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Öğe Association between premenstrual syndrome and alexithymia among Turkish University students(Taylor & Francis Ltd, 2014) Alpaslan, Ahmet Hamdi; Avci, Kadriye; Soylu, Nusret; Tas, Hanife UzelPremenstrual syndrome (PMS) is a heterogeneous disorder, which includes physical, cognitive, affective and behavioral symptoms. The aim of this study was to determine the factors affecting PMS and the relationship between PMS and alexithymia. The research was performed with 308 students. Data were collected using a demographic questionnaire, the Toronto alexithymia scale (TAS-20) and a premenstrual assessment form (PAF). The prevalence of PMS in our sample was 66.6%. The contributing factors to PMS were having a history of psychiatric treatment and having a smoking habit (p<0.05). The PMS group showed higher scores than the non-PMS group on all the items of the TAS-20 which includes the three factors: difficulty in identifying feelings, difficulty in describing feelings and externally oriented thinking (p<0.05). The alexithymic students showed higher scores on all PAF subscales (p <= 0.001). Further studies are needed to determine the probable role of alexithymia in the pathogenesis of PMS.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 Developmental delays in preschool children with adenotonsillar hypertrophy(Kulak Burun Boğaz İhtisas Dergisi, 2016) Soylu, Erkan; Soylu, Nusret; Polat, Cahit; Sakallıoğlu, Öner; Uçur, Ömer; Bozdoğan, GökçeAbstract: Amaç: Bu çalışmada adenotonsiller hipertrofili çocuklarda Denver Gelişimsel Tarama Testi-2 uygulanarak adenotonsiller hipertrofinin genel gelişimin yanı sıra ince ve kaba motor yetenekler, sosyal iletişim ve dil gelişimi üzerindeki etkileri araştırıldı.Hastalar ve Yöntemler: Şubat 2013 - Temmuz 2013 tarihleri arasında adenotonsiller hipertrofi nedeniyle adenotonsillektomi endikasyonu konulan 30 hasta (12 erkek, 18 kız; ort. yaş 53.3±12.2 ay; dağılım 32-72 ay) çalışmaya dahil edildi. Kontrol grubuna adenotonsillektomi endikasyonu olmayan 30 çocuk katılımcı (12 erkek, 18 kız; ort. yaş 53.1±12.8 ay; dağılım 32-72 ay) dahil edildi. Çalışmaya alınan tüm katılımcılara rutin fizik muayene, fleksibl fiberoptik nazofarengoskopi ve timpanometri uygulandı. Tonsil ve adenoid boyutlarını sınıflandırmak için sırasıyla Brodsky skalası ve fiberendoskopik bulgular kullanıldı. Kulak, burun, boğaz değerlendirmesinin ardından tüm katılımcılara bir psikolog tarafından kör olarak Denver Gelişimsel Tarama Testi-2 uygulandı.Bulgular: Adenotonsiller hipertrofi hastalarının anormal genel gelişim seviyeleri daha yüksek idi (c2=7.13, p=0.028). Hastalar ve kontrollerin ince ve kaba motor ile kişisel-sosyal gelişim düzeyleri benzer olmasına karşın dil gelişimi açısından aralarında istatistiksel olarak sınır düzeyde farklılık vardı (t=1.82, p=0.074).Sonuç: Genel gelişim ve dil gelişimi geriliği olan çocuklarda adenotonsiller hipertrofi olasılığı mutlaka akla getirilmelidirÖğe Disordered eating attitudes, alexithymia and suicide probability among Turkish high school girls(Elsevier Ireland Ltd, 2015) Alpaslan, Ahmet Hamdi; Soylu, Nusret; Avci, Kadriye; Coskun, Kerem Senol; Kocak, Ugur; Tas, Hanife UzelWe aimed to examine association between disordered eating attitudes (DEAs), alexithymia and suicide probability among adolescent females and to explore potential link between alexithymia and suicide probability in subjects with DEAs. 381 female students completed Eating Attitude Test (EAT-26), Toronto Alexithymia Scale (TAS-20) and Suicide Probability Scale (SPS). It was found that 13.2% (n=52) of the subjects have DEAs. Results indicated that total TAS-20 score and scores of Difficulty in Identifying Feelings (DIF) and Difficulty in Describing Feelings (DDF) subscales were significantly higher in DEAs group than in those non DEAs group (p<0.05). Additionally, total SPS score (p<0.001), Hopelessness (p=0.001), Suicide Ideation (p<0.001) and Hostility (p=0.003) subscales scores of SPS were significantly higher in the alexithymic DEAs than the non-alexithymic DEAs group. In order to control potential effect of depression, SPS subscales were used as covariate factors in ANCOVA. Negative Self-Evaluation subscale yielded a statistically significant difference between groups, other subscales did not. Results point out these; DEAs are relatively frequent phenomenon among female students in Turkey and presence of alexithymia was associated with an increased suicide probability in adolescents with DEAs. The results should be evaluated taking into account that depressive symptomatology was not assessed using a depression scale. (C) 2015 Elsevier Ireland Ltd. All rights reserved.Öğe Early-married and sexually abused girls differ in their psychiatric outcomes(Pergamon-Elsevier Science Ltd, 2014) Soylu, Nusret; Ayaz, Muhammed; Yuksel, TugbaEarly marriage and sexual abuse are the two of the most frequent types of childhood abuse. Although early marriage is also a type of sexual abuse, it is associated with different physical, social, and mental outcomes than sexual abuse alone. The purpose of this study was to compare early-married girls and sexually abused girls who were referred for forensic evaluation in Turkey in terms of their sociodemographic characteristics, mental disorder rates, and mental symptom severity. We included 63 adolescent girls for whom a judicial report had been demanded and who were under 15 years old when they were married but were not yet 18 years old during the evaluation (15.51 +/- 0.78) and 72 sexually abused adolescent girls between 14 and 18 years old (15.80 +/- 1.10) in this study. Following a psychiatric evaluation, the study participants completed the Child Posttraumatic Stress Disorder Reaction Index (CPTS-RI) and the Brief Symptom Inventory (BSI). We used the Windows SPSS 16.0 software program to assess the results. At least one psychiatric disorder was determined in 44.4% of the early-married and 77.8% of the sexually abused cases (p < 0.001). A diagnosis of PTSD or ASD was observed in 11.1% of the early-married cases and in 54.2% of the sexually abused victims (p < 0.001). MDD was determined in 33.3% of the early-married cases and 56.9% of the sexually abused cases (p = 0.006). The CPTS-RI scores of the sexually abused victims were higher than those of the early-married cases (p < 0.001). All of the subscale scores of the BSI were higher in the sexually abused adolescents than in the early-married cases (p < 0.001). Although early marriage has severe physical, social and mental outcomes, it is not as severe as sexual abuse in terms of psychiatric disorder rates and the psychiatric symptom severity it causes. (C) 2014 Elsevier Ltd. All rights reserved.Öğe Effects of attention-deficit/hyperactivity disorder on child abuse and neglect(Pergamon-Elsevier Science Ltd, 2016) Gokten, Emel Sari; Duman, Nagihan Saday; Soylu, Nusret; Uzun, Mehmet ErdemIt is known that children with mental and developmental problems are at risk of abuse and neglect. Attention-deficit/hyperactivity disorder is one of the most frequent neurodevelopmental disorders in children and adolescents. The purpose of this study is to examine whether children diagnosed with ADHD are under more risk in terms of child abuse and neglect compared to controls. In this case-control study, 104 children, who applied to Child and Adolescent Psychiatry Unit of Bursa Yuksek Ihtisas Training and Research Hospital between January and June 2015, were diagnosed with ADHD, and had no other psychiatric comorbidity except for disruptive behavior disorders, and 104 healthy children were compared. Abuse Assessment Questionnaire was applied to children after approval of the families was received. It was determined that the children diagnosed with ADHD were exposed to more physical (96.2%) and emotional abuse (87.5%) in a statistically significant way compared to controls (46.2%; 34.6%), they were exposed to physical and emotional neglect (5.8%) at a lower rate compared to healthy children (24.0%), and there was no difference between them and healthy children in terms of witnessing family violence (56.7%; 47.1%) and being exposed to sexual abuse (5.8%; 1.9%). The children diagnosed with ADHD were exposed to physical and emotional abuse at a higher rate; further studies should emphasize the role of parents in this topic and how parental education and treatment programs change the results. (C) 2016 Elsevier Ltd. All rights reserved.Öğe 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, YaseminThe 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.Öğe Fine motor skills in children with rolandic epilepsy(Academic Press Inc Elsevier Science, 2013) Ayaz, Muhammed; Kara, Bulent; Soylu, Nusret; Ayaz, Ayse BurcuThis 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.Öğe 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 BurcuThe 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.Öğe Hemofilili çocuk ve ergenlerde eklem içi kanamalar ile dikkat eksikliği ve hiperaktivite bozukluğu belirti şiddeti arasındaki ilişkinin incelenmesi(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2015) Soylu, Nusret; Leblebisatan, Göksel; Uçur, Ömer; Yıldırım, FatihAmaç: Hemofili hastalarında ortaya çıkan eklem içi kanamalar ve buna bağlı ortaya çıkan hareket kısıtlılıkları, eklem deformiteleri önemli bir sağlık sorunu oluşturmakta, çocuğun yaşam kalitesini bozmaktadır. Çalışmamızda hemofilili çocuk ve ergenlerde eklem içi kanamalar ile dikkat eksikliği ve hiperaktivite bozukluğu ve yıkıcı davranış bozuklukları belirti şiddeti arasındaki ilişkinin incelenmesi amaçlanmıştır. Yöntem: Çalışmaya hemofilili 24 erkek çocuk dahil edildi. Çocuklar ve anneleri ile yapılan görüşmede sosyodemografik özellikler ve eklem içi kanama sıklığı sorgulandı. Görüşmenin ardından olguların anneleri tarafından Turgay çocuk ve ergenlerde davranım bozuklukları için ruhsal bozuklukların tanısal ve sayımsal el kitabı 4. Baskısına dayalı tarama ve değerlendirme ölçeği dolduruldu. Çalışmanın istatistiksel analizinde SPSS for Windows 16.0 paket programı kullanıldı. Bulgular: Yapılan korelasyon analizinde dikkat eksikliği belirti şiddeti ile hiçbir eklem içi kanama sıklığı arasında ilişki saptanmadı (p>0,05). Diz ve ayak bilek eklemleri içine olan kanama sıklığı ile hiperktivite/impulsivite, karşıt olma karşı gelme bozukluğu ve davranım bozukluğu belirti şiddeti arasında istatistiksel olarak anlamlı düzeyde pozitif bir ilişki saptandı (p<0,05). Dirsek eklemi içine olan kanamaların sıklığı ile hiçbir alt ölçek puanları arası anlamlı ilişki saptanmadı (p>0,05). Sonuç: Çalışma sonuçlarımız özellikle diz ve ayak bileği eklemlerindeki kanama sıklığının hiperaktivite/impulsivite, karşıt olma karşı gelme bozukluğu ve davranım bozukluğu belirti şiddeti ile ilişkili olduğunu, proflaktik tedavinin yanında bu eklemlerde sık kanama yaşayan çocukların bu açıdanda değerlendirilmesinin fayda sağlayabileceğini düşündürmektedir.Öğe Investigation of suicide probability in sexually abused adolescents and the associated factors(Pergamon-Elsevier Science Ltd, 2022) Soylu, Nusret; Tanir, Yasar; Alpaslan, Ahmet; Karayagmurlu, Ali; Kaya, Ilyas; Aslan, MehmetObjective: The objectives of this study are to compare the suicide probability of adolescent sexual abuse victims with a control group. Method: The study group consisted of 120 adolescents (105 female, 15 male) who had experienced sexual abuse, and the control group comprised 120 adolescents with sociodemographic features similar to those of the study group. Participants completed the following questionnaires: the Suicide Probability Scale, Brief Symptom Inventory, and child Post-Traumatic Stress Disorder Reaction Index. Results: The study group reported greater hopelessness, higher rates of suicidal ideation, increased hostility/ impulsivity, and had higher general suicide probability subscale scores (determined via the Suicide Probability Scale) compared to the control group. Of the sexual abuse victims, general suicide probability scores were found to be higher among females and among subjects who indicated abuse involving contact and penetration, blaming oneself or their families for the abuse and the development of post-traumatic stress disorder and/or major depressive disorder following the abuse. Conclusions: Our findings showed that individuals who had suffered sexual abuse were more likely to be at risk of suicide and that certain features of the victim, the abuse, and the abuser also related to the probability of suicide.Öğe Investigation of the Relation Between Intraarticular Bleedings and Symptom Severity of Attention Deficit Hyperactivity Disorder in Children and Adolescents with Haemophilia(Turgut Özal Tıp Merkezi Dergisi, 2015) Soylu, Nusret; Leblebisatan, Göksel; Uçur, Ömer; Yıldırım, FatihÖz: Amaç: Hemofili hastalarında ortaya çıkan eklem içi kanamalar ve buna bağlı ortaya çıkan hareket kısıtlılıkları, eklem deformiteleri önemli bir sağlık sorunu oluşturmakta, çocuğun yaşam kalitesini bozmaktadır. Çalışmamızda hemofilili çocuk ve ergenlerde eklem içi kanamalar ile dikkat eksikliği ve hiperaktivite bozukluğu ve yıkıcı davranış bozuklukları belirti şiddeti arasındaki ilişkinin incelenmesi amaçlanmıştır. Yöntem: Çalışmaya hemofilili 24 erkek çocuk dahil edildi. Çocuklar ve anneleri ile yapılan görüşmede sosyodemografik özellikler ve eklem içi kanama sıklığı sorgulandı. Görüşmenin ardından olguların anneleri tarafından Turgay çocuk ve ergenlerde davranım bozuklukları için ruhsal bozuklukların tanısal ve sayımsal el kitabı 4. Baskısına dayalı tarama ve değerlendirme ölçeği dolduruldu. Çalışmanın istatistiksel analizinde SPSS for Windows 16.0 paket programı kullanıldı. Bulgular: Yapılan korelasyon analizinde dikkat eksikliği belirti şiddeti ile hiçbir eklem içi kanama sıklığı arasında ilişki saptanmadı (p>0,05). Diz ve ayak bilek eklemleri içine olan kanama sıklığı ile hiperktivite/impulsivite, karşıt olma karşı gelme bozukluğu ve davranım bozukluğu belirti şiddeti arasında istatistiksel olarak anlamlı düzeyde pozitif bir ilişki saptandı (p<0,05). Dirsek eklemi içine olan kanamaların sıklığı ile hiçbir alt ölçek puanları arası anlamlı ilişki saptanmadı (p>0,05). Sonuç: Çalışma sonuçlarımız özellikle diz ve ayak bileği eklemlerindeki kanama sıklığının hiperaktivite/impulsivite, karşıt olma karşı gelme bozukluğu ve davranım bozukluğu belirti şiddeti ile ilişkili olduğunu, proflaktik tedavinin yanında bu eklemlerde sık kanama yaşayan çocukların bu açıdanda değerlendirilmesinin fayda sağlayabileceğini düşündürmektedir. Başlık (İngilizce): Hemofilili Çocuk ve Ergenlerde Eklem İçi Kanamalar İle Dikkat Eksikliği ve Hiperaktivite Bozukluğu Belirti Şiddeti Arasındaki İlişkinin İncelenmesi Öz (İngilizce): Aim: Intra-articular bleedings in haemophilia patients and movement restrictions and joint deformities that occur as a result of these bleedings constitute an important health problem and deteriorate the quality of life for children. The purpose of this study is to investigate the relation between intra-articular bleedings and symptom severity of attention deficit hyperactivity disorder and disruptive behavior disorders in children and adolescents with haemophilia. Method: 24 boys with haemophilia were included in the study. During the interviews with children and their mothers, their sociodemographic features and frequency of intra-articular bleedings were examined. Following the interviews, mothers were asked to fill out the Disruptive Behavior Disorder Screening and Rating Scale based on Turgay Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, Text Revision. SPSS for Windows 16.0 software program was used for the statistical analysis of the study. Results: As a result of the correlation analysis, no relation was determined between the symptom severity of attention deficit and frequency of intra-articular bleeding (p>0.05). A statistically significant positive relation was determined between the frequency of bleedings within the knee and ankle joints and symptom severities of hyperactivity, impulsivity, oppositional defiant disorder, and conduct disorder (p<0.05). No significant relation was detected between the frequency of bleedings within the elbow joint and subscale scores (p>0.05). Conclusion: The results of our study have made us think that the frequency of bleeding especially within the knee and ankle joints is related with the symptom severity of hyperactivity/impulsivity, oppositional defiant disorder, and conduct disorder, and children having frequent bleedings within these joints should be evaluated from this aspect along with prophylactic treatment.Öğe Management of Hepatotoxicity Induced by the Use of Olanzapine(Mary Ann Liebert, Inc, 2017) Donmez, Yunus Emre; Ozcan, Ozlem; Soylu, Nusret; Sarioglu, Fatma Kartal; Selimoglu, AyseNumerous drugs cause hepatotoxicity clinically or biologically. Neuropsychiatric drugs constitute 16% of these drugs. The occurrence of hepatotoxicity induced by the use of olanzapine is expressed by the researchers. In such cases, generally the dose of olanzapine is reduced or the drug is completely discontinued and the treatment of the patient fails. The aim of this study is to report the case for whom elevated liver enzymes were observed but the process was managed without changing treatment dose and drug and to discuss this case with literature information. The present study has characteristics of being the first in the literature concerning management of the process.Öğe 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, SerhatObjective: 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.Öğe Problematic Internet use was more common in Turkish adolescents with major depressive disorders than controls(Wiley, 2016) Alpaslan, Ahmet Hamdi; Soylu, Nusret; Kocak, Ugur; Guzel, Halil IbrahimAim: This study compared problematic Internet use (PIU) rates in 12- to 18-year-olds with major depressive disorder (MDD) and healthy controls and explored potential links between PIU and suicide among patients with MDD. Methods: The study sample consisted of 120 patients with MDD (62.5% girls) and 100 controls (58% girls) with a mean age of 15. Suicide ideation and suicide attempts were evaluated, and sociodemographic data were collected. In addition, the Children's Depression Inventory, Young Internet Addiction Test and Suicide Probability Scale were applied. Results: The results showed that PIU rates were significantly higher in the MDD cases than the controls (p < 0.001). The analysis of covariance results showed that there was no relationship between potential suicide and the Young Internet Addiction Test score in MDD cases. However, the hopelessness subscale scores of the MDD patients with PIU were significantly higher than the scores of those without PIU. Conclusion: Our results show that PIU was higher in adolescents with MDD and hopelessness was more prevalent among MDD patients with PIU, but no links with potential suicide were found. As this study was a cross-sectional one, it did not allow us to infer a causality relationship between PIU and MDD.Öğe Psychiatric disorders and characteristics of abuse in sexually abused children and adolescents with and without intellectual disabilities(Pergamon-Elsevier Science Ltd, 2013) Soylu, Nusret; Alpaslan, Ahmet Hamdi; Ayaz, Muhammed; Esenyel, Selcen; Oruc, MucahitThe purpose of this study was to compare sexually abused children and adolescents, with and without intellectual disabilities (ID), in terms of post-abuse psychiatric disorders, features of the sexual abuse, and sociodemographic characteristics. The study included sexually abused children aged 6-16 years, who were sent to three different child mental health units for forensic evaluation; there were 102 cases (69 girls and 33 boys) with ID and 154 cases (126 girls and 28 boys) without ID. Researchers retrospectively examined the files, social examination reports, and the judicial reports of the cases. It. was determined that in the group with ID, sexual abuse types including penetration and contact had higher rates, they were exposed to more frequent repeated abuses, the abuses were revealed with their own reports at a later period and lower rates, and post-abuse pregnancies were more frequent. It was also determined that the abuser was a familiar person and a family member at lower rates and more than one abuser was encountered more frequently, compared to the group without ID. While no difference was determined between the two groups in terms of the frequency of post-abuse post-traumatic stress disorder (PTSD) and major depressive disorder (MDD), conduct disorder (CD) was observed more frequently in the group with ID. This study emphasizes that sexual abuse, which is an important problem in individuals with ID, has different features and effects. (C) 2013 Elsevier Ltd. All rights reserved.Öğe The Relationship between Online Sexual Solicitation and Internet Addiction in Adolescents(Routledge Journals, Taylor & Francis Ltd, 2020) Donmez, Yunus Emre; Soylu, NusretThe purpose of this study is to investigate the association between online sexual solicitation (OSS) and internet accessibility, usage, and addiction in adolescents. The study was conducted with 48 adolescents who had been exposed to OSS and 48 age- and sex-matched adolescents who had not been exposed to OSS. Internet addiction (IA) was determined by the Young Internet Addiction Scale. The groups were compared in terms of socio-demographic characteristics, internet access facilities, internet use characteristics, psychiatric disorders, and IA. The results showed that the duration of daily internet use, the purpose of internet use, and the rate of IA were significantly higher in the OSS-exposed group than in the control group. Depressive disorder and post-traumatic stress disorder were more common in the OSS group than in the control group. Results revealed that the association between OSS and IA is independent of psychiatric disorders. In conclusion, the evaluation of adolescents exposed to OSS, in terms of IA and the measures and interventions to be taken in this regard, will contribute to the prevention of new exposures. Additionally, considering that OSS may be among the possible negative consequences of IA, evaluating adolescents with IA in terms of OSS will provide significant benefits.Öğe 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, NusretObjective: 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.Öğe Yatış Süresinin Klinik-Demografik Özelliklerle İlişkisi: Bir Çocuk ve Ergen Psikiyatrisi Yataklı Servis Bulguları(2021) Uçur, Ömer; Soylu, Nusret; Güngören, Sümeyra; Doğan, Özlem; Alğan, Zehra; Karatoprak, Serdar; Özcan Özel, ÖzlemÖz: Amaç: Çocuk ve ergen psikiyatrisinde hastaların yatırılarak takip edilmeleri sağaltımda önemlidir. Olguların yatış sürelerinin uzunluğudemografik ve klinik özelliklere bağlı olarak değişebilir. Bu çalışmada bir çocuk ve ergen psikiyatri yataklı servisinde olguların yatış süresininklinik ve demografik özellikler ile ilişkisine ait verilerin paylaşılması amaçlanmıştır.Gereç ve Yöntem: İnönü Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı Yataklı Servisi’nde yatırılarak takip ve tedavi edilmiş olgularınkayıtları incelendi. 2013 sonundan 2017 ortasına kadar yatırılmış ve taburcu edilmiş 379 olgunun demografik ve klinik özellikleri (ruhsaltanılar, bilişsel davranışçı terapi ve psikofarmakolojik tedavi, yatış özellikleri, psikometrik ölçek puanları) kaydedildi. Tüm değişkenlerin yatışsüresine olan etkisi değerlendirildi. Yatış sürelerinin karşılaştırmalarında non-parametrik bir test olan Mann-Whitney U testi kullanıldı.Uygulanan psikometrik testlerin yatış süresi ile ilişkisine Pearson korelasyon katsayısı ile bakıldı.Bulgular: Tüm olguların ortalama yatış süresi 20,05±19,69 gün idi. Olguların en kısa yatış süresi 1 gün iken en uzun yatış süresi 135 gündü.Adölesanlarda, örgün eğitimine devam edenlerde, ruhsal tanılardan şizofreni ve diğer psikotik bozukluklar, beslenme ve yeme bozuklukları iletravma ve stres ile ilişkili bozuklukları olanlarda, bilişsel davranışçı terapi ve psikofarmakolojik tedavi (antipsikotik, antidepresan, anksiyolitik)alan olgularda yatış süresi anlamlı olarak daha uzundu. Nörogelişimsel bozukluklar ve anlıksal yeti yitimi olan olgularda yatış süresi dahakısaydı. Çocuklarda Depresyon Ölçeği, Çocuklar için Durumluk-Sürekli Kaygı Envanteri, Çocuklar için Travma Sonrası Stres Tepki Ölçek’leripuanlarının yatış süresinin uzunluğu ile pozitif yönde korele olduğu saptandı.Sonuç: Ruhsal tanılar ve tedavi şekilleri yatış süresinin uzunluğunda belirleyici olabilir. Ülkemizde çocuk ve ergenlerde yataklı psikiyatriservisleri oldukça kısıtlı sayıdadır. Yatış süresinin demografik ve klinik özelliklerle ilişkisinin incelendiği daha fazla çalışmaya ihtiyaç vardır.
