ÖZET Rett Sendromu X'e bağlı baskın geçiş gösteren nörogelişimsel bir bozukluktur. Bu yazıda ... more ÖZET Rett Sendromu X'e bağlı baskın geçiş gösteren nörogelişimsel bir bozukluktur. Bu yazıda Rett Sendromu tanısı konulduğundan beri pediatrik nöroloji ve pediatri uzmanları tarafından izlenen ve çocuk ve ergen ruh sağlığı ve hastalıkları polikliniğine ancak ergenlik döneminde başvuran bir olgunun tedavi ve izlem sürecinin sunulması, olgu özelliklerinin ulusal yazında şimdiye kadar bildirilen olgularla karşılaştırılma-sı ve çok boyutlu yaklaşımın öneminin vurgulanması amaçlanmıştır. Anahtar Sözcükler: Rett sendromu, yaygın gelişimsel bozukluk, tanı ölçütleri SUMMARY: IMPORTANCE OF MULTIDISCIPLINARY APPROACH IN THE DIAGNOSIS AND FOLLOW-UP OF RETT SYNDROME: A CASE REPORT Rett syndrome is a neurodevelopmental disorder that is transmitted in an X-dominant fashion. In this article, it was aimed to present the treatment and follow-up process of a case being followed up by pedi-atric neurologists and pediatricians since she had met the diagnosis of Rett Syndrome who had applied to the ...
... kliniklerinde adli değerlendirmeye tabi tutulan çocuk ve ergen cinsel istismar mağdurlarına e... more ... kliniklerinde adli değerlendirmeye tabi tutulan çocuk ve ergen cinsel istismar mağdurlarına eylemde ... Cinsel istismarcılara ait veriler olguların tıbbi veya adli dosyalarındaki kayıtlardan elde edilmiş ... göre (yaş, cinsiyet, eğitim düzeyi, evlilik durumu, suç amaçlı çocuk pornografisi ve ...
Abstract Aim We aimed to determine traumatic events, mental health problems and predictors of PTS... more Abstract Aim We aimed to determine traumatic events, mental health problems and predictors of PTSD in a sample of conditional refugee children. Methods The sociodemographic features, chief complaints, traumatic experiences and psychiatric diagnoses according to DSM-5 were evaluated retrospectively. Results 20.7% (n = 70) of children experienced the armed conflict or exposed to firefights at their country of origin. Most common diagnoses were anxiety disorders (n = 82, 24.3%), major depressive disorder (n = 52, 15.4%) and PTSD (n = 43, 12.7%). Age, number of traumatic experiences, explosion and sexual violence are the most important predictors for PTSD. Conclusions Our results suggest that the number of traumas exposed as well as their nature predicted PTSD diagnosis. Refugee children have increased risk for psychiatric problems after migration and resettlement underlining the importance of an adequate follow-up for mental health and ensuring social support networks.
Aim: As a result of previous studies, it was demonstrated that attachment patterns in adults play... more Aim: As a result of previous studies, it was demonstrated that attachment patterns in adults play an important role in the development and course of both attention deficit hyperactivity disorder (ADHD) and major depressive disorder (MDD). The aim of this study is to compare the attachment styles and related factors in the adults diagnosed with ADHD and MDD. Method: This study was carried out in psychiatry outpatient clinic of a second stage treatment center between June 2014 and October 2014 in Istanbul. The study included 33 ADHD patients, 31 MDD patients who first time admitted to the clinic within the specified time intervals and were applied SCID-I (Structured Clinical Interview for DSM-IV Axis I Disorders), and 31 healthy controls matched in terms of age, gender and marital status. MDB and ADHD groups were matched according to their Clinical Global Impression Scale (CGI-S) scores which have been applied by clinicians. DSM-IV-based Adult ADD/ADHD Diagnosis and Assessment Inventory (E-ADHD) has been filled by the participants. Those who gave 2 or 3 points to at least six of the nine questions of 1st or 2nd sections of E-ADHD were once again interviewed clinically in terms of ADHD, and were diagnosed with adult ADHD according to DSM-IV-TR criteria. Additionally, Hamilton Depression Scale (HAM-D) was applied by the clinician. All of the participants filled Experiences in Close Relationships (ECR) Inventory. Results: Significant differences were found between the three groups in terms of anxious attachment subtype scores determined through ECR. A significant difference in anxious attachment scores was found in MDD group when compared with healthy controls, whereas there wasn’t any difference between ADHD group and healthy controls. There weren’t any statistically significant differences between the number of people in terms of anxious, avoidant and secure attachment in three groups. There was a significant positive correlation between anxious attachment rates and E-ADHD hyperactivity subscale (E-ADHD-HA) scores (p= 0.007, r= 0.463) and HAM-D scores (p= 0.046, r= 0.361). There was a significant positive correlation between avoidant attachment rates and E-ADHD attention deficit hyperactivity disorder related features scores (E-ADHD-RF) (p= 0.002, r= 0.402). Conclusion: In this study, in contrast to previous studies, there weren’t any differences in terms of attachment patterns between the ADHD group, the MDD group and healthy controls. This finding might depend on the scale used, the age of the group or the predominance of women in the sample. However, it was concluded that MDD group exhibited anxious attachment pattern more frequently than the healthy control group. It can be said that insecure attachment may facilitate the development of MDD, may lead to progression of the disorder, and may affect the therapy negatively.
Agression, hyperactivity and agitation in patients with Autistic Spectrum Disorders (ASD), may re... more Agression, hyperactivity and agitation in patients with Autistic Spectrum Disorders (ASD), may require pharmacologic interventions .Aripiprazole is an atypical antipsychotic with partial agonist effects on dopaminergic (D2) and serotonergic (5HT2A) receptors and may reduce irritability and hyperactivity in those patients. Switching to aripiprazole in adult psychotic patients may improve weight gain and metabolic parameters. Here, change in metabolic parameters of an over-weight patient with a diagnosis of Autistic Disorder receiving risperidone upon switching to aripiprazole, will be presented. A ten years old male patient was brought to our department for “irritability, hyperactivity”. It was learned that he had been diagnosed to have Autistic Disorder at 6 years old and he has received risperidone 1 mg/ day since he was 8. He scored 6 (Severe Disorder) and 46 (Severe Autistic Symptoms), respectively on the Clinical Global Impressions (CGI) and Childhood Autism Rating Scales (CARS)...
Objective: Referral of sexually abused children and adolescents to the Forensic Medicine Council ... more Objective: Referral of sexually abused children and adolescents to the Forensic Medicine Council showed that sexual abuse of children and adolescents is prevalent in Turkey. Unfortunately, very few studies have examined the characteristics of sexual offenders against children and adolescents in Turkey. This study examined the socio-cultural features of sexual offenders against children and adolescents from Western Black Sea, Mediterranean, Marmara and East Anatolia regions of Turkey. Methods: The sex offenders against children and adolescents referred for forensic psychiatric examination to the Child and Adolescent Psychiatry outpatient clinics of University of Zonguldak Karaelmas Hospital, Elazig Mental Health Hospital, Adana Ekrem Tok Mental Health Hospital, Bursa Dortcelik Childrens’ Hospital were recruited for the study. Data for sex offenders were obtained from the medical and legal documents of children and adolescents. The sex offenders were assessed for demographic and legal...
Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pull... more Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pulling leading to hair loss, distress, and disordered functioning. Treatment choices include behavioral therapy (especially habit reversal training) and selective serotonin reuptake inhibitors. However, randomized controlled trials conducted with selective serotonin reuptake inhibitors have led to controversial results of effectiveness for TTM. Here, we report a female patient whose TTM symptoms increased after fluoxetine use.
ÖZET Rett Sendromu X'e bağlı baskın geçiş gösteren nörogelişimsel bir bozukluktur. Bu yazıda ... more ÖZET Rett Sendromu X'e bağlı baskın geçiş gösteren nörogelişimsel bir bozukluktur. Bu yazıda Rett Sendromu tanısı konulduğundan beri pediatrik nöroloji ve pediatri uzmanları tarafından izlenen ve çocuk ve ergen ruh sağlığı ve hastalıkları polikliniğine ancak ergenlik döneminde başvuran bir olgunun tedavi ve izlem sürecinin sunulması, olgu özelliklerinin ulusal yazında şimdiye kadar bildirilen olgularla karşılaştırılma-sı ve çok boyutlu yaklaşımın öneminin vurgulanması amaçlanmıştır. Anahtar Sözcükler: Rett sendromu, yaygın gelişimsel bozukluk, tanı ölçütleri SUMMARY: IMPORTANCE OF MULTIDISCIPLINARY APPROACH IN THE DIAGNOSIS AND FOLLOW-UP OF RETT SYNDROME: A CASE REPORT Rett syndrome is a neurodevelopmental disorder that is transmitted in an X-dominant fashion. In this article, it was aimed to present the treatment and follow-up process of a case being followed up by pedi-atric neurologists and pediatricians since she had met the diagnosis of Rett Syndrome who had applied to the ...
... kliniklerinde adli değerlendirmeye tabi tutulan çocuk ve ergen cinsel istismar mağdurlarına e... more ... kliniklerinde adli değerlendirmeye tabi tutulan çocuk ve ergen cinsel istismar mağdurlarına eylemde ... Cinsel istismarcılara ait veriler olguların tıbbi veya adli dosyalarındaki kayıtlardan elde edilmiş ... göre (yaş, cinsiyet, eğitim düzeyi, evlilik durumu, suç amaçlı çocuk pornografisi ve ...
Abstract Aim We aimed to determine traumatic events, mental health problems and predictors of PTS... more Abstract Aim We aimed to determine traumatic events, mental health problems and predictors of PTSD in a sample of conditional refugee children. Methods The sociodemographic features, chief complaints, traumatic experiences and psychiatric diagnoses according to DSM-5 were evaluated retrospectively. Results 20.7% (n = 70) of children experienced the armed conflict or exposed to firefights at their country of origin. Most common diagnoses were anxiety disorders (n = 82, 24.3%), major depressive disorder (n = 52, 15.4%) and PTSD (n = 43, 12.7%). Age, number of traumatic experiences, explosion and sexual violence are the most important predictors for PTSD. Conclusions Our results suggest that the number of traumas exposed as well as their nature predicted PTSD diagnosis. Refugee children have increased risk for psychiatric problems after migration and resettlement underlining the importance of an adequate follow-up for mental health and ensuring social support networks.
Aim: As a result of previous studies, it was demonstrated that attachment patterns in adults play... more Aim: As a result of previous studies, it was demonstrated that attachment patterns in adults play an important role in the development and course of both attention deficit hyperactivity disorder (ADHD) and major depressive disorder (MDD). The aim of this study is to compare the attachment styles and related factors in the adults diagnosed with ADHD and MDD. Method: This study was carried out in psychiatry outpatient clinic of a second stage treatment center between June 2014 and October 2014 in Istanbul. The study included 33 ADHD patients, 31 MDD patients who first time admitted to the clinic within the specified time intervals and were applied SCID-I (Structured Clinical Interview for DSM-IV Axis I Disorders), and 31 healthy controls matched in terms of age, gender and marital status. MDB and ADHD groups were matched according to their Clinical Global Impression Scale (CGI-S) scores which have been applied by clinicians. DSM-IV-based Adult ADD/ADHD Diagnosis and Assessment Inventory (E-ADHD) has been filled by the participants. Those who gave 2 or 3 points to at least six of the nine questions of 1st or 2nd sections of E-ADHD were once again interviewed clinically in terms of ADHD, and were diagnosed with adult ADHD according to DSM-IV-TR criteria. Additionally, Hamilton Depression Scale (HAM-D) was applied by the clinician. All of the participants filled Experiences in Close Relationships (ECR) Inventory. Results: Significant differences were found between the three groups in terms of anxious attachment subtype scores determined through ECR. A significant difference in anxious attachment scores was found in MDD group when compared with healthy controls, whereas there wasn’t any difference between ADHD group and healthy controls. There weren’t any statistically significant differences between the number of people in terms of anxious, avoidant and secure attachment in three groups. There was a significant positive correlation between anxious attachment rates and E-ADHD hyperactivity subscale (E-ADHD-HA) scores (p= 0.007, r= 0.463) and HAM-D scores (p= 0.046, r= 0.361). There was a significant positive correlation between avoidant attachment rates and E-ADHD attention deficit hyperactivity disorder related features scores (E-ADHD-RF) (p= 0.002, r= 0.402). Conclusion: In this study, in contrast to previous studies, there weren’t any differences in terms of attachment patterns between the ADHD group, the MDD group and healthy controls. This finding might depend on the scale used, the age of the group or the predominance of women in the sample. However, it was concluded that MDD group exhibited anxious attachment pattern more frequently than the healthy control group. It can be said that insecure attachment may facilitate the development of MDD, may lead to progression of the disorder, and may affect the therapy negatively.
Agression, hyperactivity and agitation in patients with Autistic Spectrum Disorders (ASD), may re... more Agression, hyperactivity and agitation in patients with Autistic Spectrum Disorders (ASD), may require pharmacologic interventions .Aripiprazole is an atypical antipsychotic with partial agonist effects on dopaminergic (D2) and serotonergic (5HT2A) receptors and may reduce irritability and hyperactivity in those patients. Switching to aripiprazole in adult psychotic patients may improve weight gain and metabolic parameters. Here, change in metabolic parameters of an over-weight patient with a diagnosis of Autistic Disorder receiving risperidone upon switching to aripiprazole, will be presented. A ten years old male patient was brought to our department for “irritability, hyperactivity”. It was learned that he had been diagnosed to have Autistic Disorder at 6 years old and he has received risperidone 1 mg/ day since he was 8. He scored 6 (Severe Disorder) and 46 (Severe Autistic Symptoms), respectively on the Clinical Global Impressions (CGI) and Childhood Autism Rating Scales (CARS)...
Objective: Referral of sexually abused children and adolescents to the Forensic Medicine Council ... more Objective: Referral of sexually abused children and adolescents to the Forensic Medicine Council showed that sexual abuse of children and adolescents is prevalent in Turkey. Unfortunately, very few studies have examined the characteristics of sexual offenders against children and adolescents in Turkey. This study examined the socio-cultural features of sexual offenders against children and adolescents from Western Black Sea, Mediterranean, Marmara and East Anatolia regions of Turkey. Methods: The sex offenders against children and adolescents referred for forensic psychiatric examination to the Child and Adolescent Psychiatry outpatient clinics of University of Zonguldak Karaelmas Hospital, Elazig Mental Health Hospital, Adana Ekrem Tok Mental Health Hospital, Bursa Dortcelik Childrens’ Hospital were recruited for the study. Data for sex offenders were obtained from the medical and legal documents of children and adolescents. The sex offenders were assessed for demographic and legal...
Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pull... more Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pulling leading to hair loss, distress, and disordered functioning. Treatment choices include behavioral therapy (especially habit reversal training) and selective serotonin reuptake inhibitors. However, randomized controlled trials conducted with selective serotonin reuptake inhibitors have led to controversial results of effectiveness for TTM. Here, we report a female patient whose TTM symptoms increased after fluoxetine use.
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