels of the mothers who had children with social limitations and painful episodes were higher than the anxiety...
Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology, 2009
Although the vast majority of chronic headache is idiopathic in origin, child abuse can be a very... more Although the vast majority of chronic headache is idiopathic in origin, child abuse can be a very rare cause of paroxysmal headaches in children. The aim of this report was to present a case of migraine headache aggravated after sexual abuse, which did not respond to treatment. An 11-year-old girl admitted to the outpatient department of the Neurology Clinic with headache complaint for the past two years. Neurological examination, neuroimaging and laboratory tests were normal. According to the International Classification of Headache Disorders (ICHD)-II criteria, the headache was diagnosed as migraine without aura and treatment as prophylaxis was planned. Her headache did not respond to treatment, so she was consulted with the Department of Child and Adolescent Psychiatry and diagnosed as major depressive disorder. During one of the psychological interviews, she confessed that she had been sexually abused by her mother's boyfriend for two years. After this confession and punishm...
We investigated the brainstem integrity in children with primary nocturnal enuresis (PNE) using a... more We investigated the brainstem integrity in children with primary nocturnal enuresis (PNE) using auditory brainstem responses (ABR), blink reflex and exteroceptive suppression of the masseter muscle. We examined 23 children with PNE (16 male, 7 female; mean age: 10.4 years) and 19 control subjects (11 male, 8 female; mean age: 11.8 years). ABR parameters such as wave latencies, amplitudes and interpeak latencies and blink reflex parameters such as R1 and R2 amplitude and latencies were not significantly different between the 2 groups. Although S2 parameters of the exteroceptive suppression of the masseter muscle were easily and completely obtained from the control subjects, in the PNE group S2 onset latency and duration were not recorded in 26% of the study children (n = 6) (P = 0.01). S2 duration time was significantly lowered in the enuretic group (left side: P = 0.001 and right side: P = 0.003). S2 duration time changes in the enuretic group supports a possible brainstem dysfuncti...
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2002
The aim of this study was to evaluate the sociodemographic and clinical features of children and ... more The aim of this study was to evaluate the sociodemographic and clinical features of children and adolescents with Tourette Disorder (TD) according to DSM-IV who are applied to our outpatient clinic and to determine clinical significance of relationship between the sociodemographic features and the severity of vocal, motor tics, and also to determine frequency of comorbid conditions and diagnosis according to DSM-IV. Twenty eight children and adolescents (23 boys, 5 girls) were included in this study. Sociodemographic features of cases were recorded and Beck Children Depression Inventory (CDI), Maudsley Obsessive Compulsive Questionnaire (MOCQ), Goetz Tics Evaluation Scale were administered to all children. Clinical features of TD and the comorbid diagnosis were assessed in detail through psychiatric interview according to DSM-IV. The mean age of the cases at the time of referral was 124 +/- 32 months. Twenty one of the cases (75%) had obsessive compulsive disorder, 4 of them (14.2%)...
The supportive clinical and pathophysiological data about the correlation between migraine and at... more The supportive clinical and pathophysiological data about the correlation between migraine and atopic disorders are far from a coincidence. In order to determine and investigate the correlates of atopic disorders in a specific dataset, we performed this retrospective cross-sectional clinical-based study. The dataset was composed from three tertiary center web-based databases (http://www.childhoodheadache.org). Headache diagnosis and differential diagnosis were made according to the International Classification of Headache Disorders, 2nd version and the Diagnostic Statistical Manual of Mental Disorders, 5th edition. Migraine with aura, migraine without aura, chronic migraine and episodic and chronic tension type headache (TTH) patients were included. All other causes of headache disorders, including comorbid headache disorders like migraine plus TTH or "possible" causes of headache, were excluded. The study included 438 patients with migraine and 357 patients with TTH, whose age and sex distribution were identical. After descriptive statistics accordingly, 80 migraine (18.2%) and 23 TTH (6.4%) patients were found to have specific atopic disorders (P < 0.001). Atopic disorders are more commonly reported in patients with migraine with aura (21.6%) than those with migraine without aura and TTH (P < 0.001). The most common atopic disorders were seasonal rhinitis, conjunctivitis and asthma. There was also a close correlation between TTH with atopic disorders and psychiatric comorbid disorders of the patients. Although the International Classification of Headache Disorders, 2nd version, does not specify, atopic disorders should be suspected in all migraine patients and their relatives, not only for accurate diagnosis but also for planning prophylactic medications, such as β-blockers.
We used a regression tree method (RTM) to determine risks of depression in children/adolescents. ... more We used a regression tree method (RTM) to determine risks of depression in children/adolescents. The survey records of 4,143 children/adolescents in a study based in Mersin, Turkey served as data in this study, and multi-step, stratified, and cluster sampling were used. Effects of 24 variables (sex, smoking, parental problems, etc.) were evaluated on depression scores. The Child Beck Depression Inventory (CBDI) was used to determine the level of depression. Subjects were into 12 different groups based on magnitudes of mean depression scores. The interactions among 7 variables determined to be risk factors are shown on a schema. The STATISTICA (ver.6.0) package program was used for all computations. Although traditional statistical methods have often been used for analysis in this field, such approaches are associated with certain disadvantages such as missing values, ignorance of interaction effects, or restriction of the shape of the distribution. To avoid such disadvantages, we th...
ALCOHOL USE PREVELANCE AND POTENTIAL RISK FACTORS IN ADOLESCENT: A SCHOOL- BASED AND SECTIONAL ST... more ALCOHOL USE PREVELANCE AND POTENTIAL RISK FACTORS IN ADOLESCENT: A SCHOOL- BASED AND SECTIONAL STUDY This study, which was designed as a cross-sectional study and implemented in 2002 in Mersin, aims at investigating the prevalence of the alcohol use by the secondary school and high school students and the factors of this prevalence. A total of 4143 students whose mean
Scandinavian Journal of Urology and Nephrology, 2003
The aim of this study was to determine the frequency of an increased hyperventilation (HV) respon... more The aim of this study was to determine the frequency of an increased hyperventilation (HV) response in the electroencephalogram and to compare the results of psychometric assessments and electroencephalography (EEG) patterns in children with and without primary monosymptomatic nocturnal enuresis and in dry siblings of enuretics. We also compared the results of psychometric assessments and EEG patterns between enuretic and non-enuretic children. The study included 89 children divided into three groups: 41 with primary monosymptomatic nocturnal enuresis, their 29 dry siblings and 19 with no history of voiding dysfunction (controls). Resting EEG changes were evaluated in all children. In addition to a psychiatric evaluation, the Maudsley Obsessive Compulsive Questionnaire, the Beck Child Depression Inventory and the State and Trait Anxiety Inventory for Children were used to assess obsessive-compulsive disorder, depression and anxiety, respectively. The time at which real words were first spoken occurred significantly later in enuretic children (p<0.01). The frequency of EEG abnormalities was significantly higher in the enuresis group and in their dry siblings than in the control group (p<0.01). Additionally, as an indicator of cortical dysmaturity, an increased HV response was observed more often in enuretic children and their dry siblings than in the control group (p<0.001). Anxiety scores for the enuretic children were higher than those for the controls (p<0.01). There was no significant difference in psychiatric problems between the enuresis and control groups (p>0.05). The increased frequency of a high-level HV response in resting-state EEG recordings and the anxiety scores suggested that delayed cortical maturity and high anxiety may be important factors in the pathogenesis of primary monosymptomatic nocturnal enuresis. The HV responses in the dry siblings of the enuretic children may emphasize the relationship between insufficient cerebral maturation and the genetic origin of nocturnal enuresis.
... Ödüllendirme yoksunluk sendromuna göre DEHB'liler; D2 reseptör yetersizliğinden dolayı... more ... Ödüllendirme yoksunluk sendromuna göre DEHB'liler; D2 reseptör yetersizliğinden dolayı dürtüsel ve kompulsif davranışlar, alkol ve madde bağımlılığı ... 8. Lo SK, Wang CC, Fang W. Physical Interpersonal Relationships and Social Anxiety among Online Game Players. ...
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