Browsing by Author "Yektaş Ç."
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Item Correction to: High Depression Symptoms and Burnout Levels Among Parents of Children with Autism Spectrum Disorders: A Multi‑Center, Cross‑Sectional, Case–Control Study (Journal of Autism and Developmental Disorders, (2021), 51, 11, (4086-4099), 10.1007/s10803-021-04874-4)(Springer, 2021) Kütük M.Ö.; Tufan A.E.; Kılıçaslan F.; Güler G.; Çelik F.; Altıntaş E.; Gökçen C.; Karadağ M.; Yektaş Ç.; Mutluer T.; Kandemir H.; Büber A.; Topal Z.; Acikbas U.; Giray A.; Kütük Ö.The original version of the article has unfortunately missed the revised affiliations for the following authors. © 2021, Springer Science+Business Media, LLC, part of Springer Nature.Item High Depression Symptoms and Burnout Levels Among Parents of Children with Autism Spectrum Disorders: A Multi-Center, Cross-Sectional, Case–Control Study(Springer, 2021) Kütük M.Ö.; Tufan A.E.; Kılıçaslan F.; Güler G.; Çelik F.; Altıntaş E.; Gökçen C.; Karadağ M.; Yektaş Ç.; Mutluer T.; Kandemir H.; Büber A.; Topal Z.; Acikbas U.; Giray A.; Kütük Ö.The diagnosis of autism spectrum disorder (ASD) in a child affects family processes, increases parenting stress and marital conflicts, and may lead to parental psychopathology. It may also affect the prognosis for their children. The aim of this study is to determine depression and burnout levels as well as their predictors among parents of children with ASD compared with those of healthy children. We also sought to evaluate rate of complementary and alternative medicine (CAM) interventions among parents and explore the associations of this phenomenon in an exploratory fashion. 145 children with ASD and 127 control children were enrolled along with their mothers and fathers. Beck Depression Inventory and Maslach Burnout Inventory were used to evaluate parents’ depression symptoms and burnout levels. Symptoms of children with ASDs were evaluated according to the Childhood Autism Rating Scale by the clinicians. Family, child and CAM variables were screened by means of a sociodemographic data form. Descriptive, bivariate and correlation analyses were used in statistical evaluations. Predictors of burnout were evaluated with multiple regression analysis. Burnout and depression levels among parents of children with ASD were significantly elevated compared to controls. Burnout levels of mothers were significantly elevated compared to fathers while depression scores of fathers were significantly elevated compared to mothers. Maternal burnout was significantly predicted by presence of functional speech in child while paternal burnout was significantly predicted by paternal vocation. Maternal depression was associated with paternal depression, lack of speech in child and attendance of child to special education services. Paternal depression was associated with autistic symptom severity and maternal depression. More than half the parents sought CAM interventions. Education level did not affect search for CAM interventions while both maternal and paternal psychopathology and presence of epilepsy among children increased use of CAM methods. Psychological support should be provided to both mothers and fathers of a child receiving a diagnosis of ASD. Addressing parents’ burnout and stress levels and facilitating their negotiation of knowledge on etiology and treatments for ASD may be beneficial for the family unit as a whole. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.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 Psychiatry