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    Are adolescents with social anxiety disorder in danger of peer bullying?
    (2024) Sireli, Ozlem; Ucuz, Ilknur; Cicek, Ayla Uzun; Abanoz, Elif; Arslan, Semiha Comertoglu
    Aim: 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.
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    Does Involvement in Peer Bullying Invite Self-Injury? The Association Between Peer Bullying and Self-Injury in a Clinical Sample
    (Lippincott Williams & Wilkins, 2023) Cicek, Ayla Uzun; Ucuz, Ilknur; Sari, Seda Aybuke; Arslan, Semiha Comertoglu; Dogru, Hicran
    Previous studies have linked peer bullying to nonsuicidal self-injury (NSSI). However, the evidence is largely limited to population-based groups. This study examined whether there is a relationship between NSSI and being a victim of peer bullying among adolescents in a clinical sample and how this may be influenced by types of bullying. The sample consisted of 96 outpatients with NSSI and 107 healthy adolescents. The Inventory of Statements About Self-Injury, Peer Bullying Scale, and Rosenberg Self-Esteem Scale were applied. Whereas the scores of each bullying type of adolescents with NSSI were significantly higher, their self-esteem scores were significantly lower. Each victimization score of bullying had a negative correlation with NSSI-onset age and self-esteem scores and a positive correlation with self-injury scores. This study demonstrated that being a victim of any type of bullying is strongly associated with self-injury. It would be advisable to screen adolescents with self-injury for exposure to bullying, and vice versa.
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    Evaluating the impact of rock climbing on mental health and emotional well-being in adolescents
    (Frontiers Media Sa, 2024) Gurer, Huseyin; Akcinar, Faruk; Arslan, Semiha Comertoglu; Akcinar, Serpil; Gullu, Mehmet; Eken, Ozgur; Kurtoglu, Ahmet
    Background: Rock climbing (RC) has gained attention as a therapeutic tool in psychiatric settings that merges physical exertion with mental engagement. It has potential to enhance mental health, through improved self-efficacy and social interaction, making it a novel intervention for addressing anxiety, depression, and behavioral issues in adolescents. This study aimed to investigate the effects of RC as a physical activity on anxiety, depression, and emotional and behavioral problems in adolescents. Methods: The current study included 57 athletes aged 14.5 +/- 1.7years and 91 adolescents aged 13.6 +/- 1.2years, matched for age and gender, who were not professionally involved in sport. In addition to the socio-demographic form, a detailed psychiatric assessment was carried out by the child psychiatrist; using the Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime Version (K-SADS-PL) to detect psychiatric conditions. The Revised Child Anxiety and Depression Scale-Child Version (RCADS-CV) and the Strengths and Difficulties Questionnaire (SDQ) were also administered to the adolescents in the study. Results: In the comparative analysis of the RCADS-CV outcomes between the athlete and control groups, the athletes demonstrated notably lower scores for both Separation Anxiety Disorder (SAD) and Generalized Anxiety Disorder (GAD), yielding p-values of < 0.001 and 0.031, respectively. Although the mean scores for social phobia, OCD, panic disorder, and MDD were lower in the athlete group, the differences were not statistically significant (p>0.05). In the correlation analysis, a moderately significant correlation was found between the duration of doing sport and the scale scores for SAD (p:0.010), OCD (p:0.014), and panic disorder (p:0.016). There was no significant difference between groups in terms of SDQ scores. Conclusion: These results suggest that RC, through its unique combination of physical exertion and mental focus, may offer protective benefits against certain anxiety disorders among adolescents. Further studies should be conducted to explore the potential use of RC as a preventive program for both healthy adolescents, as well as those with psychiatric disorder.
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    Sociodemographic variables, clinical characteristics, and treatments in children with trichotillomania in terms of age and gender: a multicenter study
    (Taylor & Francis Ltd, 2023) Arslan, Semiha Comertoglu; Cicek, Ayla Uzun; Ucuz, Ilknur; Dogru, Hicran
    Objective Although trichotillomania (TTM) is a common, typically pediatric-onset disorder, data on the phenomenology of TTM in children, accompanying comorbid psychiatric disorders, and treatment options are extremely limited. In our study, it was aimed to investigate these variables and related factors in patients undergoing psychiatric evaluation and follow-up. Method The study included 79 children and adolescents between the ages of 4 and 17 who were diagnosed with TTM and followed up in four different Child and Adolescent Psychiatry outpatient clinics between 2015 and 2020. The sociodemographic characteristics of these patients, clinical features of the disease, comorbid psychiatric disorders, and treatment approaches have been studied. Results Our results showed that TTM was more common in girls, hair and eyebrow plucking was the most common, and symptoms and features accompanying TTM changed with age, but not with gender. Again, 79.7% of these children had at least one psychiatric comorbid disorder (most common being anxiety disorders and Attention Deficit/Hyperactivity Disorder), comorbidity was closely related to TTM severity, 93.7% used at least one pharmacotherapeutic agent, and positive response rates to treatment were found to be low. Moreover, TTM severity was found to increase with age and disease duration. Conclusion Study findings support that clinical presentation, disease severity and comorbidity rates may change with age in children and adolescents with TTM, and early intervention is important to prevent clinical progression/worsening and mental health sequela.
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    What Do Parents Know and Perceive About Child and Adolescent Psychiatry and Treatments?
    (Wiley, 2025) Cicek, Ayla Uzun; Bozok, Beyza Karatas; Bozok, Suleyman Emre; Abanoz, Elif; Arslan, Semiha Comertoglu; Ucuz, Ilknur; Sireli, Ozlem
    Purpose: Parents' knowledge, understanding and attitudes have a strong influence on treatment outcomes in child and adolescent psychiatry (CAP). However, little is known about parents' knowledge, perceptions and awareness regarding assessment, intervention and treatment options in CAP. Methods: We evaluated 1872 parents (1104 mothers [59.0%], 768 fathers [41.0%]) who were over 18 years of age and had at least one child between the ages of 0-18, regardless of whether their child had previously received CAP treatment, using a questionnaire containing 29 questions. Results: The most common misconceptions about CAP application records were that psychiatric records would cause difficulties in getting a job (92.6%) and would be obstacles to appointment to civil service (65.8%) and to getting driver's licence (34.8%). Regarding CAP drug treatments, the most frequently reported false beliefs were that psychiatric drugs cause weight gain (80.1%), are addictive (65.1%), cause long-lasting side effects (53.5%), numb the mind and cause drowsiness (52.7%), alter children's personalities (44.4%) and increase suicide risk (42.9%). Furthermore, 1105 (59.0%) participants answered 'Psychiatric disorders cannot be treated effectively even if psychiatric medications are used.' Conclusions: Our results indicated that parents' knowledge level was inadequate, and their attitudes and beliefs were negative and limited regarding CAP and treatments; in turn, they avoided treatment and did not engage in help-seeking behaviours. This study shows an urgent need for mental health education programs to increase parents' awareness and understanding of CAP and promote appropriate access to services.
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    Who Is Most at Risk? Exploring the Prevalence of Psychiatric Comorbidities in Children With Intellectual Disability by Age, Sex, Severity, and Socioeconomic Background
    (Wiley, 2026) Abanoz, Elif; Cicek, Ayla Uzun; Ucuz, Ilknur; Arslan, Semiha Comertoglu; Sari, Seda Aybuke; Sireli, Ozlem
    Background Data on psychiatric comorbidities in children with intellectual disability (ID) across subgroups remain limited. Thus, we aimed to investigate comorbidity prevalence by age, sex, ID severity, and socioeconomic status.Methods This multicentre, cross-sectional study included 1742 children with ID consecutively recruited from child psychiatry outpatient clinics. Participants were assessed using comprehensive psychiatric interviews, the Strengths and Difficulties Questionnaire, and Clinical Global Impression.Results Comorbid psychiatric disorders were present in 86.2% of the sample; 24.7% had one, and 61.5% had two or more. The most common diagnoses were ADHD (44.3%), anxiety disorders (40.0%), oppositional defiant disorder (36.7%), and conduct disorder (29.2%). Comorbidity rates were significantly higher in males, adolescents, those with severe ID, and those from higher-income families. Internalising disorders were more common in females; externalising disorders in males and adolescents.Conclusions Our findings suggest the integration of systematic, developmentally sensitive psychiatric screening into standard clinical care for children with ID.