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    Factors related with unintentional injuries in children with newly diagnosed attention-deficit/hyperactivity disorder
    (Taylor & Francis Ltd, 2016) Ayaz, Ayse Burcu; Ayaz, Muhammed; Senturk, Ekrem; Soylu, Nusret; Yuksel, Serhat; Yulaf, Yasemin
    The aim of the present study was to investigate the factors associated with unintentional injury in children newly diagnosed with attention-deficit/hyperactivity disorder (ADHD). One thousand four hundred and thirty children between the ages of 6 and 18 who were diagnosed with ADHD for the first time in child psychiatry outpatient clinics were included in the present study. The socio-demographic information of the children, their developmental histories, chronic physical health conditions, comorbid psychiatric disorders, and information obtained via the Turgay DSM-IV-based Child and Adolescent Disorders Screening and Rating Scale were examined retrospectively. It was determined that 12.8% of the children (n = 183) experienced unintentional injury. It was established that age, male gender, disruptive behavioural problems, and low education levels among mothers were predictive of unintentional injuries. The results of the present study suggest that behavioural problems accompanying ADHD and comorbid psychiatric disorders are important in terms of unintentional injuries.
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    Fine motor skills in children with rolandic epilepsy
    (Academic Press Inc Elsevier Science, 2013) Ayaz, Muhammed; Kara, Bulent; Soylu, Nusret; Ayaz, Ayse Burcu
    This study aimed to evaluate fine motor skills in children with rolandic epilepsy (RE). The research included 44 children diagnosed with typical RE and 44 controls matched in terms of age, gender, and level of education. Fine motor skills were evaluated with the Purdue Pegboard Test, and intelligence was measured with the Wechsler Intelligence Scale for Children. After controlling for the effect of intelligence on fine motor skills, the results showed that the children with RE did not perform as well as the controls in the PPT dominant hand, both hands, and assembly subtests. Epileptic focus, treatment status, type of antiepileptic treatment, age at the time of the first seizure, time since the last seizure, and total number of seizures did not affect motor skills. Rolandic epilepsy negatively affected fine motor skills regardless of the children's level of intelligence. (C) 2013 Elsevier Inc. All rights reserved.
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    Gender Differences in Sexually Abused Children and Adolescents: A Multicenter Study in Turkey
    (Routledge Journals, Taylor & Francis Ltd, 2016) Soylu, Nusret; Ayaz, Muhammed; Gokten, Emel Sari; Alpaslan, Ahmet Hamdi; Donmez, Yunus Emre; Ozcan, Ozlem Ozel; Ayaz, Ayse Burcu
    The purpose of this study was to examine gender-based differences in abuse-related characteristics and post-abuse psychiatric disorders among sexually abused children and adolescents. The researchers retrospectively examined files, judicial reports, and social examination reports of 1,250 sexually abused youth cases. Results showed that boys were more often victimized by penetration, force, and physical violence. Incidence of sexual abuse by family members, familiar persons, and multiple persons was higher among girls. In addition, a higher rate of major depressive disorder as well as alcohol consumption and cigarette smoking were found in sexually abused girls. No difference was observed between boys and girls in terms of post-traumatic stress disorder, conduct disorder, and other mental disorders. Intellectual disability was more frequent in boys.
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    Medication Persistence in Turkish Children and Adolescents with Attention-Deficit/Hyperactivity Disorder
    (Mary Ann Liebert, Inc, 2014) Ayaz, Muhammed; Ayaz, Ayse Burcu; Soylu, Nusret; Yuksel, Serhat
    Objective: The aim of this study was to investigate medication persistence in Turkish children and adolescents with attention-deficit/hyperactivity disorder (ADHD). The effects of sociodemographic characteristics, symptom severity of ADHD, comorbidity, and treatment-related factors influencing medication persistence in children diagnosed with ADHD were studied. Methods: Medication persistence over a continuous 12 month period was evaluated for 877 children and adolescents between 6 and 18 years of age, who were diagnosed with ADHD for the first time and started to receive medication. Medication persistence was determined according to whether or not taking the prescribed medication continued for 12 months after the initiation of treatment. Whereas the symptom severity of ADHD was assessed by using the Turgay Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV)-based Child and Adolescent Behaviour Disorders Screening and Rating Scale-Parents Form (T-DSM-IV-S), perceived medication efficacy after the first treatment was evaluated by the Clinical Global Impressions-Improvement Scale (CGI-I). Results: In this study, medication persistence over a continuous 12 month period occurred at a rate of 30.2% (n=265) in the subjects studied. The hierarchical regression analysis conducted in this research revealed that younger age, higher hyperactivity/impulsivity symptom severity, use of long-acting methylphenidate, addition of another ADHD medication, addition of other psychotropic medications, absence of side effects, and perceived medication efficacy were associated with successful medication persistence over a continuous 12 month period. Conclusions: Understanding the factors that affect medication persistence in ADHD may improve treatment efficacy and symptom control, while minimizing future risks.
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    Psychometric properties of the DY-BOCS in a Turkish sample of children and adolescents
    (W B Saunders Co-Elsevier Inc, 2016) Guler, Aysegul Selcen; do Rosario, Maria Conceicao; Ayaz, Ayse Burcu; Gokce, Sebla; Yulaf, Yasemin; Basgul, Senem; Ozcan, Ozlem
    Background: Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS) is a promising scale for assessing frequency and severity of symptom dimensions. The main objective of the study was to assess the psychometric properties of the DY-BOCS in a large sample of children and adolescents from Turkey. Methods: We studied 143 children and adolescents, 7-18 years, with well characterized DSM-IV-R OCD, ascertained from seven collaborating university or state hospital sites. We compared the DY-BOCS scores with the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), the Children's Depression Inventory (CDI), the Yale Global Tic Severity Scale (YGTSS) and the Child Behavior Checklist 6-18 years (CBCL 6-18). Results: The internal consistency of the DY-BOCS symptom dimensions and inter-rater agreement of component scores were excellent. The agreement between global DY-BOCS score and the total CY-BOCS score was highly significant (Pearson's r = 0.55, p < 0.0001). Severity scores for individual symptom dimensions were independent of one another, only modestly correlating with the global ratings, and were also differentially related to ratings of depression, anxiety and tic severity. Conclusion: The DY-BOCS is a reliable and valid instrument for assessing multiple aspects of OCD symptom severity in children and adolescents from Turkey. (C) 2015 Elsevier Inc. All rights reserved.
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    Socio-Demographic and Behavioral Factors Related to Unintentional Injuries in Preschool Children Diagnosed to Have Attention-Deficit/Hyperactivity Disorder
    (Kure Iletisim Grubu A S, 2015) Ayaz, Muhammed; Ayaz, Ayse Burcu; Soylu, Nusret
    Objective: Unintentional injuries are a significant cause of morbidity and mortality in preschool children. The purpose of this study was to investigate the factors related to unintentional injuries in preschool children diagnosed to have attention-deficit/hyperactivity disorder (ADHD). Method: This study included 237 preschool children diagnosed to have ADHD, aged 4-5 years, recruited from a child psychiatry outpatient clinic. Diagnoses of ADHD in the children were made by child psychiatrists, according to DSM-IV criteria. A form developed by the researchers was completed by receiving information from parents regarding unintentional injury histories of the children, their socio-demographic information, and a family history of psychiatric disorders, developmental problems, and the presence of chronic health conditions. Behavioral problems of the children were assessed using the Child Behavior Checklist/4-18 (CBCL). Results: Of the preschool children diagnosed to have ADHD examined in this study, 19.8% (n=47) had unintentional injuries; 17% (n=8) of the children who experienced unintentional injuries had multiple unintentional injuries; 68.1% of accidents occurred at home and 32.9% occurred outside of the home. The regression analysis conducted in this research revealed that male gender, higher CBCL externalizing scores, and separation of parents were associated with unintentional injuries in preschool children diagnosed to have ADHD. Conclusions:The results of this study indicate that prevention activities for unintentional injuries in children with ADHD should be initiated in the preschool period. Early implementation of protective measures regarding accidents may provide benefits for preschool children diagnosed to have ADHD that extend into adolescence and adulthood.