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Abdominal epilepsy mimicking conversion disorder: A case report
(Taylor & Francis Ltd, 2019) Öztürk, Yusuf; Göl, Güler; Savcı, Uğur; Cansız, Mehmet Akif; Tufan, Ali Evren
In children and adolescents, especially younger ones, recurrent abdominal pains may develop as a response to psychosocial stressors. They may be considered as functional and be one of the common reasons for clinical referrals. A rare cause of recurrent, organic abdominal pain is abdominal epilepsy. Abdominal epilepsy may be considered in differential diagnosis of patients that were thought to have functional complaints. In this case, a 16-year-old adolescent girl whose chief complaints included loss of consciousness and recurrent abdominal pains lasting for a year is presented.
Adjustment disorder after botulinum toxin injection in an adolescent palatal myoclonus case: the importance of informed consent in the treatment of neuropsychiatric disorders in children and adolescents
(Elsevier Sci Ltd, 2018) Öztürk, Yusuf; Topal, Zehra; Demir, Nuran; Tufan, Ali Evren
Informed consent in clinical practice is a process in which a patient consents to participate or undergo the proposed procedures after being informed of its procedures, risks, and benefits. Ideally, the patient is expected to give his/her consent solely after fully understanding the information about the procedures, benefits, and risks involved in the practice. According to the doctrine, the necessary information should be given by the physician and he/she should also respect the decision of the patient which is based on this information.1 Although the importance of providinginformation about the proposed treatment’s effects and side effects to children and adolescents before treatment is accepted by physicians, this issue is given little importance in research and case presentations.2 In this case, it was aimed to discuss the importance of informed consent and multi-disciplinary approach in treatment by presenting an adolescent patient who was diagnosed with palatal myoclonus and treated with botulinum toxin. Although the neurological treatment was effective, the patient developed adjustment disorder (with depressive mood) due to dysphonia after the procedure.
Adolescents with asthma reported more peer victimization, more anger repression, and less anger expression
(Taylor & Francis Ltd, 2020) Özyurt, Gonca; Tuncel, Tuba; Eliaçık, Kayı; Şenol, Handan Duman; Öztürk, Yusuf; Özdoğru, Emine Ece
Objective:The aim of this study was to investigate the peer victimization and anger expression in adolescents with asthma. The relationship between asthma control and psychological features was also examined. Methods:The study was a cross-sectional study with a healthy control group. The sample of the study was composed of 61 adolescents who were previously diagnosed by a physician with asthma of various intensities. Sixty adolescents with no chronic disorders were enrolled as the control group. Peer victimization was examined using the Multidimensional Peer Victimization Scale (MPVS). The State-Trait Anger Expression Inventory (STAXI) was used to assess anger expression styles. Emotional and behavioral symptoms of the adolescents were measured using the Strengths and Difficulties Questionnaire (SDQ). Results:Adolescents with asthma reported more peer victimization in the subscales of physical, social, verbal, attacks on property, and frightening in the MPVS; and having more problems in emotional, social, and peer relations areas in the SDQ (p < .001 for all subscales) compared to the control group. The results were similar between the groups regarding the conduct problems and hyperactive behaviors. The adolescents with asthma reported more anger repression and less anger expression than the control group (p < .001 for both subscales). Conclusions:The results indicated that the adolescents with asthma were subjected to more peer victimization and experienced more difficulties in anger expression than the controls. Based on the findings of this study, we suggest that these psychological factors should be kept in mind during the management of asthma in adolescents.
Anksiyete bozukluğu olan çocuklarda duygu düzenlemenin annelerinin duygu düzenlemesi, bağlanması anksiyete duyarlılığı ile ilişkisinin incelenmesi
(2017) Özyurt, Gonca; Öztürk, Yusuf; Akay, Aynur
Amaç: Anksiyete bozukluğu çocukluk çağında sık görülmesine karşın anksiyete bozukluğunun nasıl ortaya çıktığına yönelik bilgiler halen sınırlıdır. Bu çalışmada anksiyete bozukluğu olan çocukların duygu düzenleme becerileri ve anksiyete şiddetinin, annenin bağlanması, anksiyete duyarlılığı ve duygu düzenleme becerileri ile ilişkisini değerlendirmek ve sağlıklı kontroller ile karşılaştırmak amaçlanmıştır. Yöntem: Çalışmaya 8-12 yaşları arasında 64 anksiyete bozukluğu olan olgu ve annesi ile anksiyete bozukluğu grubu ile yaş ve cinsiyet olarak benzer 78 sağlıklı çocuk ve annesi katılmıştır. Çocuklarda anksiyete bozukluğunun şiddetini ölçmek için Çocuklarda Anksiyete Tarama Ölçeği (ÇATÖ), çocukların duygularını düzenlemesini değerlendirmek için Duygu Ayarlama Ölçeği (DAÖ) kullanılmıştır. Annelerin duygularını düzenlemesini değerlendirmek için Duygu Düzenleme Güçlüğü Ölçeği (DDGÖ), annelerin yaşadığı anksiyete için Anksiyete Duyarlılığı İndeksi-3 (ADİ-3) ve annelerin bağlanma özellikleri için Yakın İlişkide Yaşantılar Ölçeği-II kullanılmıştır. Sonuçlar: ÇATÖ anne-baba formu ve çocuk formu puanları ile ADİ-3, DAÖ alt ölçekleri ve DDGÖ toplam puanı Pearson korelasyon analizi ile karşılaştırılmıştır. ÇATÖ anne-baba formu ve çocuk formu puanları ile DAÖ'nün duygusal değişkenlik puanları, ADİ-3 ölçeğinin sosyal, bilişsel, fiziksel anksiyete, annelerin kaygılı bağlanma ve duygu düzenleme ölçeği puanları arasında pozitif korelasyon ve DAÖ'nün duygu düzenleme puanları arasında negatif korelasyon saptanmıştır. Annelerin kaçıngan bağlanması ile ÇATÖ anne-baba formu ve çocuk formu puanları arasında ilişki saptanmamıştır. Tartışma: Bu çalışma anksiyete bozukluğu olan çocukların yaşadığı duygu düzenleme güçlüklerinin annelerin duygu düzenleme güçlükleri ve annelerin bağlanma özellikleri ile ilişkisini değerlendiren ilk çalışmadır. Anksiyete bozukluğu olan çocukların duygu düzenleme güçlüklerine uygulanabilinecek bilişsel ve davranışçı yöntemlere tedavide daha fazla yer verilmesi ile duygu düzenleme becerileri gelişen çocukların anksiyete belirtileri azalabilir.
Anxiety Level in Pediatrics Residents in COVID-19 Outbreak Days
(Galenos Publishing House, 2021) Özyurt, Gonca; Öztürk, Yusuf; Kanik, Ali; Oral, Elif; Aslankaya, Zeynep Dilara; Görmez, Vahdet; İnal, Neslihan
Objectives: The aim of this study is to reveal how pediatrics residents’ anxiety levels and their approaches to children have been shaped during unexpected experience of COVID-19 outbreak and to evaluate the effects of working in pandemic clinics on anxiety. Materials and Methods: This study was planned as a cross-sectional study. Pediatrics residents working in Izmir Tepecik Training and Research Hospital Pediatrics Education Clinic were contacted and asked whether they wanted to fill the prepared electronic questionnaire. The information including informed volunteer consent form and questionnaires was sent to the acceptors via e-mail/Whatsapp. The socio-demographic data form and Spielberger State and Trait Anxiety Inventory (STAI-S and STAI-T) were sent to the participants. Results: Sixty four pediatrics residents participated. The average age of the participants in our study was 27.98±2.62 years. Of them, 79.7%(n=51) were female, while 20.3% (n=13) were male. While 7.8% (n=5) had a history of suffering from mental illness before COVID-19, there was no history of mental illness in 92.2% (n=59). 67.2% (n=43) of the pediatrics residents included in the study worked in the pandemic service and outpatient clinics. We found that pediatrics residents included in the study showed clinically significant anxiety symptoms at the rate of 89.1% (n=57) in terms of the Spielberger state anxiety scale and at the rate of 65.6% (n=42) in terms of the Spielberger trait anxiety scale. Considering whether the residents included in the study worked or did not work in the pandemic outpatient clinic/inpatient clinic, no statistically significant difference was found in terms of STAI scores (p>0.05). Conclusion: Our study is the first study to evaluate the anxiety levels associated with the COVID-19 outbreak among pediatrics residents in our country. In our study, both the state anxiety level and the trait anxiety level were found to be higher in pediatrics residents, with a higher level of state anxiety. The results of our study suggest the necessity of interventions for the concerns of all healthcare professionals, especially pediatrics residents. © 2021 Türkiye Çocuk ve Genç Psikiyatrisi Derneği / Çocuk ve Gençlik Ruh Sağlığı Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.
Assessment of the clinical and sociodemographic characteristics of children and adolescents who are sent to an affiliated university hospital for forensic psychiatric examination
(2020) Öztürk, Yusuf; Erim, Burcu Rahsan
This study aimed to investigate the socio-demographic data, the reason and frequency of forensic application, and the presence of additional mental disorders in children and adolescents who applied for a forensic psychiatric examination to an affiliated university hospital. Pediatric psychiatry files of the patients who applied to Abant İzzet Baysal Mental Health and Diseases Policlinic outpatient clinic of Bolu Abant İzzet Baysal University between 2016-2018 were screened retrospectively and the data were evaluated in SPSS 22.0. The mean age of 117 patients included in the study was 14.86 ± 3.37, 54(46.2%) were female and 63(53.8%) were male. The most common reason for being sent is the claims within the scope of evaluation and health measures in terms of perceiving the legal meaning and consequences of the crimes committed with 33 applications. There was a statistically significant difference between males and females in terms of forensic assessment. At least one psychiatric diagnosis was made in 69.1% of the cases and the most common diagnosis was mental retardation. Dissemination of regional studies of forensic assessment and identification of differences by the province may contribute to the more efficient and functional use of resources. In addition to contributing to the improvement programs to be made after forensic assessments, pre-crime is also of value in terms of identifying the causes of crime, especially in children and adolescents.
The association between pragmatic language impairment, social cognition and emotion regulation skills in adolescents with ADHD
(Taylor and Francis, 2022) Çiray, Remzi Oğulcan; Özyurt, Gonca; Turan, Serkan; Karagöz, Ezgi; Ermiş, Çağatay; Öztürk, Yusuf; Akay, Aynur
Abstract Objective Attention Deficit and Hyperactivity Disorder (ADHD) is associated with significant pragmatic language impairment and theory of mind deficits, but there are only a handful of studies have investigated the relationship between them in these conditions. This study aimed that investigate two different aspects of Theory of Mind (ToM) (ToM decoding and reasoning), pragmatic language impairment, and emotion regulation in patients with ADHD. Method Seventy adolescents with ADHD were compared to matched 64 healthy controls. We administered Social Responsiveness Scale-2 (SRS-2), Difficulties in Emotion Regulation Scale (DERS), Kiddie-SADS, Conners Parent Rating Scale, Children’s Communication Checklist-2 (CCC-2), Faux Pas, Comprehension Test, and Reading Mind in the Eyes Test (RMET) to all study participants. Results The CCC-2 scores were found to be statistically significantly higher in the ADHD group than in healthy controls. ADHD group had lower performance in the Faces Test and RMET compared to healthy controls, which did not survive from false discovery rate correction. We also found that CCC-2 performance and Conners scores were significant predictors of social responsiveness. Conclusion Our results point to widespread impairment in pragmatic language use and communication from many perspectives. These results might be important to understand the difficulties in social functioning and interpersonal relationship in adolescents with ADHD.
Association of theory of mind and empathy abilities in adolescents with social anxiety disorder
(Springer, 2020) Öztürk, Yusuf; Özyurt, Gonca; Turan, Serkan; Mutlu, Caner; Tufan, Ali Evren; Akay, Aynur Pekcanlar
Studies have shown that elevated empathic abilities and impaired theory of mind (ToM) tasks may be associated with social anxiety disorder (SAD). Adolescence is a critical period for the onset of SAD which may cause impairment in various domains of functioning. We aimed to investigate the association of ToM and empathy characteristics in adolescents diagnosed as having SAD. Forty-one drug-naive adolescents (between 12 and 18 years), who were diagnosed as having SAD without comorbidities were enrolled in the patient group. Forty adolescents in the same age range without any psychiatric disorders were matched as the healthy control group. The sample was evaluated via the Kiddie and Young Adult Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version. The severity of the SAD symptoms was evaluated using the Social Anxiety Scale for Adolescents. ToM was evaluated with the Reading the Mind in the Eyes Test and emotion recognition was assessed by Faces Test. The KA-SI Empathic Tendency Scale was used to assess empathic abilities. The average age was 14.36 +/- 1.41 years in the SAD group and 14.30 +/- 1.04 years in the control group. Twenty-eight adolescents were female in the SAD and control groups. SAD and healthy controls did not differ in terms of sociodemographic data. There were higher scores in the KA-SI cognitive and affective empathic subscales (p < .001 in all scales) in the SAD group compared with the healthy controls. Adolescents with SAD have more difficulties both in Reading the Mind in the Eyes Test and Faces Test. The results of this study may indicate that although adolescents with SAD may be impaired in decoding aspects of ToM they may evaluate themselves as more empathic in self-report tests. The discrepancy between objective tests of ToM decoding and subjective reports of empathy may play an important role in the etiology and treatment of SAD in adolescents.
Atomoxetine Induced Tics in ADHD Treatment: A Case Report
(Galenos Publishing House, 2022) Sarı, Mesut; Özcan, Güler Göl; İmrek, Yasemin Akkuş; Öztürk, Yusuf; Tufan, Ali Evren
Attention deficit hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders in children and adolescents and its main symptoms are attention deficit, hyperactivity and impulsivity. Atomoxetine is a selective noradrenaline reuptake inhibitor with proven efficacy in the treatment of ADHD. Although it is known that it has side effects such as gastrointestinal problems, sleep problems, irritability and fatigue, atomoxetine is frequently preferred in children and adolescents with ADHD who also have tic disorder. However, a small number of patients whose tics started or worsened during atomoxetine treatment have been reported. In this case report, we discussed the mechanism of this adverse effect in a 7-year-old child who used atomoxetine for ADHD treatment who had treatment related triggering of tics. © Telif Hakkı 2022 Türkiye Çocuk ve Genç Psikiyatrisi Derneği/Çocuk ve Gençlik Ruh Sağlığı Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.
Attachment, emotion regulation and anger expression in adolescent depression: Did comorbid anxiety disorder not have a role?
(Springer, 2021) Özyurt, Gonca; Öztürk, Yusuf; Onat, Merve; Mutlu, Caner; Akay, Aynur
Depression is a common mental health problem in adolescence. In this study it was aimed to investigate attachment properties, emotion regulation skills and anger expression patterns in adolescents diagnosed with major depressive disorder (MDD) and to compare the results with healthy controls’ findings. Effects of having comorbid anxiety disorder (AD) to these psychological properties were also evaluated. The study was planned as three-centered, single-disciplinary, a cross-sectional study with a control group in Turkey. Depression group was consisted of 97 adolescents while control group was 101 adolescents. All participants were administered Beck Depression Inventory (BDI), Inventory of Parent and Peer Attachment (IPPA), Difficulties in Emotion Regulation Scale (DERS), and State-Trait Anger Expression Inventory (STAXI). Depression group had statistically lower scores in peer attachment and parent attachment, and higher scores in all subscales of DERS compared to the controls. Due to STAXI, it was observed that depression group obtained statistically significant higher scores in trait anger, repression of anger, expression of anger and statistically lower scores in control of anger, compared the controls. There was no difference in state anger between groups. In depression group, there were no significant differences for any promising psychiatric properties between adolescents with MDD and those with MDD + AD. The findings of this study supported that anger expression and emotional regulation difficulties were related with depression and that this relationship was also associated by attachment security. These findings are important for clinical practice to increase understanding of the association between attachment security, emotion regulation, anger expression and depression. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
Bir Üniversite Hastanesine Çocuklar İçin Özel Gereksinim Raporuna Başvuran Olguların Klinik ve Sosyodemografik Özellikleri
(2020) Kayhan, Mehmet; Öztürk, Yusuf
Bu çalışmada Çocuklar İçin Özel Gereksinim Raporu’na (ÇÖZGER) başvuran çocuk ve ergen olgularda başvuru nedenleri,olguların sosyodemografik özellikleri ve psikiyatrik tanı dağılımlarının saptanması amaçlanmıştır. Bu çalışmada 2019 Şubat – 2019Ekim tarihleri arasında hastanemiz sağlık kuruluna ÇÖZGER için başvuran 0-18 yaş arası 307 çocuk ve ergenin dosya verilerigeriye dönük olarak değerlendirilmiştir. Çalışmaya yaş ortalaması 9.10±4.60 olan toplam 307 olgu dahil edilmiştir. Çalışmayakatılan olguların 116 (%37.8) tanesi kız cinsiyetteyken 191 (%62.2) olgu erkekti. ÇÖZGER için en sık başvuruyu % 52.4 oranlaözel eğitim için yapılan başvurular oluşturmaktadır. Tüm başvurular değerlendirildiğinde % 52.7 (n= 165) oranında gecikmiş dönümnoktası tespit edilmiştir. Gecikmiş dönüm noktası tanısında da en sık % 47.9 (n:79) ile hafif düzeyde gecikme bulunmuştur. Erkekve kız çocuklar arasında psikopatoloji varlığı bakımından anlamlı fark saptanamamıştır (p = 0.303). ÇÖZGER raporu için başvuran307 olgudan 173’ünde (%56.4) ek bir tıbbi hastalık saptanmıştır. Eşlik eden tıbbi hastalıkları sistemler açısından incelendiğinde iseen sık nörolojik hastalıkların olduğu bulunmuştur (%40). ÇÖZGER için sağlık kuruluna başvuran çocuk ve ergenlerle ilgiliverilerin belirlenmesi hem çocuk psikiyatrisi hem de diğer branşlardaki uzman hekimlere yol gösterici olacaktır. Bulgularımızındiğer merkezlerdeki örneklemlerin de değerlendirildiği ileri araştırmalarla desteklenmesi gerekmektedir.
A case of emetophobia responding to mirtazapine and propranolol treatment
(Korean Society of Neurogastroenterlogy and Motility, 2022) Köksal, Merve; Koçak, Gökçe; Öztürk, Yusuf; Tufan, Ali Evren
Emetophobia (“phobia of vomiting and nausea” or “Specific Phobia- Other [Vomiting]” in Diagnostic and statistical manual of mental disorders-Fifth Edition [DSM-5]) is characterized by impairing, chronic phobic avoidance of nausea/vomiting as well as inordinate cognitive and autonomic responses when avoidance is not possible.1,2 Patients may have elevated disgust sensitivity, a tendency to display gastrointestinal symptoms of anxiety as well as misinterpretation of those symptoms as catastrophic.2 Data on pharmacological management of emetophobia among adolescents is limited with only 2 cases benefiting from selective serotonin reuptake inhibitors (fluoxetine and sertraline) while adults may also benefit from benzodiazepines. 3-5 Patients may apply to various medical specialty clinics for treatment and this may delay diagnosis and management. Here; we aim to present an adolescent with emetophobia and its management by mirtazapine and propranolol.
Chronotype and Childhood Psychiatric Disorders
(Galenos Publishing House, 2021) Balta, Büşra; Özcan, Güler Göl; Sari, Mesut; İmrek, Yasemin; Taşkan, Merve; Öztürk, Yusuf; Tufan, Ali Evren
The chronotype, which reflects differences among individuals in daily activity patterns and sleep-wake cycles, is actually linked to being healthy. The most important factor that determines the chronotype is the environmental light-dark cycle. Chronotype is the study of classification as morning or evening types according to the physiological and genetic characteristics of the human. There are many factors that determine chronotypes. Although the evidence shows a negative picture for evening types, it should be emphasized that only eveningness cannot cause depression or other psychiatric disorders alone and additional effects may play a role. Conducting studies on mechanisms underlying the chronotype-psychopathology connection is important for interventions that can help reduce the incidence of psychiatric disorders in evening types; these interventions may include sleep training, dietary advice, and cognitive-behavioral techniques. The purpose of this review is to provide an overview of psychiatric disorders in children and adolescents and their relationship with the morning and evening types. © Telif Hakkı 2021 Türkiye Çocuk ve Genç Psikiyatrisi Derneği/Çocuk ve Gençlik Ruh Sağlığı Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.
Comparison of Cognitive Distortions in Adolescents with Major Depressive Disorder with Healthy Controls
(Galenos Publishing House, 2021) Özdel, Kadir; Öztürk, Yusuf; Özyurt, Gonca
Objectives: The aim of this study is to compare the cognitive distortions of adolescents with Major Depressive Disorder (MDD) with healthy controls. In addition, it is aimed to identify the relationship between the anxiety disorder comorbidity and cognitive distortions in adolescents with MDD. Materials and Methods: The study was designed as a cross-sectional study and was conducted between March 2017 and March 2018 at Katip Çelebi University Faculty of Medicine and Abant İzzet Baysal University Child and Adolescent Psychiatry Department. The diagnoses and comorbid conditions of the adolescents in the MDD group were evaluated using the Affective Disorders and Schizophrenia Interview Schedule for School Age Children-Present and Lifetime Version. The severity of depressive symptoms was evaluated with the Beck Depression Inventory (BDI) Cognitive Distortions Scale (CDC). Results: During the study period, 82 individuals with MDD (mean age: 17.00 ± 0.75 years: 52 girls) and 90 healthy controls (mean age: 17.03±0.71 years: 61 girls) were included in the study. In the MDD group, all CDC subscales and total score were statistically significantly higher in comparison to those in healthy controls (p<.05). When the CDC subscales were compared between the groups with and without comorbid anxiety disorder in the MDD group; there were statistically significantly higher values in mind reading (=0.002), catastrophizing (<.001), labelling (p<.001), overgeneralization (p=.001) and total scores (p=.001) in the anxiety comorbidity group. We found a statistically significant correlation between BDI scores and all subscales of CDC. It was found that “labeling” in interpersonal domain and “personalization” in the personal achievement domain were the features that predicted BDI score. Conclusion: In our study, it was found that cognitive distortions were higher in adolescents with MDD, especially in those with comorbid anxiety disorder. Our findings emphasize the need to address cognitive distortions in MDD treatment. © Telif Hakkı 2021 Türkiye Çocuk ve Genç Psikiyatrisi Derneği / Çocuk ve Gençlik Ruh Sağlığı Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.
Differential effects of disruptive mood dysregulation disorder comorbidity in attention deficit hyperactivity disorder on social cognition and empathy
(Sage Publications Inc, 2024) Özyurt, Gonca; Öztürk, Yusuf; Tufan, Ali Evren; Akay, Aynur; İnal, Neslihan
Objective: This study aimed to investigate social cognition and empathy properties in children among Disruptive Mood Dysregulation Disorder (DMDD) + Attention and Hyperactivity Disorder(ADHD); ADHD and healthy controls from Turkiye. Methods: Twenty-two children with DMDD were compared to matched 30 children with ADHD and 60 healthy controls. We administered Affective Reactivity Index (ARI), KaSi Empathy Scale, Kiddie-SADS, and Reading Mind in the Eyes Test (RMET) to evaluate Theory of Mind skills to all study participants. Results: DMDD + ADHD group had lower performance in ToM skills and empathy than in two groups. The ARI scores were found to be statistically significantly higher in the DMDD group than in two groups. It was also found that ARI, empathy, and ToM scores were significantly related in children with DMDD + ADHD. Conclusion: These results might be important to understand the difficulties in social functioning and interpersonal relationship in children with DMDD and ADHD. Children with DMDD may attend specific therapeutic programs which include specific techniques in social cognition, emotion regulation, and irritability.
Dikkat Eksikliği Hiperaktivite Bozukluğu Tanısı Olan Çocukların Ailelerinin Bildirdiği Uyku Alışkanlıklarının ve Uyku Sorunlarının Sağlıklı Kontrollerle Karşılaştırılması
(2017) Öztürk, Yusuf; Özyurt, Gonca; Akay, Aynur Pekcanlar
Dikkat Eksikliği ve Hiperaktivite Bozukluğu (DEHB)) tanılı çocukların uyku kalitelerinin etkilendiği gösterilmiştir. Çalışmada DEHB tanısı olan çocukların uyku sorunları ve alışkanlıkları açısından kendi içinde ve sağlıklı kontrollerle karşılaştırılması amaçlanmıştır. Çalışmaya 8-12 yaşları arasında 61 DEHB tanılı olgu ve hastanelerin diğer kliniklerine başvuran yaş ve cinsiyet olarak benzer 87 çocuk katılmıştır. Çalışmada Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu sürümü (ÇDGŞG-ŞY) Du Paul DEHB Değerlendirme Ölçeği uygulanmıştır. Çocuklarda uyku, Çocuklar İçin Uyku Alışkanlıkları Anketi ile değerlendirilmiştir. DEHB grubu sağlıklı kontrollerle karşılaştırıldığında; yatma zamanı direnci, uykuya dalmanın gecikmesi, uyku süresi, uyku kaygısı, gece uyanmaları, parasomnialar, gün içinde uykululuk ve uyku sorunları açısından iki grup arasında istatistiksel anlamlılık bulunurken, uykuda solunum bozulması arasında anlamlı bir farklılık saptanmamıştır. Çalışmamızda, literatüre benzer şekilde, DEHB grubundaki çocukların ebeveynleri tarafından değerlendirilen uyku alışkanlıklarındaki sorunlar sağlıklı kontrollere göre fazla bulunmuştur. Ancak, daha geniş örneklemli ve aktigrafi ve polisonografi gibi daha objektif ölçümlerle yapılan çalışmalar, bu konuda daha fazla bilgi sahibi olmamıza olanak sağlayabilir.
Dikkat Eksikliği ve Hiperaktivite Bozukluğu Tanılı Çocuk ve Ergenlerde Yürütücü İşlev Sorunları ve Tedavisi
(2019) Savci, Uğur; Tufan, Ali Evren; Öztürk, Yusuf; Cansiz, Mehmet Akif
Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) çocuk ve gençlerin evleri, okulları ve toplum içindeki işlevselliğini ciddi bir şekilde etkileyen nöro-gelişimsel bir bozukluktur. Son yıllarda DEHB’nin altta yatan sebebinin yürütücü işlev bozukluğu ile ilgili olduğu hipotezler ortaya konulmuştur. Bu hipotezlerin sonucu olarak hem performansa dayalı ölçümlerle, hem de ebeveyn ve öğretmenlere dayalı ölçekler aracılığıyla DEHB’de hangi yürütücü işlev bozukluklarının görüldüğü araştırılmaya başlanmıştır. DEHB'de yürütücü işlev sorunlarının değerlendirilmesinde birçok yöntem bulunmaktadır. Ayrıca, DEHB'ye yürütücü işlev sorunlarının eşlik ettiği durumların tedavisinde uygulanan bazı ilaç ve ilaç dışı tedavi yaklaşımları mevcuttur. Bu yazının amacı, dikkat eksikliği hiperaktivite bozukluğundaki yürütücü işlev sorunları ve tedavisini gözden geçirmektir.
Dikkat eksikliği ve hiperaktivite bozukluğunda duygu düzenleme güçlükleri ve tedavisi
(2018) Öztürk, Yusuf; Özyurt, Gonca; Tufan, Ali Evren; Pekcanlar, Aynur Akay
Dikkat eksikliği hiperaktivite bozukluğu gençlerin ev, okul ve sosyal işlevselliğini ciddi bir şekilde etkileyen nöro-gelişimsel bir bozukluktur. Dikkat eksikliği hiperaktivite bozukluğuna duygu düzenleme güçlüklerinin eşlik etmesi; bozukluk belirtilerinde ağırlaşmaya, daha fazla riskli davranışlar sergilemeye, akran ilişkileri, toplumsal ve romantik ilişkilerde daha fazla bozulmaya sebep olmaktadır. Dikkat eksikliği hiperaktivite bozukluğunda duygu düzenleme güçlüklerinin değerlendirilmesinde birçok yöntem bulunmaktadır. Dikkat eksikliği hiperaktivite bozukluğuna duygu düzenleme güçlüklerinin eşlik ettiği durumların tedavisinde uygulanan bazı ilaç ve ilaç dışı tedavi yaklaşımları mevcuttur. Bu yazının amacı, dikkat eksikliği hiperaktivite bozukluğundaki duygu düzenleme güçlükleri ve tedavisini gözden geçirmektir.
Drug holidays may not affect processing speed while they may reduce beneficial effects on resistance to interference among children with treated with methylphenidate: a single-center, prospective study
(Taylor & Francis Ltd, 2020) Göl Özcan, Güler; Öztürk, Yusuf; Sarı, Mesut; İmrek, Yasemin; Özyurt, Gonca; Tufan, Ali Evren; Akay, Aynur Pekcanlar
Objective This study aimed to investigate the effects of drug holidays during summer vacations among children with attention deficit/hyperactivity disorder (ADHD) who were treated with methylphenidate in terms of ADHD symptoms and executive functions. Methods The study was a prospective cohort study that includes pre-treatment, post-treatment and post-drug holiday evaluations. ADHD symptom severity was evaluated with the Clinical Global Impression Scale (CGI), the Conners' Parental Rating Scale-Short Form (CPRS) and the Conners' Teacher Rating Scale- Short Form (CTRS). The Stroop Color Word Test- TBAG Form (SCWT) was used to evaluate executive functions. Fifty-one patients participated in the study according to the inclusion and exclusion criteria. Methylphenidate (MPH) was started at 0.5 mg/kg/day and titrated weekly to a maximum of 1.2 mg/kg/day. During the follow-up period, 22 (43.0%) of the patients stopped treatment. Results Completion times for all SCWT subtests were significantly reduced after treatment (p < 0.001, p = 0.002, p < 0.001, p = 0.002, p < 0.001; respectively). Mean number of corrections in SCWT-3 and mean number of errors as well as corrections in SCWT-5 significantly reduced after treatment (p = 0.047, p = 0.005, p = 0.007; respectively). Mean number of corrections in SCWT-3 and mean number of errors in SCWT-5 increased significantly after drug holiday compared to post-treatment (p = 0.032 and p = 0.037; respectively). Conclusion Our results suggest that psychomotor speed and resistance to interference improved in children with ADHD receiving methylphenidate treatment. Drug holidays did not affect psychomotor speed while beneficial effects on resistance to interference were reduced with drug holidays.
Effect of methylphenidate treatment on sleep in children with attention deficit hyperactivity disorder
(Yerküre Tanıtım & Yayıncılık Hizmetleri A. Ş., 2021) Özcan, Güler Göl; Öztürk, Yusuf; Sarı, Mesut; İmrek, Yasemin; Tufan, Ali Evren
Objective: Our study aimed to compare the pre - and post-treatment sleep habits of children with Attention Deficit and Hyperactivity Disorder (ADHD) who use methylphenidate and to evaluate the effect of the treatment on sleep problems. Methods: This study includes pre-treatment and post-treatment evaluations. Children's sleep habits and problems were assessed with the Children's Sleep Habits Questionnaire (CSHQ). We gave scales for the parents and teachers of 51 patients who participated in the study. Results: When the sub-scales of CSHQ applied before and after the treatment were analyzed, we found that only the parasomnia subscale score was statistically significantly higher before the treatment (p=0.026); and there was no statistically significant difference between other subscale scores (p>0.05). Compared to whether there is a sleep problem before and after treatment, there was no significant difference between them (p=0.993). Conclusion: In our study, after methylphenidate treatment, we found that parasomnia decreased. We found that there was no difference between the pre - and post-methylphenidate treatment in the presence of sleep problems. Considering the inconsistent results of studies on the effect of methylphenidate on sleep problems, studies requiring longer-term treatments and evaluating sleep habits and problems with more objective methods are needed.

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