Browsing by Author "Bilaç Ö."
Now showing 1 - 20 of 29
Results Per Page
Sort Options
Item Quality of life in children with dermatological diseases; [Çocuklarda dermatolojik hastaliklarda yaşam kalitesi](Istanbul Assoc. of Dermatology and Venerology, 2014) Bilaç C.; Bilaç Ö.; Öztürkcan S.Quality of life is a multidimensional measure that, besides personal health status, reflects personal well-being as well. A number of quality of life scales for children and adolescents have been developed. The measurement of quality of life in children is different from measuring quality of life of adults. Knowledge of the this difference related to child development stages is important for researchers who improve and use the quality of life scales. Most studied have been performed on the quality of life in children with dermatological diseases, such as atopic dermatitis and psoriasis, as well as alopecia areata, dermatomyositis, ectodermal dysplasia, photosensitivity disorders, molluscum contagiosum, neurofibromatosis, and vitiligo. In this paper, we reviewed the literature on the quality of life in children with dermatologic diseases.Item DSM-5 level 2 sleep disorders scale validity and reliability of Turkish form (Form for children aged 11–17 years and parent form for children aged 6–17 years)(Turkish Neuropsychiatric Society, 2018) Erkuran H.Ö.Z.E.K.; Yalin Sapmaz Ş.; Herdem A.; Öztürk M.; Bilaç Ö.; Önen Ö.; Uzel Tanriverdi B.; Köroğlu E.; Aydemir Ö.Introduction: This study aimed to assess the validity and reliability of Turkish version of DSM-5 Level 2 Sleep Disorders Scale. Method: The scale was prepared by translation and back translation of DSM-5 Level 2 Sleep Disorders Scale. Study groups consisted of a clinical sample that contained cases that had sleep related problems and treated in a child and adolescent psychiatry unit and also a community sample. In the assessment process, child and parent forms of DSM-5 Level 2 Sleep Disorders Scale and also Children’s Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI) were used. As for reliability analyses, internal consistency coefficient and item-total score correlation analysis, test-retest reliability; and for validity analyses, explanatory factor analysis and for concurrent validity, correlation analyses with Children’s Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI) were made. Results: In reliability analyses, Cronbach’s alpha internal consistency coefficient values were found to be very highly reliable regarding child and parent forms. Item-total score correlation coefficients were high for child form while medium and high for parent form; indicating a statistical significance. As for construct validity, two factors were maintained that would count for 74.1% of the variance in child form and 66.9% of the variance in parent form. It was seen that positive and negative statements weighed on two different factors. As for concurrent validity, child and parent form of the scale showed significant correlation with Children’s Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI). Conclusion: It was found that Turkish version of DSM-5 Level 2 Sleep Disorders Scale could be utilized as a valid and reliable tool both in clinical practice and for research purposes. © 2017 by Turkish Association of Neuropsychiatry.Item A clinical and sociodemographic evaluation of youths with substance use disorders in a child and adolescent inpatient unit of mental health hospital; [Bir bölge ruh sağlığı hastanesi çocuk ve ergen yataklı servisinde madde kullanımı nedeniyle yatarak tedavi gören gençlerin klinik ve sosyodemografik özellikleri](ANP Publishing, 2019) Bilaç Ö.; Kavurma C.; Önder A.; Doğan Y.; Uzunoğlu G.; Ozan E.Objective: The aim of this study was to evaluate the demographic and clinical data of substance users who were intreatment in Mental Health Hospital Child and Adolescent Psychiatry Inpatient Department. Method: Medical records of substance user patients treated between 2014 and 2017 in Inpatient Child Psychiatry Unit of Mental Health Hospital were examined retrospectively. SPSS 20.00 Statistical Package Program was used for statistical analysis. Results: Ninety-two substance user child and youth had been treated. The median age of cases was 15,4 (SD±1,4), the onset age of substance use was 13,1 (SD±1,4). 68,5% of these case is male gender and 31,5% is female. The most common substance used is marijuana and extacy (62%), the substance user youth have met with the substance around friends (90,2%). Living conditions were found to be lower socioeconomic level (50%). Discussion: According to our clinic results, substance use is an important problem affecting youths, especially at lower socioeconomic level and male adolescents. Our study represents only the clinical sample, so there is a need for more community-based epidemiological studies. © 2019 ANP Publishing. All rights reserved.Item The relationship between physical restraint and the diagnosis and drug use in the patients receiving inpatient treatment in a child and adolescent psychiatry clinic; [Bir çocuk ve ergen psikiyatrisi kliniğinde yatarak tedavi gören hastalarda fiziksel tespitin tanı ve ilaç kullanımı ile ilişkisi](Cukurova University, Faculty of Medicine, 2019) Önder A.; Sürer Adanir A.; Kavurma C.; Bilaç Ö.; Bölük Uzunoğlu G.; Yalin Sapmaz Ş.; Gizli Çoban Ö.Objective: The aim of this study is to evaluate the characteristics such as the diagnosis and medication of the physically restrained patients in our inpatient unit, which is one of the few inpatient units for children and adolescents in Turkey, and the effect of the physical restraint on the treatment of them. Methods: The medical records of 102 inpatients treated in our mental health hospital during the year 2016 had been retrospectively reviewed. Patients who were restrained at least once during the hospitalization period were compared with patients who were not, in terms of diagnosis, medication, presence of comorbidity, duration of hospitalization and the way of discharge. Results: Comparing the groups that were restrained and not restrained, it was found that multiple drug use was more common in the restrained group. The use of antipsychotics, anxiolytics and mood stabilizer drugs and haloperidol-biperiden injections were found to be significantly higher in the restrained group. The rate of multiple psychiatric diagnoses was significantly higher and major depression, conduct disorder, bipolar disorder and self-injurious behaviors were more frequent in the restrained group. Although the duration of hospitalization for both groups was similar, discharge with the request of the family or caregivers before the end of treatment was more frequent in the restrained group. Clinical global improvement scores were lower in the restrained group. Discussion: There are many differences in terms of diagnosis, medication and the way of discharge between the restrained and non-restrained groups. More strategies are needed to reduce the restriction rates. (Anatolian Journal of Psychiatry 2019; 20(5):530-538). © 2019, Cukurova University, Faculty of Medicine. All rights reserved.Item Evaluation of the parental attitudes, parental competency and attachment styles of the mothers of the children at pre-school period who were admitted to child psychiatry; [Okul öncesi dönemde çocuk psikiyatrisi polikliniği'ne başvuran çocukların annelerinin tutumlarının, yeterliliklerinin ve bağlanma biçimlerinin değerlendirilmesi](ANP Publishing, 2020) Bilaç Ö.; Önder A.; Kavurma C.; Doğan Y.; Uzunoğlu G.; Isildar Y.; Sapmaz Ş.Y.Objective: In this study we aimed to evaluate attitudes, attachment styles to their husbands and competence perceptions of the mothers towards their children's problems whose children were at pre-school period with no cognitive developmental delay. Method: Fourty children and their mothers were included into the study. The children were chosen among those who were aged between 0-72 months and had no developmental delay which was found out as a result of developmental test. As the control group, another 40 children and their mothers were included into the study. Child Adjustment and Parent Efficacy Scale (CAPES-TR) and Parent Attitude Research Instrument (PARI) were handed out to mothers in both groups. Finally, Experiences in Close Relationship Revised (ECC-R) was applied to mothers of both groups. SPSS20 was used for statistical analysis. Results: According to CAPES-TR results, emotional, behavioural and social problems in the group that were admitted to psychiatry clinic were higher than control group (p<0.05). According to same scale, mothers' self-confidence was found significantly lower (p<0.05). According to PARI results, the score of the group that applied to clinic for over-motherhood reasons was found higher (p<0.05). Likewise, authoritative attitude score was found higher in patient group (p<0.05). Discussion: The results of this study share similarities with other studies which found out that parental child-rearing attitude presents a risk factor for behavioural problems among children. © 2020 ANP Publishing. All rights reserved.Item Evaluation of the Role of Inflammation in Specific Learning Disabilities; [Özgül Öğrenme Güçlüğünde Enflamasyonun Rolünün Değerlendirilmesi](Galenos Publishing House, 2021) Bilaç Ö.; Tahıllıoğlu H.A.; Önder A.; Kavurma C.Objectives: Specific Learning Disorder (SLD) is a disorder in which academic abilities are incompatible with age and intelligence, and whose etiology is not fully elucidated. The aims of this study were to investigate the role of inflammation in the etiopathogenesis of SLD and to examine whether inflammation parameters were useful biomarkers for detecting SLD. Materials and Methods: Data of 31 patients between the ages of 7 and 14 years, who were followed-up with the diagnosis of SLD from the pediatric psychiatry outpatient clinic and whose hemogram test results were available, and 33 healthy controls in the same age range, with hemogram test results, were retrospectively analyzed. Neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio (PLR) values were calculated from hemogram tests. In addition to these values, blood neutrophil, lymphocyte, platelet, erythrocyte counts, and hemoglobin values were compared between the two groups. Results: NLR, neutrophil and lymphocyte values were found to be significantly higher in children with SLD than in healthy controls (p=0.001; p=0.033; p=0.030, respectively). Hemoglobin, erythrocyte, platelet and PLR values did not differ significantly between the two groups. Although the NLR values were significantly different between the groups, NLR did not have a significant effect on the determination of being SLD. Conclusion: Although the findings show that NLR does not have an effect on SLD, inflammatory markers such as NLR and PLR may also be involved in the etiology of SLD and follow-up studies with larger samples are needed in this area. © 2021 Türkiye Çocuk ve Genç Psikiyatrisi Derneği / Çocuk ve Gençlik Ruh Sağlığı Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.Item Who predict ADHD with better diagnostic accuracy?: Parents or teachers?(Taylor and Francis Ltd., 2021) Tahıllıoğlu A.; Bilaç Ö.; Uysal T.; Ercan E.S.Objective: The objectives of the study were to determine which parents or teachers predict attention-deficit/hyperactivity disorder (ADHD) better in children and adolescents, and to detect both diagnostical and symptomatological agreement levels across informant reports. Method: A total of 417 cases aged 6–14 from a non-referred community sample were assessed by a semi-structured interview, parent- and teacher-rated ADHD Rating Scale-IV. Also, impairment criteria were taken into account to ensure the gold standard diagnosis for ADHD. The measures of sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were calculated in each categorical sample. Besides, the agreement between parent and teacher reports of ADHD was investigated. Results: Parents and teachers had similar diagnostic accuracy for predicting ADHD. Both parents and teachers predicted ADHD in similar accuracy in both boys and girls, separately. However, girls were found to be more predictable by both parents and teachers compared to boys. Parents with lower education levels had worse diagnostic accuracy than both parents with higher education levels and teachers. Low to moderate agreement and correlations between parent and teacher ADHD reports were detected. Conclusion: In general, parents and teachers seem to predict ADHD in similar accuracy. Nevertheless, child gender and parental education level may alter the predictability power for ADHD. The findings can guide for clinicians that how to evaluate observation reports of parents and teachers to make accurate ADHD diagnosis in patients. © 2021 The Nordic Psychiatric Association.Item Validity and reliability of the internalized stigma of Mental Illness Scale–Adolescent Form(John Wiley and Sons Inc, 2021) Dikeç G.; Bilaç Ö.; Uzunoğlu G.; Ozan E.Purpose: The goal of this study was to assess the validity and reliability of the Turkish version of the Internalized Stigma of Mental Illness Scale–Adolescent Form (ISMI-AF). Methods: A total of 145 adolescents (12–18 years of age) who were diagnosed with at least one mental disorder according to DSM-5-TR participated in the study. Data were collected at a mental health hospital between October 2017 and 2019 using a sociodemographic information form, the ISMI-AF, and Beliefs towards Mental Illness (BMI) Scale. Reliability (Cronbach's alpha, Split–Half, Spearman–Brown, Hotelling T2 test) and validity analyses of the ISMI-AF were performed. SPSS 26.0 and LISREL 8.80 software were used for statistical analyses. Results: The Cronbach's alpha coefficient for total score was.88, Split–Half score was.84, and the Spearman–Brown factor score was.85. Confirmatory factor analysis showed that the scale confirmed to the five-factor structure in adolescents, but factor loadings and reliability coefficients were low in the “stigma resistance” subscale. There was a positive and weak correlation between ISMI-AF and BMI (r =.37, p =.00). Conclusion: The ISMI-AF is a valid and reliable measurement tool that can be used in adolescents. This scale can help psychiatric nurses who work in this field identify and address internalized stigma, which is one of the key factors affecting adherence to treatment, especially in adolescents. © 2020 Wiley Periodicals LLCItem Evaluation of Quality of Life and Psychiatric Comorbidity in Adolescents with Social Media Addiction; [Ergenlerde Sosyal Medya Bağımlılığında Yaşam Kalitesi ve Psikiyatrik Komorbiditenin Değerlendirilmesi](Istanbul Universitesi, 2021) Hamidi F.; Tahıllıoğlu A.; Bilaç Ö.; Önder A.Objective: The time spent on social media and smartphones by children and adolescents has increased in recent times. The problematic use of social media can be the cause or result of many problems such as depression, anxiety disorder, academic failure, and social phobia. Despite its close relationship with psy-chopathologies, the problematic use of social media is often not evaluated during a psychiatric interview. In this study, we aimed to evaluate the quality of life and psychiatric comorbidities in adolescents with social media addiction. Methods: This study included 30 adolescents who received a score of 5 or higher from the Social Media Addiction Scale for Adolescents-Short Form. The Quality of Life Scale for Children was applied to adolescents and their parents in both the groups. In the analysis of the data, number, percentage, mean, standard deviation, Mann–Whitney U test, and Spearman’s correlation test were used in the Statistical Package for the Social Sciences version 20.0 program. Results: The mean ages of the adolescents with social media addiction and control group were 13.5 ± 1.8 and 13.4 ± 1.73 years, respectively. When the adolescents with and without social media addiction were compared in terms of quality of life, physical health, psychosocial, and total scores, there were significant differences according to both parental and self-reports (P < .05). Psychiatric diagnoses were also found higher in adolescents with social media addiction (P < .001). Conclusion: Our research can be a guide for identifying the risks and problems that may arise from problematic social media use and for the preventive and treatment medicine studies in this field. © Istanbul Universitesi. All rights reserved.Item The eating attitudes, sleep and personality characteristics, and effects of on acne severity in adolescents with acne vulgaris(2021) Bilaç Ö.; Bilaç C.; Tahıllıoğlu A.; Uzun A.D.; Dilcan M.; Önder A.; Kavurma C.; Uzunoğlu G.Background: Acne vulgaris (AV) is a very common dermatological problem during adolescence. It is reported that it has a multifactorial etiology and nutritional attitudes, insufficient and poor-quality sleep may cause increased severity of AV. Aim: We aimed to investigate the sleep, eating attitudes and personality traits, and their effects on acne severity in adolescents with acne. Methods: The study sample was formed of 37 adolescent girls aged 12–18 years who presented at the University Dermatology Clinic and were diagnosed with AV and 37 adolescents without AV-matched age and gender. Eating attitude test, Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) Personality Inventory Child Form, and child and parent forms of DSM-5 Level 2 Sleep Disorders were applied to in both groups. The AV severity assessed by using the Global Acne Grading Scale (GAGS). Psychiatric diagnosis was excluded with clinical interview according to the Schedule for Affective Disorders and Schizophrenia for school-aged children: Present and Lifetime Version (K-SADS-PL-DSM-5-T). Results: The mean age of adolescents with and without AV was 15.3 (standard deviation [SD] = 1.7), 15.4 (SD = 1.8), respectively. The mean disease duration of adolescents with AV was 20.4 (SD = 15.2) months, and the mean GAGS score was 23.24 (SD = 9.4). It was determined that eating attitudes, sleep, and personality characteristics of adolescents were similar in both groups. Eating attitudes, sleep, and personality characteristics had no direct effect on acne severity. Conclusion: Although this study demonstrates that eating attitudes, sleep, and personality characteristics were similar in adolescents with and without AV and these variables had no effect on acne severity, these results may have been obtained because of the severity scores of adolescents with AV were “moderate.” There is a need for researches examining these variables in adolescents with “severe” AV. © 2021 Turkish Journal of Dermatology.Item Child Revised Impact of Event Scale (CRIES): Validity and Reliability Study of Turkish Version; [Revize Edilmiş Çocuk Olayın Etkisi Ölçeği (CRIES): Türkçe Geçerlilik ve Güvenilirlik Çalışması](2021) Çeri V.; Hamidi F.; Çakır B.; Bilaç Ö.; İz M.; Ay İz F.B.; Aydemir Ö.Objective: Posttraumatic stress disorder develops in a significant portion of children exposed to traumatic experiences, and it has been reported that there are cases in whom posttraumatic stress disorder has not been detected and treated for many years. In this study, we aimed to evaluate the Turkish validity and reliability of the “Revised Child Event Effect Scale,” which was previously shown to be effective in detecting posttraumatic stress disorder and is used globally. Methods: In our study, 67 children, between the ages of 10 and 24 years, who reported traumatic injury and 275 children who did not describe any traumatic experiences were included. The Children’s Revised Impact of Event Scale and the Child Posttraumatic Stress Disorder Symptom Scale in children and adoles-cents, respectively, were applied to the participants. Results: The original 3-factor structure was repeated in this study, and the internal consistency of the scale was found to be 0.85. The correlations of the scale items with the total score ranged from 0.35 to 0.65. The correlation of Children’s Revised Impact of Event Scale with Child Posttraumatic Stress Disorder Symptom Scale was found to be 0.58; thus, it was found that the Children’s Revised Impact of Event Scale has a similar validity as Child Posttraumatic Stress Disorder Symptom Scale, which indicates that Children’s Revised Impact of Event Scale successfully distinguishes individuals with posttraumatic stress disorder from individuals without posttraumatic stress disorder. Conclusion: The Turkish version of the Revised Child Event Impact Scale has sufficient validity and reliability and can help detect posttraumatic stress disorder in children exposed to traumatic experiences. © Children and War Foundation, 1998. Ceri et al. 2020.Item Which factors affect internalized stigmatization in adolescents with mental disorders?(John Wiley and Sons Inc, 2022) Dikeç G.; Bilaç Ö.; Kardelen C.; Sapmaz Ş.Y.; Kandemir H.Purpose: The aim of this descriptive study was to determine the factors affecting internalized stigmatization of adolescents with mental disorders. Method: The study data were collected in a university hospital between August 1, 2020 and July 30, 2021 (n = 123), using a Personal information form and the Internalized Stigmatization of Mental Illness-Adolescent Form (ISMI-AF). Results: Gender and the number of hospitalizations were determined to be independent variables with explanatory power in the ISMI-AF, and in the model created with these variables, it was determined that these variables explained 18% of the change in the total points of the ISMI-AF. Conclusions: It could be recommended that psychosocial programs are developed with the aim of decreasing internalized stigmatization and increasing the psychological resilience of adolescents. © 2022 Wiley Periodicals LLC.Item Factors That Affect Methylphenidate Treatment Adherence in Attention Deficit Hyperactivity Disorder: A Retrospective Study; [Dikkat Eksikliği Hiperaktivite Bozukluğunda Metilfenidat Tedavisine Uyumu Etkileyen Faktörler: Retrospektif Bir Çalışma](Galenos Publishing House, 2022) Kale M.K.; Yalın Sapmaz Ş.; Erten T.; Akar E.; Bilaç Ö.; Kandemir H.Objectives: In our research, we aimed to determine treatment adherence and examine socio-demographic and clinical factors that affect it in pediatric patients firstly given medical treatment for the diagnosis of attention deficit hyperactivity disorder (ADHD). Materials and Methods: Between 2018 and 2020, children and adolescents who were first diagnosed with ADHD were enrolled in our study and factors that affect treatment adherence were investigated. A data form including socio-demographic, ADHD and clinical data of patients was created. Those data were extracted by retrospective search of clinical records. Patients who continued the treatment for six or more months were accepted as adherent, those who did not continue were accepted as non-adherent. Factors affecting treatment adherence were evaluated. Results: Three hundred and thirty-eight patients were included in our research. At the end of the sixth month, adherence rate was 48.2%. The average age was higher in the non-adherent group. Between the adherent and non-adherent groups, age, psychiatric disorder and psychiatric treatment in family, time of the onset of side effects, presence of comorbid destructive behavior disorders, presence of multiple comorbid disorders, and change in academic achievement with treatment were statistically significant differences. As a result of the regression analysis, the relationship between the presence of psychiatric disorders in the family, change in the course success with treatment, time of the onset of side effects and treatment compliance remained significant in the model. Conclusion: After the diagnosis of ADHD, age, psychiatric disorder and treatment in family, time of the onset of side effects, change in course success with treatment, presence of comorbid destructive behavior disorders, and presence of multiple comorbid disorders could affect the treatment adherence. This situation should not be ignored when the treatment was started to patients. © Telif Hakkı 2022.Item Perceptions and Experiences of Adolescents with Mental Disorders and Their Parents about Psychotropic Medications in Turkey: A Qualitative Study(MDPI, 2022) Dikec G.; Kardelen C.; Pilz González L.; Mohammadzadeh M.; Bilaç Ö.; Stock C.This descriptive phenomenological study aimed to evaluate the perception and experiences of adolescents with mental disorders and their parents about the use of and adherence to psychotropic medications. A total of 12 semi-structured interviews with adolescents between the ages of 12 to 18 who were attending an outpatient psychiatric clinic for children and adolescents and 12 interviews with parents were conducted between October 2021 and January 2022 in Manisa, Turkey. Colaizzi’s phenomenological interpretation method was used for the analysis of the participants’ statements. Our study highlights the main positive effects of psychotropic medication and barriers to medication intake and adherence. Positive effects included symptom management and health improvement. Barriers varied from those directly linked to medication effects (e.g., negative side effects or lack of perceived effect) to personal barriers (e.g., forgetting to take medication or feelings of not being oneself due to medication intake) and societal barriers. In general, the barriers were reflected in concerns related to long-term consequences, such as medication dependence, and in concerns about diminished life prospects. Possible recommendations to improve the use of and adherence to psychotropic medication among adolescents include educating adolescents and parents not only about treatment options but also about mental disorders. © 2022 by the authors.Item Do We Learn to Internalize Stigma from Our Parents? Comparison of Internalized Stigmatization in Adolescents Diagnosed with ADHD and Their Parents(Multidisciplinary Digital Publishing Institute (MDPI), 2022) Dikeç G.; Bilaç Ö.; Kardelen C.; Sapmaz Ş.Y.This study compared internalized stigmatization levels of adolescents diagnosed with attention deficit and hyperactivity disorder (ADHD) with those of their parents. The study’s data were collected from 107 adolescents diagnosed with ADHD and their parents between July 2020 and March 2021. The adolescents were followed up in the child and adolescent psychiatry outpatient clinic of a university hospital in western Turkey. The information forms for adolescents and parents, the Internalized Stigma of Mental Illness Scale—Adolescent Form (ISMI-AF) and the Parental Internalized Stigma of Mental Illness Scale (PISMI), were used to collect the data. There was no statistically significant difference between the total scores of internalized stigma and subscale mean scores of the adolescents and their parents (p > 0.05); only the subscale scores for stereotype endorsement were found to be significantly different (p < 0.05). PISMI scores affected ISMI-AF scores, which can be interpreted as parents’ perspectives and attitudes toward stigmatization affecting adolescents. For ADHD, whose frequency is increasing daily, intervention studies should be conducted to reduce adolescents’ and parents’ internalized stigma and to enhance the educational outcomes of adolescents. © 2022 by the authors.Item Self-Harm in Children and Adolescents Who Presented at Emergency Units During the COVID-19 Pandemic: An International Retrospective Cohort Study(Elsevier Inc., 2023) Wong B.H.-C.; Cross S.; Zavaleta-Ramírez P.; Bauda I.; Hoffman P.; Ibeziako P.; Nussbaum L.; Berger G.E.; Hassanian-Moghaddam H.; Kapornai K.; Mehdi T.; Tolmac J.; Barrett E.; Romaniuk L.; Davico C.; Moghraby O.S.; Ostrauskaite G.; Chakrabarti S.; Carucci S.; Sofi G.; Hussain H.; Lloyd A.S.K.; McNicholas F.; Meadowcroft B.; Rao M.; Csábi G.; Gatica-Bahamonde G.; Öğütlü H.; Skouta E.; Elvins R.; Boege I.; Dahanayake D.M.A.; Anderluh M.; Chandradasa M.; Girela-Serrano B.M.; Uccella S.; Stevanovic D.; Lamberti M.; Piercey A.; Nagy P.; Mehta V.S.; Rohanachandra Y.; Li J.; Tufan A.E.; Mirza H.; Rozali F.; Baig B.J.; Noor I.M.; Fujita S.; Gholami N.; Hangül Z.; Vasileva A.; Salucci K.; Bilaç Ö.; Yektaş Ç.; Cansız M.A.; Aksu G.G.; Babatunde S.; Youssef F.; Al-Huseini S.; Kılıçaslan F.; Kutuk M.O.; Pilecka I.; Bakolis I.; Ougrin D.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. © 2023 American Academy of Child and Adolescent PsychiatryItem Evaluation of Screen Time in Children and Adolescents Diagnosed with Attention Deficit Hyperactivity Disorder During the COVID-19 Pandemic; [COVID-19 Salgın Sürecinde Dikkat Eksikliği Hiperaktivite Bozukluğu Tanılı Çocuk ve Ergenlerde Ekran Sürelerinin Değerlendirilmesi](Galenos Publishing House, 2023) Uzun Çakır A.D.; Sapmaz Ş.Y.; Çakır B.; Kale M.K.; Bilaç Ö.; Kandemir H.Objectives: Our aim is to understand how children/adolescents diagnosed with attention deficit hyperactivity disorder (ADHD) and their parents are affected by the pandemic process. Materials and Methods: The healthy children diagnosed with ADHD and without any complaints or psychiatric disorders and the parents of the whole group were included in the study. Data were collected using the information form, the hospital anxiety depression scale (HADS), the revised child anxiety and depression scale-child version (R-CADS). The information form and HADS were filled in by the parents, and R-CADS by the children. A total of 131 people with 62 ADHD were included in the study. Results: In both groups, it was observed that screen and sleep time increased, and social and physical activity time decreased. There was no difference between the two groups in terms of anxiety and depression scores. Conclusion: The similarity of the psychological effects in the ADHD group with the general population during the pandemic may be due to they are under treatment. Although the screen time both groups increased significantly compared to the pre-pandemic period, no significant difference was found between the groups. More research on pediatric psychiatric disorders in times of pandemics is necessary. © 2023, Galenos Publishing House. All rights reserved.Item Factors Affecting Colchicine Adherence in Pediatric Familial Mediterranean Fever(Galenos Publishing House, 2023) Önder E.N.A.; Ensari E.; Bilaç Ö.; Ertan P.Aim: Familial Mediterranean Fever (FMF) is the most frequent monogenetic autoinflammatory disorder. It is characterized by fever and serositis. The first line treatment of FMF is colchicine. Adherence to colchicine is one of the main factors affecting colchicine response. In this study, we aimed to evaluate drug adherence in children with FMF using the medication adherence scale in FMF (MASIF). We also assessed the clinical characteristics of drug-adherent patients and factors affecting drug adherence. Materials and Methods: Eighty-two children with FMF under colchicine therapy were included in this cross-sectional observational study. The patients were divided into two groups according to medication adherence and compared according to their demographic and clinical data. Results: According to MASIF, 31 (38%) patients had non-adherence to colchicine. There was a significant difference between the colchicine-adherent and non-adherent groups in terms of age, disease severity according to the International severity score for FMF, attack rate, colchicine dosage, M694V homozygosity, and family type (p=0.005, p=0.04, p=0.025, p=0.045, p=0.04, and p=0.046, respectively). Conclusion: Patients with FMF should be questioned about their medication adherence at every visit, and children with a high risk of colchicine non-adherence should be followed up more closely. © Copyright 2023 by Ege University Faculty of Medicine, Department of Pediatrics and Ege Children’s Foundation The Journal of Pediatric Research, published by Galenos Publishing House.Item Is There Any Risk for Metabolic Syndrome in Children and Adolescents with Psychiatric Disorders?(S. Karger AG, 2023) Bilaç Ö.; Tahlllloǧlu A.; Çaklr B.; Kavurma C.; Önder A.; Ercan E.S.Objective: We aimed to investigate the risk of antipsychotic drug treatment in the development of metabolic syndrome (MetS) in children and adolescents and to determine which psychiatric disorder is more associated with MetS in the pediatric population. Methods: The sample consisted of 118 children and adolescents (88 used psychotropic medication). The hemogram, fasting blood glucose, lipid profile, weight, and blood pressure levels of all the participants and information regarding medication doses of the patient group at the sixth month of the treatment process were obtained. Results: Bipolar disorder (BPD) was the only psychiatric disorder associated with MetS. Quetiapine and valproic acid were found to have increasing effects on MetS. Weight gain and the increase in systolic and diastolic blood pressure significantly increased the likelihood of MetS. Hierarchical logistic regression analyses revealed that quetiapine increased the risk of MetS through weight gain, and valproic acid increased MetS risk through systolic blood pressure. Conclusion: Especially BPD and psychotropic use in children and adolescents disrupt metabolic regulation and pose a risk for MetS. Determining the risk factors causing MetS, especially in children and adolescents, plays a significant role in preventing mortality and morbidity at advanced ages. © 2023 S. Karger AG. All rights reserved.Item ADHD and its associations with pregnancy, birth, developmental and medical-related characteristics(Springer, 2023) Yüksel A.E.; Doğan N.; Tahıllıoğlu A.; Bilaç Ö.; Uysal T.; Ercan E.S.This study aimed to examine possible associations between Attention-Deficit/Hyperactivity Disorder (ADHD) and pregnancy-related, birth-related, developmental, medical, and surgical history characteristics. The sample was derived from a non-referred community sample aged 6 to 14. 91 cases with ADHD and 264 without any psychopathology were compared in terms of psychological and physical problems in pregnancy, mode of delivery, birth complications, developmental stages, injuries, medical and surgical diseases. A semi-structured clinical interview was applied to diagnose the children. ADHD Rating Scale-IV (ADHD-RS-IV) was completed by the parents. Male gender, delay in talking time, and physical injury history predicted increased risks for ADHD. Although having any surgery, and in particular, tonsillectomy did not predict ADHD, inguinal hernia surgery alone predicted an increased risk for ADHD even when controlled for gender. Psychological problems during pregnancy were associated with elevated inattention (IN) and hyperactivity-impulsivity (HI) scores, but not associated with ADHD as a diagnosis. Elevated IN scores but not HI scores were associated with a physical injury history. Although the mode of delivery and physical disease history were not associated with ADHD, asthma increased the likelihood for higher HI scores. The findings have crucial clinical implications that address several points. The findings suggest ADHD may have associations with some negative neurodevelopmental, medical, and surgical history characteristics. The predictivity of inguinal hernia surgery for ADHD might depend on the exposure to general anesthesia at younger ages. Hence, children who had these features should carefully be screened for ADHD. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.