Yazar "Cicek, Ayla Uzun" seçeneğine göre listele
Listeleniyor 1 - 20 / 28
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Adenoid hypertrophy and nocturnal enuresis are associated with sleep disturbances(Aves, 2020) Cicek, Ayla Uzun; Bora, Adem; Altuntas, Emine ElifObjective: Adenoid hypertrophy and nocturnal enuresis, comorbidities that are quite prevalent among children, are both associated with sleep problems. However, limited research has specifically focused on sleep domains and their parameters. In the present study we thus aimed to investigate the impact of adenoid hypertrophy and nocturnal enuresis on sleep, both when the two disorders coexist and when they do not coexist. Methods: We investigated 178 children (mean age: 7.24=1.02 years, range=6-9 years), 50 (28.1%) of whom had only adenoid hypertrophy, 39 (21.9%) of whom had only nocturnal enuresis, 35 (19.7%) of whom had coexistence of adenoid hypertrophy and nocturnal enuresis, and 54 (30.3%) of whom were healthy-control children. Psychiatric disorders were diagnosed by a semi-structured diagnosis interview and the diagnosis of adenoid hypertrophy was confirmed by flexible fiberoptic nasopharyngoscopy. Sleep habits and disturbances were assessed via the Children's Sleep Habits Questionnaire and Modified Epworth Sleepiness Scale. Results: Our results showed that the comorbid condition was the most severe form in terms of both adenoid hypertrophy and enuresis. Regarding sleep difficulties, the Sleep-Disordered Breathing, Night Wakings, Sleep Onset Delay and Sleep Duration parameters were closely associated with adenoid hypertrophy and its severity, while Bedtime Resistance, Parasomnias and Sleep Anxiety domains of sleep were strongly related to nocturnal enuresis. Conclusion: Otorhinolaryngologists, child psychiatrists and pediatricians should be aware of the relationship between enuresis and adenoid hypertrophy, that both diseases are associated with impaired sleep patterns, and that children affected by the comorbidity of the two disorders experience more sleep disturbances.Öğe Aggravating influence of atomoxetine on the severity of stuttering and its successful treatment with methylphenidate: a case report(Kare Publ, 2020) Cicek, Ayla UzunStuttering is a communication disorder characterized by a disruption in normal fluency and time patterning of speech. None of the pharmacological agents for stuttering could be recommended for general use; specific drug treatment that is simultaneously effective for both stuttering and attention deficit hyperactivity disorder (ADHD) is currently unknown. In this article, we present a case affected by severe developmental stuttering and ADHD that was exacerbated by atomoxetine but favorably responded to treatment with methylphenidate.Öğe Are adolescents with social anxiety disorder in danger of peer bullying?(2024) Sireli, Ozlem; Ucuz, Ilknur; Cicek, Ayla Uzun; Abanoz, Elif; Arslan, Semiha ComertogluAim: This study aimed to assess the rates of peer bullying and stress-coping strategies in adolescents with SAD and to investigate the relationship between SAD and different types of peer bullying. Materials and Methods: This cross-sectional study included ninety-two adolescents aged 14 to 17 years with SAD and one hundred-five typically developing adolescents. A semi-structured psychiatric interview, the Social Anxiety Scale for Adolescents (SAS-A), the Peer Bullying Scale-Adolescent Form (PBS-AF), and the Coping Scale for Adolescents (CSA) were applied to all participants. Peer bullying was classified into six types (physical, verbal, exclusion, spreading rumors, attacks against property, and sexual) and two roles (bullying and victimization). Results: On every subscale of the PBS-AF victimization dimension, the SAD group’s mean scores were significantly higher than those of the controls. Regarding the PBSAF bullying dimension, the Physical Bullying and Sexual Bullying scores of the SAD group were significantly lower than the control group, but the Isolation/ Exclusion scores were significantly higher than the control group. Compared to the control group, the mean scores of Active Coping of CSA were significantly lower, while the mean scores of Negative Coping and Avoidant Coping were significantly higher in the SAD group. The SAS-A’s total score had a significant positive correlation with all subscales of the PBS-AF victimization dimension. Age, gender, academic performance, and psychiatric comorbidity had a predictive effect on some of the victimization dimension variables of peer bullying. Conclusion: This study has revealed that SAD is an important risk factor for peer victimization. The routine psychiatric examination of adolescents with SAD should also include a screening for peer bullying.Öğe Assessment of Comorbid Psychopathologies, Psychosocial Factors and Psychiatric Treatment Approach in Children and Adolescents with Sleep Bruxism(2024) Abanoz, Elif; Şireli, Özlem; Ucuz, İlknur; Cicek, Ayla UzunBackground: Previous studies have revealed a close relationship between a variety of psychopathologies and psychosocial factors, and bruxism. However, psychosocial factors and psychiatric difficulties in children and adolescents with bruxism have not been extensively studied. In the current study, we sought to examine the sociodemographic characteristics, psychosocial factors, and comorbid psychopathologies of children and adolescents with sleep bruxism. Materials and Methods: The study included 67 children and adolescents between the ages of 4-17 who were diagnosed with sleep bruxism and followed up at two different Child and Adolescent Psychiatry outpatient clinics between 2018 and 2024. Data on behavioral and emotional characteristics and comorbid psychiatric disorders of these patients, clinical features of bruxism, and treatment approaches to bruxism were retrospectively investigated. Results: Our results indicated that 41.8 of the sample had at least one comorbid psychiatric disorder, and 10.4% had subthreshold psychiatric symptoms. The most common comorbid psychiatric disorders were anxiety disorders, attention deficit hyperactivity disorder, nocturnal enuresis, and conduct disorders. In 41.8% of cases, bruxism was linked to psychosocial factors. Comorbid psychiatric disorders were significantly more prevalent in the school and adolescent age groups than in preschoolers. Similarly, the connection between bruxism and psychosocial factors became more evident with age. The frequency of a positive family history of bruxism was 44.8%. As treatment options for bruxism, the behavioral approach and pharmacotherapy were preferred in 88.1% of cases, and only the behavioral approach was applied to 11.9%. The most common drugs used in pharmacotherapy were hydroxyzine, tricyclic antidepressants, antipsychotics, atypical antidepressants, and melatonin. In terms of response to treatment, 83.6% of the sample responded (completely or partially), while 16.4% did not respond or were resistant to treatment. Conclusions: This study yielded that psychiatric comorbidity is quite common in the pediatric population with sleep bruxism. The outcomes suggest that bruxism is not only a dental problem but is also associated with a variety of psychopathologies and psychosocial factors. Therefore, health professionals who may encounter bruxism should be aware of the relationship between bruxism and psychopathologies and psychosocial factors. It is recommended that children with bruxism be investigated carefully in a multidisciplinary and holistic approach from a bio-psycho-social perspective and screened for psychosocial and psychiatric difficulties.Öğe Attention deficit hyperactivity disorder as a risk factor for fractures(Kare Publishing, 2020) Cicek, Ayla Uzun; Sari, Seda Aykube; Ucuz, IlknurObjectives: It has been reported that attention-deficit/hyperactivity disorder (ADHD) is related to an increased risk of fracture. However, relevant data have been provided from either population with fractures or population-based cohort studies. In this study, we aimed to determine the fracture risk in children with ADHD. Methods: The children with ADHD between the ages of 6 and 16 who were admitted between April 2019 and July 2020 and healthy children matching in age and gender were included in this study. A semi-constructed diagnosis interview, Conners' Parent Rating Scale-Revised-Short Form, and Strengths and Difficulties Questionnaire were administered to both groups. Results: Two hundred and twelve children with ADHD and 215 healthy children were included in this study. One-time fracture was found in 76 (35.8%) children in the ADHD group and 39 (18.1%) children in the healthy group (p<0.001). While there were recurrent fractures in 27 (12.7%) patients in the ADHD group, this rate was 13 (6.0%) for healthy controls (p=0.018). Also, 45 (59.2%) of the children with fractures and 57 (41.9%) of the children without fractures had comorbid diseases (p=0.016). Conclusion: ADHD poses a significant risk for fractures and is related to an increased risk of fracture. It would be advisable to screen children with bone fractures concerning ADHD and referring them to a child and adolescent psychiatrist if there is a suspicion of ADHD. © 2020 by Anatolian Journal of Family Medicine.Öğe Body Perception, Self-Esteem, and Comorbid Psychiatric Disorders in Adolescents Diagnosed with Polycystic Ovary Syndrome(Elsevier Science Inc, 2020) Sari, Seda Aybuke; Celik, Nurullah; Cicek, Ayla UzunStudy Objective: To investigate adolescents with polycystic ovary syndrome (PCOS) in terms of body perception, self-esteem, and comorbid psychiatric diseases by comparing them with their healthy peers. Design: Cross-sectional design. Setting: The Department of Child and Adolescent Psychiatry and the Department of Pediatric Endocrinology outpatient clinic of Cumhuriyet University in Sivas, Turkey. Participants: Fifty female adolescents aged 12-18 years who were diagnosed as having PCOS and 37 healthy adolescents aged 12-18 years. Interventions and Main Outcome Measures: All adolescents were evaluated by a child and adolescent psychiatrist using a semistructured interview (Schedule for Affective Disorders and Schizophrenia for School-Age Children) and asked to complete the Rosenberg Self-Esteem Scale, Children's Depression Inventory, and Body Image Scale. Results: The rate of psychiatric disorders in the PCOS group was significantly higher than in the control participants (16/50 (32%) vs 5/37 (13.5%), respectively; P = .046). The most common disorder was major depressive disorder. The Rosenberg Self-Esteem Scale and Body Image Scale scores of the PCOS group were lower (P = .03; P ! .001, respectively), and Children's Depression Inventory scores were higher (P = .03) than in the control group. There was no significant relationship between obesity, hirsutism, and insulin resistance with any psychiatric disorders in the PCOS group. Conclusion: Adolescents with PCOS had more psychopathology than their peers. Moreover, their self-esteem was lower and their body perceptions were more dissatisfied compared with their peers.Öğe Can Nomophobia be a Contemporary and Novel Cluster of Symptoms of Adult Separation Anxiety Disorder?(Duzce Univ, Fac Medicine, 2024) Yilmaz, Yavuz; Cicek, Ayla Uzun; Abanoz, Elif; Karaca, Sanem NemmeziObjective: The connection between adult separation anxiety disorder (ASAD) and nomophobia has been poorly investigated. The aim of this study is to evaluate whether there is a relationship between ASAD and nomophobia. Method: The sample consisted of 68 university students diagnosed with ASAD and 77 university students without ASAD. All participants were evaluated by a structured clinical interview, Adult Separation Anxiety Questionnaire (ASA), Separation Anxiety Symptom Inventory (SASI), Nomophobia Questionnaire (NMP-Q), Aand Smartphone Addiction Scale-Short Version (SAS-SV). Results: Participants with ASAD had longer daily phone usage times and had a higher frequency of checking the phone during the day and the rates of carrying a charger than controls. Compared to the control group, participants with ASAD had significantly higher ASA, SASI, NMP-Q, and SAS-SV scores and more severe nomophobia levels. The ASA scores were significantly positively correlated with SASI, NMP-Q, and SASSV. Regarding predictors of nomophobia, ASA, SASI, and SAS-SV scores had a positive and significant effect on nomophobia, and predicted nomophobia. Conclusion: Our research adds to the body of knowledge on nomophobia by demonstrating that people with ASAD are susceptible to developing nomophobia. Clinicians should be aware of the association between ASAD and nomophobia, and nomophobia may be an important concept that should be considered in the therapy approach to patients with ASAD.Öğe Can Temperament and Character Traits Be Used in the Diagnostic Differentiation of Children With ADHD?(Lippincott Williams & Wilkins, 2021) Ucuz, Ilknur; Cicek, Ayla Uzun; Cansel, Neslihan; Kilic, Bahar; Colak, Cemil; Yazici, Ipek Percinel; Kilic, FatmaIn this study, it was aimed to determine the contributions of temperament and character traits to the diagnosis of attention deficit hyperactivity disorder (ADHD) in children. Thirty-six patients between the ages of 9 and 14 with a diagnosis of combined type ADHD and 39 healthy children were included in the study. The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version-Turkish Version and the Turgay DSM-IV Disruptive Behavior Disorders Rating Scale parent form were used to assess hyperactivity/impulsivity and inattentiveness, and comorbid disorders. The Junior Temperament and Character Inventory-Revised form was used to evaluate temperament-character traits. The classification-based association rules (CBARs) method was used for finding rules predicting ADHD accurately. Low persistence and self-directedness scores, and higher disorderliness and fatigability subgroup scores were found in the ADHD group. In CBARs, the separation of children with ADHD from healthy controls could be made with 0.83 accuracy, 0.80 sensitivity, and 0.86 specificity. The results of our study support the view that temperament-character traits can help clinical diagnosis of ADHD.Öğe Cognitive disengagement syndrome in children with type 1 diabetes: important implications for clinical outcomes(Springer-Verlag Italia Srl, 2024) Cicek, Ayla Uzun; Celik, NurullahAims Children with type 1 diabetes (T1D) are prone to a variety of psychiatric disorders, however, to date, no study has examined cognitive disengagement syndrome (CDS) in children with T1D. The present study aimed to evaluate the frequency of CDS symptoms in children with T1D and whether it is related to glycemic control. Methods This cross-sectional study included 74 children with T1D and 88 healthy (control) children, aged 8-14 years. All children were evaluated through a semi-structured psychiatric interview, the Kent-EGY test, porteus maze test, stroop test TBAG form, Barkley child attention scale, and Conners' parent rating scale-revised-short form. Result Children with T1D had considerably higher rates of elevated CDS symptoms than control children (35.1% vs. 10.2%, p < 0.001). Children with T1D performed poorly on attention and cognitive tests. High levels of CDS symptomatology were strongly associated with earlier diabetes onset age, longer disease duration, a higher percentage of diabetic ketoacidosis at diagnosis, higher HbA1c levels, and higher daily insulin dosages. Also, T1D patients with elevated CDS symptoms had lower IQ and attention scores and worse cognitive function performance compared to participants with low levels of CDS symptomatology. Conclusions Elevated CDS symptoms are significantly higher in children with T1D and are associated with poorer diabetes control. The routine psychiatric examination of children with T1D should also include a screening for CDS, particularly in patients with poor glycemic control.Öğe Cognitive Disengagement Syndrome in Mothers of Children With Attention-Deficit/Hyperactivity Disorder(Sage Publications Inc, 2024) Yilmaz, Yavuz; Cicek, Ayla UzunObjective: To examine the cognitive disengagement syndrome (CDS) symptoms of mothers of children with attention-deficit/hyperactivity disorder (ADHD).Method: The participants consisted of 223 mothers of children with ADHD, and data were collected using the Structured Clinical Interview for DSM-5 Disorders-Clinician Version (SCID-5-CV), the Stroop Test (ST), the Barkley Adult SCT Scale (CDS), and the Adult ADHD Self-Report Scale (ASRS).Results: The participants were divided into four groups based on psychopathology: the group without any psychiatric disorder, the group with only ADHD, the group with a psychiatric disorder other than ADHD, and the group with another psychiatric disorder along with ADHD. The group with any psychiatric disorder along with ADHD had the highest CDS scores, while the group without any psychopathology had the lowest CDS scores.Conclusion: CDS seems to be a construct associated with both ADHD and other internalizing disorders. Further studies are needed to shed more light on these relationships.Öğe Conversion disorder with sudden visual loss: A case report(Sivas Cumhuriyet University, 2020) Sarı, Seda Aybüke; Cicek, Ayla Uzun; Dombaycı, ÖzgeConversion Disorder (CD) is a psychiatric disorder characterized by the presence of one or more neurological or vegetative symptoms that cannot be better explained by any organic pathology. CD can mimic many organic diseases. Therefore, general medical diseases, neurological and psychiatric disorders should be considered in the differential diagnosis. It is not always easy to distinguish conversion disorder from these diseases.In this case report, we presented a female case whose mother had vision loss due to retinitis pigmentosa and who was also investigated for sudden vision loss and did not have any organic pathology and consequently diagnosed with conversion disorder.Öğe Determining the probability of juvenile delinquency by using support vector machines and designing a clinical decision support system(Churchill Livingstone, 2020) Ucuz, Ilknur; Cicek, Ayla Uzun; Ari, Ali; Ozcan, Ozlem Ozel; Sari, Seda AybukeIt is a known fact that individuals who engaged in delinquent behavior in childhood are more probable to carry on similar behavior in adulthood. If the factors that lead children to involve in delinquency are defined, the risk of dragging children into crime can be detected before they are involved in crime and delinquency can be prevented with appropriate preventive rehabilitation programs, in the early period. However, given that delinquent behavior occurs under the influence of multiple conditions and factors rather than a single risk factor; the need for diagnostic tools to evaluate multiple factors together is obvious. Artificial intelligence-based clinical decision support systems have already been used in the field of psychiatry as well as many other fields of medicine. In this study, we assume that thanks to artificial intelligence-based clinical decision support systems, children and adolescents at risk can be detected before the criminal behavior occurs by addressing certain factors. In this way, we anticipate that it can provide psychiatrists and other experts in the field.Öğe Emotional Dysregulation and Temperament-Character Traits in Adolescents With Functional Neurological Symptom Disorder (Conversion Disorder)(Lippincott Williams & Wilkins, 2024) Ucuz, Ilknur; Cicek, Ayla Uzun; Celik, Merve Komurcu; Akan, Mustafa; Kesriklioglu, Esma; Gungor, Serdal; Ozcan, Ozlem OzelThe purpose of this study was to evaluate emotion dysregulation and temperament-character traits in adolescents with functional neurological symptom disorder (FNSD). Forty adolescents with FNSD and 40 healthy adolescents were evaluated by a semiconstructed diagnosis interview, Temperament and Character Inventory (TCI), Difficulties in Emotion Regulation Scale (DERS), Regulation of Emotions Questionnaire (REQ), and Children's Somatization Inventory-24 (CSI-24). The external and internal dysfunctional emotion regulation scores of REQ, all subscales of DERS, except the awareness subscale, and CSI-24 scores were significantly higher in FNSD patients compared with healthy controls. There were significant differences between the groups in terms of harm avoidance and reward dependence subscale scores of TCI. Multiple logistic regression analysis showed that the external dysfunctional emotion regulation strategy, somatization, and reward dependence are significant predictors of FNSD. Our results provide evidence that adolescents with FNSD experience emotional dysregulation and that the differential value of some temperament-character traits in the diagnosis of FNSD.Öğe Evaluation of cognitive disengagement syndrome in children with obsessive-compulsive disorder: Clinical implications(Sage Publications Inc, 2023) Cicek, Ayla Uzun; Ucuz, Ilknur; Isik, Cansu Mercan; Temelli, GurkanCognitive disengagement syndrome (CDS) has been found to be associated with internalizing symptoms. Yet, no study thus far has focused on whether there is an association between obsessive-compulsive disorder (OCD) and CDS. The purpose of this study is to examine the symptom frequency and clinical implications of CDS in children with OCD. The study included sixty-one children with OCD and sixty-six typically developing children. Children were evaluated by a semi-constructed diagnosis interview, Obsessive-Compulsive Inventory, Barkley Child Attention Scale, and Stroop test. The frequency of elevated symptoms of CDS, and total time, total error, and total correction scores of the Stroop test were significantly higher in the OCD group compared to the controls. Elevated CDS symptoms were significantly associated with higher OCD symptom prevalence and poorer performance on the Stroop Test. Moreover, poor insight, hoarding symptoms, mental compulsions, and ADHD comorbidity were significantly higher in those with elevated CDS symptoms than in those without CDS in the OCD group. The findings of this study provide clinical implications that CDS symptoms may contribute to deficits in attentional orientation, conceptual flexibility, and cognitive processing speed in OCD.Öğe Evaluation of sexually abused adolescents cases by the repertory grid technique: a cross-sectional study(Cukurova Univ, Fac Medicine, 2019) Cicek, Ayla Uzun; Fettahoglu, Emine Cigil; Ozatalay, Esin; Sari, Seda AybukePurpose: In this study, we aim to explore how the adolescent girls who have experienced sexual abuse (SA) perceives themselves, their families and their surroundings, using repertory grid technique (RGT) within the scope of personal construct theory (PCT). Materials and Methods: 30 adolescent girls with SA and 25 adolescent girls with no SA were included in the study. RGT was used to assess how the adolescents perceive themselves, their families and their surroundings and the Rosenberg Self-Esteem Scale (RSES) was used to measure self-esteem. Individual and familial characteristics of the participants were evaluated with a sociodemographic data form developed by the researchers. Results: Based on RGT, it was found that adolescents who had experienced SA perceived themselves as more different and distant from their mothers, their siblings and their close female friends compared with those with no SA. However, they perceived themselves as more similar to their friends that they think who have negative properties. In addition, it was determined that the sexually abused girls had excessive cognitive complexity and higher self-ideal self' discrepancy than those of nonabused controls. Sexually abused adolescents had lower self-esteem on the RSES scores. Conclusion: SA negatively affects self-perception and perception of the surrounding and it damages self-confidence and the confidence towards the world, thus sexually abused adolescents should be followed up for these problems.Öğe EVALUATION OF THE EFFECT OF ADENOTONSILLECTOMY ON EMOTIONAL AND BEHAVIORAL PROBLEMS IN CHILDREN(2023) Bora, Adem; Cicek, Ayla UzunObjective: The aim of this study is to evaluate the effect of tonsillectomy and/or adenoidectomy (T&A) applied to children and adolescents with adenotonsillar hypertrophy (ATH) on externalizing and internalizing problems. Material and Methods: Physical and psychiatric symptoms that may be associated with ATH were evaluated with a questionnaire created by the researchers twice, before T&A surgery and at the 3rd month after surgery. Physical symptoms included the loss of appetite, snoring, and excessive daytime sleepiness. Psychiatric symptoms were enuresis (5 years and above), difficulty falling asleep, sleep talking, teeth grinding, difficulty waking up in the morning, hyperactivity, irritability and anger, damaging property, belligerent behavior, anxious mood, being tearful or sad, tics, attention deficit and concentration problems, language, speech and communication problems. Results: In the preoperative evaluation of symptoms that may be related to ATH, the most frequently reported physical symptom was the loss of appetite, while the most common psychiatric symptom was attention deficit and concentration problems. In postoperative evaluation, the symptoms showing the highest recovery rates were snoring and excessive daytime sleepiness. In addition, recovery rates for physical symptoms were higher than those for psychiatric symptoms. Conclusion: This study indicated that T&A has a curative effect on many psychiatric symptoms, especially snoring and excessive daytime sleepiness, seen in children with ATH. Still, further longitudinal studies are needed to confirm our findings to draw firm conclusions.Öğe Examining the Relationship Between Preventable Psychiatric Problems and Child Extremity Fractures(Pera Yayincilik Hizmetleri, 2022) Sari, Seda Aybuke; Pazarci, Ozhan; Kilinc, Seyran; Cicek, Ayla UzunObjective: Extremity fractures (EF) are among the most common causes of admission to hospitals in children. We aimed to evaluate children treated for EFs by comparing them with the control group from a psychiatric perspective. Method: Thirty-six children aged between 3 and 17 years who administered to the Orthopedics and Traumatology clinic due to EF were included in the study. 36 children of similar age and gender with the study group were included as the control group. A child psychiatrist evaluated all children included in the study. A psychiatric diagnosis interview was conducted. The parents filled out the Conner's Parent Rating Scale-Revised Short Form (CPRS-R:S). Results: Of the cases in the patient group, 66.7% were male. The ratio of rural residents in the patient group was higher compared to the control group. The most common fracture location was lower extremity (55.6%). The most common cause of the fracture was falling (52.8%). In the patient group, the ratio of the children who had previously experienced fracture was 36.1%. Psychopathology was detected to be at a higher level in the patient group. The most common was Attention Deficiency and Hyperactivity Disorder (ADHD). Children in the patient group scored higher on the CPRS-R:S than the control group. Conclusion: Children with EF exhibited more impulsive and hyperactive behaviours than controls and had more psychopathology. For this reason, it is essential to evaluate children who apply due to fracture in terms of psychopathology.Öğe Investigation of Clinical Features and Comorbid Psychopathologies of Children with Sleep Terrors(2024) Şireli, Özlem; Cicek, Ayla Uzun; Abanoz, Elif; Ucuz, İlknur; Naralan, Yüksel SümeyraMethod: Between 2020 and 2024, 51 children who were diagnosed with sleep terror according to DSM-5 diagnostic criteria in 3 different Child and Adolescent Psychiatry clinics were included in the study. The sociodemographic and clinical characteristics of the cases were examined retrospectively through the files. Results: Of the 51 participants, 30 (58.8%) were male, 21 (41.2%) were female and the mean age at the time of admission was 6.76±1.45 years. It was determined that 15 (29.4%) of the cases slept in a noisy environment and 41 (80.4%) of the cases had their sleep interrupted except for sleep terror attacks. At least one psychiatric disorder was detected in 17 (33.3%) patients, and the most common (9.8%) comorbid psychiatric disorder was attention deficit hyperactivity disorder. It was found that complete retrograde amnesia was significantly higher in preschoolers, and motor activity during the attack, physical injury and/or material damage, and full awakening during the attack were significantly higher in school-age children. It was determined that 64.7% of the parents made the wrong intervention during the attack and off-label medication was used in 29.4% of the cases. Conclusion: In sleep terrors, identification of triggering factors and comorbid psychiatric disorders during the diagnostic evaluation process, psychoeducation of parents in treatment, and selection of appropriate medication for medication are very important.Öğe Olfactory Function in Depressed Adolescents(Lippincott Williams & Wilkins, 2020) Cicek, Ayla Uzun; Altuntas, Emine Elif; Bora, Adem; Sari, Seda AybukeSome researchers have suggested that olfactory deficits might be a sensitive marker for depression in adults. However, olfactory function has not been well studied in relation to depression among children and adolescents. The aim of this study was to evaluate the effect of depression on olfactory function of adolescents. The olfactory threshold, odor identification, and discrimination abilities of adolescents aged 12 to 17 (43 adolescents with major depressive disorder and 43 healthy controls) alongside their sum were evaluated using the Sniffin' Sticks extended test. Olfactory scores were similar between the groups. However, depressed adolescents perceived their own olfactory function scores significantly lower than the measured values. No correlation was found between olfactory scores and age, sex, severity of depression, and duration of depression. This study conducted with a small sample size revealed that olfactory function of the adolescents with depression was similar to olfactory function of the healthy adolescents. It is required to conduct further adequately powered, longitudinal studies in order to verify these results.Öğe Prevalence of autism spectrum disorder (ASD) in Sivas City Center and ASD awareness of healthcare professionals in family health centers(Cukurova Univ, Fac Medicine, 2021) Golbasi, Hatice; Demirel, Yeltekin; Karaca, Sanem Nemmezi; Cicek, Ayla Uzun; Sari, Seda AybukePurpose: The aim of this study was to determine the prevalence of autism spectrum disorder (ASD) in Sivas City Center and to investigate the ASD awareness of healthcare professionals working in Family Health Centers (FHC). Materials and Methods: The sample of the study consisted of 752 children aged between 18-72 months, 90 family physicians and 78 family health personnel (FHPs). The ASD Knowledge-Attitudes Scale and the ASD Awareness Questionnaire were administered to healthcare professionals. The Modified Checklist for Autism in Toddlers (M-CHAT) was applied to all of the children. Results: The mean scores of the ASD Knowledge-Attitude Scale and ASD Awareness Questionnaire of the family physicians were significantly higher than FHPs. The risk rate for ASD in screening was 6.25% (n=47), and the prevalence rate was 0.53%. Twenty of these children who were found to be at risk were evaluated by a child and adolescent psychiatrist. Of the 20 evaluated children, 7 were found to be normal, while 4 had a diagnosis of ASD, and 9 had other psychiatric diagnoses. Conclusion: This study showed that the prevalence rate of ASD in Sivas City Center is 0.53% and that the ASD awareness of family physicians is higher than that of FHPs. We believe that training programs to increase the awareness of healthcare professionals about ASD can contribute to the early detection of children with ASD.
