Browsing by Author "Yalin Sapmaz, S"

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    Diagnostic and treatment process in a 12-year old adolescent with Kleine-Levin Syndrome: a case presentation
    Özek Erkuran, H; Aydin Asik, E; Yalin Sapmaz, S
    Kleine-Levin Syndrome (KLS) is a rare and frequently misdiagnosed disorder with typical onset at adolescence and a male dominance that is presented with hypersomnia, hyperphagia, dysinhibitated behavior and perceptive abnormalities. Even though increasing number of researches have been conducted to shed a light on its etiology, no clear underlying mechanism have yet been identified. Similar to relatively small information about etiology of the disorder, no specific treatment technique has been identified to successfully eliminate the phenomenon; however treatment options that target symptom relief and decline in frequency of episodes have been present. This case report aimed to present the clinical course of a 12 year old adolescent with KLS who was successfully treated with a combination of carbamazepine and short-acting methylphenidate that was used during episodes, along with discussion of relevant literature.
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    Metabolic syndrome and features in children and adolescents diagnosed with mood disorders and psychotic disorders
    Kavurma, C; Kara, H; Yalin Sapmaz, S; Öztürk Kara, D; Önder, A
    Objective: Metabolic syndrome (METS) is described as cluster of risk factors including central obesity, hypertension, low high-density lipoprotein (HDL), hypertriglyceridemia and hyperglycemia. The prevalence of METs has been associated with increased symptom severity and antidepressants utilization in many psychopathologies among adult population. We aimed to evaluate the effect of psychopathologies and antipsychotics in METs development, additionally to determine METs characteristics in children and adolescents diagnosed with bipolar and psychotic disorders. Methods: Thirty children and adolescents aged between 13-20 years old of whom were diagnosed with bipolar mood disorders, schizophrenia, schizoaffective disorder and schizophreniform according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Text Revision (DSM-IV-TR) criteria were compared with a 30 healthy children and adolescents in present study. The anthropometric measurements including body weight, height, body mass index (BMI), waist circumference (WC) as well as blood pressure measurements were documented. In addition, total cholesterol, triglyceride (TG), HDL, low-density lipoprotein (LDL) and fasting blood glucose (FBG) levels were measured and METs assessed according to the IDF (International Diabetes Foundation) criteria in participants. Results: Overall the prevalence of METs was 20% (n=12) in our study. Among the METs patients, nine were (27%) in the case group, three were (10%) were in control group. The mean BMI, body weight, WC, serum TG and FBG values of the METs group were found to be statistically higher than the healthy control group. Moreover it was also found that utilization of mood-stabilizing drugs has a statistically significant effect on the development of METs. Conclusion: Psychopathologies and antipsychotic utilization have associated with an increased risk for the development of metabolic disorders and METs in the children and adolescents population. In this respect our findings may provide a new approach with the management of treatment strategies particularly in children and adolescents with high risk of METs.
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    Validity and reliability of the Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale for children aged 11-17 years
    Yalin Sapmaz, S; Özek Erkuran, H; Ergin, D; Öztürk, M; Sen Celasin, N; Karaarslan, D; Aydemir, Ö
    Background/aim: This study aimed to assess the validity and reliability of the Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form. Materials and methods: The study sample consisted of 32 patients treated in a child psychiatry unit and diagnosed with generalized anxiety disorder and 98 healthy volunteers who were attending middle or high school during the study period. For the assessment, the Screen for Child Anxiety and Related Emotional Disorders (SCARED) was also used along with the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form. Results: Regarding reliability analyses, the Cronbach alpha internal consistency coefficient was calculated as 0.932. The test-retest correlation coefficient was calculated as r = 0.707. As for construct validity, one factor that could explain 62.6% of the variance was obtained and this was consistent with the original construct of the scale. As for concurrent validity, the scale showed a high correlation with SCARED. Conclusion: It was concluded that Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes.
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    Validity and reliability of the Turkish version of DSM-5 Level 2 Repetitive Thoughts and Behaviors Scale-Child Form
    Yalin Sapmaz, S; Özek Erkuran, H; Aydemir, Ö
    Objective: This study aimed to assess the validity and reliability of the Turkish version of DSM-5 Level 2 Repetitive Thoughts and Behaviors Scale-Child Form. Methods: The scale was prepared by carrying out the translation and back translation of DSM-5 Level 2 Repetitive Thoughts and Behaviors Scale -Child Form. Study group consisted of 37 patients that have been treated in a child psychiatry unit and diagnosed with obsessive-compulsive disorder and 32 healthy volunteers that were attending middle or high school during the study period. For reliability analyses, internal consistency coefficient and item-total score correlation analysis and for validity analyses, explanatory factor analysis was made and the discriminative quality of the scale regarding community and clinical samples were shown with ROC Curve. Results: Regarding reliability analyses, Cronbach's alpha internal consistency coefficient was calculated as 0.910 while item-total score correlation coefficients were measured between 0.674 and 0.878. Test-retest correlation coefficient was calculated as r=0.928. As for construct validity, a factor that could explain 73.5% of the variance was obtained. In ROC analysis, area under ROC curve was calculated as 0.956. Conclusion: It was concluded that Turkish version of DSM-5 Level 2 Repetitive Thoughts and Behaviors Scale-Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes.
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    Reliability and validity of Turkish form of SCOFF Eating Disorders Scale
    Aydemir, Ö; Köksal, B; Yalin Sapmaz, S; Yüceyar, H
    Objective: There is no useful scale both in daily routine psychiatry practice and field trials in Turkish. The aim of the study is to perform the reliability and validity study of SCOFF Eating Disorders Scale. Methods: The study sample is consisted of female students of Grade 5 of Celal Bayar University, School of Medicine. For the study, 62 volunteers were invited and 50 individuals who fulfilled all the study instruments constituted the study sample. All the study volunteers were female and the mean age was found to be 22.31 +/- 1.68. For concurrent validity, Eating Attitude Test was applied. Results: The forward and back translation of the SCOFF Eating Disoders Scale was performed, and linguistic equivalence was obtained with the scale prepared. In internal consistency, the Cronbach's alpha coefficient was found to be 0.74 and item-total correlation coefficients were between 0.21-0.55. In the exploratory factor analysis, one dimension was observed and all the items were represented. The confirmatory factor analysis confirmed the one-dimension structure. In the correlation analysis with Eating Attitude Test, the coefficient was found to be r=0.52. Conclusion: It is suggested that the Turkish form of SCOFF Eating Disorders Scale can be used reliably and validly in order to screen eating disorders.
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    Validity and Reliability of the Turkish Version of DSM-5 Level 2 Anxiety Scale (Child Form for 11-17 Years and Parent Form for 6-17 Years)
    Yalin Sapmaz, S; Özek Erkuran, H; Karaarslan, D; Öztürk, M; Yörük Ülker, G; Serim Demirgören, B; Köroglu, E; Aydemir, O
    Introduction: This study aimed to assess the validity and reliability of the Turkish Version of DSM-5 Level 2 Anxiety Scale's child and parent forms. Methods: The scale was constructed by carrying out the translation and back translation of DSM-5 Level 2 Anxiety Scale. The study group consisted of a community and clinical sample. The scale was applied to 148 parents and 189 adolescents that represented the clinical and community sample. During the assessment process, Screen for Childhood Anxiety Related Emotional Disorders and Strengths and Difficulties Questionnaire - Parent Form were also used. Results: Reliability analyses indicated a high internal consistency regarding Level 2 Anxiety Scales, both for child and parent forms 0.915/0.933). In the meantime, it was shown that child form for Level 2 Anxiety Scale was significantly correlated with Screen for Childhood Anxiety Related Emotional Disorders (r=0.758, p<0.0001) while the parent form was significantly correlated with Strengths and Difficulties Questionnaire - Parent Form (r=0.717, p<0.0001). As for the content validity, one factor was obtained for both forms, and it was observed to be consistent with the original construct of the scale. Conclusion: It was concluded that Turkish version of DSM-5 Level 2 Anxiety Scale was a valid and reliable tool to be utilized both for clinical practice, and research purposes.
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    The relationship between physical restraint and the diagnosis and drug use in the patients receiving inpatient treatment in a child and adolescent psychiatry clinic
    Önder, A; Sürer Adanir, A; Kavurma, C; Bilaç, Ö; Bölük Uzunoglu, G; Yalin Sapmaz, S; 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.
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    Validity and reliability of DSM-5 Level 1 Cross-Cutting Symptom Scale Turkish Version (Child Form for 11-17 Years and Parent Form for 6-17 Years)
    Yalin Sapmaz, S; Özek Erkuran, H; Kavurma, C; Öztürk, M; Uzel Tanriverdi, B; Köroglu, E; Aydemir, Ö
    Objective: This study aimed to assess the validity and reliability of the Turkish version of DSM-5 Level 1 Cross-Cutting Symptom Scale's child and parent forms. Methods: The scale was prepared by carrying out the translation and back translation of DSM-5 Level 1 Cross-Cutting Symptom Scale's Child and Parent Forms. Study group consisted of community and clinical samples. The scale was applied to 244 parents and 320 adolescents that represented the clinical and community sample. For the assessment, Strengths and Difficulties Questionnaire (SDQ) was used along with Level 1 Cross-Cutting Symptom Scale. For reliability analyses, internal consistency coefficient and item-total score correlation analysis, test-retest factor analysis, interrater reliability and as for validity analyses; exploratory factor analysis and correlation analysis with Strengths and Difficulties Questionnaire for concurrent validity were carried out. Results: Cronbach's alpha values for DSM-5 Level 1 Cross-Cutting Symptom Scale's Child Form was 0.893 while 0.90 for parent form. Correlation coefficient of DSM 5 Level 1 Cross-Cutting Symptom Scale as a result of its correlation with Strengths and Difficulties Questionnaire was 0.698 for child form and 0.706 for parent form which was statistically significant. Correlation coefficient in test-retest application was r=0.965 for child form and r=0.919 for parent form. As for construct validity, six factors were maintained that would explain 59.3% of the variance in child form. In the parent form, five factors were maintained that would explain 60.3% of the total variance. Conclusion: It was seen that Turkish version of DSM-5 Level 1 Cross-Cutting Symptom Scale could be used as a valid and reliable tool both in clinical practice and for research purposes.
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    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)
    Özek Erkuran, H; Yalin Sapmaz, S; Herdem, A; Öztürk, M; Bilaç, Ö; Önen, Ö; Uzel Tanriverdi, B; Köröglu, 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-S 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-S 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.
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    Validity and reliability of the Turkish version of DSM-5 Depression Severity Scale-Child Form
    Yalin Sapmaz, S; Yalin, N; Özek Erkuran, H; Öztekin, S; Uzel Tanriverdi, B; Köroglu, E; Aydemir, Ö
    Objective: This study aimed to assess the validity and reliability of the Turkish version of DSM-5 Depression Severity Scale-Child Form. Methods: The scale was prepared by carrying out the translation and back-translation of DSM-5 Depression Severity Scale-Child Form. Study group consisted of 46 patients that have been treated in a child psychiatry unit and diagnosed with depressive disorder and 135 healthy volunteers that were attending middle or high school during the study period. For the assessment, Child Depression Inventory (CDI) was used along with DSM-5 Depression Severity Scale-Child Form. Results: Regarding reliability analyses, Cronbach's alpha internal consistency coefficient was calculated as 0.911 while item-total score correlation coefficients were measured between 0.579 and 0.801. As for construct validity, a factor that could explain 59.2% of the variance was obtained and was consistent with the original structure of the scale. In the concurrent validity analysis, the scale showed a high correlation with Child Depression Inventory with a correlation coefficient value measured as r=0.847. Conclusion: It was concluded that Turkish version of DSM-5 Depression Severity Scale-Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes.
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    Validity and Reliability of the Turkish Version for DSM-5 Level 2 Anger Scale (Child Form for Children Aged 11-17 Years and Parent Form for Children Aged 6-17 Years)
    Yalin Sapmaz, S; Özek Erkuran, H; Yalin, N; Önen, Ö; Öztekin, S; Kavurma, C; Köroglu, E; Aydemir, Ö
    Introduction: This study aimed to assess the validity and reliability of the Turkish version of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Level 2 Anger Scale. Methods: The scale was prepared by translation and back translation of DSM-5 Level 2 Anger Scale. Study groups consisted of a clinical sample of cases diagnosed with depressive disorder and treated in a child and adolescent psychiatry unit and a community sample. The study was continued with 218 children and 160 parents. In the assessment process, child and parent forms of DSM-5 Level 2 Anger Scale and Children's Depression Inventory and Strengths and Difficulties Questionnaire-Parent Form were used. Results: In the reliability analyses, the Cronbach alpha internal consistency coefficient values were found very high regarding child and parent forms. Item-total score correlation coefficients were high and very high, respectively, for child and parent forms indicating a statistical significance. As for construct validity, one factor was maintained for each form and was found to be consistent with the original form of the scale. As for concurrent validity, the child form of the scale showed significant correlation with Children's Depression Inventory, while the parent form showed significant correlation with Strengths and Difficulties Questionnaire-Parent Form. Conclusion: It was found that the Turkish version of DSM-5 Level 2 Anger Scale could be utilized as a valid and reliable tool both in clinical practice and for research purposes.
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    Validity and reliability of the Turkish Version of DSM-5 Level 2 Somatic Symptom Scale (Child Form for 11-17 years and Parent Form for 6-17 years)
    Yalin Sapmaz, S; Serim Demirgören, B; Yörük Ülker, G; Aydemir, Ö
    Objective: This study aimed to assess the validity and reliability of the Turkish Version of DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) Level 2 Somatic Symptom Scale's Child and Parent Forms. Methods: The study group consisted of a community and clinical sample. The scale was applied to 120 parents and 186 adolescents that represented the clinical and community sample. During the assessment process, Child Somatization Inventory was also used. Results: Reliability analyses indicated a high internal consistency regarding DSM-5 Level 2 Somatic Symptom Scales, for parent forms and acceptable internal consistency for child forms. In the meantime, it was shown that both child and parents form for DSM-5 Level 2 Somatization Symptom Scale were significantly correlated with Child Somatization Inventory. As for the content validity, five factors for child forms and three factors for parent forms were obtained and was observed to be consistent with the original construct of the scale. Conclusion: It was concluded that Turkish version of DSM-V Level 2 Somatic Symptom Scale was a valid and reliable tool to be utilized both for clinical practice and research purposes.