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Öğe Cinsel İstismar Mağduru Çocuk ve Ergen Olgularımızın Sosyodemografik ve Klinik Özellikleri(Turgut Özal Tıp Merkezi Dergisi, 2014) Dönmez, Yunus Emre; Soylu, Nusret; Özcan, Özlem Özel; Yüksel, Tuba; Çalışkan, Arzu Demir; Çon, Pelin Bayhan; Miniksar, Dilşad Yıldız[Abstract Not Acailable]Öğe Clinical attendance rates and associated factors after discharge of patients treated in a child psychiatry clinic(2020) Uçur, Ömer; Soylu, Nusret; Karatoprak, Serdar; Algan, Zehra; Doğan, Özlem; Güngören, Sümeyra; Dönmez, Yunus Emre; Özel Özcan, ÖzlemAbstract: Aim: Continual attendance at clinical follow-ups of children and adolescents after inpatient psychiatric treatment is an important problem affecting morbidity and mortality. In this study we aimed to research the follow-up attendance rates after hospital discharge and influencing factors in a child and adolescent psychiatric inpatient clinic. Material and Methods: Patient data between 2013 and 2016 were retrospectively investigated and cases with at least 3 months of history after discharge were included in the study. After discharge, cases who attended the following first 2 consecutive clinic appointments were accepted as attending follow-up. Variables related to sociodemographic characteristics, psychiatric diagnosis, applied treatment, kind of admission and discharge, duration of stay, applied psychometric scale scores were also recorded. Results: Two-hundred and fourty-one cases (65.7%) attended the first two consecutive appointments, while 126 cases (34.3%) did not attend a total of 367 cases. Low socioeconomic level and alcohol use were found to be associated independently with lower attendance rates while pharmacotherapy, admission from outpatient clinic and those with first-degree relatives who had mental disorders associated independently with higher attendance rates. Conclusion: Regular and consistent follow-up after discharge from children and adolescents may be an important indicator of compliance with treatment. Studies have reported that repeated psychiatric admissions to hospital are lower among patients who are compliant with treatment compared to those who do not comply. We believe our study will contribute to the literature on understanding the attendance rates and effective factors for clinical check-ups after discharge.Öğe Coexistence of PFAPA syndrome with separation anxiety(2019) Dönmez, Yunus Emre; Özcan, Özlem; Tabel, YılmazAbstract: PFAPA syndrome is an auto inflammatory disease. Researchers have stated that auto inflammatory mechanisms can play a role in etiology of several psychiatric diseases and for this reason auto inflammatory diseases are frequently associated with psychiatric disorders. The purpose of this paper, it is aimed to report two cases diagnosed with PFAPA syndrome and having psychiatric symptoms and to discuss them accompanied by literature data. As authors, in the light of cases we report and literature knowledge, we think that children with PFAPA syndrome could be under risk in terms of psychiatric problems due to common inflammatory etiology.Öğe Comorbid Psychiatric Disorders and Related Sociodemographic Factors in Adolescents with Attention-Deficit Hyperactivity Disorder(2022) Karatoprak, Serdar; Dönmez, Yunus EmreObjective: Attention-deficit hyperactivity disorder (ADHD) disorder is a neuropsychiatric disorder that begins in early stages of life and has a lifelong effect. Previous studies have found that 50-70% of children and adolescents with ADHD have comorbid psychiatric disorders. The aim of this study is to identify comorbid psychiatric disorders in adolescents with ADHD and to compare the sociodemographic characteristics of ADHD cases with and without psychiatric comorbidity. Method: This study was conducted with 105 adolescents with ADHD. The Schedule for Affective Disorders and Schizophrenia for School-age Children-present and Lifetime-Turkish version was used to evaluate ADHD and comorbid psychiatric disorders. Results: The study was completed with 73 male and 32 female adolescents. The mean age of the participants was 13.75±1.45 years. It was determined that 41 cases (39%) had at least one comorbid psychiatric disorder. The most common comorbid psychiatric disorders were conduct disorder (14.3%), specific learning disorder (8.6%), obsessive compulsive disorder (3.8%) and elimination disorders (3.8%). While the prevalence of comorbid psychiatric disorders was compared according to sociodemographic characteristics, it was found that the prevalence of comobidity was significantly higher in adolescents with ADHD living in families with low socioeconomic levels. Conclusion: The findings of current study showed that adolescents with ADHD had a high rate of comorbid psychiatric disorders. We are opinion that presence of comorbid psychiatric disorder in ADHD will have negative effects on both ADHD and comorbid psychiatric problems. Therefore, all adolescents with ADHD should be evaluated for comorbid psychiatric disorders.Öğe Does short-term montelukast treatment cause sleep problems or psychiatric problems in children? A preliminary study(2020) Dönmez, Yunus Emre; Karaer, Işıl ÇakmakAim: Montelukast is one of the treatment choices for symptomatic allergic rhinitis and asthma in children. Various researches emphasized that montelukast use causes neuropsychiatric side effects. The aim of this study was to investigate the effect of short-term montelukast use on children's sleep habits, and whether sleep-related problems and psychiatric problems may occur.Material and Methods: This prospective study was conducted with 30 children. Psychiatric disorders and symptoms, sleep habits, sleep-related problems were evaluated before the use of montelukast. All of these evaluations were repeated at 4th and 8th week of treatment. Psychiatric assessment was performed with the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version – Turkish. Sleep habits, sleep-related problems were assessed using the Children Sleep Habits Questionnaire Short Form (CSHQ-S) and the Pediatric Sleep Questionnaire (PSQ).Results: According to the psychiatric assessment, no psychiatric disease or symptom was identified before treatment and at the 4th and 8th week of treatment. The CSHQ-S and PSQ responses were evaluated and there was no significant difference between results obtained before treatment and at the 4th and 8th weeks of treatment.Conclusion: The results revealed that short-term montelukast use is safe and do not cause changes sleep habits, sleep-related problems or psychiatric problems in children. Long-term follow-up studies with high numbers of participants are needed to test these results and evaluate the possible neuropsychiatric side effects of long-term montelukast use.Öğe The effects of attention deficit/hyperactivity disorder on adolescents exposed to peer victimization(2022) Karatoprak, Serdar; Akyıldız, Abdulbaki; Dönmez, Yunus EmreAim: Peer victimization is more common in adolescents with ADHD. Since more internalizing behaviors, externalizing behaviors and academic problems are observed in adolescents exposed to peer victimization, these problems may occur more severely in adolescents with ADHD who are exposed to peer victimization. In this study, it was aimed to investigate the effects of ADHD on internalizing and externalizing behaviors, depression, academic problems in adolescents with ADHD who were exposed to peer victimization. Materials and Methods: This cross-sectional study was conducted with 169 adolescents. Participants completed Socio-demographic Data Form, Olweus Bully/Victim Questionnaire, Strengths and Difficulties Questionnaire-Adolescent Form and Children’s Depression Inventory. The diagnosis of ADHD was determined according to the diagnostic criteria in DSM-V. Results: The study was completed with 41 adolescents with ADHD exposed to peer victimization, 69 adolescents without ADHD exposed to peer victimization, 59 adolescents without ADHD and were not exposed to peer victimization. There was no statistically significant difference between groups in terms of sociodemographic characteristics. School absenteeism was more common in ADHD group. Externalizing behaviors were found to be statistically significantly higher in the ADHD group. Conclusion: The results of this study have revealed that adolescents with ADHD who are exposed to peer victimization exhibit more severe externalizing behaviors. Therefore, ADHD should be specifically investigated in adolescents exposed to peer victimization who develop more severe externalizing behaviors.Öğe Internet addiction and comorbid pyschiatric disorders in adolescents(2020) Karatoprak , Serdar; Dönmez, Yunus EmreAbstract: Aim: Internet addiction (IA) has become an increasing problem in adolescents. However, there are few studies conducted in clinical samples and examined comorbid psychiatric disorders in adolescents with IA. The aim of this study was to determine the sociodemographic characteristics and comorbid psychiatric disorders in adolescents with IA and to compare them according to gender. Material and Methods: This cross-sectional study was conducted with 80 adolescents aged 12-18 years. Participants with a Young Internet Addiction Scale score ? 50 were considered as internet addicts and were included in the study. Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version was used to evaluate psychiatric disorders. Results: The study was completed with 40 male and 40 female adolescents with IA. The mean age of the participants was 14.7. 83.3% of participants use the internet every day and 46.7% of participants use the internet more than six hours a day. The mean YIAS score of the participants was 63.0. All participants met criteria for at least one psychiatric disorder. The most common comorbid psychiatric disorders were depressive disorder (37.5%), ADHD (26.2%) and anxiety disorders (23.8%). When comorbid psychiatric disorders were compared according to gender, it was found that ADHD was significantly higher in boys and depressive disorder was significantly higher in girls. Conclusion: The results of the present study showed that adolescents with IA had a high rate of comorbid psychiatric disorders. Coexistence of addiction and psychiatric disorders has negative effects on the treatment of both addictions and psychiatric disorders. Therefore, all adolescents with IA should be evaluated for comorbid psychiatric disorders. Further studies are needed to explain the causal relationship between IA and psychiatric disorders.Öğe Management of obsessive compulsive disorder induced by the use of clozapine(2019) Dönmez, Yunus Emre; Özel Özcan, Özlem; Sarıoğlu Kartal, Fatma; Güngören, SümeyraAbstract: The second generation antipsychotic of clozapine has superior efficacy compared to other antipsychotics especially for treatment-resistant schizophrenia. In up to 20% of patients receiving clozapine treatment, the side effect of obsessive compulsive symptoms or obsessive compulsive disorder occurs. These obsessive compulsive side effects sometimes cause cessation of the use of clozapine and sometimes causes difficulties in treating the psychotic symptoms due to dose reductions. This manuscript presents a case with resistant schizophrenia who developed obsessive compulsive disorder secondary to clozapine treatment and was successfully treated with clomipramine and aims to discuss the case accompanied by the literature.Öğe Okul çağı çocuklarında gelişimsel kekemelik ve eşlik eden psikiyatrik bozukluklar(2020) Dönmez, Yunus Emre; Özel Özcan, ÖzlemÖz: Amaç: Araştırmalar psikiyatrik sorunlarla kekemeliğin ortak nörofizyolojik nedenlerle veya kekemeliğin neden olduğu ruhsal-toplumsal güçlükler nedeniyle birlikte görülebileceğini öne sürmüştür. Bu çalışmanın amacı, okul çağı çocuklarından oluşan klinik örneklemde kekemeliğe eşlik eden psikiyatrik bozuklukları değerlendirmek, psikiyatrik eş tanısı olan ve olmayan kekemelik hastalarını yaş, cinsiyet ve kekemelik şiddeti açısından karşılaştırmaktır. Yöntem: Bu çalışma kesitsel, geriye dönük bir çalışma olup elektronik ortamda kayıtlı poliklinik kayıtları üzerinde yapılan inceleme neticesinde kekemelik tanısı konmuş 6-12 yaşları arasındaki 89 çocuk ile gerçekleştirilmiştir. Kekemelik tanısı DSM-5 çocukluk başlangıçlı konuşma akıcılığı bozukluğu (kekemelik) tanı ölçütlerine göre konulmuştur. Kekemelik şiddetinin değerlendirilmesinde Klinik Global İzlenim Ölçeği kullanılmıştır. Katılımcıların psikiyatrik değerlendirmesi Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli ile yapılmıştır. Bulgular: Katılımcıların %51.7’sinde psikiyatrik eş tanı saptanmıştır. Belirlenen psikiyatrik eş tanılar sırasıyla %30.3 dikkat eksikliği ve hiperaktivite bozukluğu, %12.4 sosyal anksiyete bozukluğu ve %4.5 özgül öğrenme bozukluğu şeklindedir. Çalışmada katılımcılar psikiyatrik eş tanısı olan ve olmayanlar şeklinde iki gruba ayrılarak yaş, cinsiyet ve kekemelik şiddeti açısından karşılaştırılmıştır. Yapılan analizde psikiyatrik eş tanının erkeklerde (%56) kızlara (%23) göre anlamlı oranda yüksek olduğu, psikiyatrik eş tanısı olanların yaş ortalamasının (8.06) psikiyatrik eş tanısı olmayanlardan (7.16) anlamlı oranda yüksek olduğu saptanmıştır. Kekemelik şiddetine göre yapılan incelemede ise gruplar arasında anlamlı farklılık saptanmamıştır. Tartışma: Çalışmamızın sonuçları psikiyatrik bozuklukların kekemeliği olan okul çağı çocuklarında, iki çocuktan birinde kekemeliğe eşlik ettiğini ortaya koymuştur. Kekemelikte psikiyatrik eş tanı varlığının kekemelik tedavisindeki olumsuz etkilerine vurgu yapan alan yazın bilgileri göz önünde bulundurulduğunda, kekemelikte psikiyatrik eş tanının belirlenmesinin ve yapılacak müdahalelerin gerek kekemelik tedavisi ile ilgilenen profesyonellere, gerekse tedavi gören hastalara fayda sağlayacağı düşüncesindeyiz. (Anadolu Psikiyatri Derg 2020; 21(5): 523-530)Öğe Online gaming features in adolescents with attention-deficit/hyperactivity disorder(2023) Uçur, Ömer; Dönmez, Yunus EmreAim: Leisure activities in adolescents with Attention-deficit/hyperactivity disorder (ADHD) tend to focus on Internet activities, especially online games. Online gaming addiction has been observed in ADHD populations. Game genres and characteristics may affect addiction in ADHD adolescents who play online games. This study aims to contribute to the literature by examining the Internet gaming disorder (IGD) risk effects and game genres of hyperactivity/impulsivity, inattention, and ADHD index separately. Methods: A total of 884 adolescents playing online games were included. Participants answered the online game features form, Conners-Wells’ adolescent self-report scale—long version and digital gaming addiction scale—short form under the observation of their teachers. Game genres and ADHD symptomatology (Inattention, Hyperactivity/impulsivity, ADHD index) were categorized within themselves. Results: IGD was significant in all subcomponents of ADHD symptomatology. In all subcomponents, insulting/threatening speeches were found in the chat tab. In the Hyperactivity/impulsivity component, more hours of online gaming and spending real money on in-game advantages were found. In the Inattention and ADHD index, the amount of gaming in the social environment of the adolescents was high. In ADHD symptomatology, no significant results were found in game genres (except sports in the Inattention component). nclusion: Although levels of online gaming are high in adolescents with ADHD, a bidirectional relationship is likely. We believe that social factors and communicative characteristics are important in relational factors in adolescents. Longitudinal studies should be conducted to answer important empirical questions about the relationship between ADHD-IGD and game genres.Öğe The relationship between prenatal testosterone and developmental stuttering in boys(2019) Dönmez, Yunus Emre; Özcan, Özlem; Bilgiç, Ayhan; Miniksar, Dilşad YıldızAbstract: Stuttering is a multi-factorial speech disorder characterized by variousdysfluencies in the beginning and/or smooth flow of speech. Its incidenceis about 1% in the general population, with 80% of stuttering cases seen inchildren aged three to eight years. The etiology of developmental stutteringhas not been precisely explained. Several researchers report that neurologicalfactors, especially atypical lateralization of the speech and language processes,play an important role in the etiology of stuttering. Various hypothesessuggest that prenatal testosterone causes atypical hemispheric lateralization.The aim of this study was to investigate the role of prenatal testosterone inthe etiology of developmental stuttering by the use of the ratio of secondand fourth-digit lengths (2D: 4D).Totally 133 boys (49 boys who stutter and 84 boys who do not stutter)were included in the study. The age range of children participating in thestudy was determined as 2–12 years. In the comparative evaluation conductedbetween the stuttering group and the control group in terms of their right2D: 4D and left 2D: 4D ratios, it was found that the left 2D: 4D ratio of thepatients was significantly higher than that of the control group.We are of the opinion that prenatal testosterone may play a role in theetiology of developmental stuttering. The present study is the first studyin the literature to reveal a relationship between prenatal testosterone anddevelopmental stuttering.Öğe The relationship between traditional bullying/cyberbullying with resilience, anxiety and depression in adolescents(2022) Demir, Arzu Çalışkan; Dönmez, Yunus EmreAim: Both bullying and victimization are a serious negative life experience for children and adolescents and the effects are not limited to the period of bullying, but may last for a lifetime and negatively affect the mental health. In this study, we aimed to investigate the frequency of bullying and victimization of adolescents-both traditional and cyber- and to determine their relationship with resilience, anxiety and depression. Materials and Methods: This study was carried out online with 207 adolescents. The participants filled the demographic data form, Bullying and Cyberbullying Scale for Adolescents, Adolescent Psychological Resilience Scale (APRS), DSM-5 Anxiety Scale- Child, DSM-5 Depression Scale-Child. Results: The traditional bully, traditional victim, cyberbully and cyber victims or nonvictims were compared, no statistically significant difference was found between demographic characteristics. When the effect of being a victim or a bully on DSM-5 Depression, DSM-5 Anxiety and APRS total scores were analyzed by linear logistic regression analysis, it was determined that being a traditional victim is a potential risk factor for increasing depression and anxiety and decreasing in resilience. Conclusion: Bullying exposure predicts psychiatric morbidity in the already difficult adolescence; therefore, prevention of this situation should be a priority in preventive public health.
